Chapter 542: Amputation of right forearm

Tongda Affiliated Hospital, Department of Traumatology and Orthopedics.
A large number of patients with orthopedic diseases are diagnosed and treated here every day, joint trauma, fractures, arthroscopy, joint replacement, deformity correction, etc. It is the leading trauma orthopedics department in Dongzhou. There are more than 30 doctors, many of whom are Dongda Master tutor of medical school.
Amputation is common in the operating room here, most of the time is emergency, sometimes it is lesion.
Chief physician Chen Yunping is preparing to take a right upper limb amputation. This operation is not special. The patient is 36 years old, male, and the affected limb caused a large area of ​​severe burns due to an accident in the workshop. Before he came here, he was at the town level. Hospital treatment, because the wound inflammation cannot be effectively controlled, and skin transplant surgery has not yet been carried out, there will be tissue necrosis, suppuration, and poor blood flow, and debridement surgery is not applicable. Now the situation can only be amputated.
This case is not the first time Chen Yunping has faced it. Amputation of the right forearm is difficult to operate, but it is difficult to grasp, and there is generally no accident.
However, at the preoperative meeting, their surgical team was suddenly informed that the Department of Medicine of the Tianji Bureau sent someone to observe this operation, and Gu Jun took the lead.
Today in Dongzhou University and Dongda Affiliated Hospital, Gu Jun is a celebrity and is proud of Dongda.
If this message was not handled confidentially, the little nurses in the department knew that the signature pens might be taken out with excitement.
Chen Yunping, anesthetist Ji Quan, and others such as First Assistant, Second Assistant, etc., did not understand the purpose of the trip.
The person from the medical department said solemnly: "It's not because of this operation, it's because people need to observe a right limb amputation. We didn't tell us the reason, the celestial bureau can't manage it. You do your own surgery as usual. That ’s all. I need to have a preparation in my heart. Any abnormal situation may occur. Anyway, if there is something weird, I will say it. If something happens, the Tianji staff will take over. "
Gu Jun brought a team of more than a dozen medical staff who are said to be on the operating table at any time.
There are also a group of heavily armed personnel, but they are not wearing white coats, and should be the celestial personnel of other departments.
It was during this preoperative meeting that Chen Yunping and Gu Jun and others met to communicate about the patient's condition and the surgical plan.
"Director Chen, we are bothering us." Gu Jun is very humble, there is no hero of the heaven and earth. Although Chen Yunping is not a professor, he is also a doctoral student of Dongda Medical College. It is the predecessor of Gu Jun. The other party's respect.
"Don't, we understand, the matter of your celestial bureau matters." Chen Yunping replied, sincerely felt that, according to the rules, he didn't ask much.
Gu Jun nodded, "Something went wrong, but the environment here is still safe, Director Chen, you can do it with confidence."
Currently, there are 5 patients with acropsia admitted to the emergency department and orthopedics clinic of Dongda Affiliated Hospital,
However, Chen Yunping and others are not clear. Even an informed doctor on duty was told that he should be a BIID patient.
The number of patients with alien hand syndrome is still increasing. At the base of the Ministry of Medicine, many patients such as Zhou Yibao were artificially comatose. The vital signs of the patients in the coma were stable. This trick has a temporary relief effect. But their right hand is still active, still struggling and getting worse.
Now, the burn amputation patient is already waiting in the operating room. Without further ado, a group of people immediately went to the dressing room outside the operating room and put on the airtight protective clothing brought by the Tianji team to prevent possible accidents. This will naturally have a little impact on the flexibility of the body, but Chen Yunping took the job with confidence.
Gu Jun did not enter the orthopedic operating room for a while, the light of the shadowless lamp, the operating bed, the anesthesia machine, the monitor ...
The general anesthetized patient was lying on a dark brown surgical bed in a supine position. The nurse placed the edge of his diseased torso as close as possible to the edge of the operating table, spreading the diseased limb, and lying flat on another small operating table, upper arm With an inflatable tourniquet, vital signs are stable.
Gu Jun saw that the burned limb had only a small upper arm intact. Besides, from the upper arm to the elbow, the entire small arm, wrist and palm were all dark and red. Swollen and swollen, with pus all over the wound ...
Even if I am used to seeing the filthy things, even if I have just dissected the leg of lamb which is even more weird,
He still had a heart palpitation that hadn't happened for a long time, just because there was a human face and a sleepy face on the body connected to this limb.
An ordinary middle-aged man who never met him.
But that kind of illusion came again. From the dissection of the black goat cub ...
Bang, bang.
He seemed to hear the sound of something falling to the ground.
"Director Chen, let's get started." Gu Jun saw Chen Yunping they looked around and said again, "Don't worry about us."
He and Uncle Egg, Zhang Huohuo and several others walked aside.
And Chen Yunping and others walked to the small operating table with the affected limb. It was said that suddenly the Tianji team was watching. If the pressure did not increase, it was fake. They calmed down and concentrated their attention. He picked up the equipment and came up with his abilities and experience.
This is a forearm amputation. The osteotomy plane is set at the middle 1/3 of the upper arm ~ EbookFREE.me ~ This position is ideal. The flap provides good blood supply, and it is more suitable to assemble the prosthesis after surgery.
The first step in the operation is to make an incision.
At present, according to the preoperative plan, Chen Yunping designed the equal-length before and after the planned osteotomy plane, and then took the scalpel to cut the skin, subcutaneous tissue and deep fascia along the incision line, and then free the proximal end to the osteotomy plane Above. At the same time, people such as First Aid, Second Aid, Device Nurse, etc., are all busy.
Gu Jun stood and looked not far away, not to hinder them from performing the operation, but also to see the situation of the operation area clearly.
Although the purulent infection of the arm has been debrided, pus is still flowing, mixed with blood.
Chen Yunping's hand strength is very stable, not much affected by the air-tight protective suit. Under his leadership, the surgical team cut the blood vessel to the affected limb surgery area, and then separated and excised the radial nerve, median nerve and ulnar nerve ...
Operating room is very quiet, everyone is focused on this operation.
But Gu Jun heard the crackling and crackling sounds, which became heavier and heavier, as if falling on his heart, hitting them one by one.
He suddenly shook in front of him, what scene flashed ...
This is exactly the purpose of his coming here to observe the operation, it seems to be able to trigger the illusion ...
In the blurry and broken scene, there was a child who was patting the ball ... popping, popping, the sound of the ball landing ... No, not that kid, but another kid next to him, standing on the basketball stand. Looking into the distance.
The child, without hands, was empty under the shoulders exposed on the short-sleeved T-shirt.