Chapter 216： Dismissed, dismissed girl! (Please subscribe!)

Chapter 216 Persuasion, the girl who was persuaded! (Please subscribe!)

Fan Zhang was the assistant and Chen Qifa was an assistant. The palm replantation operation was performed on a table. The surgeon sat face to face to perform the operation. The equipment nurse ’s equipment cart stopped opposite the patient, so the third doctor did not Location! What to do is to let Li Lili stand on the left side of Zhang Fan. There is no way to put down the stool. If you do n’t want to go, you can't go to surgery. You have to stand.

Because this operation took a long time, after asking the anesthesiologist Zhang Fan, he chose general anesthesia instead of brachial plexus block. Surgery, especially orthopedic surgery, attaches great importance to debridement. Thorough removal of contaminated and lost tissue is the basic principle of surgery, and this debridement is not a random operation.

X-rays must be carefully studied before surgery, and then the specific conditions of the palms are used to determine the extent of debridement and the shortened length of the bones. Because it is a broken operation, the broken palm is like a flesh-colored rubber doll, without any blood. !! Put it on the ground. If you don't look carefully, maybe you can see it as a rubber doll's hand!

Because of the development of surgery, equipment nurses are becoming more and more important. A mature equipment nurse cannot be skillfully cooperating with surgery without one or two years of training. You must be proficient in the terminology of all instruments, as well as procedural procedures.

Because the doctor does the surgery, which step to do, the equipment nurse must prepare the equipment to be used in advance. If he is unfamiliar with the procedure, he will be unlucky when he encounters a bad-tempered doctor and can throw the surgical equipment directly!

The older equipment nurses and the table can see at a glance how good the doctor is, so the young surgeon especially deliberately pleases some old nurses in the operating room, because if they do n’t, they can come out. What words come.

The debridement of the disconnection surgery must be performed by two doctors at the same time, so as to save time and gain more time. Debridement must be performed at the anatomical level. While debridement, the relevant nerves and blood vessels in the relevant level are searched for. Prepare for one step surgery.

With regard to this simple debridement, the surgeon must think about the steps, which one should be done first, and which one, just like fighting a battle. The formation of troops before the war must be clear.

The most important muscle of the palm is the big fish. This muscle is a human-specific muscle. The gorilla is genetically closest to humans, but these hairy animals have no big fish. This is how much time human ancestors have passed. From labor. Where is the big fish? It's the muscle that is attached to the thumb.

After debriding the muscles, the bones are next. The most important thing is the metacarpophalangeal joint in the palm bone. This joint must be kept as complete as possible.

Zhang Fan lowered her head and performed surgery with Lao Chen, and Li Lili's job was to ensure a clear vision of the operation. Every surgeon comes here this way. First look at the surgery, which is the so-called third and fourth assistant. Pull the hook to wipe the blood and **** the blood with the suction device. For a surgery, first watch dozens of times and then slow down from the second assistant and the first assistant. Slowly go up.

This period of time slowly allows some doctors to distance themselves. Surgery is a talent and hard work. Some doctors performed surgery deliberately to train surgical skills. For example, to use some laparoscopic techniques, he went home with two similar poles to train. A great distance can be opened in one year. This is the difference between hard work and non-hard work.

If you watch carefully, many surgeons often take these things in their hands and keep playing, this is not boring to play with, maybe they are training a certain surgical technique.

After debridement, it is necessary to repair the broken bone. This is a matter of principle. After the bone is fixed, there is the possibility of repairing other organs. The fracture is not fixed well. Move it gently, the newly repaired blood vessel snaps, and broken!

After the treatment of the fracture, the muscle is repaired. If it is a broken injury, the surgeon most hopes for a sharp cut, because it is easy to repair. If it is a rolling injury, it is very troublesome. Maybe there is no chance to repair it directly. Amputated.

After the muscle repair is finished, the blood vessels, Zhang Fan and Chen Qiqi started to operate under the microscope. The thick veins should be anastomosed as much as possible, this is the channel to ensure blood flow, and the arterial repair depends on the situation. The ulnar artery is easier to do end-to-end anastomosis.

Generally, the incidence of palm disruption is the highest, and the survival rate after replantation is also the lowest. This is because it is related to the difficulty in rebuilding blood flow.

When the common finger arteries are broken at the distal two fingers, the traditional arteries are broken. This is troublesome. The surgical main knife must be designed because one common artery can only fit with one finger. One finger lacks a direct blood supply. Then lead to poor end circulation, especially easy to cause some sequelae.

In order to restore the function of the hand to the best state, in principle, the nerve must be repaired in one stage. The disconnection of the sensory nerve, whether in the carpal tunnel or the palm, should be repaired in one stage. This is very important.

Surgery progressed slowly, time lost a little bit, because it was operated under a microscope, and the more and more boring Li Lili looked at, Zhang Fan did not know which step they took, and she couldn't see what she did.

And it has been more than two hours. I was tired after a sleepless night shift. Now I am standing for more than two hours. My legs are sore and my feet are numb. She couldn't hold it anymore, and now she insists on clenching her teeth.

Zhang Fan's operation was relatively fast. In this way, it took three hours to complete the suture. The subsequent surgical steps are simple. Zhang Fan and Lao Chen started to communicate. "Today, you have to do more snacks and pay more attention to the blood flow of your hands."

"Well, good master." Lao Chen nodded.

"Routine antibiotics."

"okay."

"Doctor Yun, which is the biggest complication of this replantation?" Zhang Fan wanted to see if Yun Lili was interested, so he asked fiercely.

"Huh! Infection, necrosis?" Tong Lili said a little uncertainly. Standing for more than three hours, the boringness of the later surgery, she was already a little brain-wandering, because she didn't distract a little, she really couldn't stand, but Zhang Fan fiercely asked, and she couldn't say anything.

"It is a vascular crisis, so the patients of this operation must not have smoking and in a smoking environment. Once a vascular crisis operation occurs, antispasmodics should be used first. If it is not effective, a second operation is needed!" Zhang Fan explained .

A broken palm replanting is done and bandaged. Zhang Fan stretched his waist and looked at Li Lili, who was still standing near the operating table, and said, "Go! It's over."

"My legs are numb! I can't move anymore!" Tong Lili's voice was full of crying, not because of numbness, but because she felt that she couldn't adapt to this kind of work. Long.

She is sad, sad, and blame herself. To be honest, if you really do n’t like microsurgery, it is really difficult for a weak woman to do this kind of operation. Wang Yanan is a special case because hobby is her biggest motivation. But Li Lili is different, she is to choose a good department. Departments that cannot be marginalized.

Life is so cruel, unable to adapt, unable to take it down, and only allows Xian to leave. There is nothing to talk about, and the hospital is not a place to talk about love!

The nurse assisted Li Li to walk out of the operating room. The moment she stepped out of the operating room, Li Lili insisted on tears for a long time, and finally rolled down on the blue mask.

Better have hope than despair! Qi Lili could not find the meaning of existence in the operating room! She is really discouraged! My heart hurts like a knife stirs!

February!

Lao Zang exploded for two days!

Never been so livery!

(End of this chapter)