Three Hundred and Thirty Nine Back Push

The genius remembers the address of this site in one second: [] The fastest update! No ads!

"Start!" Liu Yaowen said dully. Because the hands are too polluted, they must be disinfected first. This kind of operation can't go wrong from the very beginning, especially the disinfection, because skin grafting is required, and once there is infection, the grafted skin may rot and die. So disinfection here is too important.

Soapy water, Zhang Fan was wearing gloves and using a brush, he kept brushing on Wang Laosan's hands. The bloody water was accompanied by black engine oil, and the soap bubbles were all flowers, which were colorful under the shadowless lamp.

"Iodophor!" After the soapy water was cleaned, iodophor was used to disinfect, and the nails of Wang Laosan's index finger and middle finger were directly peeled off. After disinfection, the subcutaneous tissue can be seen very clearly. Some of the white tendons have been broken, and some have been cut in half. The thin skin is directly bone.

"Baoyin, cut the rest of your nails a bit shorter." Zhang Fan told Baoyin.

"Okay." Sometimes, the job of a nurse is really difficult. If you don't talk about it, you still can't let the world understand.

For the past half month, Zhang Fan's surgery volume, especially the surgery volume of general surgery, has been steadily increasing. But when it came to surgery, I didn't have any ideas when I had the surgery.

But after the operation, Zhang Fan felt a little awkward looking at the progress of the operation in the system. How should I put it, I don’t want to have more surgeries, it’s kind of duplicity, I want to have more surgeries, but I can’t bear it, it’s really awkward.

But when it came to the operation, although Zhang Fan couldn't say he was happy, he was still very excited, as if all the cells in his body were excited. This operation is the same as fitness, even if Zhang Fan doesn't have the system, he will be so cheering, because this thing can be addictive.

Skin grafting, especially on the hands, is very demanding. First of all, choose wear-resistant skin, because there are too many hand movements. If the skin is thin, it will be worn out after three or two strokes. But also to ensure the functionality of the fingers.

"Doctor Lu, prepare the skinning knife. Baoyin, come to our two shops."

"Okay." The two girls replied at the same time. Zhang Fan and Baoyin spread the bills, and Lu Shuyan prepared the skinning knife. Not to mention skinning, this skinning knife can penetrate people in your hand.

This thing seems to have an inherent evil spirit. The simplest one is two iron bars holding a blade between them, and one end of the iron bar is a rocker, which shines coldly. It is very sharp, close to the skin, and the skin will be thinned immediately by shaking it with your hand. You can make the skin as thick or thin as you want.

"Start." Zhang Fan and Lu Shuyan sat down face to face, fortunately they were hands. If the feet were so narrow, Zhang Fan and Lu Shuyan would have to kneel for surgery.

"Doctor Zhang, let me put a piece of gauze on you." The itinerant nurse said, and gently put a piece of gauze on Zhang Fan's forehead. The operating trolley is still a small place, and the temperature adjustment is relatively slow.

The skin of Wang Laosan's two fingers was damaged. The other fingers were still injured intermittently, and the index finger and middle finger were directly scratched by the wheel.

"The middle finger can't be kept." Zhang Fan gently pulled the muscle with tweezers to detect the damage, and said softly to himself.

"Isn't the bone intact?" Lu Shuyan asked in confusion. During this period of time, she had been trained by Zhang Fan, and her skills had improved a lot. I don't know if the girl is dead or not, but she already respects Zhang Fan very much.

"The bone is intact, but look at this muscle. It is a combination of burns and crush injuries. It is a typical injury. The central tendon bundle and the side bundles are completely damaged." Zhang Fan kept pointing at the muscle with tweezers. Explain the damage to Lu Shuyan.

This finger, the most classic human finger is the muscles surrounding the finger. beautiful. If you look at a fresh autopsy, the muscles in other places are not worth seeing. Pigs, horses, cattle, sheep, and humans are all similar, and it's just whoever has more and who has less.

Just this finger, only people have it, it's too classic. Open layer by layer, after cutting the interosseous muscle and lubricus muscle,

It is directly displayed in front of you like a fighter jet or like a medieval two-handed sword.

Various tendon bundles surround the extensor tendon, which is too complicated to say. Simply put, there are several muscles involved in a muscle that flexes or extends the finger.

"Can't it be repaired?" Lu Shuyan asked innocently. After all, she is not a microsurgery practitioner. Lu Shuyan really doesn't know much about this aspect.

"This kind of injury is a doctor's nightmare. There is almost no complete tissue system. There is no other way. Let's embed the stump! There is still hope for the index finger, and the function of the hand will be considered complete in the future. Let's start." , Zhang Fan and Lu Shuyan bowed their heads to work at the same time.

Repairing tendons, repairing blood vessels, bones is not a big deal. Under Zhang Fan's soft guidance, Lu Shuyan was undergoing the operation in pain.

The noodles I ate were a bit hard, but after the sour wind and the long-term fixed sitting posture, Lu Shuyan's stomach seemed to be hurting together. Now the girl was really breaking out in cold sweat, she gritted her teeth and cooperated with Zhang Fan, without saying a word .

"The rongeur!" Zhang Fan raised his head and said to Bao Yin.

"Doctor Zhang, do you really want to embed the stump?" Baoyin asked curiously because he had never been on the table for hand trauma.

Although Zhang Fan didn't care about it, he still explained: "Shortening the injured finger may not be worse than repairing the skin flap. Especially in this case and combined with the age of the patient, stump embedding is the best choice. Forcibly retain the finger for the sake of beauty. The length, loss of function of the fingers may still be a drag on the patient."

"Oh! I'm just curious." Baoyin explained awkwardly. On the operating table, unless it is an unlicensed doctor, the general nurse will not question the doctor. This is an industry rule rather than a regulation.

After tidying up the damage to the hand, the whole hand looked pleasing to the eye, and the meat stuffing had already been cleaned up by Zhang Fan, and repaired, and there was already such a thing.

"Peeling!" Zhang Fan said energetically. The Long March is finally half way through. Lu Shuyan gritted her teeth, almost shaking when she stood up.

"What's the matter?" Zhang Fan looked at Lu Shuyan and asked, the mask and hat were tightly wrapped, and he couldn't see her expression clearly.

"It's okay." Lu Shuyan said with ninja pain. No matter how painful it is now, there is nothing to do, Zhang Fan cannot do this operation alone. Other doctors and nurses can't help Zhang Fan even if they are on the stage, because they are not surgeons, so now Lu Shuyan can only beat him hard!

Lifting the surgical drape that left the hole, Wang Laosan's white thighs were exposed, the hair on the legs was pushed cleanly, just looking at the surgical drape, those who didn't know it thought it was a beautiful woman lying there, it was too white .

Peeling, whether it is peeling by hand or peeling with a skin cutter, it must be close to the skin, pressed tightly, and the distance between the blades should be adjusted. This distance represents the thickness of the skin to be peeled. Then, as the roller rotated little by little, the skin was gently peeled off like tofu skin.

If the peeled skin does not contain subcutaneous tissue, it is exactly the same as the layer of leather from which the table tennis racket was pulled out. After the leather surface of the table tennis racket is pulled out, there are little yellow or red dots arranged on it.

The skin is the same, the inside of the skin thinned by the skinning knife is also lined with little fat particles or hair follicles, almost exactly the same. Of course, doctors with poor skills can peel off the skin in different thicknesses.

Zhang Fan's skills are mastered, a piece of skin with shadowless lights, square and almost the same thickness.

"Beautiful!" Zhang Fan couldn't help boasting himself. cruel art.

"Don't be ashamed!" Zhang Fan opened his mouth, and the operation car came alive. Everyone started talking, and Baoyin laughed and whispered a joke.

"Our hospital peeled Zhang Fan first, hehe!" Liu Yaowen said with a smile while adding anesthesia, the operation time is too long, and the patient can wake up in pain without adding a little.

"Hehe! Warm salt water gauze." Zhang Fan ended the chat. Then, after gently wiping the peeled soft tissue with saline gauze, the operation time was too tight, and there was no time to deal with it carefully. For larger bleeding, Zhang Fan directly electrocoagulated it. Then the skin was pulled up and sewed together with large needles and threads.

In many surgeries, the suturing of the patient's skin is very rough and not meticulous at all. It feels like they are fooling people. In fact, this is to prevent necrosis. The small needles and thin threads are beautiful, but it is easy to cause necrosis due to ischemia. Fortunately, the wound was on the thigh, so it didn't matter. The old man doesn't wear super shorts!

The peeled off skin was half the size of an A4 paper. Zhang Fan held it in his hand and put it on the patient's hand. After lightly comparing it, he said to Baoyin: "Sharp knife."

Then she said to Lu Shuyan: "Fixed." Lu Shuyan had never had skin grafting surgery, so she didn't understand very well, she froze for a moment, and asked embarrassedly, "How to fix it."

"The four corners are flattened and fixed with Alice forceps!" Zhang Fan was a little impatient, but after thinking about it for a while, he agreed. He is a gynecologist, not an orthopedic doctor, not a general surgeon!

Then he added: "It must be stretched, otherwise the positioning will be biased later."

Lu Shuyan blushed, and although she shouted again in her heart: "My mother's stomach is a lump, you are still attacking me, I am a gynecologist, I am a gynecologist!" But she just shouted in her heart, who told her It's a doctor, who made her a surgeon.

After fixing it, Zhang Fan started to embroider with a knife. Yes, it is embroidery. Because it was an avulsion injury, there was no skin left on the surface of the finger. To keep the transplanted skin alive, a glove had to be made for it.

After choosing the location, Zhang Fan began to slowly draw a few small holes with a knife on the peeled off skin. This hole should pass through the finger, and it should not be too big or too small.

If it is too big, the subcutaneous tissue will leak out, and if it is too small, the blood flow will not pass through, so it is very particular, and this skin grafting is only one, there can be no mistakes, if there is a mistake, the skin grafting can only be done again! Is skin grafting possible? impossible. So Zhang Fan was very careful.

After the hole was completed, Zhang Fan breathed a sigh of relief. Although this is a small detail, it is very crucial, and it can be said to be related to the success or failure of the operation.

"The gloves are ready, let's try the size." Zhang Fan said to Lu Shuyan.

"The size should be ok, it's almost the same at first glance." Liu Yaowen couldn't help interjecting.

Baoyin was extremely boring the whole time. After Lao Liu spoke, she hurriedly asked, "If you can, can you tell the size at a glance?"

"Hehe, I actually know more about shades!" The old man said without any shame.

"Rogue." Baoyin didn't know if it was a shy smile and cursed, and she too, knowing that he was an old man, she still liked to tease him.

Zhang Fan grabbed both ends of the peeled off skin. Unfold, the skin is stretchable and contractible, without force, it can shrink into a paeonol.

Lu Shuyan grabbed Wang Laosan's two fingers, erected straight, and gently lowered them bit by bit. With a little friction, Zhang Fan pulled the skin off.

"OK! The size is right." Zhang Fan said relaxedly after looking at the gap.

"Look, I'm right!" Lao Liu said with a chuckle. Baoyin ignored him again.

After putting the fingers together, Zhang Fan covered the back of the hand and fingers with the skin, then cut the skin into long strips at the fingers, and wrapped the long strips around Wang Laosan's two fingers in a spiral shape.

"Sew up." Zhang Fan gave an order, and several people started to move. The anesthetist was preparing to wake up, the nurse threaded the needle, and Lu Shuyan cut the thread with scissors and tied the knot.

The operation time for a hand operation is almost longer than that for a femur fracture, because the division of muscles in the hand is too detailed, and if it is done a little sloppily, the patient's finger function will have problems after the operation.

Suture, pressure bandage, the operation is over. "Be sure to pay attention to infection after the operation. It won't work here. I think it will have to be sent to the county hospital." Zhang Fan said while bandaging.

Finally Zhang Fan started to knot the gauze, Lu Shuyan wobbled and fell down, "Plop!" Suddenly the girl fell on the operating table.

"I'll go!" Zhang Fan was startled. Immediately put Wang Laosan's hand on his chest and said to Baoyin: "Grab it!"

Immediately after Baoyin grabbed Wang Laosan's hand, Zhang Fan rushed over and tore off Lu Shuyan's mask, and saw that the girl clenched her teeth tightly, her expression pained.

"What's wrong?" As he spoke, he stuffed his hands into Lu Shuyan's clothes.

Zhang Fan didn't want to take advantage of it, but touched the girl's carotid artery. The pained look on Lu Shuyan's face scared Zhang Fan into thinking she had a heart attack.

"It's okay! I'm fine, but my stomach hurts, and I feel a little uncomfortable and dizzy after standing for a long time." After a little relief, Lu Shuyan opened her eyes and said weakly.

"Are you sure? Let me do a physical examination for you." Zhang Fan said.

"Uh! No need, I'm really fine." Upon hearing that Zhang Fan wanted to have a physical examination, Lu Shuyan's originally blue face turned a blush. Physical examination, abdominal physical examination is to lift the stomach, she is shy.

"Oh, I'm so scared to death. Hurry up and lie down for a while. If you don't wake up, Zhang Fan will probably give you artificial respiration." Old Liu was not too scared. Although he said it easily, the horror on his face still It hasn't disappeared yet.

"Come on, hurry up, come and give her a hand, I'll carry her down." Zhang Fan ignored his nonsense and said something to Lao Liu.

Wang Laosan was pushed down, Lu Shuyan was carried down, and the five-hour operation was over!