How many things are included in the entire cross-section of the calf? It's a lot. The bones are tibia and fibula, which are the least. Not to mention the most numerous types of nerves and blood vessels, there are many different categories of calf muscles, definitely more than laymen imagine, including tibialis posterior, peroneus longus, peroneus brevis, and gastrocnemius.
Eye fish, flexor digitorum longus, etc.
Be prepared to separate the muscle groups and then separate the nerves and blood vessels for cutting and ligation. That is to say, cut step by step, separate and then cut.
The first blow made everyone suddenly wake up from their ideal dream. Thinking carefully about the above surgical steps that will be carried out next, as the young orthopedic surgeon worried, the medical fantasy is very beautiful, but the practice is very skinny. There are so many steps to separate and cut, how can you complete two pieces in ten minutes?
Cut the legs.
What the nursing staff said would cause trouble if there was no shadowless light, turned out to be a cruel reality.
Other support staff tried their best to shine the lights over, but without shadowless lights, the surgical field of view was destined to be unclear.
The brows of two seniors, Grandma Cao and Grandma Zheng, were sweating. Their presbyopia was so deceptive that they could only mutter to the young people: "If you have any questions, please tell me."
If you want guidance, you can only rely on the other party to clearly describe the problem. If they look at it with their own eyes, it may take them a long time to identify it.
The anesthetist swallowed his saliva, his excitement was gone, and he had to prepare for the worst-case scenario, which would take more than an hour.
Only Dr. Guan was calmer because he knew his classmates well and found that Chang's knife was much faster than he knew.
Looking carefully, it seems that surgeon Chang has no worries about the future. He only needs to hold the scalpel and cut downwards.
As I said, to cut accurately, the prerequisite is that the separation is in place. It would be impossible and very time-consuming to separate who should do it. If the surgeon were to do it again, it would be impossible.
Worried people around: exhaled, exhaling; exhaled, their hearts hanging in the sky; exhaled, exhaled, they were completely shocked.
A small retractor and a pair of hemostatic forceps in the surgical area are like a hero showing off his skills with two dog-fighting sticks in both hands.
Pulling down this muscle, and then pulling down another muscle, the orthopedic surgeons who were watching were stunned for a moment before they realized that this was stretching the extensor digitorum longus and peroneus brevis muscles, instantly exposing the superficial peroneal nerve. It was really a precise move. . When the onlookers could no longer regain their composure, the assistant's tool continued to give quick guidance to the surgeon, shortening the lateral calf muscles, and quickly pointed out the location of the pretibial artery and vein for the surgeon to cut. The exposed anterior tibial nerve needs to be gently pulled
Then let the main knife cut so that it can retract to the osteotomy plane at that time.
Next is the osteotomy, and then the treatment of the posterior calf muscles and nerves and blood vessels. People around him could tell that the assistant who was leading the way was probably a top orthopedic surgeon. Otherwise, how could he be so familiar with orthopedic surgery? At this point, Xie Xie must clarify. She has never had osteotomy surgery and is not familiar with it.
Yes, I really don’t understand the amputation surgery process. As for her ability to point out these important parts, it was only when she was discussing the surgical approach with Senior Chang that Senior Chang told her which surgical locations he wanted her to point out.
Her three-dimensional eyes have an absolute advantage when it comes to dissecting an injured person's calf, and Senior Chang is aware of this strength of hers.
As long as the path is correct and there are no major bleeding or other accidents, the operation will be almost a success. Everyone looked back at the time. It was far less than five minutes, four minutes and two seconds.
