It takes a lot of looking at a broken finger.
It takes more effort on the eyes and brain to see for a long time with a high-power microscope.
For a doctor who has just completed a high-intensity emergency operation, the next finger-amputation operation can be said to challenge the limits of surgical nerves.
Ren Zhelun frowned and almost remained motionless.
At this moment, surgeon Ren seemed to be transformed into a neurosurgeon, needing to move the human tissue bit by bit. The purpose of debridement is to expose the tissue structure of the severed finger, so surgical procedures need to be more careful.
"You do it. I'll watch you do it." Ren Zhelun said and gave up his position as the surgeon. He was sweating too much like never before, and his physical strength was a little exhausted. Just like a cheetah, its physical strength is not that great due to its speed and long-term exercise.
Occasionally, something like this happens on the operating table. The surgeon suddenly becomes ill and has to have an assistant step in to complete the patient's operation. If this operation is extremely difficult to perform, and others around you cannot help at all and cannot be called, it can be said that the importance of the assistant is fully reflected at this moment.
How to choose a surgical assistant is really not as simple as whether the assistant has performed this type of surgery.
Xie Wanying felt that she learned a lot from Senior Brother Ren tonight, which were all lessons learned from her predecessors.
Looking up, Ren Zhelun saw her thoughtful expression and blurted out: "Stop learning, do it quickly."
All he had to say to her was: don't touch the senior's brain.
Xie Wanying actually took the lead, walked over and got down on the surgeon's stool.
Everyone was so surprised by her unique reaction.
At this critical moment, there was no way she could dawdle. Senior Brother Ren said she could do it, and there was nothing wrong with her trusting Brother Ren.
So Ren Zhelun was shocked by her decisive trust.
Yao Zhiyuan, who was not far away, looked over there while Dr. Li was operating, thinking that Dr. Xie's trump card for identifying his trustworthy person was a bit too powerful.
He took the cudgel from Senior Brother Ren, lowered his head to face the surgical field of view in the eyepiece, and continued to concentrate on the replantation surgery of the severed finger.
Nerves, tendons, arteries, veins... clearly distinguished. There are so many organizations, which one should be accepted first?
It's bones.
The skin flaps at both ends of the severed finger should be lifted and pulled apart first, and the other tissues should be removed to expose the residual bone end.
Kirschner wires or steel plates are used to stabilize the bones.
"Have you ever been to an orthopedics department?" Seeing that she seemed to be familiar with K-wires, Ren Zhelun, who became her assistant, could clearly see her every move and immediately recognized the strangeness and asked.
She has never had an orthopedic surgery, but that didn't stop her from having surgery with a big orthopedic surgeon. The Kirschner needle thing can be traced back to learning from teacher Liu Huaiyu during my internship in Shouer.
Fixation with K-wires is usually done under fluoroscopy.
This is not an orthopedic operating room, and the cardiopulmonary surgery being performed at the same time has not been completely completed, so the X-ray machine cannot be used.
Without the aid of instruments, doctors can only rely on clinical practice experience and medical knowledge.
"I believe you." Ren Zhelun said to her.
Senior Brother Ren is treating others in their own way.
In an open orthopedic surgery, the doctor should observe the corresponding positions of the two broken ends of the fracture and the force line of the fracture site to make judgments on reduction. That is, if possible, the broken bone should be restored to its original state as much as possible. anatomical position. In clinical practice, positioning and alignment are usually not 100%. Generally, a certain level of more than 100% can be considered a pass. The specific standards vary depending on each part.
(End of chapter)
