When they saw the child's injured finger, Zhang Fan and Lao Chen couldn't help but breathe air-conditioning. I saw that the skin on the ends of my thumb and index finger bloomed like a black chrysanthemum, and the two fingers were open. In human terms, the skin on the fingertips was blown to pieces, and the red muscles were open like strips. After the cotton on your fingers is removed, the blood begins to flow!
When the wound was explored, the child cried heartbrokenly. The child's father held his child tightly and held on to the other hand. The mother shed tears and helped to compress the injured hand.
"Did the child set off firecrackers or detonators? Why is it so serious!"
"We were busy cooking, and without paying attention, the child lit up the firecrackers." The child's mother was speechless. Although Zhang Fan did it very gently, the fingers were connected to each other, mother and child were connected, and the baby cried. It's heartbreaking, can she feel better? The child's father spoke with red eyes.
Today, if it were an adult who had done heavy work, it might not be so serious. Children have thin skin, and the firecracker exploded directly in their hands. If the power were more powerful, their fingers might be blown off!
In micro-orthopedics, this kind of injury is independent and has a big name, damaging injury! Incision injuries are not difficult if the incision is straight. Just like the surgery performed by Li Liang and others, although it looks dangerous, in fact, as long as you act quickly, the survival rate of re-implantation will be very high, and it can almost return to its original state in the later stage. About eighty percent of the functionality.
But this kid's was much more serious. Although it is just a little bit at the end of the finger, the skin has been damaged, and the muscle layer has been injured very deeply. White bones can already be seen. Moreover, it is the thumb and index finger of the right hand. There is no skin at the end of the finger. The method is retained.
You can imagine how cruel it would be for a person to lose his right thumb. After the thumb is gone, you can directly assess the disability, and then you can have a book, a disability certificate! And this baby is only six years old, how gloomy his future life will be!
Although the child cried heartbreakingly, the child's parents and the grandparents guarding the door did not say anything to stop it. It was okay to cry or feel pain, as long as the child's fingers could be saved!
Zhang Fan looked at the child's fingers and had already thought of a way to deal with it. Although it was serious, for a systematic person, this was nothing.
"Doctor, please, the doctor from the Traditional Chinese Medicine Hospital told me that this is the only place where we can save the child's fingers. Please, we must save the child's fingers!" When the child's mother saw Zhang Fan's silence, she collapsed. . The originally suppressed crying was like a floodgate being opened, and a huge flood surged out.
"Ouch! Ouch!" This cry was like a desperate she-wolf, and her trembling hands were stained with the blood of many children! Although the child's father did not cry aloud, he stared at his red eyes and tears flowed down the face that was close to the child.
Old Chen wanted to speak, but he was unsure. He opened his mouth, but no words came out, and he looked at Zhang Fan. "Help!" After finishing speaking, Zhang Fan said to Lao Chen, "Get ready for surgery."
"Help." These words were like a heavenly voice, which made the mother's tense body go limp and sit on the ground. When she was in a traditional Chinese medicine hospital and heard from the doctor that her finger needed to be amputated, her world turned gray and she felt hopeless and helpless!
Fortunately, Zhang Fan and the others have done a good job as salesmen. They have gone to the Traditional Chinese Medicine Hospital and the city hospital countless times. Otherwise, this family would not be able to celebrate the Chinese New Year again in the future! ~
This kind of injury is not just an ordinary injury, it is a compound injury. The huge energy not only damaged the skin and muscles, but also burned the surrounding skin to death. It's just so cruel and serious.
When Zhang Fan said, "There is hope, prepare for surgery." Lao Chen seemed to be resurrected and began to give instructions neatly, "Why are you crying? Now is not the time to cry. Come quickly and sign and pay the fee and prepare for the surgery. Who, go Push the C-arm to the second operating room. Hurry up!" Like a head nurse, she started to get busy.
The parents who had seen through the clouds looked at Zhang Fan with gratitude. When Zhang Fan came out of the treatment room and was about to enter the operating room, the two old men waiting at the door did not dare to interfere with Zhang Fan, but their trembling lips, expectant eyes were filled with tears, their pitiful expressions, and their gray hair!
"Don't worry, old man, it will be fine!" Zhang Fan, who had already passed by the two old men, turned around and said! Everyone has a heart of compassion, but as time goes by and age increases, this heart becomes harder and harder!
During the operation, the head nurse of the operation gently comforted the child! This is the advantage of women. If Zhang Fan was asked to comfort this child, the child would probably cry even more. Why, probably because of his dark appearance!
Because he was away from his parents, or perhaps because of fear, although the child did not dare to cry loudly, his huddled body and slightly trembling limbs were like a wounded deer facing a group of hungry lions!
"How pitiful!" Lao Chen looked at the child, perhaps thinking of his own child, and said with some pity.
Zhang Fan turned his head and glanced at the child without saying anything. Anesthesia begins, and if the skin is not damaged, this operation can be directly debrided under local anesthesia. It is a very simple operation. But because of the damage to the skin, the difficulty level of the surgery suddenly increased by N levels.
After anesthesia, debridement begins. This kind of injury can almost be regarded as a firearm injury. First rinse, start rinsing with a large amount of isotonic saline, and rinse away the broken free tissue (rotten meat!) in the wound, and then use a sharp knife to gently Clean the surrounding superficial gunpowder particles.
"Tourniquet!" When removing it, Zhang Fan did not put on the tourniquet, because Zhang Fan needed to know that there was no bleeding in that area and that the tissue in that area had been deactivated.
In today's surgery, Lao Chen was Zhang Fan's assistant, and everything was carried out in an orderly manner. The operation area is not large, but the place is so important that it really makes people speechless. Even if it explodes into the palm of your hand, it is not that troublesome. The worst case scenario is a skin graft, but ordinary skin grafts are useless in this area. The blood supply to the extremities of the limbs is not good, and if it is exploded like this, the circulatory system here will be blown away. Even if the skin is grafted, it will not survive.
The key point in the early stage of this operation is to rinse thoroughly, and then completely remove the inactive tissue. If this tissue is not removed cleanly, it will be a disaster and a disaster in the future. In layman's terms, it is equivalent to burying rotting meat in the body.
After these treatments are done, the first step is the first step. The next step is the most important, how to perform this operation? Without blood vessels and skin, there is no way to treat it with conventional surgery.
Because he was a child, Zhang Fan chose cross-arm flap transplantation. What it means is to design a skin flap at an appropriate location on the child's contralateral upper arm or forearm. What is a skin flap? A skin flap is formed by a piece of skin with a blood supply and its attached subcutaneous fat tissue.
To put it simply, find a suitable place on the opposite arm, then open the skin and muscles, find a place with thicker muscles, and trim the skin, muscles and blood vessels together to look like a defect.
Then sew this piece of tissue to the child's finger. The trimmed tissue is not completely separated from the original place. Sew it to the child's finger. The nutrient blood vessels of this piece will continue to be supplied by the opposite arm, etc. The blood vessels in the transplanted area are grown and then separated.
After the operation, it looked like the child's two fingers were sewn directly into the opposite arm.
Because he is a child, Zhang Fan did it very carefully. The child is constantly growing and developing. If the surgery is not done well or the choice is not good, it will directly have a functional impact.
The design of this flap is very particular. Although the doctor with rough techniques saved the finger, it was so ugly that it looked like there was a sarcoma on the egg of the finger. It was because of poor design.
Why is it poorly designed? Because there are so few surgeries. It’s not that doctors don’t care. This is not difficult for Zhang Fan. He has practiced it countless times in the system.
Slowly open the deep fascia of the contralateral upper arm, trim it thin to stop the bleeding, and then gently transplant the trimmed skin flap to the child's wound. This operation is really like embroidery, the wound is too small, Zhang Fanyi Lowering his head, directly blocking other people's vision, Lao Chen bent over and took the time to suck blood and wipe it.
The constructed tissue is connected to the original tissue, which is called the pedicle. This is the channel to ensure that the child's wound can be resurrected. After the repair is completed, Zhang Fan quickly and continuously performs eversion sutures. He immediately buried the child's two fingers into his left upper arm.
Before it was bandaged, it looked like a child making an OK gesture with his right hand, but the thumb and index finger were inserted into the flesh of the left arm.
Although the operation is difficult to perform, Zhang Fan's speed is too fast compared to Li Liang and Song Bing. When Zhang Fan and Lao Chen started to apply pressure and bandage, Li Liang and the others were still doing the third finger. !
Gently put cotton between the injured hand and left arm, then fix it with tape, and give the child a beautiful triangle to hang his right hand.
The operation has not been completed yet. It will take two to three weeks until the wound has recovered before the pedicle can be cut. Although it took a long time and was very uncomfortable, the family finally did not spend this Spring Festival in darkness!
After the operation, Zhang Fan stretched his waist. More than two hours had passed. "After we go down, we must tell the parents to take good care of the children. Children are young and don't understand. If one of them breaks accidentally, it will be over." The doctor in charge also said Be careful and pay attention to the stability of this cross arm."
"Okay, I will take care of the child's bed myself. Master, please go back early. It's almost eleven o'clock."
"Don't worry, let's just wait for Li Liang and the others to perform the operation and have a New Year's Eve dinner together. Are you ready?"
"Yes, I have prepared a lot of quick-frozen dumplings for the doctors and nurses on duty. Let's just have fun together later!"
Outside the operation, the child's family and the middle-aged woman's family stayed quietly in front of the operation door. They were equally anxious and worried. The sound of firecrackers in the distance was so harsh and irritating to them!
At Lao Chen's house, his wife and children looked out the dark window, "Eat, your dad is probably undergoing surgery again! Hey, there is no time to rest all year round."
At Shao Hua's house, Jing Shu watched the Spring Festival Gala boredly. The old man had already visited the community several times.
"Eat! I guess he can't come. Let's eat without waiting for him. Come Jingshu, I'll pour you a drink." Shao Huaqiang said with a smile. Why not call?
It's very simple. If the doctor goes to perform an operation and there is nothing serious for the family, they usually won't call! Unless the doctor calls home himself.
Amid the bright lights of thousands of homes, people in these special positions are still going about their daily work.
Spring is coming! ~
.. m.
