The first successful operation of dissection and replantation of the upper end of the wrist joint was performed by Chinese people under extremely poor environment and conditions. It’s awesome! One of the surgeons was related to Mr. Qiu. It makes people excited to think about that time. The United States led its little brothers to blockade China in all aspects, and the Soviets were petty.
In such a vicious environment, without even a more advanced microscope, the medical experts of that year still achieved a world first. Then, there was no more. When money became the leader, this discipline shrank rapidly in China. This is also a typical discipline that is shrinking rapidly when all disciplines are catching up with the world.
In the operating room, after Xiao Congcong was pushed in, the doctors nervously began preoperative preparations to correct the shock. Xiao Congcong, who was already depressed, became even more depressed at this time.
He didn't even have the strength to cry. His pale little face looked at a group of weirdos wearing green clothes, blue hats, and blue masks. The nervous and scared little baby huddled together like a little wolf who had lost its mother. . Try to keep yourself together as much as possible, as if you can feel safe in this way.
After rehydration and symptomatic treatment, Xiao Congcong fell into sleep under the hypnosis of sedatives. While the severed little hand was preparing to anesthetize Xiao Congcong, Zhang Fan and Li Liang had already done the preliminary treatment.
"Prepare Kirschner wires and intramedullary nails. Steel plates cannot be used for this operation!" Zhang Fan said to the operating nurse while handling his severed little hand.
"Director Zhang, why don't you use steel plates?" Li Liang didn't understand. After Lao Chen told him, Li Liang no longer calls him Brother Zhang Fan in the workplace.
"Using steel plates to fix the periosteum will severely damage the periosteum, especially for young children. You can avoid damaging the periosteum as much as possible without damaging the periosteum." Zhang Fan explained. Steel plates have many advantages, but their biggest disadvantage is damage to the periosteum.
The periosteum on the bone surface contains a large number of blood vessels and running nerves. Once damaged, it cannot be re-formed. Especially this nerve, once damaged, it is too difficult to repair.
Steel plates are products of large-scale industrialization. When using them, you must ensure that the steel plates fit well with the bones. If they do not fit well, either the steel plates will break or the broken ends of the fractures will not be firmly fixed.
To apply it, you must first destroy this layer of periosteum with a bone knife. The Kirschner wire is much simpler. It is like a steel drill for knitting sweaters. Two intersecting straight lines fix a plane. This is the principle. But why are less and less used for surgeries now? It’s simple because it’s cheap!
After brushing and disinfecting the severed little hand, Zhang Fan said to Li Liang: "Li Liang, put the heparin saline in." Zhang Fan grabbed the little hand and let the severed end face Li Liang. The washed little hand looked particularly like a small hand. The color of the pig's trotters, especially the skin, is exactly the same as the cleaned pig's trotters.
The cross-sectioned blood vessels flushed with heparin are used to prevent the residual blood from coagulation in the blood vessels. The key to successful replantation of the severed limb lies in whether the blood vessels are connected with high-quality sutures to ensure that the blood vessels can be unobstructed. First, the residual blood in the blood vessels must be flushed. .
While rinsing, Zhang Fan used black silk thread to tie knots on blood vessels and nerves to mark them. There is no time to waste with this kind of surgery.
After taking care of the severed little hand and preparing the anesthesia, Zhang Fan and Li Liang began the operation. The instruments used in hand and foot surgery are similar to those of vascular surgery and ophthalmology. The instruments used are very fine and unlike orthopedics.
The instruments used in orthopedic surgery are very similar to those used by carpenters, hammers, saws, bone files, bone knives, and electric drills! Remove a bone word, these tools will definitely make a carpenter familiar!
Every family has three friends. Xiao Congcong’s uncle’s family is also at the Rural Electric Power Station. Congcong's uncle is a junior cadre of the Rural Electric Power Station, while Congcong's parents are ordinary employees. The uncle is a good person, but this aunt likes to stir up trouble.
"Ouch! How do you look at children? Children are young and immature. Aren't you immature? The total age of the family is almost two hundred years old, and you still can't look at a four-year-old baby." No one has arrived yet. , the weird voice has arrived, these words are really heartbreaking!
The two old men, who were already very guilty, were almost heartbroken when they heard this. They felt sorry for their grandson and were upset. But what else could they say at this time? The two old men were not even qualified to cry. They were simply sinners! Really, it's so uncomfortable.
"Say less, and then go home!" The uncle was also anxious. He growled at his wife.
"Do you have enough money? I brought my bank card. I must let the doctor use the best medicine and the best equipment. It's too late now. You should give the doctor some red envelopes before the operation. For such a big thing, Hey!" He walked up to his brother, whispered a few words, and then asked: "Where is the person in charge of the hospital? I'll go take care of him."
Before he finished speaking, Lao Chen prepared the surgery signature form and came over: "Here, the parents of the child come to the office to sign."
Congcong's father helped Congcong's mother walk into the doctor's office with difficulty, and her uncle followed. When Congcong's mother saw it, she quickly followed. She was worried that her old man would give her money!
Grandpa Congcong and grandma were already like puppets with their strings pulled out, their eyes dully staring at the green light at the door of the operating room.
"Here, here. You all know the difficulty and danger of the operation, as well as the postoperative sequelae. Sign it!" After Lao Chen explained his condition, he pointed to the place where he wanted to sign and said to his family members.
For Congcong's family, they are now pigs waiting to be slaughtered. No matter what the doctor tells them to do, let alone resist, they dare not even raise any objection! Now they are afraid that something might happen to the doctor.
"Remember to pay the fee."
"Director, how much does it cost?" Congcong's parents were already like zombies, doing whatever they were asked to do. They didn't even have any normal thinking. Only Uncle Congcong came forward to speak.
"About twenty thousand!"
"Okay, I'm going to pay the bill now." As he spoke, Uncle Congcong was about to pay the bill. Aunt Congcong was a little anxious and secretly held on to her husband's lapel and wouldn't let go.
Uncle Congcong didn't say much, just pushed his wife's hand away with his hand, and then went out to pay the bill. Auntie was heartbroken at this time. Twenty thousand is not a small number for ordinary people. Why!
At this time, the three people were like zombies. They walked out of the office door stiffly. Suddenly, the aunt seemed to be alive: "You are the same. The child cannot be well treated. Why don't you go to a public hospital? Why don't you go to a public hospital? "
Congcong’s parents seem to be deaf! As a result, Lao Chen heard this and said, "Hey! Sister. That's not what you said. A bad hospital? Go and find out. In the entire Chasu City, this kind of replantation surgery, as long as our hospital says there is no way, other hospitals will not do it." After thinking about it, this is how we replant amputated limbs in Chasu City!" As he spoke, he gave a thumbs up!
proud! How can he be dissatisfied? A doctor who used to be unable to make a mark in a county hospital is now unable to withstand attacks from public tertiary-level hospitals. How can he be dissatisfied? How could you not be proud!
In the operating room, Zhang Fan and Li Liang performed the operation nervously and quickly. "When performing surgery on children, we must consider their future development, especially the bone line. Don't touch it if you can." Zhang Fan was doing the surgery. , while explaining to Li Liang.
Song Bing stood aside and acted as a traveling nurse. As long as Zhang Fan was undergoing surgery, Li Liang and Song Bing were either assistants or traveling nurses. They would never miss this opportunity to observe!
Debridement, the first step in traumatic surgery, is also a very important step. An excellent debridement lays a solid foundation for replantation.
After three to four hours of losing blood, the muscles become less responsive to general stimulation. Fortunately, Congcong was delivered within a short period of time, so the current situation is not bad.
The preservation of limbs is for a sound physique and for the function of the limbs. The prerequisite for preserving the body's health is to fix fractures and repair blood vessels, especially blood vessels, and high-quality sutures must be ensured.
The guarantee of limb function is the repair of nerves. Simply put, the more centrifugal the segment is, the greater the chance of reimplantation, because the farther away it is, the smaller the lumen of blood vessels and nerves. In layman's terms, the larger the segment, the harder it is to repair and the less likely it is to survive!
Rinse, Zhang Fan quickly flushed the blood vessels with heparin saline, and Li Liang's current cooperation could barely keep up with Zhang Fan. During this time, Li Liang also suffered from pain.
After the debridement was completed, the fracture began to be fixed. The child's bones were as white as ivory and jade, and as slender as chopsticks. "Hey! Such a young child has suffered so much." Li Liang did countless replantations of severed limbs. Yes, I couldn't help but feel a little sad when I saw the little baby's hands today.
To fix the fracture, use a special electric drill to press the Kirschner wire and connect the ulna and radius bones at a slightly 30-degree angle. The electric drill rotates at high speed and gently penetrates the bone. This straight broken end is the easiest to fix.
By crossing left and right, Zhang Fan fixed a plane. A fractured plane was fixed very accurately, without any hesitation or gesture. It was so skillful and accurate. Because Li Liang is an assistant, he doesn't understand it yet.
Song Bing, who was standing in the patrol position, watched Zhang Fan's operation and kept shouting in his heart: "Fuck! Fuck! Fuck! So this is how it is done, oh! Why do you have to do this!" He was excited and confused. The stops alternate with each other. It is estimated that he will suffer from liver disease for another night after the operation!
After the fractures and tendons are fixed, the blood vessels are ready. At this time, a microscope is needed. The key to the success or failure of the operation is here, but for Zhang Fan, it is not difficult.
Step by step, once the operation was performed, Zhang Fan was like a robot. The muscles that had been used countless times in the system had already formed memories, and the priorities were very standard.
Nerve suturing, skin suturing, step by step, "OK!" After the operation, Zhang Fan said softly. As soon as he spoke, the operating room was like the world of Bingxue Su Rong, and everyone came to life.
"Director, are you tired? I'll open a bottle of glucose for you!" Song Bing said to Zhang Fan in a flattering manner.
"It's okay. You must remember, don't relax or be careless at this time. Be sure to observe the replanted limbs for changes in skin and temperature."
"Yes." Li Liang and Song Bing both nodded in agreement.
At this time, Congcong's broken little hand had been connected to his arm, but the colors on both sides were distinct.
The skin on the disconnected side is pale, like a prosthetic limb. As the tourniquet opens, the skin visible to the naked eye slowly changes color. The severed limbs gained color little by little from near to far.
In a matter of ten seconds, like a magic trick, the skin of the little hand became normal, except for a circle of black thread at the cut off point, like a black ribbon bracelet, embroidered on the little arm! It’s so cute and beautiful. This black ribbon is so much prettier than the bloody and bone-covered one!
"After the operation, pay close attention, especially within 24 hours after the operation. You must not be careless."
Okay, Li Liang and Song Bing nodded at the same time.
The operation is over! The rescue was successful and more than three hours had passed.
