If orthopedic surgery is relatively broad-based, then skin transplantation is like embroidery on the flesh, even more delicate than embroidery.
The first is debridement, the eternal topic of surgery, cleaning, sterility, and disinfection. Hands are like catkins and skin is like gelatin. This poem is definitely not an exaggeration to describe a child. For a normal child, the thin skin is faintly pink, and the light fat makes the skin appear clearer and clearer.
No matter what skin care products or beautiful women, there is no way to compare them in front of the skin of young children. But after the burn, the child's delicate skin is now so unbearable to look at.
The body of the little man is now as crispy as fresh out of the pot. It is covered with flesh-colored bubbles, and there are no burst bubbles. It is as cool as the rain bubbles in the pond on a rainy day in summer, and the burst ones are of different sizes. The bubbles are just like a used condom. The thin skin contains grayish-white and dark-red mucus and is applied to the body. It is really like a person with prostatitis running through a red light with cystitis. No matter how you look at it, it makes people feel uncomfortable. I feel uncomfortable, as sad as I want it to be.
If people with rich emotions undergo this kind of surgery several times, they will definitely be able to practice restrained emotions.
The body of a little child is covered with countless such bubbles, big or small, broken or unbroken.
After wiping with the cool chlormethionate solution, the blood was wiped away, but the pus inside the bubbles could not be wiped clean. It was just like eating sesame paste and eating a big bubble gum, and then the red lips started to blow out bubbles stained with sesame paste.
Healthy skin rarely harbors dirt, except in the belly button and between the toes. However, after being burned, the skin directly becomes a petri dish rich in various germs.
Moreover, it is also a very good petri dish. It has all the necessary culture media, including protein, fat, amino acids, and sugar. Therefore, in less than a day, the child's originally white and tender skin was like a patch of moss, with large patches of dark red mixed with gray and black patches on his body.
Just like if you accidentally fell into coal ash after taking a shower, and then didn't take it out for three years, the coal ash seeped into the skin. Transplant surgery is particularly afraid of infection. As long as there is one place that is not completely disinfected, when the allogeneic transplant material is covered on it, In winter, even in greenhouses, bacteria can grow into mushrooms. By that time, it was too late for the doctor to cry.
Therefore, preoperative debridement is quite strict and cruel.
"Brush! Use the soft brush first." Using a palm-sized soft brush, Zhang Fan wiped the pus and bacterial clumps clean bit by bit like cleaning porcelain with soapy water. The plump Gu Li stood beside Zhang Fan. , panting slightly. After the middle-aged aunt gained weight, the burden on her upper body was too heavy. Not only do you have to bear weight to lift the cup, you also have to bend down and cooperate with Zhang Fan to wipe it.
Guli's waist began to feel sore. Just like when she asked Zhang Fan to crawl closer to the black stocking girl to observe her, now Zhang Fan had to ask her to bend down and get closer. This posture is too sour.
After using the soft-bristled brush, use a hard-bristled brush. This is the part that cannot be removed but is visible to the naked eye. This kind of weapon cannot be used too much, otherwise it will cause secondary damage to the skin, but it must not be used, and the speed must not be too slow. Really, the doctor is really sad at this time.
It will hurt your body if you do it quickly, and it will cause infection if you do it slowly.
After finishing the brushing, Zhang Fan used the tweezers and curette to remove the dead skin piece by piece. This is the root of trouble and fortune. If a piece is left, it will give the doctor a headache in the future.
After pruning the inactivated skin, you must also find a way to burst the large bubbles that have not burst without inactivating the skin.
Really, the child's skin area is small. If the area were larger, it's hard to say what would happen to Zhang Fan. Gu Li probably wouldn't be able to straighten her back.
Because there are currently no clinical guidelines for this kind of surgery, which means that doctors rely solely on experience to perform this kind of surgery, so the postoperative results vary widely.
"Record!"
Just like eating duck intestines with small chopsticks, Zhang Fan pinched them piece by piece. At this time, Zhang Fan suddenly said.
Everyone was stunned for a moment. It was not a rescue at this time. Why should it be recorded?
During the rescue, due to time constraints, the doctor had no time to give medical orders and could only exercise the right to give medical orders orally. Therefore, without saying a word, a nurse or doctor would almost always record it. This is not only a case, but also a record of the life and death of future patients.
In the operating room, this is rarely the case.
Just when everyone was stunned, the head nurse in the operating room quickly squeezed away the traveling nurse with a pen and nursing record book. While squeezing, he rolled his eyelids as if to say: "Mom, can't you hear me!" The sharp eyes were really real. It's like an old madam asking a girl to look good.
"Zhang Yuan, you said, the record has been prepared." Jiang was still old and spicy, and the young woman's voice sounded behind Zhang Fan.
Although she didn't know what Zhang Fan wanted them to record, she could execute it immediately. This was professionalism.
She vividly embodies the relationship between doctors and nurses. She is really not an ordinary woman to be the head nurse in the Chasu Hospital, or the head nurse in the rapidly developing Chasu Hospital.
Zhang Fan didn't order the burn department at first, but for some reason, he suddenly realized it. Just like a thin film being broken by a bucket, it immediately became extra smooth, and the slightly unfamiliar areas seemed to be lubricated. , surprisingly oily.
Zhang Fan was deeply afraid that this was a flash of inspiration, because he had never encountered a subject that he had not chosen to understand. Therefore, he was afraid that he would lose this understanding after surgery, so he wanted to record it.
"If you cut off 2mm below the skin to damage the skin, you must ensure that there is an extendable capillary network nearby. Cut off the burns on the muscle layer..."
Zhang Fan talked while doing it, and talked while doing it.
The head nurse in the operating room muttered to herself, "Are you getting better soon? Are you getting better soon? My hand is almost broken."
One page, two pages,...ten pages.
The head nurse complained in her heart, but she didn't understand what Zhang Fan was doing. The anesthesiologist was curious, but he didn't quite understand what he was doing.
However, Lao Li next to him, Professor Li Cunhou, was so excited that his hair almost stood on end.
If he hadn't been on the operating table, he would have wanted to take away the young woman's pen and record it himself. He was deeply afraid of disturbing Zhang Fan, so while soaking the alien material, he whispered: "Be sure to record it completely, every word." None can be left behind.”
He understood it too well, and the way he looked at Zhang Fan showed that he wanted to swallow it.
Zhang Fan is formulating clinical guidelines for allogeneic skin surgeries on young children!
How powerful is this?
It can be said that this is Zhang Fan setting boundaries for this kind of surgery. To put it more simply, it means that Zhang Fan is formulating rules and regulations.
Just like playing basketball, Zhang Fan is setting the rules now. If you want to win the championship in the future, you must follow my rules.
The reason why the failure rate of this kind of surgery is so high is because there are no rules and regulations. While everyone is exploring the boundaries, Zhang Fan has already begun to set the boundaries.
Lao Li almost fainted with excitement.
If Zhang Fan can completely formulate a plan for the children, even if it is not complete, it will definitely be no less than the achievement of researching the materials.
If there are materials but no guidance, no one will know how to use them, and the materials will have no future.
Only when there are materials and guidelines can it be promoted.
Indispensable.
How difficult is this kind of guide? You can read the textbooks of Xinhua Kingdom. The masters who compiled the first edition and the masters listed in the textbooks can really be said to be the top leaders of Chinese medicine. Even with the development of science and technology, subsequent textbooks will always make some changes based on this edition.
Not only was Lao Li shocked, but the dermatologists from various hospitals who came to observe the operation were also shocked.
"I'll go, why don't you be so awesome and designate surgical guidelines at the surgery site! This is incredible!"
"It's true, let me go in and have a look!"
As soon as this was said, everyone immediately frowned. "I'll just say whatever, whatever."
Professor Zeng stood in the crowd, sweat dripping from his body.
"It's fake, it must be fake. He's just a young boy. It's incredible that he can do this kind of surgery. He even made guidelines on the spot. It's fake, it must be fake!" His mouth was dry, and he was starting to regret it now. .
"Old Li, are the materials ready?" Zhang Fan didn't even raise his head. His slightly bent head seemed to be fixed in that space, motionless. This is kung fu, the kung fu he has practiced.
"Old Li!" Zhang Fan's voice was a little loud. "I just had a flash of inspiration. I don't know when it ended, but you were still distracted by me."
Zhang Fan was deeply afraid that this realization would be like the happy time with Shao Hua and disappear in a shudder, so he talked about it and found that Lao Li was in a daze and became very angry.
It's like buying a lottery ticket for two yuan. When I opened it, I went for five million, but the boss who claimed the prize said that the computer had crashed. Can you not be in a hurry?
Lao Li seemed to have woken up from a dream.
"Okay, okay." He quickly handed over the materials with both hands. "Zhang Yuan..."
"Shut up!" Zhang Fan interrupted Lao Li like a Tibetan mastiff guarding his food.
Bit by bit, the child was like a broken doll, Zhang Fan repaired it bit by bit.
What was originally a large area of ulceration slowly turned into allogeneic transplant material. When the tourniquet is released, the capillaries are like spring rain, slowly moisturizing the allogeneic material. The originally clear gray material becomes pink and tender.
Large, large pieces of expensive experimental-grade allogeneic materials were cleverly trimmed into small pieces of various shapes and applied to the child's body.
Old Li pursed his lips, not because he was distressed, but because he was excited.
The recording continued. At this time, at Lao Li's signal, Dr. Lao Li took action personally and took over as the head nurse in the operating room.
The head nurse in the operating room rubbed her wrist and glanced at Zhang Fan with a strange look, "It's been quite a long time! Even after talking for so long, I don't know if I'm thirsty!"
"Go, open the glucose, don't open it at 10%, open it at 5%, and I'll feed Zhang Yuan some!"
