blenderwars Chapter 169
Chapter 169
Chapter 169
October 20th, in the morning,
The weather is clear and cloudless~~~
an airplane,
Take off from the imperial capital, all the way to Pengshi Airport.
Ye Jianfeng, the deputy chief physician of the Hand Surgery Department of the Imperial Harmony Hospital, got off the plane and then got on the pick-up bus of the City No. 1 Hospital.
Half an hour later,
Arrived at the City First Hospital.
“A warm welcome to the Director of Harmony Ye Jianfeng to the City First Hospital…”
The City First Court sent a welcome team of “three banners” + “a dozen bouquets of flowers” to greet Ye Jianfeng very grandly.
“Thank you Dean!”
Ye Jianfeng shook hands with Dean Wang Chang, happy in his heart and felt valued.
However, he still needs to see the strength of the city’s first court, as long as the city’s first court is strong enough, he will come here to take a job.
After all, a dragon does not live in a loach nest…
Take a break at noon,
In the afternoon, Dean Wang Chang’s “strategy” began.
After all, Pengshi City No. 1 Hospital is just a general Grade A hospital, and it is incomparable to the Imperial Harmony Hospital in all aspects.
Therefore, the first step is to calm this Ye Jianfeng!
Dean Wang Chang has prepared a difficult orthopedic operation. The patient’s right hand was hit by a big stone, causing a comminuted fracture of the right palm.
At this time,
Beep Beep Beep Beep~~~~
An ambulance stopped at the gate of the hospital with a brake.
A patient was carried down 08.
The emergency doctor who followed the car was stunned when he saw the dean and the others.
“The Dean…”
Seeing Xiang Yingyuan, the director of orthopedics, was overjoyed:
“Director Xiang, you are great. This patient, 34 years old, male, was sawing his palm by a blunt saw while operating the machine, which caused a crushing fracture. Now send you to the orthopedics department?”
Dean: “…”
Xiang Yingyuan: “…”
What a coincidence?
You are about to put down Dr. Ye Jianfeng, the case is here?
And at this time,
The imperial capital Ye Jianfeng looked at the patient’s pulpy right hand,
I thought: “I just came to the City No. 1 Hospital, and I need to show my strength, no matter whether I enter the job or not!”
then,
He said loudly: “Wait…Four fingers are broken, this operation is still very difficult, so let me be the chief surgeon!”
Old Fox Wang hurriedly said: “No, no…no, you just came to our hospital and haven’t rested… Moreover, for the city’s first hospital, any surgeon can do this kind of minor operation!”
The imperial capital Ye Jianfeng listened.
Minor surgery?
This operation is very difficult, OK? Even in the Imperial Capital, there are not many doctors who can do it.
In his opinion, this Dean Wang Chang is desperate to face and suffer.
The Yipeng City No. 1 Hospital has medical standards, and there is no way to perform this operation, let alone “slip out a person at random.”
However, he didn’t bother to take it apart, and he couldn’t do anything about it when he got down from the city’s first court, didn’t he have to invite himself to the stage?
Ye Jianfeng smiled in his heart: This is a chance for you to pretend, don’t blame me for slapping you in the face.
Director Wang Chang’s mouth twitched: “Director Ye, are you interested in going to see this operation? Watching?”
Ye Jianfeng was happy: “Okay…”
…
Department of Hepatobiliary, Outpatient Clinic,
Lin Feng looked at the outside of his clinic, the long queue of patients…
Look at the old director of the opposite clinic again, there are not many people in line…
Mad sweat~~
This has robbed the old director’s business…
(According to the word of mouth, it is said that Dr. Lin Feng has high medical skills, so they are all named Lin Feng.)
Old director 囧rn: “…”
The back wave of the Yangtze River pushes the front wave, and the front wave dies on the beach·jpg
at this time,
“Dr. Lin, Dr. Lin, it’s not good!”
A young nurse rushed into Lin Feng’s office in a hurry.
“A patient came to the orthopedic operating room, and his right hand was sawn off by a machine with four fingers except the thumb!”
“………………”
Why is it here again!
I won’t do it!
Little nurse: “The dean will let you pass and get the operation done…”
Lin Feng pointed outside: “But, I have so many patients…”
Young nurse: “The dean called over…or should these patients go to other doctors for triage? Other doctors should be very happy.”
Other doctors: I feel offended…
…
…
10 minutes later,
Lin Feng came to the orthopedic operating room.
Spend 20 minutes first and look at the patient’s condition…
·The patient, male, 34 years old, a wood factory worker, was chopped off by a blunt saw (picture) while going to work.
· Four fingers are broken.
·The incision is broken, torn, and uneven
·The blood vessels and nerves of the incision are severely damaged,
· Incision bone crushing (CT image)
If the incision is gentle, replantation of severed fingers (third and fourth level surgery) is easier.
However, this patient, whose wound is so ‘bad’, wants to repair it so that his hands can regain normal flexibility. The operation is very difficult!
The most difficult operation among the completed four-level operations!
Lin Feng judged that no one in the whole city could take this operation.
(At this time, the dean told Ye Jianfeng: In our city’s first hospital, any young surgeon can handle this operation!)
…
Surgery, ready to ing!
Lin Feng washes hands, dresses, wears gloves…
On the operating table,
Yizhu is a familiar orthopedic surgeon who often goes to the emergency room to watch Lin Feng’s surgery.
“Inject anesthetic, brachial plexus anesthesia block!”
“Tracheal intubation, general anesthesia!”
“Supine position with the affected limb abducted!”
Soon after,
The anesthesia is complete.
Lin Feng also carefully read the actual injury condition of the patient’s severed finger.
…
The operation started,
first step,
Debridement!
Debridement is very important to avoid unwashed things, and at the same time thoroughly disinfect to prevent infection.
“Place a balloon tourniquet on the upper third of the aorta in the arm to prevent massive bleeding during the operation!”
“3% hydrogen peroxide and diluted iodophor to wash the wound!”
Lin Feng picked up the forceps and began to remove the necrotic tissue around the wound, looking for the finger arteries, veins and nerves at the proximal end of the finger, as well as the flexor tendons.
At this stage, Lin Feng was very careful.
Because the broken ends are too uneven, debridement will be more difficult.
20 minutes later…
End debridement…
…
Next step,
Start stitching!
“3-0 silk thread!”
Lin Feng pierced through the marks one by one in the dazzling 920 fingertips.
“5ml heparin saline syringe!”
It cleans the thrombus in the blood vessel to facilitate the subsequent replantation of the amputated finger.
“Bone biting scissors!”
“Bone file!”
Lin Feng picked up the rongeur to clean the area around the broken finger, and the bone file flattened the protruding phalanx.
Bone wax fills the bone marrow cavity to stop bleeding.
“Electric drill!”
Cross Krishna for a fixation of the broken bone!
Use a vise to cut off the excess Kirschner wires.
“Mini screw!”
Lin Feng used an electric drill to drill the miniature screw into the phalanx for secondary fixation.
“Toothless tweezers!”
“Knit the thread!”
“Surgery and surgical needle forceps!”
After the broken bone is connected, the most important thing that affects the recovery of the severed finger replantation is to repair the extensor and flexor tendons.
Multi-finger fracture also means the appearance of multiple fracture planes.
Lin Feng carefully straightened out the extensor tendons according to their respective breaking planes.
Put the braided thread into the surgical surgical toothless forceps, and suture the extensor tendon.
The four-finger surgery is very intensive. It took Lin Feng three hours to repair the extensor tendons alone.
The subsequent repair of the flexor tendon is more difficult than that of the extensor tendon.
“Two 5ml syringe needles!”
Lin Feng directly picked up the needle and penetrated both sides of the flexor tendon.
Then use surgical scissors to subtract the excess tendon.
“Suture needle with thread!”
Suture the broken flexor tendon in exactly the same way.
…….