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Chapter 666 Surgical Plan

In such matters as protecting one's legs, a hundred Sun Li'en together can do less than one fart.The only one who can decide whether the limb salvage is successful is the orthopedic surgeon who performs the operation.

Zheng Guoyou rushed to the scene with the key doctors in the department, and then started an emergency assessment.And Liu Tangchun led Zhou Jun to organize rescue.Vice President Liu and Zheng Guoyou exchanged opinions for a while, and then they showed embarrassment.

"The damage area is too large." Zheng Guoyou is most worried about the risk of forcibly performing limb salvage surgery. "According to past experience, it takes more than two hours for debridement and suturing to damage the foot and calf. This time And the knee joint and femur... Even without dealing with the dislocation of the femur, the operation time is likely to be more than six hours. Such a long time, the tissue may be necrotic-his femoral nerve was also severed, and once this nerve is severed, It’s useless to take it back.”

Six to eight hours is the upper limit for connecting and disconnecting nerves and blood vessels.Beyond this time, the patient's severed nerves and blood vessels will suffer irreversible hypoxic damage and even necrosis.The operation took six hours, which means that during the operation, Tan Junni's entire right leg will be in a state of continuous no blood perfusion and hypoxia.Irreversible hypoxic damage will cause Tan Junni's legs to continue to lose function.Even if there was no gangrene due to necrosis, after a long and painful treatment, what was left on his body might be just a piece of useless tissue that "looked like a leg".

Liu Tangchun's opinion was even more extreme, "His current bleeding is still too large...the pressure of the hemostatic airbag is almost 60 kPa, and the bleeding is still too fast. The hip joint must be released as soon as possible and the blood vessels sealed, otherwise this person will have to live Bleed to death."

Neither director recommended limb-salvage surgery.But Song Wen was as stubborn as a cow, "Treat actively and give priority to limb salvage!"

As the dean, Song Wen has no problem making medical decisions for Tan Junni here, but she is obviously a little irrational now.After Liu Tangchun and Zheng Guoyou looked at each other, Liu Tangchun bit the bullet and walked over.

"Dean Song, please calm down first." Liu Tangchun said in a low voice, "Why don't you contact the family first? At least listen to their opinions..."

"What advice do they have?" Song Wen glared at Liu Tangchun, "He was injured at work, and the hospital paid all the treatment expenses. You are doing everything you can, do you understand?"

Although Liu Tangchun still insisted on asking Song Wen to contact the family members first, the family members on the other end of the phone could not clearly express their opinions—Tan Junni’s mother is schizophrenic and has no capacity for civil conduct.And Tan Junni's father is paraplegic and can no longer speak.It was Tan Junni's second uncle who answered the phone, and he gave his opinion very directly, "We listen to the leader in everything."

Song Wen received a clear authorization, and with her promotion, the treatment process is also unfolding rapidly.Even though Zheng Guoyou and Dean Song discussed it for a long time, they couldn't change her mind.Standing aside, Sun Li'en could only watch helplessly as Tan Junni was sent to the operating room.

"Dean Song..." Song Wen and Sun Lien stood together outside the operating room. After thinking about it, he felt that he had to speak clearly, "It's unlikely that he can keep his leg."

"I know." Seeing Tan Junni entering the operating room, Song Wen sat on the waiting seat as if he had lost all motivation.She stared at the door of the operating room and sighed, before talking about a completely different topic, "When the school was recruiting, he couldn't get in."

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After graduating from university, Tan Junni, like many other students, was busy looking for a job.He applied for several IT industry companies successively, but because a lot of overtime took up Tan Junni's usual volunteer time, so he did not choose any company with good pay in the end.Instead, he turned around and applied for the position of Ningyuan Medical College.

Among all the applicants, Tan Junni had the lowest education background, the most shabby clothes, and the least relevant work experience.But in comparison, his profession best meets the recruitment requirements, has the longest volunteer service experience, and also has the most blood donation records.

It just so happened that during the application process this time, Song Wen attended the interview.And see the difference at a glance.After communicating with the personnel department and the information department, Tan Junni successfully entered the information department of the medical school and became an operation manager.

The reason why Dean Song has such a big reaction now is also related to this.Although it was hard to say whether Tan Junni's employment was directly related to Song Wen's inclinations, she felt that there was something in her heart.

A large part of Song Wen's decision was based on emotional factors, while another small part was based on rational considerations.

As a school staff member, Tan Junni is out of consideration for the work of the school and the hospital, in order to save research funds and protect the safety of national property.Participated in the transportation and handling of equipment during non-working hours, and was seriously injured as a result.Such selfless behavior should be positively incentivized.Whether it is treatment costs or other aspects, it should be the case.

As a doctor, Song Wen is well aware of the challenges and difficulties of limb salvage surgery.But she is also very clear that the main reason why some grassroots hospitals tend to adopt amputation instead of limb salvage is not worrying about the failure of the operation, worrying that the patient will not be able to pay for the treatment, or... thinking that limb salvage treatment is too cumbersome and laborious.Doctors are firstly responsible for the life of patients, and damaged tissues will release a large amount of toxic substances such as potassium and myoglobin.A lot of hospitals don't have enough capacity, they don't have the capacity to deal with this type of crush syndrome.In this case, the reattached leg isn't even a "meat that looks like a leg"—it's a ticking time bomb.

However, although Song Wen is very clear about Zheng Guoyou's reasons for refusing limb salvage surgery.She still insisted on limb salvage first. On the one hand, she believed in the orthopedic technology and ability of the Fourth Hospital—she was sure that Zheng Guoyou would make the right decision; A vantage point - We take Tan Junni's situation very seriously and have exhausted all the best means available.

She is not only a handsome middle-aged woman, but also the dean of a hospital and a medical school.With triple identities, Song Wen needs to comprehensively consider three aspects before making any decision.

Even if it's this kind of behavior that seems almost hysterical.

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In the operating room, Zheng Guoyou is deploying personnel for the operation.

The destruction of the foot involves the most bones and nerves, and it also has the greatest impact on the patient's subsequent recovery.In this area, Zheng Guoyou chose the youngest deputy director under his command to be the surgeon—the operation in this area is expected to take about four hours.If you don't have a good physique, you can't keep an eye on it.

The femoral part is in charge of the young orthopedic chief.Although this area is critical, the diameter of blood vessels and nerves are larger than those of the foot.It is not difficult to suture, and it can also accumulate a valuable experience for him.

And Zheng Guoyou... After experiencing a heart attack, he no longer directly went to the operating table.For this operation, he was more of a technical guide and the role of Dinghaishenzhen.

"Priority is given to repairing blood vessels and nerves, while skin flaps and bones are placed later - if there is too little time for tendon suturing, it can be reserved for the second phase." Zheng Guoyou assigned work in the operating room, using the usual "farmer yelling" dog" tone. "Be careful when suturing, don't sloppy sewing just because you are in a hurry - Dean Song can wait outside, whoever dares to delay, then wait for Dean Song to pick up the skin and fill it up, and hang it at the gate of the hospital !"

Although Zheng Guoyou told a joke, none of the doctors present could laugh.Tan Junni's injury was too serious, even to the point where they were a little scared.

To sew this pile of rotten meat back into a leg...the difficulty is really not something that can be easily overcome by simply saying "scratch the skin and fill the grass".

"Old Zheng." Liu Tangchun, who had put on his surgical gown, also appeared in the operating room. Although several surgeons were performing the operation at the same time this time, it was different from the previous multidisciplinary orthopedic surgery. Speaking of this, this should be the home field of orthopedics.Liu Tangchun came here not to command and coordinate multidisciplinary treatment, but to make decisions for his old friend, "I think President Song is a little... not calm enough."

"Do you still need to tell me this?" Zheng Guoyou glared at his old classmate, "Fart off, I'm in a hurry to go to the house."

"Try to choose the shortest time for the operation, you must understand the truth." Liu Tangchun said in a low voice, "Don't make mistakes about the bones, there is no need to spend time playing puzzles there-replace if you can. Lose."

Zheng Guoyou glanced at Liu Tangchun, "Any farts?"

"Hey... I'm kind enough to come here for you... Forget it." Liu Tangchun stared, and then became kind again. "It doesn't matter if you put in a little effort on the joints, but take care of the overall time. Anyway, the medical school pays for it, so there's no need to save it for the school."

"I'm not stupid. You, a vice president, can think of this kind of thing. Can I, Old Zheng, understand? Don't get in the way here, and get out of here." After Liu Tangchun was thrown out in a low voice, Zheng Guoyou stood up At the door, he crossed his hips and looked at the scene, then cleared his throat and said, "Don't listen to that mentally handicapped commander Hu, really think that as a vice president, you can reach out to me? His mother smashed it, put on the prosthesis? Where will the fitted prosthesis be nailed? Nonsense!"

The orthopedic surgeons finally let out a knowing laugh.But Zheng Guoyou didn't smile.He turned around and looked behind him, and after confirming that except for the anesthesia and nurses, the others in the operating room were all his orthopedic surgeons, he shook his head.

"Okay, put down all the knives." Zheng Guoyou sighed, "Preparing for hip release surgery... I will be the chief surgeon."

　The three winning books have all been sent out, congratulations to the three winning readers

　　Due to some technical issues in today's chapter, I discussed with the consultant for a while.Sorry for the lateness.

　　
　
(End of this chapter)