medical road high rise

Chapter 319 Nerve Bundles

Chapter 3 Nerve bundles

"Although Dr. Qin is young, his skills are well-known throughout Ruijin Hospital." Li Xuewen saw the thoughts of the patient's family.

"No, we just didn't expect Dr. Qin to be so young." After all, the patient's father is still a veteran of the workplace, "Then trouble Dr. Qin."

This sentence directly pushed Qin Feng up, and did not give Qin Feng a chance to refuse.

"Well, you go to sign, and I will prepare for the operation." Qin Feng left without giving the patient's parents time to react.

The patient's parents asked Li Xuewen again, and after confirming Qin Feng's identity, they followed Li Xuewen to sign.

Soon, the news that Qin Feng was going to undergo plexus surgery again spread from the emergency department group to the hospital group, and the doctors who were temporarily taking a break also started bubbling up one after another.

"I'll go, plexus surgery, that is one of the most difficult neurosurgery operations, can Qin Feng do it?"

"As far as I know, the doctors in our hospital seem to be only two living fossils of neurosurgery."

"I want to see how Qin Feng performed the operation."

The news in the large group kept swiping the screen, which naturally attracted the attention of some neurosurgeons.

The director of neurosurgery counted the number of viewers in his own group, and found that there were more than 20 people including interns.

In the end, it was cut down to ten people, and the director of neurosurgery took them directly there.

Mr. He also called Qingfeng and asked Qin Feng to back up his operation. He looked good when he came back. Now Mr. He happened to be attending a medical summit forum, and he would not be back for a while.

Arriving at Mr. He's position, the time spent in the hospital for a month will never exceed ten hours, except for the operation.

The operating room is a large operating room offered by the director of neurosurgery, but the only requirement is to be Qin Feng's assistant.

Qin Feng naturally had no objection, and neither did Li Xuewen. He didn't understand neurosurgery at all, and being an assistant is not even a tool person.

At nine o'clock in the evening, the operation began.

After Qin Feng got dressed, he went directly to the operating table, and the director of neurosurgery stood in the first assistant's position.

Qin Feng took the scalpel and made an incision in the midline of the patient's injured neck and waist, and asked the neurosurgery director to slowly pull the two sides apart with a retractor to provide Qin Feng with sufficient vision.

Then, Qin Feng began to free the muscle tissue of the injured part, mainly near the proximal and distal ends of the nerve bundles.

When doing this step, Qin Feng moved very slowly, because he was worried about causing secondary damage to the nerve bundles.

It took about 15 minutes for the separation to expose the entire nerve bundle.

Qin Feng took a deep breath, sweat had already started to appear on his forehead.

This operation is also very challenging for Qin Feng, mainly because of the separation.

"Rubber strips!"

Qin Feng lifted the nerve trunk with a rubber strip, and then freed it towards the damaged part.

From the undamaged part of the nerve stump to the broken part, Qin Feng looked for the diseased nerve, directly raised the knife and cut it off.

Qin Feng measured the stump of the nerve with his fingers, and then replaced it with a non-invasive blade to remove the proximal pseudoneuroma.

Pseudoneuroma is not a tumor, but a way of saying that the peripheral nerve fiber loses its distal end due to factors such as disconnection and injury, so that the regeneration axis cannot reach the distal end, so that it is mixed with the proliferating connective tissue and forms a curl. A lump that looks like a tumor.

It was still very troublesome to cut it off, and it took nearly a dozen cuts before a road was cleared.

The director of neurosurgery turned his head and glanced at the people in his department, and said sternly, "Let me read them all carefully, study hard, and return each person with a 3000-word reflection."

A group of neurosurgeons showed bitter faces, not afraid of suffering, not afraid of tiredness, but afraid of watching the stage to write their thoughts.

In fact, Qin Feng felt that the dissociation speed of this operation was already very slow, but in the eyes of neurosurgeons, it was already very fast.

There are many brachial plexus nerves, which come out from the gap between the scalene muscles, go to the back and upper part of the subclavian artery, and enter the armpit through the back of the clavicle. Beamed out, densely packed.

It is when they are studying in textbooks that they feel dizzy, let alone practice and practice.

"Doctor Qin is so awesome, the nerve bundles were completely found out so quickly."

"This is probably better than our director's technology."

"What nonsense are you talking about? It's obviously already a few blocks away from our director."

Listening to the doctor's arrangement, the director of neurosurgery looked a little ugly, thinking that going back to 3000 words would not work, and he had to start with 10000 words.

After Qin Feng freed, he began to suture the nerves.

This step is the most worthwhile for neurosurgeons to learn.

As long as the dissection is careful enough, the dissection can be completed after a long time, it is only a matter of the completeness of the dissection.

However, the suture is different. The quality of the suture is directly related to the recovery of the patient and the degree of completion of the operation.

Qin Feng lifted one end of the pulling nerve, let the pulling nerve lose its tension, and sutured the corresponding nerve bundle with it, and the nylon thread in his hand was pulled together by the round needle, gradually pulling the two together.

One.

two.

three.

……

For three whole hours, Qin Feng was suturing, and there was no leakage of sutures.

From the cautiousness at the beginning to the rapid suturing later, it has caused a great impact on the neurosurgery doctors.

Can nerve sutures still be sutured like this?

This is what every neurosurgeon thinks now, including the director of neurosurgery.

When they sutured the nerve, they were always careful, for fear of getting the two ends wrong.

Even if it is two living fossils of neurosurgery, it is necessary to be cautious, and only dare to suture after aligning the two ends.

But Qin Feng doesn't seem to need to look at it, as if every nerve fiber bundle is installed with navigation, so he can find his position accurately.

After Qin Feng finished dealing with the nerve bundles, he cut the epineurium along the nerve axis, cleaned out the damaged nerve bundles again, and repeated the above operations.

This time it was much faster, and it only took an hour.

After the diseased nerve was removed, the brachial plexus surgery was completed with precise suturing.

All damaged nerves were anastomosed.

Total time, 5 hours and 42 minutes.

"Wipe your sweat."

The equipment nurse hurried forward to wipe Qin Feng's sweat. Qin Feng's sweat has already wet the surgical gown. This operation is really exhausting.

People who have no patience really can't hold on.

While Qin Feng was wiping his sweat, the director of neurosurgery took over the command, rinsed the patient's wound with saline, left drainage strips, and gradually sutured the incision.

These tasks are common to the director of neurosurgery, and it is not bad for Qin Feng to do them, and Qin Feng is also happy to be at leisure.

(End of this chapter)