Medical road Qingyun

The third emergency room is vacated.

The fire chief was the most critically ill among the patients, and Xie Changtian arranged for Ren Min to have surgery, and Ren Min appointed Zhao Yuan as an assistant.

Zhao Yuan followed Ren Min into the preparation room.

"Now it's ready to cut the tourniquet on the patient's hand." Ren Min put on gloves and confirmed that the medicines and equipment were complete and ready to start the operation.

"Pay attention to stop the bleeding!" Ren Min cooperated with Zhao Yuan for the first time, so he would remind many details, "Press with warm salt water gauze."

Zhao Yuan did not follow Ren Min's advice, but pressed the artery in the patient's arm with his hand.

Organ hemostasis can be completed, not to mention external hemostasis?

Ren Min was originally a little strange, but when he saw that the blood was easily stopped, he glanced at Zhao Yuan in a complicated way.

Then began to enter the debridement stage, and Ren Min found that Zhao Yuan had a high degree of tacit understanding with himself.

With any action he makes, Zhao Yuan can guess his thoughts.

It's like a roundworm in your stomach.

"You finish the stitches below."

The most difficult part of the entire arm had been completed, and he handed over the remaining easier work to Zhao Yuan.

Zhao Yuan and Bai Lu asked for tools.

Tissue scissors.

Gauze.

Wire cutters.

Line 0.

Tweezers.

When Zhao Yuan kept asking for tools, it involved microscopic glasses.

Ren Min suddenly had a clever look, smelling that something was wrong, and when his eyes glanced over, Zhao Yuan's gaze focused on the patient's hand.

"What are you going to do?"

"Vascular anastomosis and tendon suture in the hand."

"Our main task is to take care of the external wound of the arm, and as for the tendon part, it is handed over to the orthopedic hand."

"Director Ren, can you give me twenty minutes, no, ten minutes!"

Ren Min was surprised, he didn't expect to see such a powerful aura from an intern.

Tendon suturing is beyond the scope of the division of tasks in emergency surgery.

Emergency surgery is only responsible for simple surgeries such as suture and debridement, and tendon suture is a medium- to high-difficulty surgical level.

Ren Min has also studied hand surgery and will do tendon suturing, but the current patient's injury is complex and has a special identity.

He wasn't 100 percent sure that the surgery would be done.

If the operation fails, the media focus shifts to emergency surgery, with dire consequences.

In short, this firefighter is a hot potato.

It is a reasonable and correct way to treat arm wounds in emergency surgery and hand over the more difficult hands to hand surgeons.

Zhao Yuan also knew what Ren Min meant.

However, the firefighter's hand injuries were terrible, not caused by a sharp object, but by a blunt force.

Now that the entire hospital is busy, if there is no doctor with a certain strength on the hand surgery side, then this warrior is afraid that he will be crippled.

Ren Min is about to terminate the surgical mission.

However, he smelled a sense of déjà vu from Zhao Yuan's body.

Guts!

Once upon a time, he began to lose his "fearless healer" character?

He even wanted to put the blame on the hand surgery and leave it alone?

Is it still the high-spirited "yard grass"?

That's it!

Ren Min makes a decision.

Whatever the consequences, give it a try and see if you can save the patient's fingers!

"Okay, let's do hand vascular anastomosis and tendon sutures!"

Zhao Yuan got Ren Min's permission, and his movements accelerated instantly.

As soon as Ren Min put on his gloves, he was dumbfounded.

Zhao Yuan has already started the operation, and in the blink of an eye, two blood vessels have been anastomosed and one tendon has been sutured.

"Zhao Yuan, you are really..."Ren Min shook his head and smiled bitterly.

He originally planned to do it himself, but he didn't expect Zhao Yuan to start using the knife.

The surgery on the hand has already begun, and it is not possible to terminate it now, so that the patient's fingers will be 100% completely useless.

"Zhao Yuan, you let..."

Ren Min didn't have time to say the word "open", and his attention shifted to Zhao Yuan's movements.

Zhao Yuan's suturing process was fast, but not a single stitch or thread was sloppy.

The faster the sutures, the less wear and tear there will be.

Pretty figure-of-eight stitching, intricate braided stitching, delicate buttonhole stitching....

When the Zhaoyuan tendon is sutured, three tendon suturing methods are mixed.

At the end of each suture, Zhao Yuan would ferrule the tendon.

This detail attracted Ren Min's attention.

He quickly reacted that Zhao Yuan might not have used ordinary sutures.

It is none other than Tong's suture, which is known as one of the most advanced skills in the field of hand tendon suturing today.

Tang's suture, also known as multi-set intratendon suture, was created and named in 1992 by Tang Jinbo's accumulation of suture methods in a large number of clinical work.

Tang's suture is equivalent to the Dugu Nine Sword Sword Technique of hand surgery.

With this core technology, doctors can stand on their feet in hand surgery in any hospital.

Ren Min put on microscope glasses and began to observe the details of the surgical treatment.

The edges are neat, the stitches are firm, and they meet the indicators.

Zhao Yuan is not only proficient in Tang's suturing techniques, but also ingenious and reasonable in many details.

Ren Min stopped talking.

Do not interfere with Zhao Yuan's race against time.

"10 ml saline."

"Hemostats."

"The lights stay steady."

A hemostat clamps the tendon rupture and then tightens.

Partially the damaged tendon is excised, and the hemostat is turned over to expose the cross-section.

The elongated, straight needle passes through both ends, constantly crossing the needle.

Every part is suffocating.

The extensor pollicis longus tendon was sutured successfully!

The superficial extensor tendon was sutured successfully!

......

The Department of Surgery at Tianhua Hospital is second to none in the country.

The reason why the comprehensive strength is strong is that there are extremely high-level experts in each subdivided field.

The firefighter was transferred to the Department of Hand Surgery after emergency surgery.

Because he is a disaster relief hero, he is highly valued by the hospital

The full name of hand surgery is hand surgery, which is affiliated with the Department of Orthopedics, and Zhang Zhiyuan, who has just been promoted to the director of hand surgery, immediately came to the ward after an operation to examine the soldier.

"In a hurry, he even did his hand, and he didn't take us seriously." The young doctor said dissatisfiedly.

Zhang Zhiyuan took the report from his subordinates, and his originally frowning brows relaxed.

"Xiao Ren did it?"

"Huh? Zhao Yuan? It's a little familiar, as if I've heard it somewhere! On

the operation report, Zhao Yuan and Ren Min both filled in the column of the chief surgeon.

Zhao Yuan's name was placed in front of Ren Min.

As is customary, Zhao Yuan's weight in this operation is heavier.

Zhang Zhiyuan began to analyze the report carefully, and asked the young doctor, "Is there any marginal skin examination?" The

young doctor shook his head, "It's not too late to hand over after the operation."

Zhang Zhiyuan said in a deep voice: "Then what are you still stunned about, hurry up and check, if the indicators are not up to standard, you have to reprocess it immediately."

Zhang Zhiyuan pinched a handful of sweat.

The fracture caused by the blunt force can be sutured in more than an hour, and it may be difficult to do it even in the prime of one's life.

As a rule of thumb, there must be a flaw in the surgery.

After a few moments, the young doctor came over with the report, "The blood flow in the whole arm is unimpeded, and there is no sign of bleeding." The

result surprised Zhang Zhiyuan.

He muttered to himself, "Good luck."

The young doctor continued: "The patient has passed the anesthetic and is already conscious. I just did a nerve endings test, and my fingers were able to flex and extend slightly. "

“...... Are you sure?

Zhang Zhihua couldn't hold back any longer.

Normally, it is at least one day after the suture procedure is completed for some function to be restored.

As soon as the sutures are completed, there is a flexion and extension response.

I've been working outside the hands for many years, and it's the first time I've met it.

He wanted to figure out how this operation was done!

......