Surgeons dressed as poor people in the Republic of China

"Doctor, come on, I'm ready."

Liang Cong closed his eyes, and passed his hand forward as if he was heroic.

Doctor Ye looked at the little guy and didn't speak, but put a thin pillow under Liang Cong's right shoulder.

"Change the No. 7 needle." He turned to Tang Chuanfang and said.

Dean Tang took the syringe subconsciously, and after realizing it, he asked strangely, "Isn't it completely numb?"

Ye Yibai glanced at Liang Cong, who was obviously very nervous but tried to hold his chest up, "The little guy is very brave, he can hold on."

In later generations, general anesthesia or brachial plexus block anesthesia is generally used for replantation of severed limbs. If it is a child who has no self-control ability, most doctors will choose general anesthesia.

But the side effects of narcotic drugs in this era are too strong. Liang Cong is less than ten years old, and his brain is not fully developed. A general anesthesia will have more or less impact on his development in all aspects.

It can't be completely numb, Ye Yibai thought as he looked at Liang Cong's chubby little face.

The side effects of brachial plexus anesthesia are much smaller, but the pressure is all on Ye Yibai's side. If Liang Cong makes a fuss during the operation and causes the operation to fail, it can even be regarded as a medical accident in future generations.

It was the life-and-death-like preoperative notice of the Republic of China that allowed Dr. Ye to make such a decision willfully.

Ye Yibai took the syringe from Tang Chuanfang and undid the first button of Liang Cong's jacket.

"Doctor, itches."

"Be patient."

Block the brachial plexus, divided into intermuscular groove, supraclavicular and axillary routes, Ye Yibai combined with Liang Cong's actual situation, chose to inject the anesthetic into the sheath from the clavicle.

Ye Yibai walked up to Liang Cong's head, under Liang Cong's curious eyes, stretched out his hand and pressed on Liang Cong's collarbones on both sides to determine the center of the collarbone.

"Liang Cong, we are about to start."

Liang Cong nodded nervously, his eyes were tightly closed, and his eyelashes were still trembling with his breathing.

"Doctor...doctor, didn't you hit my hand?"

The moment the cool iodophor came into contact with his collarbone, Liang Cong's body trembled, his eyes secretly opened a crack, seeing such a long needle in front of him, his trembling voice changed a bit.

"There is also an anesthesia method that hits your hand. In that kind of way, you will fall asleep immediately, and the operation will be done when you wake up. But this method may make your brain a little bit dull, in other words , that is, you might become stupid."

"Becoming stupid?!" The child immediately showed panic, "Doctor, I don't want to become stupid. I'm already stupid enough. My mother calls me stupid every day."

He pursed his lips, "She said, no matter how stupid I am, I will die of stupidity..."

Liang Cong looked at Ye Yibai pitifully, fearing that if the white coat doctor gave him an injection, he would become a fool.

Doctor Ye laughed softly.

"Since you begged so sincerely, I will give you an injection that can make you not stupid, but you can't cry or make trouble later, and you can answer whatever I ask."

"Then... okay." Little Liang Cong thought for a moment and solemnly agreed.

"Then it's an agreement between men, so keep your word."

Under the gaze of the young man Liang Cong, who pretended to be calm, Dr. Ye pressed the place 1 cm above the center of his collarbone, inserted the needle neatly, and at the same time manipulated the puncture needle to advance in backward, inward, and downward directions.

"Do you feel anything in your fingers, wrists, or arms?"

In order to keep the agreement between the men, Liang Cong was very cooperative. He tried his best to feel it, and after a long time he replied with pouty lips: "I'm sorry doctor, my arm is numb from the pain, and I can't feel it."

"It's okay, let's continue."

Ye Yibai continued to insert the needle, and when the needle penetrated nearly two centimeters, the needle felt a blockage. Doctor Ye knew that this was the first rib that touched Liang Cong.

He explored back and forth along the longitudinal axis of Liang Cong's ribs, after going back and forth twice.

"Yes... yes!" Liang Cong said suddenly.

"What do you feel?"

"It's numb, it's weird, I can't say it, it's weird anyway."

Ye Yibai nodded, stopped inserting the needle and tried to withdraw it at the same time. After confirming that there was no blood and no air in the withdrawn needle, he breathed a sigh of relief, and at the same time began to slowly inject the medicine.

After the injection is completed, the needle is left in place and the syringe is retracted.

Little Liang Cong glanced down, saw the shining needle in the center of his collarbone, and asked weakly, "Doctor, can't you pull it out too?"

Ye Yibai put the syringe on the treatment tray, "No, I'm afraid you'll be hurt halfway."

In order to minimize the side effects of anesthetics, Dr. Ye carefully controlled the dosage of anesthetics to the point of being stingy.

Liang Cong originally wanted to say that I am not afraid of pain, but looking at the needle and thread in the doctor's hand, he swallowed the words again, just plug it in, he just doesn't look at it...

After the anesthesia was completed, and after Liang Cong confirmed that his arm was unconscious, Dr. Ye's first severed finger replantation operation in the 30s officially began.

Tang Chuanfang next to him immediately lifted his spirits, and he casually took a piece of paper from the side. Unfortunately, it belonged to Director Fan of the Department of Orthopedics.

Dean Tang looked at Director Fan's words "dragon, flying and phoenix dancing", and felt strange in his heart, which usually looks pleasing to the eye, but when Ye Yibai said that, he felt that the word was really... ugly.

Turn to the back, pick up the pen, and before writing, Dean Tang paused, then wrote in block letters:

On April 29, [-], in the dean's office on the second floor of Huaning Hospital, summary of replantation of severed fingers

Tsk, perfect.

Liang Cong had two broken fingers, and the ring finger still had a trace of flesh connected to the base of the finger, so Ye Yibai made this finger first.

Dean Tang Chuanfang is worthy of being an old man on the surgical front. The debridement on the surgical magnifying glass is very beautiful, and because of the short time, the fingers are well preserved, and the blood vessels and nerves at the broken ends are relatively fresh.

Liang Cong's two severed fingers are close to the bottom half of the finger root, without passing through the joint, which reduces the difficulty of replanting the severed finger.

"Steel needle."

Tang Chuanfang handed over two stainless steel needles as he said.

Ye Yibai frowned slightly, the ten-year-old's hands were smaller than he imagined.

"For a one-millimeter stainless steel needle, one is enough."

"it is good."

The needle holder stably inserts a steel needle with a diameter of one millimeter into the medullary cavity for fixation.

"Doctor, do you want this steel needle to stay in my finger?" Liang Cong asked cautiously.

"Shut up!" Ye Yibai and Tang Chuanfang said at the same time.

Liang Cong froze and shut up.

After fixation, the tendon is sutured.

Because Liang Cong was sent to the hospital in time, and the blood vessels and nerves were relatively fresh, Dr. Ye could spend a little more time on the tendon suture, so he chose the slightly more complicated loop suture method.

Ye Yibai's hand is very steady, even under the magnifying glass of the surgery, he never trembled once. He stably inserted the needle horizontally at 1 cm near the section, exited the needle at the adjacent part, put the needle into the coil, and made a knot.

Tang Chuanfang also brought a surgical magnifying glass, but his surgical magnifying glass was not used for surgery, but for observation and recording. He drew two broken tendon bundles on white paper, and used only himself to understand. The drawings and marks recorded Ye Yibai's loop suture method.

After the knot is made, the needle is pierced into the tendon longitudinally, and passes through the center of the section, as well as on the opposite side. The loops pull the two sides of the ruptured tendon firmly to the apposition state.

After sewing to the last seam, Ye Yibai looked up at the clock on the wall of Tang Chuanfang's office, frowning slightly.

Generally, the delicate surgical operation of amputated limb replantation takes a long time, about 4-6 hours. The most time-consuming part is the suturing of blood vessels and nerves, and for severed fingers, the most important thing is blood vessels and nerves. Anastomoses of nerves.

In order to restore Liang Cong's hand function to the greatest extent, Dr. Ye chose a slightly complicated loop suture method, which made the tendon suture 15 minutes longer than the simplest double ten suture method.

He had to earn that 15 minutes back in the ensuing vascular and nerve stitches.

"Change the line."

叶一柏出针后剪断打结，持针器夹起唐传芳递过来的6-0-7-0尼龙线，用8字缝合法缝了两三针。

The tendons are sutured quite beautifully. Generally, when a severed finger is replanted, even if the severed end is neatly cut, it must be about 0.5 centimeters shorter than the original finger after suture. It took 15 minutes to shorten Liang Cong's severed finger by 0.1 cm.

Don't underestimate the 0.1 cm. This is not only a reflection of the doctor's skills, but also of great significance to patients who have to live again after surgery.

Most of the blood vessels in the fingers are less than 2 mm. Ye Yibai adjusted the surgical magnifying glass to the maximum magnification.

"Doctor, I'm a little scared..."

Ban Ma watched the needles and threads going in and out of his flesh, feeling a little uneasy for Mr. Zhang who was over half a century old and experienced countless ups and downs, let alone Liang Cong, a child under ten years old.

Doctor Ye kept moving his hands, and at the same time said to Liang Cong: "I'm afraid you will look up at the clock on the wall, the shortest and thickest needle, turn it four times, we will be fine, I promise."

As time passed by, the Liangs outside the office could not let go of their hearts.

"It's been more than an hour, why is it still not good, just sew two fingers together, does it take that long?" Su Xiufen looked at the watch on her wrist, and paced back and forth in the corridor outside the office.

According to her thinking, the stitching of severed fingers is not just two fingers stitched together, she was also born with everyone, and within an hour or so, a small half of the embroidery can be embroidered, let alone two fingers that are so thick.

"It's not as simple as you think. You've heard of sewing back a severed finger before? It's definitely not easy." Liang Mingkang calmed down a little, but seeing him standing there, he would occasionally go to the office door From the look on his face, it was obvious that he had not calmed down much.

"No, I have to go down to see if Director Xu has come out of the operating room. I have to listen to what he has to say, otherwise I won't feel at ease." Su Xiufen walked downstairs as she spoke.

Liang Mingkang didn't stop his wife when he saw this. Anyway, he was waiting at the door of the office. Director Xu and their family were old acquaintances. Listening to his words could make his wife feel more at ease.

When Su Xiufen went downstairs, the lobby on the first floor of Huaning Hospital was already quite empty, and the lightly wounded had all been treated when all the hospital's white coats were mobilized.

Those who were a little heavier and needed to be hospitalized were also admitted to the ward under the coordination of the hospital. There were several police officers in black uniforms at the door of the operating room on the first floor, presumably waiting for the results of their colleagues' operations.

"Hello, is there a doctor in this operating room?" Mrs. Liang asked a police officer with a kind face.

The Liangs are quite well-known in Hangzhou, especially Mrs. Liang, the sister-in-law of a high-ranking Jinling official, is famous in Hangzhou.

The little police officer turned around and saw that it was this person who was interrogating him. He was taken aback, and then replied: "A few of them have come out, and they went to Room 17 with the colleague from the Shanghai Bureau whose leg was injured."

Su Xiufen's eyes lit up, and after she quickly thanked her, she raised her leg and walked towards Ward 17. There was a slight pain in her ankle, but Su Xiufen didn't seem to feel it, and her steps were not slow at all.

In Ward 17

Zhou Datou lifted the quilt covered by his colleague and took a look, "Doctor, how long does he have to rest?"

"The position of the bullet is good, and it didn't hurt the vitals. At least a week. After a week, you can move around with a cane. It will hurt your muscles and bones for a hundred days. It may take two or three months to recover."

The person who spoke was a middle-aged doctor in his 40s. If Ye Yibai were here, he would have recognized him. This person was none other than the unknown doctor who assisted Mr. Zhang in his operation yesterday.

Oh, by the way, he is also the husband of Yang Suxin's friend Zhang Huiqin.

"Two or three months!" Zhou Datou exclaimed. After speaking, he looked at the same time with a sympathetic look, "Old Yu, then you have to stay in Hangzhou for two or three months?"

When Lao Yu heard this, his face wrinkled into a bitter face, "Don't, Zhou Ke, I can't live without people in my family, even if you lift me up, you can carry me back to Shanghai, won't it work?"

At this moment

"Old Fang."

"Excuse me……"

Two female voices sounded at the same time, everyone heard the reputation and looked

I saw two women appearing at the door, one on the left and one on the right, and the two women looked at each other.

One of the chubby women with curly hair showed a surprised expression on her face, "Mrs. Liang?"

Su Xiufen smiled at her, "Hello."

Su Xiufen's gentle attitude made Zhang Huiqin a little flattered.

"Hello, Mrs. Liang, who are you looking for? My name is Zhang Huiqin, and I'm the accountant of Huaning Hospital."

After going through such a thrilling day, Su Xiufen felt an indescribable sense of awe towards the creatures belonging to the hospital, "Hello, I'm looking for Director Xu, the people outside the operating room said that a doctor came out of it, I want to consult something .”

"Director Xu?" Zhang Huiqin glanced around the ward, "Director Xu is not here, maybe he is still in the operating room, you can ask my husband if you have anything to do, Fang Zeng, he is also a surgeon."

Dr. Fang, who was writing notes, raised his head and smiled at Su Xiufen following his wife's words.

When Su Xiufen heard this, she didn't care whether she recognized her or not, she hurriedly said: "Hello, Doctor Fang, it is like this, my son's finger was cut off by a dagger, and he is sewing it on now, but it has been more than an hour. It hasn’t come out yet, I want to ask how long will this surgery take?”

Fang Zeng was stunned when he heard the words, "Have your fingers been cut off? Sew them on? This is unlikely..."

"Improbable?!" Su Xiufen's complexion turned pale instantly, and her voice became thinner.

"Mrs. Liang, the finger is just two joints, but it has blood vessels and nerves inside, so thin that you can't even see it with the naked eye. It's impossible to sew it up."