Since 1981 Health School

  Chapter 658 Zhu Huoyan personally performs the operation

  In the operating room and office.

  A slide show was playing on the white curtain, and Chen Qi, as the "spokesperson" of Yuezhong People's Hospital, was giving these reporters a detailed introduction to the operation.

  Below sat a group of fully armed journalists who had changed into surgical gowns, surgical caps and masks.

  Today, more than a dozen reporters were very excited, because this was the first time in their careers that they were actively invited by the hospital to watch the whole operation, and they were even allowed to video and take pictures of the whole process.

  Vietnam Hospital of Traditional Chinese Medicine has created the most in the country, becoming the most tolerant, cooperative, and news-media-friendly hospital among all hospitals in the country.

  Of course, there is also a secret that is the highest in the country, that is, the amount of red envelopes given by Yuezhong Hospital is the highest among all hospitals in the country.

  So although the reporters couldn't fully understand the professional medical terms, they grasped the key points from Dean Chen's words:

   "President Chen, you mean that Fu Zhenzhen's operation is the first free flap transplantation in China, and it is also the first time microsurgery participates in flap transplantation in China?"

  Chen Qi smiled brazenly:

"In fact, the real situation is like this. Doctors in China have tried free flap transplantation before, but they all failed without exception. As long as our Yuezhong Hospital succeeds in transplantation, it will be the first time in China. Everyone agrees, right?"

  The reporters understood in seconds. It turned out that Dean Chen was playing with words.

   But the ingenuity of this game is that other people have indeed undergone similar operations, but if the operation fails, it will not be widely publicized, and there will be no media reports.

  Vietnam Hospital of Traditional Chinese Medicine succeeded at that time. It is said to be the first case in the country, and it is not impossible to be the first in the country.

  Anyway, the red envelopes are in place, these reporters naturally know how to write and how to help Yuezhong Hospital brag, this is the result of a good relationship with the media.

  Chen Qi introduced for a long time, then invited:

"Okay, friends from the press, the operation is about to begin. In order to facilitate your interviews and obtain first-hand news materials, everyone is free to take photos or videos. Of course, for the sake of patient privacy and aseptic requirements, it is necessary With big glass."

  The ambition of Vietnam Traditional Chinese Medicine Hospital is to be a global teaching hospital, so in addition to the fact that each operating room is equipped with a closed-circuit TV that can broadcast live at any time, one wall of each operating room is entirely made of glass.

   And raise the seat, so that people watching the operating room can be condescending and watch the whole operation without obstruction.

  At this time, in the operating room, the doctors were already busy with preoperative preparations, and the nurses were placing a large number of surgical instruments on the sterile tray.

  The towel laying work has also been completed. Apart from showing her lower limbs, Fu Zhenzhen's whole body is covered, especially her face, so she is not afraid to take pictures.

  Where have the reporters seen such a posture, one by one excitedly raised the video camera or camera, and the film kept shooting as if it didn’t cost money.

  Chen Qi continued to brag beside him:

   "Look, everyone, the bracket hanging on the wall of the operating room is called the operating arm, and the machine below it is an electron microscope, which can be operated by two doctors at the same time. This is the most advanced machine in the country, and it is not available in other hospitals.

   Also, look at the side, the white machine is the ventilator, and next to the anesthetist are the ECG monitor, anesthesia monitor, and hemodynamic monitor, all of which are imported.

  Our anesthesiologists can keep abreast of the patient's vital signs and adjust the dosage of drugs at any time by just staring at these monitors throughout the whole process, which is absolutely advanced. Unlike anesthesiologists in other hospitals who measure blood pressure in a while and body temperature in a while, it is very primitive and delays things, right?

And you see, the surgical instruments our nurses are placing are custom-made from Nipro Pharmaceuticals in Japan. This set costs 50,000 U.S. dollars. It was given to us by a foreign businessman, and we didn't spend any money. "

   Following Chen Qi's introduction, the reporters now really know the hardware strength of Yuezhong Hospital.

  It can be said that in terms of these operating rooms, even Concord and Ruijin in China are far behind, and they have created the best in the world.

  In the operating room, Zhu Huoyan became the chief surgeon, Luo Yuyang, the director of the burn surgery department, was the first assistant, and Zhang Xing, the deputy director, was the second assistant.

   Director Zhu and several assistants first measured the area of ​​the lower limb wound, and then drew an irregular circle with purple syrup on the outside of the little patient's right thigh according to the measurement data.

  The shape of this circle is the same specification as the wound that needs skin grafting, so that the subsequent transplantation can fit perfectly.

   Director Zhu then took the scalpel and began to cut along the line, then picked up a corner of the skin, and then cut horizontally with the scalpel.

  Don’t look at it as simple as it sounds, but it’s a very technical test, because when you cut, the epidermis and dermis are fine, but the subcutaneous tissue such as fat layer, blood vessels, and muscles are all glued together.

   Just like pork belly, layer by layer.

  Anyone can cut meat vertically, but now it needs to be cut horizontally, and the skin flap transplantation only needs to reach the fat layer, and the underlying muscle layer will not touch, so you need to be very careful when cutting and sharing.

   If you are not careful, if you go down with the knife, the blood vessel may be broken, and it is over, the selected flap cannot be used, because there is no way to anastomose the blood vessels.

   Or if you cut off a nerve or a muscle directly, it will be another medical malpractice.

  Another biggest difficulty is how to find suitable arteries and veins.

  With such a large flap, with an area of ​​34 cm x 18 cm, there will be countless blood vessels and nerves connected to each other, just like the wires on the electric poles on the streets of India, it is a mess.

  In the anatomical diagram we see, the arteries are in red envelopes, and the veins are in blue, which is clear at a glance.

  But during the real operation, all you see is red, and a pile of blood comes out from time to time. It is very difficult for you to find the arteries and veins you need.

   Director Zhu was sharing the skin flap, while keeping his eyes fixed on the front.

  Zhang Xing was holding a small blood vessel B-ultrasound machine, and was always detecting the direction of blood flow, guiding the direction of surgery, and preventing accidental cutting of blood vessels.

  Chen Qi showed off again outside the operating room:

   "Look, everyone, our doctor keeps using a small probe to scratch on the skin. This is a vascular color ultrasound, which can check the direction and location of blood flow. There are not many such devices in China."

   It attracted bursts of exclamation from the reporters.

   But machine guidance alone was not enough. Director Zhu had to stop to find the lateral circumflex femoral artery first, and then follow this artery to find its descending branch.

  Zhang Xing checked again with a vascular color Doppler ultrasound instrument, and after confirming that there was no problem, Director Zhu separated the flap again.

  At this point, although Chen Qi didn't do it himself, and his face was calm, he was still very nervous. If the first skin flap failed, it would be embarrassing in front of the national media.

   Let him go, Chen Qi has absolute confidence to succeed.

  But now he wants to push Zhu Huoyan to the top, show his face in front of the media and the people of the whole country, and let the burn surgery have a new academic leader, so Director Zhu must be the chief surgeon in this operation.

  Even if it is from the perspective of repaying a favor, Chen Qi wants to make Zhu Huoyan a famous doctor of his generation.

  Old Guo can’t do it anymore. The old man is already 60 years old, and the golden age of a surgeon has passed, so he can only do administration and help Chen Qi in managing the hospital.

  Fortunately, Director Zhu's clinical level is still very high, and he is absolutely reliable. After 2 hours, the entire flap was successfully removed.

   Oh no, it cannot be said to be completely removed, because at this time it is connected to blood vessels.

   It is the same as if you removed the electronic painting on the wall, and the result is that there are still two wires connected behind it.

  At this point, the chief surgeon began to change people.

  Director Zhu and the others stepped back, changed positions and continued to search for the anterior tibial artery to be anastomoticed on the side of the patient's calf.

  Yan Shifan and Bian Meng received blood vessel separation and anastomosis.

  The two of them pulled the electron microscope fixed on the rocker over, looked at the lens of the microscope together, and began to separate the arteries and veins.

  The separation process is also very careful, because this operation belongs to "immediate flap transplantation", that is, it is removed here, and the other side will be connected immediately.

   Then the blood vessel fracture must be very careful, there should be no damage or even roughness, there should be no inversion of the vascular intima, or anastomotic leakage, etc.

  Anastomotic leakage is prone to local edema, and platelet aggregation is likely to cause embolism. When the embolus travels throughout the body, it is likely to cause myocardial infarction or cerebral infarction, which is very dangerous.

   In addition, care should be taken not to make the pedicle too short. If it is too short, the blood vessels are prone to spasm, causing thrombus, the skin flap will still be necrotic, and the operation will fail.

   (Several free flap operations in China failed because of poor microsurgical techniques)

  Doing suture or anastomosis on blood vessels is definitely much more difficult than engraving on rice grains.

   When the blood vessels were successfully separated, the reporters heard Dean Chen next to him let out a sigh of relief. The reporters are all good people, and they knew that Dean Chen was not as calm as he appeared on the surface.

  But there were also a few female reporters who covered their mouths and wanted to vomit.

  Because this is not only an open operation, but also a teaching operation, the doctor needs to turn the cut flap back to the camera and the medical staff who are watching the operation.

  So when the **** piece of meat and the **** wound on the outside of the patient's thigh after the skin flap was cut off made the female reporters feel sick and scared.

  After the blood vessels are separated, even if the skin flap completely loses contact with the human body, the blood circulation is cut off.

   Now it is necessary to anastomose blood vessels immediately to re-establish circulation. After a long time, this flap (this piece of meat) will be useless.

   The doctors in Yuezhong Hospital were all well-trained. Yan Shifan and Bianmeng remained still, and the operating table was adjusted immediately, moving from the thigh side to the calf side that needed skin grafting.

   Director Zhu pointed to a few small blood vessels and said:

   "This is the anterior tibial artery, with accompanying veins."

  Yan Shifan looked at the microscope for confirmation, "Alright Director Zhu, leave it to us."

  If you change to another doctor, Yan Shifan will definitely have to check it out by himself, for fear that there will be mistakes, and the wrong blood vessel will be connected at that time, and it will be a big trouble.

  But at Director Zhu's place, Yan Shifan didn't hesitate at all, and directly competed for points and began to perform vascular anastomosis.

  In the auditorium of the Vietnam Hospital of Traditional Chinese Medicine, the operation was broadcast live on the big screen.

  Because of Fu Zhenzhen's tragic experience, so many medical staff came to the auditorium.

  Some of you just came to watch how the first microsurgical flap transplantation in China is done, and some of you came to sincerely cheer for Fu Zhenzhen.

  The doctors from Yangshan Hospital came here for the third time. They sat in the front row, staring at the big screen.

From the ventilator at the beginning, to the later unknown treatment method of eliminating arsenic poisoning, to the current free skin flap transplantation under microsurgery, all these incidents happened in the doctors of Yangshan Hospital. before.

  If others don’t feel deeply, but the doctors of Yangshan Hospital were the first to treat Fu Zhenzhen, how could they not know the difficulty of treating this little patient.

  As a result, all the problems in front of Yuezhong Hospital seemed to be difficult to solve easily.

   This gave the doctors of Yangshan Hospital a feeling that the gap between the two hospitals was no longer that of a tertiary hospital and a second-class hospital.

  It gave Yangshan Hospital the feeling that they were comparing with a top foreign hospital, and then they were beaten to pieces.

  Professor Wang Qizheng from the Second Hospital of Shanghai Medical University also sighed silently.

  In just over a month, Yuezhong Hospital first proposed that burn patients can use hibernation therapy for painful shock, and then proposed a brand-new rehydration solution, Yuezhong Formula, and then created the first "stinky tofu skin grafting".

  At present, it is among the first in China to use microsurgery to anastomose blood vessels, thus completing the transplantation of free skin flaps.

  If the final operation is successful, Yuezhong Hospital can treat more than 60% of large-area burns and large-area deep blast wounds by virtue of the above two new surgical methods, a fluid rehydration formula, and a hibernation therapy.

   With such a level, let alone the top in the country, it can actually be said to be world-class.

  Professor Wang Qizheng has a great sense of powerlessness as the waves behind the Yangtze River push against the waves ahead, and the waves ahead beat him to death on the beach.

Seven hours later, when Zhu Huoyan sewed up the left skin flap and placed a drainage strip, he straightened up, looked at the patient's lower limbs carefully, and then threw away the needle-holding forceps in his hand .

   "Now I announce that Huaguo's first free skin flap transplantation has been completed."

   There was a burst of warm applause inside and outside the operating room.

  The next day, the second pages of major newspapers published the news of Fu Zhenzhen's successful operation, and also posted two photos, one of the injured lower limbs before the operation, and the other of the lower limbs after the flap transplantation.

   Let the common people see the tragic experience of the little girl more intuitively, and at the same time, it also indirectly promoted the Yuezhong Hospital for a long time.

   Some newspapers even put photos of the operating room of Yuezhong Hospital, and listed the most advanced equipment and instruments in China one by one.

   This greatly improved the face of Yuezhong Hospital in front of the people of the whole country, and began to establish the reputation of the first-class hospital in the country.

  At the same time, the request for video recording of the operation also flew to Yuezhong Hospital like rainflakes...

  (end of this chapter)