Chapter 153 Zhou Liu's hand!(1/4)
Chapter 153 Zhou Liu has a hand!
How can this pussy be sewn so smoothly? Shouldn’t a normal pussy be uneven...
Mi Huan's heart was racing, and while watching Zhou Cheng continue to operate, he asked Chen Kelong: "Kelong, who is this teacher?"
Looking at Zhou Cheng's profile, most of it was covered by the mask, but Zhou Cheng's crow's feet were not visible, which made Mi Huan sure that Zhou Cheng was not very old.
He thought Zhou Cheng was some professor invited by Chen Kelong.
Chen Kelong stretched out one hand at this moment, staring intently at Zhou Cheng's operation of suturing the tendons.
It seems to mean, don't disturb me.
But he closed his mouth and looked in the direction of Chen Kelong's gaze.
I saw that Zhou Cheng's knotting was as smooth as tying a belt, neither loose nor tight.
Unexpectedly, it can grasp the degree just right, preventing any retraction of the tendon, but there is a certain tension, and it can tightly make the ends of the tendon fit together.
If surgical operations are compared to kung fu in martial arts, at least this has reached the level of proficiency!
After all the threads were sewn one by one, Chen Kelong, the 'right-hand assistant', picked up the thread scissors and cut off the thread ends one by one.
Then, the smooth tendon, which was the same as the tendon sutured before, appeared in front of everyone.
Mi Huan was finally able to see it this time. He saw the ruptured tendon in person, and a scene of recovery was vividly performed in front of his eyes. It seemed that the couple had a quarrel and then reconciled, but there was no gap at all.
, completely reunited!
It is easy to break. A child can break it with a knife, but complete restoration can only occur in theory.
Zhou Cheng glanced at the thread cutter and said: "The thread is cut a little too long! This is not conducive to postoperative recovery. Cut it shorter next time. This is a thread knot in the finger tendon, don't be so long."
Chen Kelong's mouth trembled slightly, and he had the urge to beat Zhou Cheng to death on the spot.
This young man seems to have a million insults.
Damn it, I even made mistakes when cutting the thread.
Cai Dongfan and Mi Huan found these words quite funny.
Cai Dongfan hurriedly slapped Zhou Cheng's hand and said: "Talk less and do more."
At this time, Chen Kelong replied to Mi Huan: "Director Mi, this is Cai Dongfan, Director Cai from the Eighth Hospital."
Then he stretched out his hand to Cai Dongfan, but Mi Huan nodded in the direction of Zhou Cheng without even thinking: "Oh, I asked who it was, and it turned out to be Cai."
Then I saw that Chen Kelong's hand was pointing at the "rookie" sitting next to him, and the person he was greeting was not Cai Dongfan as Chen Kelong said.
The scene was a bit awkward for a while.
"This is Zhou Cheng, a student of Director Cai." Chen Kelong hurriedly helped Mi Huan ease his embarrassment.
Mi Huan originally planned to call Professor Zhou, but he only came out with one word and was too stunned to say it out.
"week."
He glanced at Chen Kelong, and his eyes were scratching Chen Kelong like a steel knife, as if he wanted to kill Mi Huan.
"Doctor Zhou." Mi Huan thought about it for a while and then said to Zhou Cheng.
"This is the director of our orthopedics department, Director Mi Huanmi." Chen Kelong introduced Mi Huan's identity to Zhou Cheng.
Zhou Cheng paused for a moment: "Hello, Teacher Mi."
He was about to give up his position, but Mi Huan even said: "Dr. Zhou, you continue, you continue."
As if he was afraid that Zhou Cheng would say, "Teacher Mi, come here."
How good a surgeon is is all in his hands, and anyone with a discerning eye can see it at a glance!
It doesn't need to be very mysterious to make ordinary operations very smooth.
Replantation of severed fingers is a specialty of hand surgery. Before the separation of Shaxian First Hospital, he had also contacted it and even consulted some experts in hand surgery. However, Mi Huan was certain that the rice he had eaten was better than the rice he had eaten.
It definitely takes more experience and salt.
Zhou Cheng's tendon suturing today is definitely no worse than the tendon suturing done by any professor he has seen.
There is even a ridiculous illusion that Zhou Cheng can sew better.
Such good tendon suturing is not only beautiful to look at, it is also like a work of art that cannot be tarnished. If I had to complete the remaining blood vessel and nerve suturing myself, it would simply not be worthy of the vascular bed that Zhou Cheng has now sutured.
Tendons are just vascular beds.
Replantation of severed fingers is a top priority.
The recovery of broken bones and the suturing of tendons can be done by ordinary orthopedic surgeons. Whether it is good or not is another matter. However, whether you can survive or not depends on the blood supply after surgery, and the most important thing is the blood supply after surgery.
The most important thing is how well the blood vessels are sutured.
The survival of the fingers is the basis of movement. If they cannot survive, let's not talk about movement.
And even if the blood supply is sutured, it still depends on how well the nerves are sutured. Otherwise, the finger that has lost its innervation will still be just a decoration!
No matter how well Zhou Cheng sews tendons or how quickly he recovers from broken bones, if he fails to sew nerves and blood vessels properly, it will be like a flower in a well, beautiful but useless.
Mi Huan didn't want Zhou Cheng to say what he said next because of his identity, "Chen Kelong, you should learn from Director Cai and Dr. Zhou. I'm going to wash my hands first."
Chen Kelong nodded and looked at Zhou Cheng with a solemn expression. Zhou Cheng's skills definitely deserved to be called "teacher", but his age and status were just a little inappropriate.
Cai Dongfan was in a very good mood at the moment. He looked at Zhou Cheng and said, "Xiao Zhou, are you tired? Do you want to take a breather?"
All surgeons know that surgery is not heavy physical work, but the fatigue during surgery is more tiring than heavy physical work.
Because it requires precision, high concentration, and trembling.
It's like if you have to use scissors to cut rice into half, it will be much more tiring than if you were carrying rice weighing dozens of kilograms.
Zhou Cheng took a deep breath and said, "Teacher Cai, Director Chen, let's continue."
Then he continued to bury his head and began to take out the severed ends of the repaired blood vessels.
Regardless of whether it is the middle finger or the ring finger, the blood vessels and nerves run on the opposite side of the finger, including the proper digital arteries and veins and the proper digital nerves!
For replantation of severed limbs, the optimal number of sutures between arteries and veins is 2:1.
However, there are only so many arteries and veins on the fingers. At this time, we will not talk about the branches of the proper digital arteries.
Just the next second when Chen Kelong stopped to watch Zhou Cheng's operation, his face turned pale again with fright.
Because he suddenly saw that Zhou Cheng just used two forceps specially used for microsurgery to pick out a blood vessel on the ulnar side of the middle finger near the proximal interphalangeal joint. It was like a fat white root.
Pulled out!
It seems to be saying, don't run away.
The blood vessel at one end was found in this way.
This effort?
I can't understand.
Then Zhou Cheng picked it again, and another fat white blood vessel was picked out near the interphalangeal joint of the distal end of the middle finger. After pulling it together for a while, Zhou Cheng said: "Teacher Cai, help me pull it out."
Chen Kelong immediately said: "Let me pull it, Director Cai, you help Xiao Zhou suture, and I will take a closer look."
Under normal circumstances, the reason why blood vessels are sutured first is not only because of the need for blood supply, but also in other cases, the most uncomfortable problem of suturing blood vessels with broken fingers is to recover the tendons and broken bones first, and then find the retracted parts into the muscles.
blood vessels and nerves.
It's not easy to tie it up in advance. Most people would tie it up with sutures in advance to facilitate searching, but Zhou Cheng didn't do this step.
Chen Kelong originally thought that this was one of the failures of this operation. Zhou Cheng was greedy for success and rushed forward, but he did not expect that Zhou Cheng had already made a plan in his heart and he could convince people with his strength.
Just take it out.
It seems that you don’t see with your eyes, but with your mind!
Just like that, the blood vessel was picked out. Chen Kelong didn't even see where Zhou Cheng pulled out the severed end.
Chen Kelong deliberately paid attention and didn't see it, and Cai Dongfan naturally couldn't see it either. Everyone was born with naked eyes.
Therefore, when Zhou Cheng called Cai Dongfan for help, Cai Dongfan was still stunned.
Seeing that his request was not responded to, Zhou Cheng repeated: "Teacher Cai? Can you help me?"
Only then did Cai Dongfan meet Zhou Cheng's confused gaze, as if to say, Teacher Cai, can you, an unqualified assistant, help me?
Cai Dongfan immediately removed the micro-toothless forceps from Zhou Cheng's hand and cursed in his heart: I am GAN you, can you not do the surgery so casually?
Make it seem like anyone can do it?
Can you give me some time to react?
This patient’s blood vessels are from your home? Are you familiar with the road?
Following the normal routine, Cai Dongfan felt that he might have to help, such as using tweezers to open it up to give Zhou Cheng, the surgeon, a certain field of vision.
Then Zhou Cheng tried it ten or twenty times, and then the two of them discussed whether it was the proper artery, and whether it was pulled wrongly and the artery and vein were sewn together. That would be a bit bad.
But Zhou Cheng?
It can be completely described as NMB.
To be continued...