189 First battle of vascular sutures

The anesthetic method, brachial plexus anesthesia, which is still chosen, also binds an inflatable tourniquet to the patient's left arm.

"Thankfully, you stabbed it with the tip of a knife, and it wasn't too difficult for us to deal with. Liu Banxia said while cleaning the wounds of the patient.

"But because you have a broken tendon, there will definitely be a long recovery period. Although it will not affect your normal life in the future, you should still be careful when carrying heavy objects in your left hand. ”

"Doctor, can you not inform my family?" the patient asked.

"It depends on the situation, if there are no complications after the operation, you can also pay the cost of the operation, and we will not contact you normally. Liu Banxia said.

"But you're not from Marina City, are you? It's best to leave us the real contact numbers of relatives in case you need them. Don't think about it, there's nothing to be ashamed of. ”

"Let's just say that, when you go home, will your family not be able to see the wound on your wrist? Even if you don't talk about your girlfriend, you can say that you can fight with someone. ”

"Doctor, no, I can't go all the way to Binhai City to fight with people. The guy said with a wry smile.

"Eh? But are you sure you can afford to pay for the surgery? That's a lot of money. Liu Banxia said.

"I'll get in touch with my classmates, and if you can, you can help me hide it. The guy said.

Liu Banxia nodded, "It's no problem, you're an adult, we need to respect your choice." Next, you can find someone else to chat, I still have to sew your blood vessels, let's try to get it in place at one time. ”

The guy was stunned for a moment, and a wry smile appeared on his face. I just said and said, I forgot that I still have to sew blood vessels for such an important thing.

There are a lot more things to pay attention to when suturing a blood vessel than a tendon suture, first you have to separate the two ends of the blood vessel and check the blood circulation of the blood vessel.

If the blood is not spurted, there must be blood clots in it that have not washed out, and you will need to clean up the ends in further detail before you can proceed to the next step.

After checking the blood vessels at both ends, Liu Banxia picked up small scissors and carefully peeled off the adventitia of the blood vessels. This must also be cleaned up, otherwise you will easily sew the outer membrane into it when you suture it later, and then form a blood clot.

After peeling off the outer membrane, he also trimmed both broken ends by the way, which is conducive to suturing and healing.

To make sure there were no blood clots in the blood vessels, he carefully rinsed the two cavities twice with heparin saline. These are all preparations before the actual stitching, and none of them can be neglected.

Every step of the process is very important in the whole operation. A small negligence on your part can cost the patient their lives. No surgeon can afford such a thing.

After all the preparations were completed, Liu Banxia moved his wrist again, and then he really began to stitch it up.

Liu Banxia chose the three-point suture method, which can avoid suturing to the opposite side of the pipe wall.

Except for the patient, the rest of the people in the operating room were watching Liu Banxia's suturing. The feeling for them is one word - stability.

People who work in the operating room are well-informed, as they are involved in more surgeries than surgeons.

Even with the help of a microscope, is it so easy to suture blood vessels? You need to observe and feel at all times, and if you don't move gently enough, you may tear the blood vessels apart.

For patients, the later the recovery of blood vessels, the greater the impact on the hand. It's not like you play a game and can save it.

Moreover, Liu Banxia has not brought a surgical assistant today, and it is the nurse in the operating room who is helping him.

This is the fundamental problem, you said that if there is a professional surgeon as a helper to help Liu Banxia lift the thread or something, it is understandable that it is so stable, and now it will only take action under Liu Banxia's prompt.

What does this mean? This means that Liu Banxia, the surgeon, is now cooperating with his assistant when he sutures, so he gives people a feeling of "stability". But what about the actual speed? It's not slow.

"OK, now let's see how we sew. After tying the last knot, Liu Banxia said.

No matter how fast you stitch up, if you don't suture the blood vessels well, you are all blind and useless.

Liu Banxia first let go of the distal vascular clip, carefully observed the anastomosis, and there was no blood leakage. He released the proximal vascular clip again, this time not only to observe the anastomosis, but also to observe the color, temperature, and pulse of the boy's hand.

After everything was normal, Liu Banxia breathed a sigh of relief. There is no shame today, and there is no phenomenon of refilling. The effect of adding needles for vascular sutures is the same as temporary expansion of the surgical incision that is too small.

Although no one will say anything, this is a common phenomenon in surgery, but it is not old and beautiful. In particular, the needle for vascular suture can easily sew the adventitia of the blood vessel into it and form a blood clot.

The next tendon sutures were even easier, and Liu Banxia sutured the tendons three times.

The feeling shown to Wang Lei this time has become a real "fast", and it is truly pleasing to the eye.

After the suturing is completed, loosen the tourniquet again, rinse carefully, and there are two small bleeding points, and do hemostatic treatment. After rinsing again, layer by layer, suture and cover iodophor gauze with a sterile dressing.

Ding! Daily Mission Complete (20/20)

Gain 300 XP and 5 Glory

Complete the task of treating emergency patients, and gain 200 experience points, 300 suture skill proficiency points, 100 dressing change skill proficiency points, and 50 diagnostic skill proficiency points

This quest is rated as Perfect, gaining 500 experience points, 500 suture skill proficiency points, 200 dressing change skill proficiency points, 50 diagnostic skill proficiency points, and 6 glory points

"Morita, do you always find time to connect? I find that your strength seems to be much stronger. Liu Banxia is still enjoying the joy of system rewards, Wang Lei spoke.

"Let's just say that just now, I actually wanted to talk to the patient and distract him. But I can't take my eyes off it, I just want to see how fast you can meet. ”

Liu Banxia stretched, "The big guy has to testify to me, this is not for me to hook up with the old king next door, don't go back and I can't tell Sister Li clearly." ”

Wang Lei glared at him, this product can be serious nonsense.

Liu Banxia glanced at the operation time, 53 minutes. Actually, it should be faster, but there is no good help, so it is slower.

However, he is also very satisfied with this achievement, don't look at it as just radial artery vascular anastomosis, which is also the first step for him to really take the blood vessel suture.

Again, the practice in the dream space and the operation on the patient's body are two different things.

"Don't think about it, just get a good rest when you get to the ward in a while. Everything else is in the past, and it's over when it's over. I can give you one more day on the issue of cost, and you can think about it tomorrow. Liu Banxia looked at the patient again.

The patient nodded.

"Thank you, I'll take him back directly, and I won't help the big guy clean up. Liu Banxia said with a smile.

"Go ahead, the operation was done so quickly, at least half an hour was saved. Wang Lei said.

In fact, Liu Banxia still wanted to persuade this young man who was hurt for love, but when he thought that he was alone, what else could he persuade him?

Sent to the ward and gave a word. When the anesthetic is over, if it really hurts, take painkillers. This is the greatest comfort that Liu Banxia can give him, and there is really nothing else.

"You're done so quickly?" Seeing Liu Banxia coming back, Shi Lei looked a little incredulous.

"Just a blood vessel, a tendon, if you give me a help, boss, I can be at least 5 minutes early. Liu Banxia said.

"Yes, you have to be sure. Four drunk big, just finished processing. Shi Lei said angrily.

"Hehe, I like to work with the boss the most. I still have to go out for about two hours tomorrow morning, and the boss will work harder, I'll finish talking to Director Zhou. Liu Banxia said.

"What are you going to do? Director Zhou can actually give you leave. Shi Lei was a little uneasy.

"That finger carnivorous patient has some psychological disorders, so I'll do my best to help sort it out tomorrow. Liu Banxia said.

Shi Lei nodded understandingly, and he understood.

Psychological counseling is also very important for patients. The recovery period for that patient will be long, which will require a process of adaptation and confidence rebuilding.

Otherwise, if the injuries on the body are healed, the psychological injuries are not healed, and it may bring disaster to the whole family. I haven't seen too many examples of this in hospitals.

Sitting on the side, Liu Banxia pondered again.

Compared to the rewards given by the system during this time, he found that if he wants to gain a large amount of experience now, he can only continue to challenge high difficulties.

Today, the tendons and blood vessels were sutured, and it was only after the suturing skills that I was given so much proficiency, and it is estimated that this is because of the vascular sutures.

My understanding of the system is still too simple, although this system exists as a medical assistant, but it will not let you get it for nothing.

It's a real support, how many levels are there now, it's become so difficult to level up, and the rewards given are so few.

It is estimated that the suture will also be upgraded to the third level, and it may not be possible that such vascular sutures can bring you a lot of experience. No matter how difficult the suture is, it is nerve suture and microvascular suture.

It's relieved to think about it, I still have a system, and I already have too many advantages over others. If you don't even want to work hard, it's really incorrigible.

Today's first battle of vascular suture was very successful, and Shi Lei did not follow him into the operating room as a supervisor. This is a kind of trust and recognition of one's own strength, which is also rare.