The first successful operation of the upper end of the wrist joint was performed by the Chinese people in an extremely poor environment and conditions. Thinking about it back then, it made people's blood boil, the United States took the younger brother to blockade China in all aspects, and the Soviets had a small belly and chicken intestines.

In that kind of evil environment, under the premise that there was not even a more advanced microscope, the medical masters of the year still made a world first. Then, there is no then, when money is the boss, this discipline is shrinking rapidly in China, which is also a typical discipline when all disciplines are catching up with the pace of the world, and it is shrinking sharply.

In the operating room, after Xiao Congcong was pushed in, the doctors nervously began preoperative preparations to correct the shock. Xiao Congcong, who was already very depressed, was even more depressed at this time.

I didn't even have the strength to cry, my miserable little white face, looking at a group of weirdos in green clothes, blue hats and blue masks, nervous and scared little dolls curled up like a little wolf who had lost its mother. Try to shrink yourself together as if that would give you a sense of security.

Rehydration, symptomatic treatment, and then Xiao Congcong was hypnotized by sedatives and fell asleep. When the severed little hand was preparing for anesthesia for Xiao Congcong, Zhang Fan and Li Liang had already done preliminary treatment.

"Prepare K-wire needles and intramedullary nails, this operation can't use steel plates!" Zhang Fan said to the operating nurse while dealing with the severed little hand.

"Director Zhang, why don't you use steel plates?" Li Liang was a little incomprehensible, since Lao Chen's explanation, Li Liang was no longer called Zhang Fan in the unit.

"If it is fixed with a steel plate, it will damage the periosteum very much, especially for young children, and it will not damage the periosteum if it is possible to avoid damaging the periosteum. Zhang Fan explained. There are many advantages of steel plates, but its biggest disadvantage is damage to the periosteum.

The periosteum on the surface of the bone contains a large number of blood vessels and running nerves, which cannot be reformed once damaged, especially this nerve, which is too difficult to repair once it is damaged.

Steel plates are the products of large industrialization, when using, we must ensure that the steel plate and the bone are adherent, not conforming, either the steel plate is broken, or the fracture is not firmly fixed.

To be compliant, you must first destroy this periosteum with a bone knife. The K-wire needle is much simpler, like a steel drill for knitting a sweater, and two crossed straight lines fix a plane, which is the principle. But why do you use less surgery now, it's simple, because it's cheap!

After brushing the severed little hands and disinfecting them, Zhang Fan said to Li Liang: "Li Liang, inject heparin saline into it." Zhang Fan grabbed the little hand, let the broken end face Li Liang, and the washed little hand was especially like a little pig's trotters, especially the color of the skin, which was exactly the same as the pig's trotters after washing.

The key to the success of amputated limb replantation is whether the blood vessels are high-quality suture and communication, and to ensure that the blood vessels can be unblocked, the first thing to ensure is the flushing of residual blood in the blood vessels.

While rinsing, Zhang Fan used black silk threads to tie knots at the blood vessels and nerves, which was to mark again. This surgery cannot afford to waste a little time.

After dealing with the severed little hand, the anesthesia was also prepared, and Zhang Fan and Li Liang began the operation. The instruments used in hand and foot surgery are similar to those used in vascular surgery and ophthalmology, and the instruments used are very delicate and not like orthopedics.

The instruments used in orthopedic surgery are very similar to those used by carpenters, hammers, saws, bone files, bone knives, electric drills!

Everyone has three friends and four friends, and Xiao Congcong's uncle's family is also in the agricultural power station. Congcong's uncle is a small cadre of the agricultural power station, and Congcong's parents are ordinary employees.

"Oh, what do you think of the children, the children are young and ignorant, are you not sensible? The family is almost 200 years old, and they can't look at a four-year-old doll. "The person hasn't arrived yet, and the strange voice has arrived, which is really heartbreaking!

When the two old men, who were already very guilty, heard this, their hearts were about to break, they felt sorry for their grandson, and they were annoyed, but what else could they say at this time, the two old men didn't even have the qualifications to cry, they were directly sinners! Really, it was too uncomfortable.

"If you don't say a few words, then you will go home!" the uncle was also anxious. yelled at his wife.

"If the money is enough, I brought a bank card, and I must let the doctor use the best medicine and the best equipment. It's too late now, you should send some red envelopes to the doctor before the operation, such a big thing, hey!" walked up to his brother, whispered a few words, and then asked: "Where is the person in charge of the hospital, I'll go and take care of it." ”

Before he finished speaking, Lao Chen came over with the operation signature book: "Come, the child's parents come to the office to sign." ”

Congcong's father helped Congcong's mother to walk into the doctor's office with difficulty, and the uncle also followed, Congcong's aunt saw it and quickly followed, she was worried that her old man would give money!

Congcong's grandparents were already like puppets with silk threads drawn, staring blankly at the green light at the door of the operating room.

"Here, here. You all know the difficulty and danger of surgery, as well as the sequelae after surgery. Sign it!" Lao Chen pointed to the place where he wanted to sign and said to his family.

For Congcong's family, now they are pigs waiting to be slaughtered on the chopping block, no matter what the doctor says about what they do, let alone resist, they don't even dare to have any objections! Now they are afraid that the doctor will have some accidents.

"Remember to pay the fee. ”

"Director, how much is it? "Cong Cong's parents are already like zombies, let them do whatever they want, they don't even have any normal thinking, only Uncle Cong Cong came forward to speak.

"Twenty thousand!"

"Okay, I'll pay now. As he spoke, Uncle Congcong was about to pay the bill, and Aunt Congcong was a little anxious, and secretly pulled her husband's back and didn't let go.

Uncle Congcong didn't say much, he directly pushed his wife's hand away with his hand, and then went out to pay the bill. Auntie's heart is like a knife at this time, and 20,000 is not a small number for ordinary people. Ay!

At this time, the three people were like zombies, and they walked out of the office door stiffly, and suddenly, the aunt seemed to be alive: "You too, the children can't see well, what kind of rotten hospital are you looking for, why don't you go to the public hospital!"

Cong Cong's parents are like deaf people! As a result, Lao Chen heard this, "Hey! That's not what you say, rotten hospital? Go and inquire, the entire Chasu City, this kind of replantation surgery, as long as our hospital says there is no way, other hospitals don't even think about it, Chasu City amputated limb replantation we are this!"

Can he be dissatisfied? In the past, a doctor who could not get out of a county hospital could not be parried, but now he is beaten by a public tertiary hospital, can he be dissatisfied? Can he not be proud!

In the operating room, Zhang Fan and Li Liang performed the operation nervously and quickly, "The child's surgery must consider the future development, especially the bone scale line, if you can, don't touch it." Zhang Fan explained to Li Liang while doing the operation.

Song Bing stood aside and acted as a roving nurse, as long as Zhang Fan underwent surgery, Li Liang and Song Bing were either assistants or itinerant nurses, they would definitely not let go of this opportunity to observe!

Debridement, the first step in traumatic surgery, is also a very important step, and a good debridement is to lay a solid foundation for replantation.

After three to four hours of losing blood to the muscles, they are relatively sluggish to the general stimuli, but fortunately, the time sent by Cong Cong is relatively short, and the current situation is not bad.

The retention of limbs is for the sake of a sound physique and the function of the limbs. The premise of preserving the integrity is to fix the fracture and repair the blood vessels, especially the blood vessels, and ensure high-quality sutures.

And the guarantee of limb function is the repair of nerves. To put it simply, the more the centrifugal segment is replanted, the greater the chance, because the farther away, the lumen and nerves of the blood vessels become smaller, and the larger it is, the more difficult it is to repair and the less likely it is to survive!

Flushing, Zhang Fan quickly flushed the blood vessels with heparin saline, and Li Liang's current cooperation can barely keep up with Zhang Fan. During this time, Li Liang also had a bitter liver.

After the debridement was over, the fracture began to be fixed, and the child's bones were as white as ivory and jade, and as slender as chopsticks. Li Liang has done I don't know how many amputated limbs have been replanted, and I can't help but feel a little sad when I see the little doll's hands today.

The fracture was fixed, and the special electric drill for surgery pressed the K-wire needle, butted the ulnar and radius, slightly deviated from the angle of 30, and gently penetrated the bone under the high-speed rotation of the electric drill. This straight broken end is the easiest to fix.

Crossing left and right, Zhang Fan fixed a plane. A fractured plane is fixed very accurately, without a trace of hesitation, without a trace of comparison, it is so skillful and so accurate. Because Li Liang is an assistant, he can't realize it.

And Song Bing, who was standing in the roving position, looked at Zhang Fan's operation, and kept shouting in his heart: "Damn! Damn! Damn! That's what I did, oh! Why do you do this!"

After the fracture and tendon are fixed, it is a blood vessel, and at this time it is necessary to bring a microscope, and the key to the success or failure of the operation is coming, but for Zhang Fan, it is not difficult.

Step by step, once the operation is performed, Zhang Fan is like a robot, and the muscles that have been in the liver countless times in the system have already formed a memory, and the priorities are very standard.

Nerve sutures, skin sutures, step by step, "OK!" After the operation, Zhang Fan said softly. As soon as he spoke, the operating room was like the world of Ice and Snow Surong, and everyone was resurrected.

"Director, are you tired, I'll open a bottle of glucose for you!" Song Bing said to Zhang Fan flatteringly.

"It's fine. You have to remember that at this time, don't relax, don't be careless, and be sure to observe whether there is any change in skin and temperature of the replanted limb. ”

"Hmm. Li Liang and Song Bing nodded at the same time.

At this time, Congcong's severed little hand had been attached to his arm, but the colors on both sides were distinct.

The severed side has pale skin, as if it were a prosthetic leg. As the tourniquet opens, the visible skin slowly changes color. Little by little, the severed limbs from near to far took on a color.

In more than ten seconds, as if it was a trick, the skin of the little hand became normal, only there was a circle of black thread at the severed part, like a black ribbon bracelet, embroidered on the little arm!

"After the surgery, pay close attention, especially within 24 hours after surgery, and you must not be negligent. ”

Okay, Li Liang and Song Bing nodded at the same time and said.

The operation was over! The rescue was successful, and more than three hours had passed.