"Let's go!" Liu Yaowen said in a dull voice. Because the hands are so polluted, they must be disinfected first. This surgery should not be a problem from the beginning, especially this disinfection, because the skin is grafted, and once there is an infection, the transplanted skin may rot and die. So disinfection here is too important.

Soapy water, Zhang Fan wore gloves and brushes, kept brushing on Wang Laosan's hands, blood water accompanied by black engine oil, and the soap foam was all flowers, colorful under the shadowless lamp.

"Iodine!" After the soap and water were cleaned, they began to disinfect with iodine, and the nails of Wang Laosan's index finger and middle finger were also directly peeled off. After disinfection, the subcutaneous tissue can be seen very clearly, some of the white tendons have been broken, some have been cut in half, and the thin skin is directly bone.

"Bao Yin, cut the rest of your nails a little shorter. Zhang Fan explained to Baoyin.

"Good. "Sometimes, the work of a nurse is really difficult. Not to mention tiredness, it is not yet understandable to the world.

In the past half a month, Zhang Fan's surgical volume, especially the number of general surgery, has been rising gradually. But when it came to surgery, I didn't have any ideas when I had surgery.

But after the operation, Zhang Fan looked at the progress of the system's operation, and he was a little awkward. How to say it, I don't want to have more surgeries, it's a bit like duplicity, I want to have more surgeries, but I can't bear it, it's really awkward.

But when it came to surgery, although Zhang Fan was not happy, he was still very excited, as if the cells in his whole body were excited. This surgery is the same as fitness, and now even if Zhang Fan doesn't have the system, he will be so refueled, because this thing can be addictive.

Skin grafting procedures, especially on the hands, are demanding. First of all, you should choose wear-resistant skin, because there is too much hand activity, and if the skin is thin, it will wear out after three or two strokes. It is also necessary to ensure the functionality of the fingers.

"Doctor Lu, prepare the skinning knife. Baoyin, let's shop the two orders. ”

"Okay. The two girls replied at the same time. Zhang Fan and Baoyin laid out the order, and Lu Shuyan prepared a peeling knife. This peeling knife is not to mention peeling, it can penetrate people in your hand.

This thing seems to have a bad breath by nature. The simplest one is to hold a blade between two iron bars, and at one end of the iron bar is a rocker, which is shining. It is very sharp, close to the skin, and when you shake it with your hand, the skin is directly thinned, and you can make as thick and thin skin as you want.

"Let's go. Zhang Fan and Lu Shuyan sat down face to face, fortunately it was hands. If it was a foot, such a narrow place, it is estimated that Zhang Fan and Lu Shuyan would have to kneel for surgery.

"Dr. Zhang, I'll give you a piece of gauze. As the itinerant nurse spoke, she gently placed a piece of gauze on Zhang Fan's forehead. After all, the operating cart is still a small place, and the temperature adjustment is relatively slow.

The skin of Wang Laosan's two fingers was damaged. The other fingers were still intermittently damaged, and the index finger and middle finger were directly scraped by the wheel.

"The middle finger can't be saved. Zhang Fan gently pulled the muscles with tweezers to explore the damage, and said softly to himself.

"Isn't the bone intact?" Lu Shuyan asked in confusion. During this time, she let Zhang Fan practice, and the kung fu under her hands has also grown a lot, and the girl now has a thief heart and does not know if she is dead, but she already respects Zhang Fan very much.

"Good bone integrity, but you look at this muscle. It is directly a combination of scalding and crush injury, and the typical damage injury, the central tendon bundle and the lateral bundle are completely damaged. Zhang Fan kept pointing to the injury with tweezers to explain to Lu Shuyan.

This finger, the most classic human finger, is the muscle that surrounds the finger. It's so beautiful. If you go to see a fresh autopsy, the muscles in other places are not interesting, pigs, horses, cows, sheep, people, they are all about the same, and it is just who has more and who has less.

Just this finger, only people have it, it's too classic. After opening layer by layer, after cutting the interosseous muscles and vermican muscles, it is directly displayed in front of you like a fighter plane or a two-handed sword in the Middle Ages.

Various tendon bundles surround the extensor tendons, which is too complicated to say, simply saying that a muscle that flexes or extends the finger head has several muscles involved.

"Can't it be repaired?" Lu Shuyan asked innocently, after all, he was not engaged in microsurgery, and Lu Shuyan really didn't know much about this aspect.

"This kind of injury is a doctor's nightmare, there is almost no complete tissue system left, there is no way. The index finger still has some hope, and the function of the hand will be complete in the future. Begin. As they spoke, Zhang Fan and Lu Shuyan bowed their heads at the same time.

Repairing tendons and blood vessels, bones are not a big deal. Under Zhang Fan's soft guidance, Lu Shuyan was doing the operation painfully.

The noodles that I ate were a little hard, and then the sour wind and the fixed sitting posture for a long time, Lu Shuyan's stomach seemed to hurt together, and the girl was really in a cold sweat, gritting her teeth and cooperating with Zhang Fan, without saying a word.

"Bone forceps!" Zhang Fan said to Bao Yin.

"Doctor Zhang, do you really want to bury the stump?" Bao Yin had never been on the stage of hand trauma, so he asked curiously, and after asking, he seemed to feel a little reckless, and quickly lowered his head to pack up the instruments.

Although Zhang Fan didn't care, he still explained: "Shortening the injured finger is not necessarily worse than flap repair, especially in this case combined with the patient's age, stump embedding is the best choice." The length of the finger is preserved by the force of the aesthetics, and the finger that loses its function may still be a drag on the patient. ”

"Oh! I'm just curious. Bao Yin explained awkwardly. On the operating table, unless it is an unlicensed doctor, the general nurse will not question the doctor. This is the rule of the industry, not the rule.

After cleaning up the damage to his hands, the whole hand looked pleasing to the eye, and the meat filling had already been cleared by Zhang Fan, and the repair was repaired, there was already such a thing.

"Peeling!" Zhang Fan said energetically. The long march of 10,000 miles has finally reached half of it. Lu Shuyan gritted her teeth and almost shook when she stood up.

"What's wrong?" Zhang Fan looked at Lu Shuyan and asked, the mask and hat were tightly wrapped, and he couldn't see the other party's expression clearly.

"It's fine. Lu Shuyan said in pain. Now even if it hurts, there is no way, Zhang Fan can't do this operation alone. Other doctors and nurses can't help Zhang Fan even if they come to the stage, because they are not surgeons, so now Lu Shuyan can only be beaten hard!

Lifted the surgical towel that left the hole, leaked out Wang Laosan's white thighs, and the leg hair was pushed cleanly.

Peeling, whether it is freehand peeling or peeling by a peeling machine, should be close to the skin, press, and adjust the spacing of the blades, which represents the thickness of the skin to be peeled. Then, little by little, as the roller turned, the skin peeled off gently like tofu skin.

If the peeled skin does not have subcutaneous tissue, it is directly the same as the layer of skin that was pulled off from the table tennis racket. After the leather of the table tennis racket is removed, there are small yellow or red dots lined up on it.

The same is true for the skin, and the inside of the skin that has been thinned by the peeling knife is also lined with fat particles or hair follicles, which are almost identical. Of course, the thickness of the skin peeled off by a doctor with poor skills is different.

When Zhang Fan's technology arrived at home, a skin with a shadowless lamp, almost the same thickness as the boxy.

"Beautiful!" Zhang Fan couldn't help but praise himself. The art of cruelty.

"Don't be ashamed!" Zhang Fan spoke, and the operating car was alive, everyone began to speak, and Baoyin smiled and whispered a joke.

"Our hospital peels Zhang Fan is the first, hehe!" Liu Yaowen said with a smile while adding anesthetics, the operation time is too long, and patients can wake up in pain without adding a little bit.

"Hehe! Zhang Fan ended the chat. Then after gently wiping the peeled soft tissue with saline gauze, the operation time was too tight, and it was too late to deal with it carefully. Then the skin was pulled up with large needles and sewn together.

In many surgeries, the patient's skin is sutured very roughly, not meticulous at all, and it feels like he is fooling people, in fact, this is to prevent necrosis, and the small needles and fine threads are beautiful, but it is easy to cause necrosis due to ischemia. Fortunately, this wound is on the thigh, so it doesn't matter. The old man doesn't wear super short!

The peeled skin was half the size of an A4 piece of paper, Zhang Fan took it in his hand and put it on the affected hand, and after gently comparing it, he said to Baoyin: "Sharp knife." ”

He said to Lu Shuyan again: "Fixed." Lu Shuyan had never done skin grafting surgery, so she didn't understand it very well, so she paused for a moment and asked embarrassedly, "How to fix it." ”

"The four corners are flattened and fixed with Alice pliers!" Zhang Fan was a little impatient, but after thinking about it a little, he thought the same, he was a gynecologist, not an orthopedic one, not an ordinary one!

Then he added: "It must be stretched, otherwise there will be deviations in positioning." ”

Lu Shuyan's face turned red, although she shouted again in her heart: "The old lady's stomach is a lump, you still murder me, I am a gynecologist, I am a gynecologist!" But she just shouted in her heart, who made her a doctor, who made her a surgeon.

After fixing, Zhang Fan took the knife and began to embroider. That's right, it's embroidery. Because of the avulsion injury, there is no skin left on the surface of the finger, and if you want the transplanted skin to survive, you have to make a glove for it.

After choosing the location, Zhang Fan began to slowly draw a few small holes with a knife on the peeled skin, which was to pass through his fingers, not too big, not too small.

If it is too big, the subcutaneous tissue will leak out, and if it is too small, the blood will not be able to pass through, so it is very elegant, and this skin graft is just this one, there can be no mistakes, and if it is wrong, it can only be grafted! Is it possible to re-graft? Impossible. So Zhang Fan was particularly cautious.

After the hole was completed, Zhang Fan breathed a sigh of relief, although this is a small detail, but this small detail is very crucial, and it can be said that it is related to the success or failure of the operation.

"The gloves are ready, let's try the size. Zhang Fan said to Lu Shuyan.

"The size should be okay, it's about the same at first glance. Liu Yaowen couldn't help but interject.

Baoyin was very bored throughout the whole process, Lao Liu spoke, and she hurriedly asked, "Can you see the size at a glance?"

"Hehe, in fact, I have more research on depth!" said the old man without shame.

"Hooligans. Bao Yin didn't know if she scolded with a shy smile, and she too, knowing that people were old men, she still loved to flirt.

Zhang Fan grabbed the two ends of the peeled skin. Unfolding, the skin is stretching and contracting, and it can shrink into fruit dan peel without unfolding.

Lu Shuyan grabbed Wang Laosan's two fingers, erected them straight, gently, and put them down little by little. With a little friction, Zhang Fan put his skin down.

"OK! Zhang Fan looked at the gap and said easily.

"Look, I'm right!" said Lao Liu with a hesitant smile. Bao Yin ignored him again.

After putting on his fingers, Zhang Fan covered the skin on the back of his hand and fingers, and then cut the skin into long strips at his fingers, and then circled and circled, wrapping this long strip in a spiral shape on Wang Laosan's two fingers.

"Stitched. Zhang Fan gave an order, several people moved, the anesthesiologist was ready to wake up, the nurse threaded the needle, and Lu Shuyan took scissors to cut the thread and tie the knot.

The operation of a hand takes almost longer than the operation time of a femur fracture, because the division of muscle division of the hand is too detailed, and if it is done a little sloppily, the patient's finger function will have problems after surgery.

Sutures, compression bandaging, and the end of the operation. "You must pay attention to infection after surgery, not here, I guess I have to send it to the county hospital. Zhang Fan said as he bandaged.

Finally, Zhang Fan began to knot the gauze, and Lu Shuyan staggered and fell, "Plop!" Suddenly the girl fell on the operating table.

"I'll go!" Zhang Fan was shocked. Immediately put Wang Laosan's hand on his chest and said to Baoyin: "Hold it!"

After Baoyin immediately grabbed Wang Laosan's hand, Zhang Fan pounced and ripped off Lu Shuyan's mask.

"What's wrong?" he said, shoving his hand into Lu Shuyan's clothes.

Zhang Fan didn't go to get cheap, but to touch the girl's carotid artery. Lu Shuyan's face was painful, and Zhang Fan was frightened to think that she had a heart attack.

"It's okay! I'm fine, it's just that my stomach hurts, and I'm a little uncomfortable and dizzy after standing for a long time. After a little relief, Lu Shuyan opened her eyes and said weakly.

"Are you sure. I'll give you a physical examination. Zhang Fan said.

"No, I'm fine. As soon as he heard that Zhang Fan was going to have a physical examination, Lu Shuyan's originally blue face fluttered with a hint of redness. Physical examination, abdominal examination is to lift the stomach, she is shy.

"Oops, I'm scared to death, hurry up and lie down for a while. If you don't wake up again, Zhang Fan will probably give you artificial respiration. Lao Liu was not lightly frightened, although he said it easily, but the horror on his face had not disappeared.

"Come, hurry, come and help her, I'll carry her down. Zhang Fan ignored his words and said a word to Lao Liu.

Wang Laosan was pushed down, Lu Shuyan was carried down, and the five-hour operation was over!