(Chapter 237 has been slightly changed~)

I can't?

Wei Haiyang definitely can't admit that he can't solve this problem. He is the attending doctor of the city hospital, and he has no problem with this simple fracture.

Soon, after the examination was completed, Wei Haiyang began to give Shen Weiming bone grafting.

After about half an hour of busy work, I picked it up.

The next step is to start nerve repair.

Ruan Bin first made an incision at the site of the rupture to explore the site of the nerve rupture.

He found that the common peroneal nerve was broken at the peroneal longus muscle, and the superficial peroneal nerve and deep peroneal nerve were broken at the tibialis anterior muscle between the extensor digitoris longus muscles, respectively.

"Ruan Bin, is there a big grasp of nerve repair?" Wei Haiyang couldn't help but ask when he saw that Ruan Bin was starting to move. Because nerve repair is very important. It is related to whether the patient can recover in the future, and how much can it recover.

It's almost a one-shot deal.

If the first repair is not good, if the second repair is carried out, it will be a second damage to the nerve, which is more or less bad.

"Trust me, okay?" Ruan Bin smiled.

Ruan Bin repaired these peroneal nerves for Shen Weiming this time, and planned to use the best way to recover them - (biomaterials + autologous nerves embedded with articulation sutures to repair!)

This method is a modified version of his world-class neuroprosthetic surgery. It's definitely an improved version of the technique that's a little more advanced than all current technologies.

Most of the traditional leg nerve repair uses biomaterials, mainly as a guiding structure for axon growth, which can be arbitrarily plastic according to the repair tissue situation, and can form a vital tissue.

In fact, the quality of biomaterials determines the degree of repair, such as good biocompatibility, when implanted in the body, it and its degradation products should have no toxic side effects on the body, and will not cause inflammation in the body and cause transplant rejection of the host; High porosity, and at the same time have a certain mechanical strength, which is not only conducive to cell implantation and adhesion, but also conducive to the infiltration of cell nutrients and the discharge of cell metabolites, and also provides a channel for regenerative axons to cross damaged tissues. Plasticity.

It can be easily molded into various shapes and can still maintain its shape for a certain period of time after implantation in the body; Biodegradability, the degradation rate can be adjusted according to the regeneration rate of cells in different tissues; Surface chemistry and surface microstructure are conducive to maintaining cell phenotype, adhesion and proliferation, and leading to tissue regeneration.

However, in Ruan Bin's eyes, this method is still not ideal, biological materials are biological materials, and human nerves still have a certain probability of rejection of the fusion and healing of biological materials.

Twenty minutes later, the operation was completed.

The surgery was a success!

"I'll go to neurosurgery or orthopedics early tomorrow morning. Ruan Bin said.

"Okay, neurosurgery, his fracture has been treated, but although the nerve rupture has been repaired, it still needs later rehabilitation and medication, so it is more appropriate to transfer to neurosurgery. Wei Haiyang said.

"Okay!"

In this way, the night shift continued to be busy.

............

Early the next morning, Shen Weiming was transferred to the neurosurgery department.

Qiao Yejian, Director of the Department of Neurosurgery.

Today is his rounds.

When he found Shen Weiming, who had just turned around, he looked at the other party's medical records, and his brows suddenly wrinkled.

"Last night, I was treated in the emergency department in the car accident, and the examination found that the lower leg bone was fractured, which has been picked up. One common peroneal nerve was found to be broken, two superficial peroneal nerves, and one deep peroneal nerve were found, and nerve repair has been performed in the emergency department. Director Qiao looked at the medical record report, and then checked the results of various examinations that Shen Weiming had done in the emergency department before.

Sure enough, he saw that the calf nerve was broken in many places, it was broken!

"The people in the emergency department are just messing around! Is this kind of nerve rupture repaired casually? The professional field should be done by a professional person! Or is it a nerve repair done by a resident doctor, if the repair is not good, the patient's nerve cannot recover part of the function, who bears the responsibility?" Qiao Yejian's face became gloomy.

If the chief doctors in the emergency department of this operating room did it, of course he wouldn't be so angry. He knew that those chief doctors were definitely very level.

But it's not a joke that you, a resident doctor, dare to do nerve repair on a patient!

In case the nerve repair surgery is not done well, or if you do not do it well enough, then there will be problems with the patient's nerve recovery. What about making the patient a cripple when the time comes?

This surgery should be done by their neurosurgeon. What does a resident doctor in your emergency department do? I don't know that neurorepair surgery must be done the best, and if you are not satisfied, you will lose everything!

"What's the matter with you, shouldn't the emergency department be held responsible for such a patient?" Qiao Yejian looked at the attending doctor next to him and asked.

If the patient's recovery is not satisfactory because the nerve repair surgery in the emergency department is not good enough, their neurosurgery will suffer!

"I, that...... The people in the emergency department said that the surgery went smoothly and that there should be no problems. He just asked us to help with medication follow-up and rehabilitation. The attending doctor was sprayed with dog blood all over his face, but he could only explain it head-on.

"Hmph! Except for those directors of the emergency department, who can do a good job of nerve repair surgery? I didn't drink the consultation, and I did the surgery without permission! I really ate the bear's heart and leopard gall. Qiao Yejian couldn't help but roar. If something goes wrong, it must all be pushed to the emergency department when the time comes!

At this time, Shen Weiming, who was on the hospital bed, listened to Qiao Yejian's words and couldn't help but say: "I heard that Dr. Ruan said that the operation went very smoothly, and he also did it quickly, as if it was completed in about 20 minutes." ”

"What? It's done in twenty minutes!" Qiao Yejian's first thought was that the other party must have operated indiscriminately, how could it be done in 20 minutes?

Is it cutting corners?

Qiao Yejian put on gloves, touched Shen Weiming's toes, and said, "Do you feel it?"

"I felt it, but there was still some slight numbness and pain in my whole calf. The pain is much higher than numbness!" Shen Weiming replied truthfully.

As soon as this sentence came out, Qiao Yejian's expression instantly became rich!

The first thought in his mind was impossible!

Because the common peroneal nerve and superficial peroneal nerve are broken, the soles of the feet will definitely be unconscious!

Unless the common peroneal nerve and superficial peroneal nerve are only damaged and not broken, then the skin numbness in the innervated area will occur, mainly the numbness of most of the skin on the dorsum of the foot and the dorsum of the toes.

"Can you move your toes?" Qiao Yejian continued to ask in astonishment.

"I can move, you see, but the range of movement is not large, I can only move a little, as if my toes are a little bit unresponsive to me!" Shen Weiming said.

"Hiss......" Qiao Yejian was instantly shocked.

Even after he had a broken nerve repair, it was impossible for him to feel the calves and soles of his feet so quickly, and even move his toes a little.

Now Shen Weiming's situation shows that the nerve repair surgery is very good and very successful, which is higher than the level of his director!

Because now Shen Weiming has sensation in the soles of his feet, which proves that the nerves have been connected and partially recovered, and it is not a bad situation like that which has no sensation at all.

If there is no sensation at all in the calves and soles of the feet, this is the worst-case scenario. Even later, he directly wasted a leg and became lame.

In a case like Shen Weiming, after medication and rehabilitation, it will not be said that 100% of the patients will be able to recover as before, at least more than 90%, and it should not be a problem to walk in daily life!

After all, nerve rupture is irreversible, and no matter how much surgery is done, it is impossible to heal 100% of the time! But this 'part' is very uncomfortable, 1%~99%?

But 99% is almost impossible clinically.

Being able to restore some functions to 85% is already scary!

"I've heard of this Ruan Bin, it is said that he is a little genius who has improved several surgeries, but I didn't expect him to be so terrifying in the area of nerve repair?" Qiao Yejian was shocked. I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~