"Lin Chen, are you doing a microsurgery?" Gu Mingjie looked at Lin Chen in surprise.

Like Lin Chen, the ability to predict the stump arterioven of a severed finger is not something that ordinary beginners can do.

In particular, the 1.2mm steel needle is drilled into the phalanges from the distal end with an electric drill, which requires the surgeon to be very familiar with the anatomy of the hands and phalanges, and to be very proficient in operation.

Lin Chen steadily drilled the steel needle into his right index finger at one time.

When the film is printed with a mobile X-ray light source machine, it is very clear.

Jiangzhou City, on the large high-definition LCD screen outside the operating room.

A group of physicians stared at the attentive, unfamiliar figure.

"Who is this young teacher?"

"The hand surgery ability is good, and the stump is fixed on the proximal phalanx in one go!"

"This is a good solution for the arteries"

"Is this the technique of shortening the length of the phalanges and anastomosis the blood vessels that Professor Fan Wei recently mentioned? This young doctor can't be Professor Fan Wei's proud disciple!"

......

"Teacher Gu, it's also the first time I've severed my fingers, you have to remind me that this is not right," Lin Chen said modestly.

"Show me the anastomosis of the digital artery" Gu Mingjie still didn't believe it, the anastomosis of the digital artery was a surgical skill that required microsurgical training, if the anastomosis could not be done, then don't waste time, directly repair the operation, and get off the operating table early.

One microscopic forceps in the left hand and one microscissors in the right hand.

The 10x microscope is an ornament in Lin Chen's opinion.

Lin Chen knew that he was low-key, looking for the digital artery on the radial side of the stump. Because the digital artery at the stump has dried up, there is only a small amount of blood left in the digital artery, which is generally difficult for inexperienced doctors to find.

But Lin Chen is different, he has an excellent memory and never forgets it.

The digital artery on the radial side was already too thick under the 10x microscope, plus Lin Chen's original apparent multiple.

"You can still find the end of this artery, master!"

"Professor Fan Wei's proud disciple did not have surgery today"

"This teacher is capable."

......

After the finger arteries at both ends are trimmed, the anastomosis of the digital arteries begins, which is the most critical step.

As long as the surgeon's hand is unstable, a shake will pierce the blood vessel wall, or it may tremble, and he will not be able to pass 9-0 sutures with needles through the blood vessel wall for half a day.

There are even some surgeons who have just passed through the blood vessel wall, and with a shake of their hands, they bring out the 9-0 stitches, and their previous efforts have been wasted.

Lin Chen, who was in the position of the main knife, was concentrating.

Left-hand microforceps and right-hand microforceps clamping 9-0 with needle sutures.

A steady needle passed quickly through the proximal digital artery wall.

"Attention, pay attention to see if the opposite side of the proximal vessel wall has also passed through"

"This is a three-point shot on the basketball court, and the absolute shooting percentage is high."

"This hand is really stable and does not shake at all, which is a level that requires hundreds of microsurgical vascular anastomosis surgeries to achieve."

9-0 with needle sutures was clamped by the microforceps on Lin Chen's right hand and passed through the distal digital artery again.

The position of this needle piercing, according to Professor Fan Wei's vascular anastomosis operation record, should be punctured from the inside of the blood vessel wall to the outside.

Precision, one stitch out.

The microscopic forceps in his left hand clamped the needle and quickly pulled up the 9-0 sutures, one knot, two knots, in order to prevent the knot from loosening, Lin Chen tied a knot again.

After the first stitch was tied, Gu Mingjie's hand seemed to tremble a little.

The vascular anastomosis under the microscope is the most feared hand tremor. This hand shook and accidentally cut all the knots, so I had to do it all over again.

After the knot of the first needle is tied, it is necessary to reserve a section of about 5mm thread, which is used for borrowing.

Dr. Gu Mingjie's hand trembled a little.

Lin Chen calmly looked at the hand that was trembling under the microscope, like a blindfolded hand, without a sense of direction.

He really wanted to take the microscissors and cut the stitches with a click.

"Lin Chen, I'm a little hypoglycemic, so you can cut the threads yourself!" Gu Mingjie suddenly said excitedly.

"Hmm" LIN CHEN TOOK THE MICROSCOPIC SCISSORS, QUICKLY CUT ONE SUTURE CLOSE TO THE BLOOD VESSEL, AND RESERVED ANOTHER SUTURE FOR 5MM TO CUT IT SHORT.

Left-hand microforceps, right-hand microforceps 9-0 with needle suture.

Microscopic forceps gently stretch the proximal blood vessel and quickly insert the needle from the lateral vessel wall to the distal finger artery.

The microscopic forceps are still stretched open, and the needle is inserted and exited through the medial blood vessel wall.

WITHIN A MINUTE, THE CONTRALATERAL VESSEL WALL WAS SUTURED AND KNOTTED, AND A 5MM 9-0 SUTURE WAS STILL RESERVED.

After suturing the digital artery with two needles, lift both ends with microscopic forceps and light forceps.

Teacher Gu's hands are shaking, what should I do.

It is difficult for this person to do microscopic surgery! This refers to the middle of the two needles in the artery, and two more stitches need to be sutured to avoid blood leakage after anastomosis.

"Lin Chen, I can't help you, my hands are shaking when my low blood sugar comes" Gu Mingjie said helplessly.

"Teacher Gu, you've worked hard, let's slow down."

Gu Mingjie's heart has 10,000 ants floating by, are you still slow to anastomosis your blood vessels?

"5-#注射器, cut the needle to me," Lin Chen said to the instrument nurse.

On the LCD screen, Lin Chen's magnetic male voice came from the speaker.

"5-#注射器给来做什么?"

"This assistant's hands are shaking, it doesn't look like it's easy to do"

"I haven't seen a person anastomosis yet, this teacher is really going to have a successful anastomosis, then he is really awesome!"

.....

Lin Chen bent the 5-#注射器针头 into a "7" shape with a needle holder.

Hold this "7" shaped needle in the left hand to hook up the blood vessel wall, and the right hand micropliceps the 9-0 needle with thread to quickly insert the needle and pull the thread, tie the knot, and complete the two needles.

How does the dorsal phalange wall anastomosis of the finger artery?

At this time, all the doctors were watching the teacher who had a single anastomosis of blood vessels.

The left hand clamps the reserved thread with microscopic forceps and gently lifts it to the opposite side, exposing the non-anastomosed section of the vessel wall.

"Awesome, this teacher is amazing"

"I'm going to learn about it too"

"Who said that a single person can't anastomostom a blood vessel"

The digital artery had just been anastomosed, and the anesthesiologist said, "It's time for the tourniquet in the right upper arm, do I need to add time?"

At this time, Gu Mingjie said: "Don't add it, loosen the tourniquet, and after congestion, see if the artery that has just been anastomosed is unobstructed, and also observe whether the finger artery is leaking."

The distal pale skin became rosy when the blood supply to the digital arteries was restored.

This indicates that the anastomosis of the digital artery is of very good quality.

Congestion for a moment, after a 15-minute pause in between.

Gu Mingjie said to the anesthesiologist again: "Continue to apply the tourniquet."

After the tourniquet is pressurized, the blood in the upper extremities is blocked and the surgery continues.

Because the distal end of the severed finger had just been congested with the digital artery, the shriveled vein was quickly found.

Lin Chen had to admire, Gu Mingjie was old after all, and he had a lot of experience in surgery, so he saved a lot of time looking for finger veins.

2. The anestomosis is completed in less than half an hour with the vein;

finger nerve, which took only 5 minutes;

......

The operation was successfully completed, and the whole process was 1.5 hours of single-person finger amputation and replantation.

Gu Mingjie's face was hot, Lin Chen, who was originally despised by him, was really slippery with this vascular anastomosis......