Chapter 4 Translocation of the main knife
"You will only prepare for the operation, you are still the rotten wood, today may be the first operation I took you, or it may be the last, you should study hard," the old man Zhang chattered.
Lin Chen's heart was the scolding of 10,000 grass and mud horses, you old man really don't scold me, you will die, but today's Lin Chen is not yesterday's Lin Chen, I want you to regret saying this.
After anesthesia, Xiao Ya'an, who was lying on the operating table, did not speak quietly, and could only hear the air inhaled and exhaled from her nostrils.
Old man Zhang, who was in the position of the chief knife, was checking the depth of the wound at this time. Seeing Lin Chen standing in the position of the second assistant without saying a word, he asked malicefully, "Xiao Lin, do you know what important blood vessels are in the wrist joint?"
I'm going to test me with this kind of low-level question? Then I'm kidding, I really think I'm useless?
"The radial side of the wrist is predominantly the radial artery, the ulnar side is the ulnar artery, and the median nerve is located in the γγγγγγ Lin Chen replied in a series of ways.
Old man Zhang saw that Lin Chen had answered the question he thought was very difficult, so he said disdainfully: "Count you right! If you don't know the most basic point, I suggest you hurry up and go back to your hometown."
After examining Xiaoya's wrist, Old Man Zhang said: "At present, the patient's right radial artery is completely severed, the flexor carpi radialis tendon is ruptured, and the median nerve is ruptured, and the tendon anastomosis is prepared, and we only repair the ruptured tendon, as for the blood vessels, we have no way to anastomosis, we can only ligate them, and let the patient go to the provincial hospital as soon as possible."
"Generally speaking, nerve damage can be repaired in the second stage, mainly because the radial artery is ruptured, and the two of us old men can't help it," said Dr. Yan Qinggao, who was in the position of the first assistant.
"The radial artery and median nerve can be repaired," Lin Chen said in a low voice.
"How do you know? Why don't you try?" said to me dissatisfied
"You know, without micromagnification, it is generally impossible to repair the radial artery, you think you are a medical elite in the provincial city, let alone the median nerve."
"I think I can try, I'm young and have good eyesight!" Lin Chen said softly.
"You brag, come to entertain us at this time," Director Zhang Hong scolded angrily.
"The radial artery is not very thin, I can see it very clearly," Lin Chen hurriedly said.
"Okay, you come!" Old man Zhang saw that my attitude was very resolute, anyway, he was a dead horse and a live horse doctor, and he didn't report any hope. The original plan was to stop the bleeding and bandage to comfort the patient and his family and send him to the provincial capital.
Listening to Old Man Zhang say I'm coming, I've been waiting for this sound for a long time.
Lin Chen immediately turned to the position of the main knife, patient Xiaoya's wrist had a 5cm long incision, under the wound was the muscle, the broken radial artery was still bleeding, the wrist flexor tendon next to it had been anastomosed by Old Man Zhang, and the nerve in the middle of the wrist, as slender as a white hanging noodle, was cut off and put aside.
After seeing the basic condition, Lin Chen said to Feng Rong, the little nurse of the instrument: "I need 9-0 stitches and another 10ml syringe."
"Dr. Lin, stitch 9-0γγγγγγ β
Lin Chen picked up the needle holder and clamped the 9-0 sutures, focusing on the center, only to see that the radial artery was as thick as a ballpoint pen cover, this Nima is too good to match!
Vascular anastomosis, the two-point positioning anastomosis and three-point positioning anastomosis immediately appear in my mindγγγγγγ
Lin Chen gently pinched the microscopic pinch to bring the vascular clips at both ends of the radial artery closer, when the broken end of the radial artery was closer, he immediately passed the 9-0 suture through the upper side of the blood vessel wall, very safely knotted, and quickly made a certain point of suture on the lower sideγγγγγγ
After the operation was completed, Lin Chen's visual strength seemed to have increased again, and he could see the subtle blood vessels more clearly. However, I found that my back was full of sweat at this time, and the surgical gown was already soaked.
And Director Zhang Hong, Senior Doctor Yan Qinggao, and Nurse Feng Rong in the position of the first assistant, the second assistant, and the instrument table stood motionless like paraffin statues.
Lin Chen shouted at Director Zhang Hong several times in a row, and the old man and Old Doctor Yan Qinggao turned around.
After the petrification, Director Zhang Hong said to me suspiciously: "Doctor Xiaolin, you really just graduated and came to us?"
"I'm really just graduating and coming to Jiang X County Hospital, is there anything wrong?"
Old man Zhang looked at Lin Chen curiously, as if he had never met before, and looked at my whole body.
"Your surgical skills have reached the microscopic level, which is not something that ordinary surgeons can do, and without hundreds of surgical experience, you can't do it so steadily and perfectly," said the old man Zhang.
Lin Chen didn't want to continue to talk to Old Man Zhang on this issue, so he quickly took off his surgical gown, turned around and walked out of the operating room. As soon as he went out, he was surrounded by those five strong men.
"Doctor, how is Xiaoya?" asked the flat-headed man who was still the leader
"Don't worry, the operation was successful," Lin Chen said
When I returned to the office, I remembered what happened on the operating table. The surgical process is completely presented in front of you, with disinfection, hemostasis, anesthesia, anastomosis of blood vessels, and nerve γγγγγγ The whole procedure went very smoothly and there was no superfluous movement at all.
Especially when the blood vessels are anastomosis, in the past, Lin Chen's hands must have trembled, and the blood vessels will be poked by me as if they were a hornet's nest, but today's operation, extraordinary performance, master-level level, is those teachers in the provincial capital, may not have such a perfect performance as me.
After the operation, Lin Chen's visual strength data changed again. It seems that as long as I complete the surgery, my visual strength number will continue to rise. Thinking of this, I made up my mind that I would have to have more surgeries in the future to increase my visual magnification to a higher level.
Lin Chen thought in his heart, he didn't want to wear glasses to perform the operation, in case there was no microscope one day, the operation would not be able to continue.