The third wave of more lethal iodophor disinfection was completed, and the environment of the wound was basically sterile.

The anatomical point at the thigh had been quickly presented in Lin Chen's mind.

Lin Chen then held a pair of tissue scissors, and quickly cut the tissues that had lost their vitality due to injury, these subcutaneous tissues that had lost their vitality were like soldiers who had lost their lives, and they could no longer continue to be responsible in the city, and if they continued to stay in the human body, it would be as harmful as the Trojan virus entering the field

After the debridement of the tissue that lost its vitality in the thigh was completed, the various defense departments of the human body were examined again, and it was found that the worker with the cut on the thigh was only a skin cut on the outside of the thigh, and the rectus femoris muscle was exposed, and at the same time, it was found that the small branch of the artery that delivered nutrients to the rectus femoris muscle was broken, no wonder this patient would bleed so much, if he was cutting the rectus femoris muscle and going inside, Lin Chen didn't dare to imagine how tragic the picture of the large femoral artery being cut would be.

At this time, Lin Chen quickly completed the ligation of the small branch of the rectus femoris artery that was still bleeding, blocked the bleeding opening, and then continued to clean the wound.

At this time, the wound was completely cleaned, and Lin Chen quickly began to repair the broken subcutaneous soft tissue, and finally completed the suturing of the cut skin.

The battlefield of the first operating room without gunpowder smoke came to an end smoothly.

At this time, Lin Chen had no time to rest, and immediately shouted to the roving nurse MM: "Please prepare in the second operating room, I will come over immediately"

"Xiaohan, you are responsible for the sterile gauze bandage of the last patient, be careful not to have oozing gauze outside."

"Brother Cao has worked hard for you, let's go to the second operating room" After speaking, Lin Chen quickly took off his surgical clothes and surgical gloves and left.

From the preoperative to the completion of the operation in the first operating room, Lin Chen only took half an hour to end the operation, and the time is getting faster and faster, it seems that Lin Chen has become more and more comfortable with the use of debridement, and he is becoming more and more proficient.

Lin Chen came to the second operating room: the patient's arm was injured, the wound was located on the front side of the upper arm, the wound was contaminated, and the damage area was 4*4cm,。。。。。

At this point, the patient has already been given antibiotics, which builds the first wall against infection for the patient, although weak, but the traumatic patient is given antibiotics, at least to prevent the infection from getting worse.

"Brother Cao, this patient's upper arm injury, although the area is not large, I will anesthetize first, you take a rest first" Lin Chen said to anesthesiologist Cao Dongdong.

"Brother Lin, it's okay, just ask me to do it"

"Xiao Zhu, the area of the upper arm injury in this case is not large, let's not rinse and disinfect the patient first, the patient will be too painful to cooperate with us to complete the disinfection, come to my Lin's painless debridement," Lin Chen said with a smile.

"This method is good, the effect of the patient's cooperation with surgical disinfection is obvious, Lin's painless debridement, Brother Lin, your name is domineering," Zhu Haoran said.

"10ml of 2% lidocaine plus 10ml of 0.9% sodium chloride to make analgesics for me, after giving me a painless iodophor cotton ball, we started to perform painless surgery"

After Lin Chen finished speaking, he rubbed a painless cotton ball on the outside of the wound on the patient's upper arm to kill a part of the bacteria, and then injected the diluted lidocaine anesthetic analgesic into the patient's upper arm, blocking the local range of the cutaneous nerve on the outside of the upper arm.

After checking the local condition of the patient's upper arm injury and getting good results, Lin Chen said: "Xiao Zhu, let's wash our hands and disinfect it."

Wash your hands, disinfect them, and spread sterile towels as they were, then turned around and said again to the injured worker lying on the operating table

"I'm Dr. Lin, don't worry, we will do our best to operate on you."

"Hurry up and get the three magic weapons"

MM, the nurse of the second operating room of the "Three Magic Weapons", looked at Lin Chen on the main knife table with a blank face.

"Normal saline, hydrogen peroxide, iodine," said Cao Dongdong, an anesthesiologist who was sitting on the side resting at this time, with a smile.

"That's it, hurry up and give me saline first"

Normal saline repeatedly washes the wound on the patient's upper arm, and the dirt that sticks to the muscles is eliminated by the running water.

The bubbling hydrogen peroxide is another wave of bacterial attack on the wound, killing a part of the bacteria;

Once again, the finale iodine was poured into the bowl, and Lin Chen picked it up and rinsed it down from the air。。。。。。

The patient's upper arm injury was re-examined, and the skin and soft tissue defect of the outer 4*4cm of the upper arm was deep to the biceps brachii muscle, but did not damage the important blood vessels and nerves。。。。。

After the examination, Lin Chen picked up the tissue scissors again and cleaned up the soft tissues that had lost their vitality.

After the wound is cleaned again, how to repair the defect of the skin and soft tissues?

Lin Chen's brain quickly searched for surgical debridement, a surgical method for repairing local defects in soft tissues.

"Brother Lin, we can't suture this patient's upper arm wound directly after the debridement, what should we do?" asked Zhu Haoran, who was standing in the assistant position.

Due to the fact that the first operation ended too quickly, many people who did not have time to visit and study in our hospital came to the second operating room.

At this time, the operating room has been silent, and the skin and soft tissues are missing, how is this good?

"Lin Chen, you can't get off the stage now," a doctor from another department whispered.

"No matter how good your suturing skills are, this defect is the best in our plastic surgery department. How can he walk by the river without getting his shoes wet, this will finally be in trouble," said a plastic surgery director.

"I think Lin Chen should have learned a lesson once"

Suddenly, Lin Chen said: "It's okay, it's not very difficult! I have a trick called the technique of demolishing the east wall and repairing the west wall."

"What! Tear down the east wall and make up the west wall"?

"What is the surgical method of tearing down the east wall and replacing the west wall"?

"Lin Chen, don't tease us, quickly perform your technique of demolishing the east wall and repairing the west wall for us to see," said the director of the plastic surgery department at this time.

At this time, Lin Chen said: "You see, the loss range of the outer side of the patient's upper arm is oval, with an area of about 4*4cm, and we can't suture it directly, but as long as we design a part of the skin in length and width at the skin adjacent to this oval wound and transfer it to the oval wound of this defect, the oval defect is divided into two."

"But this is still a defect," a doctor asked incomprehensibly.

"These small defects, we can directly stitch them up," Lin Chen said.

"Theoretically, you can, don't just say it," said the other department directors who were on the tour.

At this time, I saw Lin Chen put away the knife and quickly divided the skin on the skin near the patient's missing injury according to the design plan just now.

"Give me a little round needle and wear 4 lines"

Lin Chen took a small round needle with a 4-gauge clip and quickly transferred the subcutaneous soft tissue at the farthest end of the free skin to the defective oval wound.

At this point, the oval wound was indeed split in two, and the large defect on the arm was divided into two smaller ones.

"You see, can the wound that is divided into two parts be directly sutured?" Lin Chen asked rhetorically.

"Damn, Brother Ring, this method has been thought of, it's amazing."

"Lin Chen really has a talent for surgery, and we old people are really inferior to him."

"Awesome, we actually know all the best skills in the plastic surgery department," the director of the plastic surgery department said with admiration

The suturing operation was completed quickly, and the operation took about 30 minutes for Lin Chen.

"Prepare for the third operation," Lin Chen said excitedly to the visiting nurse MM.

Compared with the first surgery, this surgery took a little longer, but it did not affect the treatment effect of the patient's surgery.

At the end of the operation, Lin Chen quickly took off his surgical gown and sterile surgical gloves again and came to the third operating room。。。。。。