Chapter 15 Surgery Show for Specialized Diseases (2)
I just walked away, how did he find the trunk of the saphenous vein so quickly, how did he do it?
This is to see that after Lin Chen found the main trunk of the saphenous vein, the two vascular clamps were clamped at both ends, which was also to cut off the main trunk of the saphenous vein and perform high-level ligation. This step is estimated to have been seen by all department directors and is a very familiar scene.
"I didn't expect that Lin Chen, this kid really had a set, and he actually made a 1cm incision to find the main trunk of the saphenous vein," Director Zhang Hong whispered in the audience.
"Yes, young people nowadays have good thinking and flexible brains," said Dr. Yan Qinggao.
"Even if you Ke Linchen can do this step, it may not be possible to complete the peeling operation smoothly," said the director of the first internal medicine department at this time.
"Let's keep looking," said the head of the plastic surgery department.
At this time, I saw Lin Chen clamp the vascular clamps at both ends of the saphenous vein, and immediately said to Zhu Haoran after cutting off the two vascular clamps: "Now we are starting to ligate the main trunk of the saphenous vein at a high level, and the proximal end is 0.5cm closer to the femoral vein."
"Ligation, thread trimming"
At this time, Zhu Haoran handed it over with a stripper, only to see Lin Chen wave his hand and say, "The far end is also ligated"!
"Trimming the Thread"
"What, he ligated the distal end directly, and didn't peel it off?"
"What's the situation, how do you strip after the distal ligation is completed?"
"Lin Chen, what's the situation, how can I insert the extractor when the distal sutures are ligated?"
"Doctor Lin, didn't we all use a stripper to insert and peel out the saphenous vein at the distal end? Why don't we use a stripper today?" Yizhu asked in a low voice.
"We don't use this machine, the patient is young, and it is not easy to use traditional surgery to solve the problem of varicose veins in her lower limbs."
"Check that there is no bleeding in the incision, and start to close the incision," Lin Chen said with certainty.
"He's starting to close the incision, and the other little branches aren't going to be dealt with"?
"As long as the high level is ligated, those branches can achieve the same effect without treatment," said Director Zhang Hong at this time.
"How did he solve the stress problem," the head of the plastic surgery department continued.
"The pressure of the veins in the lower limbs is traditionally removed by extracting the trunk, so let's continue to visit," Director Zhang Hong continued.
Lin Chen took the needle holder and stitched up all the tissues under the skin in layers within one minute
"This Dr. Lin's surgical skills are really solid, and the sutures are really fast. At this time, the director of the obstetrics and gynecology department said.
At this time, Lin Chen did not directly suture the 4-0# line to the skin like other surgical surgeons, but said to the instrument nurse after the subcutaneous suture was completely sutured without tension: "It can absorb 6-0# sutures"
"What, he used 6-0 sutures?" At this time, the director of the ENT department looked at Lin Chen on the operating table curiously
At this time, Lin Chen's mind gathered, and the incision was lightly aligned with the skin edges and then inserted, pierced, and knotted.
"What kind of operation is this Lin Chen, against the sky, there are almost no traces of surgical incision in the place where the sutures are completed"
"This Lin Chen is too good, we need such a doctor in the plastic surgery department," said the director of the plastic surgery department.
"Amazing, if our obstetrics and gynecology department can have such ability, so many girls will not have an ugly scar after giving birth," said the director of the obstetrics and gynecology department
"This person is more popular than death, no, I have to find a way to get our plastic surgery department"
γγγγγγ
With the blessing of 10 times the visual power, Lin Chen quickly completed the suturing of the skin edge.
After dealing with the high saphenous vein trunk, Lin Chen turned to the patient's knee at this time, and made a small incision of 1cm on the medial side of the knee, after cutting the subcutaneous tissue of the skin. At this time, the directors of the other departments who visited the audience no longer had the same idea as they did at the beginning, for fear of missing a little detail.
Lin Chen took the vascular clamp and separated it under the skin, and then picked up and broke a blood vessel very quickly.
After the split, the two ends of the blood vessel are slowly separated from a long section of the main trunk of the great saphenous vein, and a section is distally separated in the same way. Ligate and ligate off the small nearby branches.
In the same way, the contralateral saphenous vein was successfully operated.
Directly after the procedure, a large sterile towel is unfolded and spread flat on the patient's calfγγγγγγ
It took half an hour to complete the varicose vein surgery on both lower limbs.
"The first operation was successfully completed", and the directors of the other departments in the field had not yet come to their senses.
"I'm going to see how I found the trunk of the saphenous vein, I didn't notice it just now."
"This Lin Chen is really powerful, a perfect combination of plastic surgery technology and surgical technology"
"No, I have to let our plastic surgeon learn it, we are not as good as him in the suturing technique of this skin"
"I'm going to have to get our obstetricians and gynecologists to learn about it."
The directors of other departments were talking in the audience at this time, and some department directors went directly outside to make a call.
"Hey, that Liu XX, hurry up to the operating room to study, a rare opportunity... β
"Hey, come to the operating room, there is a doctor with more suturing skills than our plastic surgeons... β
"Where is the death, if you don't come to the operating room today, you won't be in my departmentγγγγγ β
The directors of other departments in this hospital are anxiously calling the people in their departments at this time, hoping to rush to the operating room as soon as possible, but there is only that little space in the operating room, how can there be so many people standing down?
Under the arrangement of the dean, only one group of people can go in, and one group of people can come in.
After the first operation, Lin Chen took Zhu Haoran and Lu Xiaohan to the first operating room.
Or as usual, wash your hands, disinfect, and lay sterile towels,
The second operation was performed on a 40-year-old woman with obvious exposure of bruises in both lower limbs, and the diagnosis was stage III varicose veins of the upper and lower limbs.
"Patient Patient Information Verification Correct"
"The operation begins" Lin Chen gave an order, and all the preparations were perfected.
Lin Chen pressed the index finger and middle finger of his right hand against the skin at the groin again, carefully felt the pulse of the femoral artery, and made a 1cm oblique inclement with a blade under the pulse of the femoral artery.
The critical time came, and some of the department directors in the audience just now were distracted before and didn't see how to find the main trunk of the saphenous vein.
How good it would be if Jiangxia had a live broadcast of surgery in the provincial capital, and everyone would not be crowded in this small space, and sometimes they couldn't see it.
At this time, Lin Chen again separated the surrounding tissues with vascular clamps on the 1cm incision.
"Vascular Clamp"
"Two thyroid retractors"
"Vascular Clamp"
"Doctor Lin, you slow down, this action is slower, slower"
"yes, we didn't see it"
"Everyone be quiet, don't disturb Lin Chen's surgery," at this time, the dean said solemnly.
I saw that Lin Chen was holding a vascular forceps in his hand at this time, and after separating the surrounding tissues, he saw a blue-purple thicker blood vein, and when he found that it was slowly thickening along the proximal end of this blood vessel, it was determined that it was the main trunk of the saphenous vein, and a large number of anatomical maps appeared in his mind again, and in it, the saphenous vein merged into the femoral vein.
At this time, Lin Chen used a mid-curved vascular clamp to pick out the blood vessels out of the skin again.