Chapter 53: Difficult Hand Injuries (1)

"Xiaomeng, don't blame your father, he can't help himself, I believe that he will definitely come to pick you up after the work in his hands" Lin Chen said comfortingly.

Su Xiaomeng's eyes were full of tears, she shook her head and said: "He was like this a few years ago, and he didn't say goodbye, and he lived like this without him all these years."

Lin Chen continued: "Xiaomeng, you are a strong girl, I believe that your father will come back to pick you up."

Su Xiaomeng raised his head, looked at Lin Chen and smiled, and returned to the ward silently。。。。。。

Lin Chen secretly said in his heart, it seems that the things that the black wolf explained are not very good, and he doesn't know if Xiaomeng accepts it in his heart, but just now he saw Su Xiaomeng smiling at him, maybe Su Xiaomeng got through.

The next day, Lin Chen came to the surgical office early for a morning meeting, today is going to perform flap stomping surgery for the old man Su Xiaoping, early in the morning Lu Xiaohan will take all the preoperative preparation materials to the office, Director Zhang Hong saw that everyone was here and said: "Xiaolin, our morning meeting has begun, today the surgery has two reincarnations, one is Liu Fan of the Department of Plastic Surgery, the other is Chen Li of the Department of Internal Medicine, we welcome two young talents to come to the Department of Surgery to study."

After the morning meeting, Director Zhang Hong came to Su Xiaoping's bedside with a ward round, at this time Director Zhang Hong looked at Lin Chen and said: "Xiaolin, this is your patient, you will introduce the condition to the new colleagues, how to deal with it at that time, the current situation, and what is your next plan."

As soon as Director Zhang Hong's words fell, Lin Chen looked at the old man Su Xiaoping who was lying on the hospital bed, and was greeting him with a smile at this time, it seemed that Xiaomeng did not tell her father about it.

Lin Chen said at this time: "Patient Su Xiaoping, 66 years old, was admitted to the hospital for half an hour after his right hand was injured by accidental skin avulsion. After admission, emergency debridement + abdominal flap transplantation, the patient is currently alive with skin grafting on the back of the right hand, and it has been two weeks after the operation, and he is ready to undergo flap stomping surgery."

Director Zhang Hong looked at Lin Chen approvingly and said: "This hand trauma surgery can be said to be the largest operation in the surgery of this hospital, it has been two weeks since the abdominal transplant, and the skin flap transplant is alive very well, I fully agree with Dr. Lin's surgical plan."

Liu Fan of the Department of Plastic Surgery and Chen Li of the Department of Internal Medicine looked at Lin Chen with a look of admiration.

After the ward round, Lin Chen was about to call the operating room to pick up the patient. At this time, the emergency nurse ran in out of breath and said, "You have a very serious hand trauma patient in your surgery."

Before the surgical authority was restored, a patient with severe hand trauma came, Lin Chen's heart became excited, he was the first to run to the emergency observation room, the director of the emergency department saw Lin Chen coming, he was even more excited, and said that Lin Chen had a knife in surgery, and now that he had regained the surgical authority again, with such a serious hand injury, he was looking forward to Lin Chen's wonderful surgical performance again.

The director of the emergency department said: "Xiaolin, this patient was injured half an hour ago, and the multi-finger machine of his left hand was missing, this operation is not simple!

Lin Chen looked at the patient with multiple distal injuries on his left hand again, female, about forty years old, wearing a work uniform, as if she had just come from the construction site, Lin Chen already had a surgical plan.

He bandaged the patient's hand again with clean gauze, and said confidently to the director of the emergency department, "Director, I took this operation."

Seeing that Lin Chen was so confident, the director of the emergency department replied with a smile: "Looking forward to your wonderful performance again."

The patient was admitted to the Department of Surgery, and a green channel was immediately opened to check blood routines, four items of coagulation, blood biochemical electrocardiogram, etc.

Liu Fan, the rotating doctor of the plastic surgery department, said to Lin Chen: "Doctor Lin, can I go to the operating room to visit the operation today?"

Lin Chen looked up at Liu Fan and said with a smile: "Doctor Liu, you are really humble, you are an excellent doctor in the plastic surgery department, we welcome you to visit and study."

At this time, Chen Li sat in the office and snorted, and at this glance, he knew that the flower of this courtyard seemed to be a little dissatisfied with Lin Chen. It's all surgery, so let's make a statement!

Seeing that Chen Li was extremely dissatisfied with him, he hurriedly smiled and said: "You are all here today, this is also the most complicated operation I have done in Jiangxia Hospital since I recently studied hand trauma surgery, although the level of surgery is not very large, but the difficulty is not small."

Thanks to the green channel, the patient's examination report came out quickly, and all the examination results were free of contraindications, and the patient was smoothly connected to the operating room.

With Liu Fan and Chen Li, the two doctors who came in turn, changed into surgical gowns, put on hats and masks, and then entered the operating room.

In the No. 1 operating room, the director of the emergency department, the director of the plastic surgery department, and the director of the department, as well as Dr. Liu Fan and Dr. Chen Li, who had been rotated, all came in.

This complicated hand trauma surgery still attracted the attention of many doctors in this hospital, and everyone wanted to see if Lin Chen's resumption of surgery authority could bring them a wonderful performance.

Lin Chen looked at these directors of this hospital and the doctors who came to visit and study, this pressure is not small, if there is a wonderful surgical performance today, the name of this Jiangxia knife will be taken off.

Brachial plexus anesthesia is just right, a tourniquet is tied to the middle and upper part of the upper arm, and all the gauze bandaged on the patient's left hand is removed, revealing the wound on the patient's finger. Three of the five fingers were injured, the end of the thumb was the most seriously defective, the phalanges could already be seen, the surrounding soft tissue was lost and there was no direct suture condition, and the most fatal thing was that there was a cut wound at the proximal finger of the thumb, and the thumb had lost the function of flexing the fingers.

Although the distal finger of the index finger and middle finger is damaged and the thumb is lighter, it is also impossible to directly pull and suture, but fortunately, the nail beds of the three fingers are intact.

After Lin Chen checked the patient's injury, the wound on the thumb caused the thumb to be unable to flex its fingers, which Lin Chen did not expect, but fortunately, the patient's pain was reduced after anesthesia, which made Lin Chen find out.

After the continuous action of washing hands, disinfecting and laying a towel before surgery, it is completed.

After the debridement was completed, all the chief physicians of the department looked at Lin Chen at this time, how to deal with the defect at the thumb?

Lin Chen was not in a hurry to deal with the defect of the distal finger of the thumb at this time, he said to Lu Xiaohan: "Give me the tooth pinch and small bend."

Lin Chen pinched the tooth on the skin near the proximal end of his thumb, and after pulling it apart, a wound was revealed at this time, after the wound was revealed, Lin Chen picked up the small bend in his right hand and continued to explore the wound, exposing the surrounding soft tissues, and a white tendon broken end appeared in front of everyone.

"This tendon is not easy to find, if the proximal end is accidentally retracted, then the operation will not be easy to come down today"

"The anastomosis technique of tendon rupture is not something that ordinary doctors can do, and this surgery is even more difficult to do."

At this time, the director of the plastic surgery department asked with concern: "Doctor Lin, the flexor tendon of this thumb is broken, and it is not easy to find." Coupled with the defects of the thumb, index finger, and middle finger, this surgery can still be done."

Lin Chen looked at this complicated hand trauma surgery, if the preoperative surgical plan was followed, this operation could save 20 minutes of time, but no one thought that the flexor tendon of the thumb was ruptured.