Chapter 114: The Puzzle
'Are you afraid?'
Monday asked himself in the bottom of his heart, and the answer was yes.
The necessary panic can always be vigilant, and Zhou Zhou will never think that he is too cowy because he has undergone two open surgeries...... This is not a hospital, there is no most professional surgical equipment, there is no most professional medical team, everything has to be done by yourself.
It is not a compliment that newborn calves are not afraid of tigers, and the impulses of youth often bring failures that must be experienced in the growing years.
He took a deep breath: "Debridement!"
A large amount of saline was poured on Jielaer's wound, washing away the filth of the bad sticky wound, mixed with blood and flowing down, instantly wetting the disposable bedcloth.
The child in a semi-comatose state subconsciously whimpered and moaned.
She didn't know what was happening, maybe just a nightmare.
The three bottles of saline washed away most of the dirt, but this was only the beginning, and all the tissue around the wound had to be removed due to the high temperature of the explosion fragments.
Injected with lidocaine for local anesthesia, and when Monday picked up a scalpel, Nordra couldn't bear to look away.
"Pay attention to the wound and keep flushing, you are now saving this child's life. ”
Nordra had never experienced all this, the bloody wound was terrible, the child was already underdeveloped, and because of slight malnutrition, the muscle tissue of the thigh was actually not plump, and the prominent outline of the bone could be faintly seen in the sunken wound, and she was afraid that Zhou Sheng's hand would tremble, and the last layer of muscle tissue attached to the white bone would be removed.
She had never been glad about her career choice, but now ......
Nodra vowed that she would defend the choice of Chinese medicine for the rest of her life, and that Western medicine and surgery were not for her.
The operation continues.
Monday's judgment on surgery comes from all the knowledge learned in school.
The system doesn't do much to help in the debridement process, unless he redeems the debridement-related system skills.
The bleeding spots are actually very subtle......
As he gradually removed the necrotic tissue around him and completed the first step of the work, he suddenly realized that the blood vessels are slender, even if the major arteries are the main vascular system is more robust, but how can the suture work be done with the naked eye?
Vascular suturing is a high-precision technique.
A device is required during the procedure, which is why this type of surgery is named 'microsurgery'.
So......
There is no surgical magnification on Monday!!
At this moment, Nordra clearly felt the sluggishness of Zhou Yi's movements: "Zhou, what's wrong?"
Zhou Zhou did not answer, panic is certain, if there is not even a magnification scope, how to complete the vascular suture? No matter how good the surgeon is, it is impossible to complete the anastomosis of the vascular tissue with the naked eye.
"System!"
"Open [vascular end-to-end anastomosis]. ”
Only when the words fell, the translucent system interface in the field of vision changed......
The scanning window automatically locks on to Jielaer's wound, just like the lens of a mobile phone zooms in, constantly zooming closer to the target, but the resolution never changes, triple, six, eight, twelve......
When a broken blood vessel exposed on the surface of the muscle tissue is clearly displayed in the lens window, the magnification effect ends.
"Black technology, proper black technology!!"
Even though I have felt the power of the system several times, such a magnification display still makes the pores all over Zhou Yi's body explode all at once.
The earliest microsurgery was done by relying on an eyepiece, a monocular was clamped directly to the eye socket, and the cheek muscles used force to fix it.
Later, with the support and fixation of frames and straps, and now, with the popularization of electron microscopes, all surgeons in thoracic surgery complete the operation in front of the imaging screen.
Technology brings precision, but compared to systems, this kind of imaging is completely beyond the realm of modern technology.
Modern imaging technology cannot achieve such fine vascular magnification, and even the tissue fiber hairs on the vascular tissue seem to be able to be seen clearly, and the scale size has not reached the limit, that is, if Zhou Zhou wants to, he can continue to magnify the rupture.
This is the case.
Zhou Yi was extremely excited, this is a feeling of mastering power, such an auxiliary effect, he is not a surgical god, it is simply a pig reincarnation.
After a brief silence, Zhou Yi entered a state of extreme concentration.
Earlier, the worries about Jielaer were completely swept away, and now he just wants to complete the suturing of blood vessels with all his heart, this change in mentality, just like a child getting a beloved toy and devoting himself to it, the existence of technology nerds is also because of the desire to explore and learn about something in human nature.
Nodra found that Monday had changed......
What has changed, but she can't tell, looking at Zhou Sheng's side face out of the corner of her eye, she seems to have gotten the charm of an oriental man...... No, to be precise, it is the charm of Zhou Yi, there are so many Chinese in the entire TCM aid group, Nordra has never felt that anyone is good-looking, until now there is a discovery of a new world.
When the pinching pliers caught the crochet needle, the muscles in both arms flared up......
The blood vessels are only so large, the suturing action can only be limited, and the control of power needs to be subtle to a frightening degree, compared to the earlier intestinal sutures, which are completely two concepts.
And the infusion of systematic stitching memories gave Zhou Sheng an unprecedented control.
It was as if he had already completed thousands of vascular sutures, and everything seemed to be so easy.
The broken opening of the artery had long since been removed, and Zhou Sheng had completed her first needle threading and pulled out the sutures, and Nordra was stunned, and only then did she realize what Zhou Sheng had neglected.
Without magnification, how did he complete the vascular sutures?
How could blood vessels be found in that blurred mass of flesh?
Nordra wanted to ask, but when the words came to his lips, he saw that the sutures had brought up the end of the blood vessel that was in a blur of flesh......
Everything is like a miracle, because it is beyond the realm of logic.
"You, how did you do that?"
Zhou Sheng knew what Nodra was surprised about, but he couldn't explain it, and he was even more glad in his heart that the person around him was not Slan, not Jack, but Nodra.
It is impossible to explain what is happening with an insider, but there is no need to explain it at all with a layman.
"Focus on the surgery!"
Nodra shut up, just in shock and joy.
If earlier it was a matter of hope for destiny, now ...... Poor Jeral must have met his Destiny Child.
The blood vessels at both ends are stretched and sutured, and the short and dense sutures seem to form a ring lock to seal the rupture of the blood vessel...... I don't know how long the whole process lasted, until Monday felt that his arms were so sore that he couldn't lift them anymore.
System A-level scan detection ......
[100% completion of stitching]
"Unbuckle your belt. ”
Nodra did so and untied the belt, and the blue color on the upper thigh quickly faded, proving that blood was regaining circulation, and that the stitches at the rupture did not leak a trace of blood.
"We succeeded!!" Nodra snapped in surprise.
But in fact, Monday was not happy.
"Exposure trauma, even if the blood vessels are sutured, how to control the infection is crucial for such a large area of exposure trauma, and we cannot suture the wound after debridement. ”
The child's skin is delicate, although it is tough, but during the debridement process, most of the skin and muscle tissue around the child has already been removed, which means that both the underlying muscles and the newly sutured blood vessels are all in contact with the air.
Monday knows very well what the solution is......
Skin grafting, in which a piece of skin is removed from another part of the site and sutured over the wound to cover it, preventing most of the wound from coming into direct contact with the air.
But it's a pity.
System exchange interface: [Wound Skin Grafting] - 15 points.
And on Monday, there are only 5 medical achievement points left......