Lu Zewei sneered, but as Su Yun lowered his head, his expression gradually became serious.

Compartment syndrome, incision and decompression? It has completely necrosis, how to decompress?

Although he is not engaged in orthopedics, Lu Zewei still understands the most basic common sense.

The surgeon then made a longitudinal incision about 20cm on the outside of the right calf to cut the skin and subcutaneous tissue.

When the lateral and anterolateral compartment fascia were opened, the intrafascial tension was high and the muscle had been necrotic.

The surgeon sighed and began to remove the necrotic tissue.

"Boss, how much will the motor function be affected?" Su Yun suddenly asked.

"It's big, but it's a little better than amputation. Zheng Ren replied, "If you can save a leg, the injury is relatively light." After surgery, more functional exercises are done, and other muscles may compensate for some of the functions. ”

Lu Zewei was stupid.

It's not that the whole segment of muscle is removed, this type of surgery is rare, but it is definitely not uncommon.

He was a little stupid because he heard Su Yun call the young man in front of him - boss.

Such a young little boss, who is still an orthopedic person, what will he do to make Su Yun, who has always been noisy and snarky, honest.

The sorcerer and Su Yun were talking, but the movements of their hands did not slow down a bit.

He explored the surgical area and saw that the anterior tibial artery was contusion and thinning at the level of the tibial fibular fracture end, the distal pulse was significantly weakened, the proximal pulse was normal, and the superficial peroneal nerve continuity was intact.

Zheng Ren breathed a sigh of relief.

"It's finally opened, but the embolism time is relatively short, and if it takes a few more hours, I'm afraid it won't work. ”

Su Yun smiled and did not speak.

Zheng Ren asked the anesthesiologist to take a look at his feet, and the anesthesiologist was also very excited, so he quickly bypassed Lu Zewei, opened the warm saline gauze, and tested the wounded's feet with his hands.

"The dorsalis pedis artery is fluctuating!" said the anesthesiologist excitedly.

"That's a complete opening. Zheng Ren was also very happy and asked: "VSD negative pressure attraction, is there it?" ”

"Yes. ”

"It depends on the situation after surgery, if there is a problem with the incision of the decompression port......"

"Boss, you're very long-winded. This is the provincial hospital, and you don't have to worry about the most basic operations. Su Yun looked up at Zheng Ren and said.

The recovery of the arteries fluctuates and means many things, the simplest of which is that the injured person who has been lifted down can temporarily avoid amputation.

The reason why it is temporary is because there is necrotic tissue in the locality, coupled with compartment syndrome, it is difficult to say whether muscles, blood vessels, and nerves can survive.

The rest depends on the subsequent treatment. Among them, VSD decompression technology is this one.

VSD technology, also known as vacuum-enclosed drainage technology.

Negative pressure attraction acts on the cell membrane, causing it to expand and distort, the cell is considered to be damaged, conducts the damage information to the nucleus, and causes the cell to secrete pre-healing growth factors, including vascular proliferative factors, through signal conversion, thereby stimulating the tissue to produce more new blood vessels.

Moreover, it can effectively reduce the possibility of postoperative infection.

For a casualty lying on the operating table, without VSD decompression equipment, the probability of his calf being saved is less than 1 in 10%. But with VSD decompression equipment, there is an 80% chance that the lower leg will be saved.

"Huh. In the face of Su Yun's words, Zheng Ren was already immune, so he just smiled.

"Boss, when it comes to VSD decompression, do you know that there are other uses?" Su Yun suddenly asked.

At this time, all the problems were solved, and Zheng Ren was also very happy, so he smiled and said: "Is it negative pressure suction acting on ED treatment? Although there are reports in various literatures, the amount of data is not enough, and I am skeptical about this. ”

"You even know this?" Su Yun was surprised.

"When I was learning about VSD stress reduction, I read the relevant literature. Zheng Ren said: "If you want to do it, it is estimated that there will be technical improvements soon, so don't worry." ”

Belch...... Lu Zewei saw that Su Yun was deflated, and his heart was secretly refreshed.

I kept talking in front of Su Yun back then, not because I read all the books on this product, and because of the high level of technology, I was sharp at picking and picking.

I can't talk anymore because my skills are not as good as others.

Lu Zewei's heart was secretly refreshed for a few seconds, but when he thought about it, he was stunned.

In the face of Su Yun's provocation, the sorcerer in front of him easily defused it. Why can people do it? It's not because Su Yun opened his mouth that the sorcerer knew what he was going to say later.

This is the crushing of knowledge reserves, although it is not as direct as the crushing of technical level, but from the side......

This sorcerer seems to be very powerful.

Well, yes, it seems, Lu Zewei is not very sure.

He looked at the surgeon with a bit of a dazed look at the incision and decompression of the dorsum of the foot for the wounded, and the surgeon touched the dorsalis pedis artery and said, "It's okay to fluctuate, I want to take a look." ”

"Boss, this doesn't look like your style. Su Yun just silently suffered a loss, grabbed Zheng Ren's words, and wanted to come back.

"Well, embolization is a destructive operation, and I'm more supportive. But when it comes to opening surgery, I always want to see the results of capillary opening. Zheng Ren said lightly.

Lu Zewei looked a little confused, and when he saw that the magician and Su Yun began to brush their hands again, he still didn't understand what it was for.

"Lao Lu, let's go, go out and see. The anesthesiologist pulled Lu Zewei out of the operating room.

"It's ...... What kind of surgery is it? Lu Zewei hasn't figured it out yet.

"Lao Lu, I can see the master today. The light in the anesthesiologist's eyes flickered a little harshly.

"Huh?" Lu Zewei still didn't understand why he was so excited. Seeing that the instrument nurse also came out, closed the airtight lead door, and listened to the anesthesiologist quietly.

"Lao Lu, this wounded man is a volunteer who went into the mountain. The anesthesiologist said: "When I was leaving, I was hit by a stone in my lower leg, causing a fracture, and I was pressed for more than an hour. Because the follow-up personnel arrived in time, the crushing injuries and necrosis were not too serious. ”

"But that should be amputated, too. Lu Zewei was a little puzzled.

"That's the place to be. The anesthesiologist said proudly, as if he did the operation, "Just now, the wounded person was delivered, and Director Chen sent it." ”

"Which Director Chen?"

"The retired old director of the interventional department, you haven't seen it. The old man is very stubborn. The anesthesiologist did not forget to comment on Director Chen's temper, and then continued: "Director Chen said that these volunteers are here to help us, and if they can not amputate their limbs, they will not amputate their limbs. I thought it was just a wish, and I didn't take it seriously. But who would have thought that the surgeon who did the operation would agree and start the operation. ”

"I see, the fracture is fixed. ”

"What you see is the second half. The anesthesiologist said, "The really exciting part of the operation is the first half of the operation. ”