"Then I won't do anesthesia," Ito said unhappily.

Jin Cheng hurriedly said: "Senior Sister Yiren, my special treatment has high requirements for sterility, I haven't taught you yet, and I can't go on stage yet!"

"I want you to teach?" Seeing him say this, Yiren felt uncomfortable.

"It's not about teaching, it's about talking to each other! This patient suddenly came here today," Jin Cheng said.

"If the patient doesn't come suddenly, the patient will tell you: Dr. Kim, I'm getting sick, you have to be ready!"

Ruolan sneered and said, "Sister Yiren, you are so cute."

Jin Cheng said embarrassedly: "Otherwise, today's operation, you will watch it first! After it is done, Ruolan will discuss some basic knowledge of surgery with you, and you will go on stage for the next operation."

"Okay, good, Sister Yiren, it's really important to do anesthesia, next time you come on stage, I'll do anesthesia!" Ruolan said happily.

The Iren also stopped insisting and muttered, "Okay".

Jin Cheng tried the patient with the tip of a needle, and when he saw that he was unresponsive, he announced: "Left calf debridement + vascular anastomosis will start now, Ruolan!

Jin Cheng said: "Wait for your hands and feet to hurry" After speaking, he untied the bandage, and the last layer of bandage was left on it, only to see the blood gushing out like a water pipe, and everyone present was frightened.

Jin Cheng didn't care about everyone's surprise, he held down the bleeding point with one hand, and untied the bandage with scissors in the other hand, at this time, the blood came out from the finger cracks, and everyone was too frightened to make a sound.

Jin Cheng probed the bleeding spot with his fingers, and thought to himself, it's really bad, after this blood vessel was cut, it atrophied into the muscle, and it was impossible to clamp and stop the bleeding.

Xiao Deng Zi saw clearly beside him, and said anxiously: "What should the young master do?"

Jin Cheng said angrily: "What are you afraid of, hurry up and tie your knees hard with a bandage, and release it every ten minutes, I have a way."

After hearing this, Xiao Dengzi immediately prepared to tie the root bandage, and asked, "Young master, will this be polluted?"

When Jin Cheng heard this, this guy was not bad, he actually had such a strong sense of sterility, and praised him: "Xiao Dengzi is good, don't be afraid, it is important to rescue patients at this time, and we will change into a new set of sterile clothes later."

Xiao Dengzi immediately tied the calf below the knee with a bandage, and although the blood was still flowing out at this time, it was not as strong as that Mu Qiang just now.

Jin Cheng used a scalpel to cut a section of the skin above the bleeding mouth, and then touched it with his hands for a long time, and his heart was also a little anxious, there was a lot of sweat on his head, and there was sweat on his eyes and eyelashes, and he immediately said: "Little Dengzi, hurry up and help me wipe off the sweat."

Jin Cheng touched the index finger and middle finger of his left hand, felt the index finger pulse obviously, and immediately clamped the blood vessel with a hemostat, and the blood stopped in an instant, and everyone cheered.

Jin Cheng thought that he had only taken the first step in the long march, and he was happy, but he didn't want to disturb everyone's interest, so he simply ignored it.

He tried to pull the vascular clamp outward, and felt lucky, the moment he clamped it just now, it just happened to be clamped on the arterial blood vessels, and if it was also clamped on the tissue next to it, it would be irritable.

Jin Cheng first rinsed the wound repeatedly with normal saline, he didn't look at it just now, but now he looks at the wound is indeed relatively large, and a piece of skin free on the outside is more than ten centimeters, and he thought to himself, this is troublesome, even if the blood vessels are anastomosis, if the skin necrosis is useless, the blood vessels will be broken at that time.

He secretly said damn it, after others crossed over, there was a little gold finger, and the skin would be magically healed, no matter what kind of disease you are, it was a person who got rid of the disease, and he crossed over by himself, and he had a body of surgical technology, and he couldn't use it due to the conditions.

Jin Cheng looked at the expectant eyes of Yiren and Ruolan and the others, and said: "I have clamped the arteries just now, and I have seen the distribution of the blood vessels, and the blood flows so violently, it should be the posterior tibial artery."

Ruolan interrupted: "Master, which tibia is the posterior tibial artery."

Jin Cheng was speechless when he heard this: "You use pinyin instead, keep it in mind! I will get off the operating table and check the details, and it will be like this in the future, don't bother me, I will mess up my thinking."

I thought that I would have to have surgery again, and I would teach you on the spot, and I would teach you how to write, so don't forget about the surgery.

Ruolan's face flushed and said, "Okay! Master."

He continued: "This blood vessel is very important because it gives rise to the peroneal artery, the medial tibial artery and the medial plantar artery, and they serve the roles of each other."

Jin Cheng hadn't finished speaking, looking at everyone's performance, he felt like a book in the sky, and he felt that he was playing the piano to the cow, so he simply stopped making a sound, thinking that it was useless to talk so much and so carefully, hurting his brain cells.

"Master, you better continue to speak, I promise not to disturb you!" Ruolan saw that he was silent again, and immediately said.

Jin Cheng didn't stop in his hand, and continued: "This free skin flap should be washed repeatedly with normal saline to remove dirt, this step is very important," After speaking, cut off a small piece of tissue.

Jin Cheng said while doing it, he felt that his mouth was so dry, and he found that the small saphenous vein was also broken, the vein was not as tense as yo, and the two sides of the severance did not atrophy, relatively speaking, it was still easier to operate, and he thought that it was really ruthless, and there were two blood vessels, and God really favored him.

He looked at these blood vessels and nerves carefully again, and found that there were still some small arteries and venules that were disconnected, and there was still blood slowly gushing out of the upper part, thinking about such small blood vessels,

Even if the artery does not have a microscopic eye and microscopic instruments, there is no way, and it is simply ligated with a thread one by one, and the distribution of the blood vessel network in the lower leg is still relatively dense

, There are a lot of traffic branches, it shouldn't be necrotic, think God bless.

After dealing with these small blood vessels, he sutured up the severed part of the tissue, and said while suturing: "When suturing, be careful not to leave a dead end, wait for this drainage strip to be placed in the wound."

After Jin Cheng finished speaking, the tissue suture was completed seventy percent, leaving a gap to facilitate the vascular anastomosis operation, and instructed:

"Xiao Dengzi is in charge of the suction device, in the process of suturing the blood vessels, the wound must be clear, this suction device must be used gently, don't puncture the blood vessels again, everyone must cheer up the spirit of twelve points" At this time, an hour had passed, Jin Cheng's buttocks were in pain, and he immediately stepped down and changed into surgical gowns and gloves again, during which he took time to drink hot tea.

Yiren was extremely surprised when he looked at the various divine operations of the senior brother in front of him, and he really couldn't figure out that the fifteen-year-old boy in front of him felt like a veteran during the operation, and he didn't know where he learned these strange operations.

I asked him, and every time he perfunctory himself, he also said what the future was, and he was also curious about him.

After Jin Cheng sat down again, he also clamped the distal end of the posterior tibial artery, gently pulled the two blood vessels to the middle, felt that the tension was still okay, and instructed Yi Dao:

"Ruolan, prepare the smallest needles and sutures, and use the smallest tweezers."

Jin Cheng secretly said that it was fortunate that he designed some small instruments last time, and also designed large surgical instruments, such as thoracotomy, craniotomy, saws, hammers, steel plates, screws and nuts and other instruments.

Jin Cheng stopped talking nonsense, and saw that Xiao Dengzi had changed into a new set of surgical gowns and gloves and came to the stage, gave Xiao Dengzi the forceps that clamped the blood vessels at the distal end, and instructed:

"Don't use too much force on this pliers, just hold it gently, lean on my side slightly, I'm good at stitching, don't use force, if it's broken,

I'll take your arm off later, and the suction device will be pointed at the place where I have been stitched, and if you see blood, you will suck it, and you must ensure your vision."

Then he said to Xiao Dengzi: "Xiao Dengzi, you are responsible for stepping on the suction device, just keep stepping on it, Ruolan loosen the bandage once in fifteen minutes, don't forget."

I thought that I would wait until I concentrate on drying my blood vessels, and then you forgot about this central work of loosening the bandage, and then the blood supply would be gone!

After Jin Cheng instructed properly, after threading the sutures through the needle, he used tweezers to clip the stump of the blood vessel several times without clamping it, and changed it, and felt much better.

The blood vessels are too thin, and the light is not good, on the one hand, I look hard at the blood vessels, and on the other hand, I am afraid that there will be problems.

This is at least ten times more difficult than the previous operation under the microscopic eye, and I am tired and sweaty.

It took him a long time to finally get a stitch, and he was in a much better mood, and he said:

"The most important thing for this vascular anastomosis is that the blood vessel wall must be turned outward, and must not be turned inward, this is the most critical, otherwise it is easy to form thrombosis, and the anastomosis is easy to fail.

In addition, the needle and the needle should be vertically in and out, the width of the two needles is determined according to the thickness of the blood vessel wall, and the wide anastomosis is also easy to fail, and it will ooze blood.

Jin Cheng stopped, thinking that it was better to forget it, it was useless to talk about it in such detail, let's talk about it later, I would be tired if I talked too much, and it would affect my operation speed.

Everyone saw that he talked with great interest for a long time, and suddenly he was silent again, and it was not easy to ask when he saw that he was concentrating, so everyone simply quieted down.

Time passed minute by minute, and after almost an hour, only the last suture was missing, and Jin Cheng thought to himself that he had done a case of vascular anastomosis in the Tang Dynasty, even in the later modern times, such a technique of sewing blood vessels with bare hands could make his colleagues' jaws drop.

I was so happy that I immediately hummed: "You are my little apple, I can't love you too much"

Before the song was finished, I found that the blood was accumulating more and more, and I had completely lost my vision, and the operation could not be continued at all.

Xiao Dengzi watched the young master hum a fruit song, and said weakly: "Young master, I just heard you sing, and when I was excited, I stepped on the foot pedal of the suction device again with excessive force."

I almost cried when I finished speaking.

Jin Cheng didn't believe his ears when he heard it, and thought to himself that he was really happy and sad, looking at the surgical field full of blood, where could he still see blood vessels.

He said politely: "You are funny, you stepped on it once last time, and you can also step on it if you change it to iron, you are an elephant leg, you don't have an attractor, this operation is still a fart!" Xiao Dengzi's face was flushed when he heard this.

Jin Cheng was also dumbfounded in an instant, without an attractor, this vascular anastomosis operation could not be done at all, and he was a little overwhelmed, and began to recall the cool lyrics in his mind,

As a doctor, no matter whether the person lying in front of him is rich or poor, beautiful or ugly, whether it is stealing or accidental injury, he will do his best to treat him.

The inner satisfaction and pleasure of saving a sick person is incomparable to any mundane thing, especially a surgeon, and the situation is completely finished today.

Ruolan hurriedly said: "Master, don't worry, I created one more set of paintings last time, just change it quickly."

As soon as Jin Cheng heard this, he glanced at Ruolan approvingly, looked at Xiao Dengzi and said, "Then hurry up and put it on!"

He glared at Xiao Deng Zi and said: "Quickly change it on, I'm really convinced, I have to prepare a few more sets of this suction device, this time I have to step on the pot steadily."

I used to be an interesting person on the operating table, but now I am busy on the operating table and the thunderous plot is constant, and I am not in the mood to tell sexy jokes.

Everyone didn't hear the meaning of this "pot pot".

Jin Cheng saw that the surgical vision was clear, and after suturing the last thread, he first loosened the distal vascular clip, and then loosened the proximal vascular clip.

There was a little episode in this suction device, and the time was delayed a lot, Jin Cheng stepped up to suture the veins and blood vessels, with the previous experience, this time it is obviously more handy,

In less than half an hour, I had already sewed up more than half of the blood vessels, and I was engrossed in staring at both ends of the blood vessels.

At this time, the patient actually woke up, his mouth was humming in pain, and his feet were still moving.

Jin Cheng looked at the tweezers in front of him swinging back and forth, and let out a cold sweat, thinking that if he hadn't stopped to rest just now, it would be fake that this blood vessel would not be broken.

Yiren said embarrassedly: "Senior brother, I'm sorry, I just saw that you were so engrossed in your treatment that I forgot to check the patient's reaction!" After speaking, he immediately pricked a few more needles on several acupoints on the patient's head, and the patient fell asleep deeply.

Jin Cheng saw that it was Yiren's junior sister who made a mistake, and he didn't want to pursue it, so he said, "Just pay attention next time."

It took a lot of effort before the patient became numb, the chickens crowed in their ears, and everyone yawned.

Jin Cheng asked Xiao Dengzi to press the patient's leg and continue to fight by himself.

Jin Cheng concentrated on studying for half an hour, cheered, and happily announced: "Hard work, everyone, successfully completed, Xiao Dengzi, you will stitch the last skin."

He took out the gauze just now and looked at it, and there was no obvious bloodstain, indicating that the operation was quite smooth, and it only took half an hour to suture the two blood vessels with advanced technology in later generations, but now it took four or five hours, and he was almost tired and lay down.

The first ray of light was ushered in outside the window, and Jin Cheng explained the precautions: "Ruolan, prepare Chinese medicine that invigorates blood circulation and dispels blood stasis and anti-inflammatory, pay attention to observe the skin color, temperature, and capillary filling of the affected limbs, Xiao Dengzi is responsible for taking care of the patient, and he must always report the patient's situation to me" He explained the precautions in detail.

Jin Cheng returned to the room with heavy steps, collapsed on the bed, and fell asleep.

The operation was very draining, and Jin Cheng felt like he was hollowed out, and slept until three poles in the morning.

Ruolan came a few times and saw that he was sleeping soundly and did not disturb him.

Until noon, when the servant had prepared the meal, Ruolan pushed open the door again, but she did not knock for fear of disturbing his sleep.

Fang Fang Sun slipped out of the door and into the room, stabbing Jin Cheng from opening his eyes.

In the haze, Jin Cheng asked, "What time is it?" Oh, what time is it?".

Rulan was about to quit again, but seeing that he had woken up, she replied, "Master, it's noon, I'm going to call you for lunch."

"Oh, good!" replied Jin Cheng lazily.

"Then I'll go and get you washed," Ruolan staggered out.

Jin Cheng washed his face and suddenly discovered a very important thing, that is, the patient's situation was not known to him.

These guys didn't come to report either.

Anxiously: "Ruolan, how is the patient's condition?"

"Oh, the patient's condition is quite good, Xiao Dengzi has come a few times, I see that you are sleeping soundly!

Jin Cheng said: "Oh, that's good! Little Deng Zi has worked hard."

"Then let's go to dinner"

"Go see the patient first!" I am a doctor, I always think about the patient, and only when the patient's leg is healed, can I have the heart to eat.

Jin Cheng looked at the patient's leg, felt good, and then developed in a better direction.

The patient was also weak at this time, sleeping soundly, and when he saw someone uncovering the wound, he woke up and looked at Jin Cheng gratefully.

He said, "Doctor Jin, you are my reborn parents."

"You're welcome, don't be too happy, the first four or five days of your leg is a critical period," he said.

Liu Yuanwai was very happy in his heart at this time, and secretly said that if he hadn't met the young man in front of him, his leg would definitely be hopeless, no matter what, although it is not completely good now, there is hope after all.

If I really lost my leg, I couldn't imagine how I would live in this life! This was the question I thought about the most after I was injured, and later, both the famous Dr. Ma in the northern county and the famous Dr. He in the military camp said that he would have his leg amputated.

He has been hit again and again, and he can't say the bitterness in his heart!

The key problem is that he is doing unseemly deeds again, and now his family members are still unable to figure it out, and they dare not say it! Otherwise, the old mother of the family will break her other leg.

Just now, the three wives and four concubines came to cry and cry once, and finally persuaded them to go home.

He saw that Jin Cheng was about to go out after reading his legs, so he stopped him and said, "Doctor Jin, I didn't expect you to have such medical skills at such a young age."

"Liu Yuanwai, I have won the prize, you just happened to be ready for me to encounter this situation, and I just gave it a try, and I don't know the final situation yet" Jin Cheng said.

Seeing that he was modest, the patient's good impression of him increased again, and he said seriously and mischievously: "So young!

Ah, where is it? If you cure the disease, you will cure the disease, and this has nothing to do with my marriage.

Puzzled: "This".

Seeing that he couldn't speak, the patient thought that Ruolan standing next to him was his wife, and said vaguely: "That's the case, I have a daughter, who was born in a big house, and she is naturally beautiful.