A few minutes later, Chu Tianyu looked at the X-ray image on the tablet, Sun Jianguo and Tian Manxi glanced at it and immediately sneered, as they thought, the patient's blood vessels have vascular wall adhesions in many places, and the contrast agent cannot pass through at all, and now the influence on the tablet is only limited to the middle of the hand, the image is similar to a blue spider web, spreading in all directions with the center of the hand as the center, but there is no edge of the fracture position that the blue line can reach, obviously the blood vessels here have vascular wall adhesions, the contrast agent cannot reach here, and it is blocked a long distance from here。

In this way, it is useless to do this imaging, but this is for others, it is enough for Chu Tianyu to be able to see the general direction of these blood vessels, Chu Tianyu asked the itinerant nurse to put the image on the computer closest to him, and then said in an astonishing voice; ”

Sun Jianguo, Tian Manxi and others were immediately stunned again, what do you want a puncture needle for? This kind of surgery doesn't use a puncture needle at all, or a puncture needle with a diameter of only 0.4 mm, what are you doing?

The instrument nurse was also confused, but still handed the puncture needle to Chu Tianyu.

Chu Tianyu held the puncture needle in one hand, looked up at the X-ray image on the computer, exhaled, and held the puncture needle in his right hand to slowly pierce the skin, and this position is the edge of the blue line in the image, and there is a blue line in the back, but there is no one in the front, which means that this position is the position of the adhesion of the blood vessel wall.

Seeing this time, a thought immediately appeared in Sun Jianguo and Tian Manxi's minds-Chu Tianyu wanted to use a puncture needle to poke open the blood vessels?

You must know that the walls of the blood vessels are adhered together, not blocked, the head of the puncture needle is very sharp, and a little force will pierce the blood vessels, there are too many arteries and veins in the hand, even if Chu Tianyu's method is feasible, but how much time does it take to pass through such a root? It is not possible to do it without two or three days, even if the patient is young and in good health for such a long time, he can't bear it, and the use of narcotic drugs for a long time will cause great wear and tear to the patient's body.

But at this time, Sun Jianguo found that Chu Tianyu's hand had a very low amplitude tremor, although the amplitude was very low, but the speed was very fast, and the puncture needle was advancing at a speed visible to the naked eye, and in a few breaths, the puncture needle actually pierced out of the broken position of the hand, followed by some light blue liquid, what this liquid is Sun Jianguo knows very well, this is gastrografin.

Seeing this, Sun Jianguo was immediately shocked, Chu Tianyu This guy actually poked open the blood vessels that were adhered together with a small shaking of his hand, Sun Jiangong knew very well that Chu Tianyu did not hurt the blood vessels, otherwise once the puncture needle was injured, it would not come out along the lumen of the blood vessels, but from other places, so it was impossible for gastrografin to appear, thinking that gastrografin was still blocked there.

Chu Tianyu got this blood vessel, and immediately began to pass through other blood vessels non-stop, his speed became faster and faster, but at the same time, the sweat on his forehead was also increasing, and the surgical gown was soaked through sweat after a while, what Chu Tianyu did didn't seem to be tired, but the actual operation was extremely physically demanding, that is, he, if someone else didn't have this physical strength at all, there was no one in this world who could reach the sensitivity of Chu Tianyu's hands, even the most sophisticated machine.

Chu Tianyu's physique is far beyond ordinary people, not only is his body strong, but at the same time, the sensitivity of his hands is not comparable to people in this world.

It was precisely because of this that Chu Tianyu dared to use this way to clear the blocked blood vessels, and he could also do it without harming the blood vessels.

At this time, Sun Jianguo, Tian Manxi, Ji Xuekun, the instrument nurse, the recovery nurse, and the director Mao Pengyi, who had just come in, and his subordinates were all dumbfounded, no one had ever seen such an operation, it was simply amazing.

Chu Tianyu didn't have the time to take care of them, but quickly dredged the blood vessels, of course, Chu Tianyu couldn't dredge all the blood vessels in this hand, there were too many capillaries in his hands, some were thinner than a hair, such blood vessels Chu Tianyu was not able to dredge, but these small capillaries were not important, the important thing was the main blood vessels, as long as the smoothness of these blood vessels was ensured, the hand would not die.

To put it bluntly, the supply of blood only ensures that the hand does not die, and the recovery of hand function depends on the anastomosis of nerves and tendons, especially nerves, the more nerves anastomosis, the more hand function of the hand is restored.

Chu Tianyu's movements quickly took less than half an hour to open the main arteries and veins of the severed hand, and at this time, many blood vessels began to flow fresh blood.

Chu Tianyu should be tired enough at this time, but he knew that he couldn't stop yet, so he exhaled and rested for a while before saying, "Prepare for vascular anastomosis." ”

As soon as the words fell, Mao Pengyi exclaimed: "You want to anastomosis the blood vessels under the flap?"

According to the conventional surgical operation, it is necessary to take out the severed hand from under the flap, and then connect the blood vessels at the broken end of the hand and wrist, first ensure a certain blood supply to the hand, ensure that the hand is not necrotic, and then splice the bones, fix, anastomosis nerves and tendons, and finally anastomosis blood vessels, only by doing so can we ensure that the hand function is restored as soon as possible.

Chu Tianyu nodded and said, "Yes, to anastomosis blood vessels here, I need this hand to have enough blood circulation to nourish the nerves and increase the activity of the nerves." ”

Mao Pengyi, the director of the siblings, naturally understood why Chu Tianyu did this, after the hand was broken, the local hospital just made a flap to anastomosis several major blood vessels to maintain a certain blood supply, but this is far from enough, this is like a person who has to eat three meals a day, but you let him eat one meal a day, and it is still one-third of the previous meal, after a long time, this person will definitely be malnourished.

The severed hand is now in such a state, the current blood flow can only ensure that the severed hand does not appear necrosis, but the severed hand is in a state of "malnutrition", which also leads to very low nerve activity, on the verge of necrosis, even if such nerves are successfully anastomosed together, there is no way to restore the patient's hand function as much as possible after surgery.

However, if the nerves are not anastomosed and the blood supply is ensured first, it is like a person who has been thirsty and hungry for a long time, and suddenly gives him enough water and food, and his mental state will definitely be greatly restored after he has eaten and drunk enough.

But Chu Tianyu did this, which can indeed further improve the recovery of the patient's postoperative hand function, but it is also because he first anastomoses the blood vessels, which greatly hinders the splicing of bones, nerves and tendons, and these anastomosed blood vessels block there, and it is too troublesome to want to splice the nerves, tendons, and bones in the anastomosis.

Mao Pengyi frowned, and was about to speak, but who would have thought that the instrument nurse had already prepared all the anastomotic equipment and handed it to Chu Tianyu.

Chu Tianyu didn't speak, and his stuffy head began to anastomoses these blood vessels.

Mao Pengyi and his people were dumbfounded, they were watching Chu Tianyu splicing a fast intestinal tube with that astonishing speed on the video, they were not at the scene, but today they were at the scene, when they saw Chu Tianyu's amazing and perverted hand speed, they all widened their eyes and opened their mouths, the only thought in their hearts was shock, unparalleled shock, how can a person's hand speed be like this, fast even if it is enough, what is good or not dead is the flawless octosmosis of Chu Tianyu's blood vessels, so that people can't find any fault, just like he is an old doctor who has been doing his hands and feet for decades, no, Even the old doctor who has been working outside his hands and feet for decades probably doesn't have Chu Tianyu's proficiency that shocks people to the point that their brains go blank, Chu Tianyu is simply a monster.

Chu Tianyu didn't have the heart to think about what they were thinking, and he still quickly snapped into the blood vessels.

Soon all the blood vessels were anastomed, and because of the adequate blood supply, the pale severed hand finally had a little blood.

At this time, Chu Tianyu's feet were full of water, sweat, and the surgical gown was all wet with sweat.

To be honest, such a delicate and speedy operation was a great drain on Chu Tianyu's physical strength, but he had to persevere, because the operation had not yet been completed.

Chu Tianyu did not rush to block the blood vessels and put the severed hand on the severed end of the wrist for the follow-up steps, but asked the recovery nurse to get him a bottle of glucose to replenish his physical strength, and he also wanted to wait a little longer, so that enough blood could nourish the nerves, and let these nerves recover some more activity as much as possible.

After more than ten minutes, Chu Tianyu knew that the fire was almost over, and exhaled and said, "Block the blood vessels and prepare for the replantation of the severed limbs." ”

Sun Jianguo glanced at Chu Tianyu with a complicated face, although he thought that Chu Tianyu was simply messing up like this, but he had a feeling of uneasiness in his heart, vaguely feeling that Chu Tianyu could not only complete the operation, but also do what he said to restore the patient's hand function to more than 80%.

Now Chu Tianyu, who is the chief surgeon, has said so, and Sun Jianguo and Tian Manxi, who are assistants, can only do so, and one person can go to the arteries and veins of the severed limbs, and after the free, the blood supply of the severed hand under the flap can be blocked, and then the severed hand is taken over to anastomosis with the free arteries and veins.

Sun Jianguo did this with a complex and dignified expression, and soon the severed hand was taken out, Chu Tianyu carefully placed it on the edge of the severed limb, stretched out his hand and said, "Start anastomosing the radial artery and vein." ”

When these two blood vessels are anastomosed, the most difficult step finally comes, the blood vessels have been anastomosed, but these blood vessels have become anastomosis nerves, splicing bones obstacles, everyone wants to see how Chu Tianyu completes the next steps.