Chapter 32 Replantation Surgery

Xiao Yu walked into the house, and Dr. Cheng saw that the old and young of the Qin family agreed with the method of the girl in front of him, and even the other doctors hesitated to stop believing him after hearing her say that she was "for the purpose of saving her arm".

Doctor Cheng snorted coldly: "Girl, the old man doesn't know why you don't let Miss Qianjin do it, you have to come to stir up the matter of diagnosing and treating injuries, these jobs are not as glamorous as the legend in the book." Don't you think that as long as you dock the broken arm, you can grow well? If you don't take it like this, you can't save Zhou Zhutou, and you will kill him! ”

Qin Jing hurriedly stepped forward and introduced to Xiao Yu: "This is Doctor Cheng, the best ulcer doctor in the entire Huaiqian City. I was afraid that Xiao Yu wouldn't understand, so I hurriedly said, "It's the surgeon you said." ”

Doctor Cheng snorted arrogantly.

The best surgeon? That's great, one more person has more strength, and the best is never too much.

Xiao Yu didn't feel sorry for his attitude at all, and smiled and saluted: "Please ask Doctor Cheng for more advice." ”

Doctor Cheng only said that this young lady was soft, but after listening to Xiao Yu's words, he changed his mind and said: "I naturally don't think that as long as I put my arms together, I can grow on my own, please ask Dr. Cheng to listen to my plan first, and then say that it is not feasible." ”

"The reason why the severed limb is unsustainable is because the blood vessels, nerves, tendons are ruptured. If the blood vessel is broken, there is no blood circulation, and the severed limb will gradually die if it does not get the nutrients brought by blood circulation. Within six hours, that is, within three hours, as long as the blood vessels are finely sutured and the nerves and tendons are correctly connected, there is a 90% chance that the severed limb will survive again, and it will be possible to regain its function through rehabilitation training in the future. ”

He tried his best to concisely refine the operation process in a few words, but he didn't know how much shock it caused among this group of doctors who have practiced medicine for generations.

Blood vessels, nerves, tendons, these things that have never been heard of but seem to have the same effect as the theory of meridians, seem to have carved a slight crack in every doctor's vision. And there are some truths that have long existed in the dark, and a trace of their true face is slightly revealed in that place, revealing in front of them.

"The Pulse, the House of Blood." Dr. Cheng said with some excitement, "The blood vessels you are talking about are not the meridians?" The meridians that have been broken can be continued?! ”

Xiao Yu thought about it, the meridians in traditional Chinese medicine should not be all blood vessels, but also include the meaning and function of some blood vessels, so he shook his head slightly: "Don't talk about these things in detail, does Dr. Cheng agree with my plan?" ”

Doctor Cheng hesitated for a moment, and finally nodded fiercely.

"If you can see the medical skills of re-living with a broken limb and renewing a broken pulse, what if you believe in it once?!"

Xiao Yu smiled: "Thank you Doctor Cheng." ”

He asked Qin Jing to prepare another set of clean clothes and face towels.

"I would like to ask Dr. Cheng and Dr. Qin to assist in the operation." Xiao Yudao.

The two were stunned at the same time, but they didn't expect Xiao Yu to open his mouth and let them participate together.

If Xiao Yu's medical skills are really effective, this is a unique secret recipe in this world. You must know that every well-known doctor has a few exclusive secret recipes that are never passed on to the outside world, and most of them are for some incurable diseases, which is the foundation of every doctor's fame and transcendence from other doctors, and many of them are ancestral prescriptions. This rule is almost a convention in the industry, and many doctors do not allow outsiders to be present when treating some sexual diseases.

This Feng girl doesn't seem to have any intention of being a lady, but keeps saying that she is a doctor, and she doesn't care about Fang Zi's secret? Or don't you understand at all?

Qin actually wanted to remind him that Xiao Yu had already gone to the basin to clean his hands, and said to the two of them: "You look at what I do, wait a minute, clean your hands step by step, change into clean clothes, and then use a clean cloth towel to cover your hair, mouth and nose." ”

Doctor Cheng hurriedly stopped Qin Jing. Although he was a little unkind, he really wanted to see with his own eyes the treatment method that this Feng Da girl said, and if possible, he also wanted to learn it.

Qin actually glanced at him helplessly, Xiao Yu saw that the two of them did not move, and turned around and urged: "What are you doing in a daze, hurry up and come and learn." Hands must be properly cleaned and disinfected, so as not to cause infection to the patient's wounds, which is probably what you call wind evil entering the body. ”

It turned out to be the tone of a teacher.

Doctor Cheng had already walked over and started to clean his hands in another basin according to Xiao Yu's technique, Qin actually hesitated for a moment, but still walked over: "Miss Feng, are you really not afraid that we will learn your recipe?" ”

Xiao Yu had already opened the first-aid kit and started to check the tools, and he didn't reply when he heard the words: "What do you say, the more you learn, the happier I am." Ah, oh no! ”

Qin Jing was stunned: "What's wrong?" ”

What's the matter, there's no syringe...... Xiao Yu closed the wooden box and sighed deeply.

This was originally the most conventional tool, so he didn't expect that there would be no syringes in this era.

He can make his own saline, but he needs a syringe to clean the vascular bed. I didn't think this thing was so rare before, but now, how do you get a substitute?

Qin actually saw that Miss Feng covered her head and face with a cloth towel, revealing only a pair of slender eyebrows and beautiful eyes, while thinking about something attentively, a delicate light line wrinkled between her eyebrows, and she was stunned for a while.

"That's right. Doctor Qin, don't wash your hands first, you go and prepare something. Xiao Yu said suddenly, startled Qin actually lowered his head in a hurry, his face flushed.

Xiao Yu didn't notice his strange appearance, but said: "You ask people to prepare a clean water bladder, and use a thin dry wheat stalk β–‘β–‘ the plug at the mouth of the sac to put it in, so that when you pinch the water bladder, water will flow out of the wheat stalk." Xiao Yudao, "I know this is more difficult to do, you ask Mrs. Li to help bring everyone together, there is always a clever way to do it." Make a few more backups if you can. ”

Qin actually responded with a red face, lowered his head and ran out.

Old Doctor Qin looked at his son's appearance, touched his beard, and showed a deep groan.

This kid is already in his twenties this year, but he doesn't seem to be enlightened, and he doesn't want to talk about his daughter-in-law. If he fell in love with Miss Feng, it would have been a bit troublesome, after all, the Feng family is also a big family, how could the daughter of such a family be allowed to marry a doctor.

However, Miss Feng acted unexpectedly several times, and it seemed that she was determined not to be the daughter of the boudoir, but wanted to practice medicine.

It was not that there were no medical women in the dynasty, and there was even a woman from a large family who became a medical woman, and now she still goes in and out of the palace to diagnose the nobles in the palace, but she has never married.

After all, the doctor girl speaks well, but no family is willing to hire a daughter-in-law who is born as a medical woman. The small door doesn't care, but it can't climb high.

With the generational friendship between the Qin family and the Feng family, if he proposes marriage on behalf of his son, he may be able to say that this family affair can be said.

Old Doctor Qin's gaze fell on the wooden box in Xiao Yu's hand again, and he still couldn't help but jump on his forehead.

This loser gave away all the ancestral guys of his old Qin family, and this intention is also obvious, but it seems that Miss Feng doesn't know.

I can't chase my daughter-in-law, I'm really angry with him......

Xiao Yu and Doctor Cheng had already changed their clothes, covered their heads and faces, and looked a little weird.

Xiao Yu said to the few doctors who were still standing in the room: "Please leave the inner room and wait to minimize the chance of the patient being infected." Doctor Qin, please prepare more of those anesthetics just now, if the anesthesia fails during the operation, you must make up for it. I don't know much about Chinese medicine prescriptions, and there may be some unexpected situations during the operation, so I have to ask experienced doctors to help control these situations. ”

Several doctors retreated to the outside room and discussed the prescription together.

Xiao Yu picked up a small scale and prepared 0.9% normal saline with cool boiled water and table salt to debride and flush the broken blood vessels.

Although the prepared solution will inevitably have some impurities, it is not an infusion anyway, so there should be no problem.

Dr. Cheng watched his movements with wide eyes on the side, and for a while he didn't know where to start. He originally scolded this Feng girl for being foolish, but seeing that she acted in her own way, and her movements were so proficient that she seemed to have completed a thousand times. He, a doctor who has been practicing medicine for decades, is like a fledgling elementary school apprentice, and he doesn't even know where to help.

Xiao Yu explained as he did it: "Salt is dissolved into water in a certain ratio, which can be made into isotonic saline, which is equivalent to the osmotic pressure of human tissue fluid, and can be used to irrigate wounds without causing cell dehydration or edema rupture." ”

In fact, heparin saline should be used in such surgery, heparin can anticoagulate blood, but there is no here, so you can only try to do it.

Xiao Yu prepared the brine and turned his head to look at Doctor Cheng: "I don't have time to go into detail now, I will teach you the process and proportion of the brine in the future." "It doesn't make sense to explain the principle of isotonia to the doctors here, but to teach them how to apply it.

Doctor Cheng opened his mouth in some astonishment, and a trace of guilt rose in his heart.

He still had the idea of stealing the teacher, but he didn't expect that people didn't want to hide their secrets at all, and he had already taught them one by one without him asking, even when he taught his disciples, he couldn't do it so selfishly.

Xiao Yu had already walked to the bed with a basin filled with salt water and asked Dr. Cheng to come over to help.

"The first step is thorough debridement, which is the most basic step and the key to preventing postoperative infection." Xiao Yu said as he rinsed the upper and lower limbs of the wound with salt water, and gently brushed it with tweezers and a soft cloth.

At this time, Qin Jing had already cleaned his hands and changed his clothes, and came in, carrying a copper kettle, and said with some embarrassment: "This is what I asked people to prepare when I went to prepare boiling water just now, using wormwood, houttuynia cordata, dandelion and Guanzhong to add water to boil the medicinal liquid, I think Miss Feng should be able to use it." ”

Xiao Yu looked at Qin Jing, and Dr. Cheng hurriedly explained: "This is the lotion I commonly use when I wash the wounds of patients, which can dispel evil and help the right." ”

Removal and straightening? Probably it can be disinfected and sterilized.

Xiao Yu smiled and nodded: "Great." ”

After the completion of the general debridement, Xiao Yu motioned to Qin Jing to pass the surgical instruments, this step is to find out the blood vessels of the main nerves, use the silk thread ligation and broken end as a marker, so as to facilitate the replantation to find, and then prune and cut the necrotic and devitalized tissue from shallow to deep according to the anatomical level.

Seeing that this Feng girl carefully rummaged and trimmed in the flesh little by little with tweezers and scissors, as if she was not cutting bloody flesh and blood but embroidering on the embroidery shed, Qin actually saw that his face turned pale, and a sour breath went straight up to his throat, and he hurriedly covered his mouth with his hand so that he didn't spit it out.

Although Dr. Cheng is a ulcer doctor, he did not grope in the flesh and blood of the human body as carefully as he did, and even really knotted some flesh and blood with mulberry white thread like embroidery, and his face was not much better than Qin Jing's face for a while, but he was able to maintain peace on his face after all.

Xiao Yu explained while debridement: "This is a sharp cutting, the surface of the wound is neat, and the replantation conditions are good. He said as he placed the tweezers on the copper plate on the side.

"The debridement is complete and the vascular bed is flushed. Isn't the water bladder okay yet? ”

When the people outside heard his voice, they shouted one after another: "Okay, okay, done!" Quick, have you washed your hands well? Send it to Miss Feng! ”

After speaking, he raised his voice and said: "Miss Feng, it's me, I'm Zhang San." I made this bladder! I'm not boasting! ”

"That's it, this was done by Zhang Sanshao himself!" A bunch of dogs unsurprisingly chimed in.

Zhang Xiaopang did it? Xiao Yuzhen felt a little surprised, he was fat like that, and his hands could still do this kind of delicate work? However, it is true that some people are naturally more ingenious than others, and they are also talented in handicraft, maybe Zhang Xiaopang belongs to this kind of person.

"Thank you, Zhang Xiaopang." Xiao Yu said with a smile.

Before Third Young Master Zhang could protest against his title, a person had already rolled up his sleeves and came in with a strange-looking water bladder.

"It's coming, it's coming! Miss Feng, what do you want for water...... Sack...... Vomit! ”

One of Zhang Sanshao's dog legs was just brushed twice with his two arms like a hair removal and then ran in to deliver something, and at a glance saw several pieces of flesh and blood cut out of the small basin next to the bed, and the big girl Feng was still rummaging through Zhou Zhutou's flesh with something, the visual impact was too great all of a sudden, plus the smell in her nose, she was almost about to vomit out.

"Don't spit it out, swallow it back!" Miss Feng glared at him, and the poor little attendant squirmed his throat and swallowed back the sour water that had rushed to his mouth.

It's sour!

Xiao Yu motioned for Qin Jing to take the water bladder, filled it with normal saline and handed it to him, and then began to flush the vascular bed of the severed limb. He stitched a major artery selected in advance to the fracture as a marker, carefully removed the clot from the fracture of the artery, carefully inserted the straw into the lumen of the vessel, and began to gently pinch the water bladder.

"Heavenly ...... Oh my God, my God...... Oh my God......" Zhang Sanshao's little attendant only felt that his teeth were sore, and his arm seemed to ache faintly, and the two tremors rubbed out of the room step by step.

Seeing him come out, Zhang Sanshao and the others surrounded him together, but when they saw him immediately paralyzed to the ground, they couldn't help but be curious: "What's going on inside?" How did you become this bear? ”

The man looked up at the crowd of onlookers in a daze, and suddenly rushed out of the room with his mouth covered, ran under a tree and vomited.

Zhang Sanshao took a fan and knocked on the palm of his hand: "This guy got pregnant after a trip in?" Miss Feng is really extraordinary, hahaha! Dry laughter rang out all around.

This joke is so cold that I can't even laugh at the dog's legs!

The adults who were still waiting under the verandah outside the courtyard couldn't help frowning when they saw the young man who was vomiting faintly while holding the trunk of the tree.

"I don't know what Miss Feng is doing in there?" Mrs. Li clenched her veil tightly in worry and anxiety, and looked up at the room where there was no movement.

Feng Zhaoqing leaned on the maid's body, looking at the room with closed doors and windows through the light veil, and several red marks were cut out by her own fingernails in the palms of her hands.

It's better to let her fail, let her be abused and laughed at by everyone, and let her go to the family temple like her unworthy merchant aunt and uncle, and never see the light of day!

Gently retract the straw and the vascular bed flushing is complete. There is no resistance during injection, and the reflux fluid has been cleared, indicating that the vascular bed is intact and unobstructed.

Xiao Yu sighed and put down the tool: "The next step is to start bone fixation." Awls and hammers. He stretched out his hand to Qin Jing, who took something out of the wooden box with a pale face and handed it to him.

These terrible tools were not in the box before, I don't know when Miss Feng added these things, what the hell is she going to do?

Xiao Yu took a deep breath and looked at the broken bones exposed.

The soft tissue at the cross-section after the limb is severed has a certain degree of retraction, and some devitalized tissue is removed during debridement, so the bone is relatively long and must be shortened to a certain extent.

He glanced at Zhou Zhao who was in a coma.

Every doctor wants to be perfect in every one of his operations, not only to give the patient perfect body function, but also to give him a perfect appearance.

For such a heroic young man, Xiao Yu could not tolerate the slightest flaw and imperfection.

The length of the shortened bone should be as small as possible, and if there is tension during the suturing of the blood vessels, it is better to use grafting to make up for it. Moreover, there were no steel nails here, and to fix the bones, Xiao Yu came up with an idea that he would have thought completely ridiculous before.

Like a carpenter's falcon, it fits in with itself.

Xiao Yu estimated the parts to be repaired, and asked Doctor Cheng and Qin Jing to fix the severed limb and start to work.

An indescribable tooth-sour sound came from under the awl, Qin Jing and Doctor Cheng were already sweating profusely, and they couldn't believe that they really accompanied this girl to do such a ridiculous thing.

What the hell does she think of the human body?! She just casually repaired the pruning scissors, sewn and mended, and even chiseled and carved the shape?!

Qin actually glanced up at Miss Feng, there was not even a drop of sweat on her smooth forehead, and there was only full concentration in her clear eyes. She was so focused, as if the whole world was no longer in her eyes, and at this moment, in her entire mind, there was only Zhou Zhao lying under her......

Doctor Cheng and Qin actually watched almost numbly as Xiao Yu put the two ends of the broken bones together, and then began to stitch them together like embroideryβ€”yes, it was really like embroidery, carefully stitching up the blood vessels, tendons, and nerves that she was explaining in her mouth one by one, and after this qiΔ“ was completed, the ruptured skin was also sewn up.

After the last knot was tied, only a local sound was heard, and the tweezers holding the needle fell into the copper plate together with the embroidery needle bent into the shape of a crescent.

"Surgery, done." Xiao Yu let out a long breath and prepared to get up.

The bed itself, which served as the operating table, was so low that he almost knelt for the entire operation, only then did he realize that his entire calf and knee had become numb and unconscious.

Qin Jing hurriedly supported the crumbling Xiao Yu, Xiao Yu bared his teeth and leaned on Qin Jing's body, not noticing that Doctor Qin's face was already red like a big boiled lobster, but he just sizzled and said, "Thank you, thank you reads;." ”

"No, no, no." Qin actually lowered his head and whispered back, only to feel that the place where he was caught by Xiao Yu was simply hot and hot, but he was reluctant to let go.

Doctor Cheng was still wiping the sweat from his face in shock, and when he turned his head, he saw Qin Jing's appearance. I was more scared than him just now, and now I'm in the mood for a snowy moon?! It's really unteachable!

Dr. Cheng flicked his sleeves, took the lead in opening the door and walked out, and was coldly surrounded by a group of people, so frightened that he almost ran back.

"How? How's Zhou Zhutou? Governor Li's big face leaned in front of him and said eagerly.

Doctor Cheng thought about it, but he didn't know how to answer. Zhou Zhutou's hand was indeed sewn by Miss Feng like an embroidery, and it looked the same, but is this considered good?

"This, thisβ€”" Dr. Cheng hesitated, not knowing how to explain.

"Don't be untreated at all, let a young lady treat her injuries, it's a joke with her life." I don't know who in the crowd whispered, and everyone suddenly became noisy again, some refuted, some responded, and buzzed into a mess.

Xiao Yu didn't care about the outside, and after feeling better on his legs, he took a soup woman and poured hot water next to Zhou Zhao's little arm, loosened the tourniquet tied to his upper arm, and then looked at the little arm without blinking.

Qin Jing also leaned over suspiciously, and said puzzledly: "Miss Feng, what are you looking at?" ”

"Look at the fruits of our labor." Xiao Yu said in a low voice.

"The fruits of labor?" Qin was still puzzled, and also stared at the arm that had just been connected and watched carefully.

As the two of them approached so quietly, looking intently at the limbs that had regained their appearance in their hands, Qin actually blushed slightly, barely feeling the passage of time.

I don't know how long it took, it seemed like a long time, and it seemed like it was just a moment, when I suddenly heard an exclamation in my ears: "Alive." ”

Qin Jing was busy looking at it, only to see that the little arm, which had originally turned pale white, had risen obviously red at this time.

He didn't know what the truth was, it seemed that Miss Feng could always say something that knew what it was and why it was true. But at this moment, Qin actually intuitively perceived that compared to the lifeless white, such a beautiful and warm ruddy color represented infinite vitality!

They really succeeded, and Zhou Zhutou's hand was really saved!

Qin actually laughed, but when he saw that Xiao Yu had already strode out, he hurriedly followed.

When Dr. Cheng was hurriedly explaining to the crowd outside, he only heard a voice with an indifferent smile behind him.

"Don't embarrass Dr. Cheng. I will inform you of the results of the operation. ”

For a moment, everyone looked at him.

Xiao Yu had long been accustomed to such a gaze. Every time he came out of the operating room, he would always be greeted with anxious questions from the family members waiting outside.

Although in this room, there are some eyes that are not so expectant, some eyes that are not so profound, and even some eyes that do not have good intentions at all.

Doesn't matter. What he has to say is what he likes to say the most, what he likes to tell people who really care about the wounded to know, and what he likes to announce loudly the final result of this game of life and death.

Yang Zhutou's hand was saved. Surgery, success. Xiao Yu said with a smile.

The operation was successful, and everyone was happy.

No one will be tormented by injuries anymore, no one will have to endure grief and pain anymore. The rejuvenating new life, the smile that wept with joy, how wonderful this qiΔ“ is...... He was almost addicted to the wonderful feeling of life in his hands, and he couldn't extricate himself.

"Young Master Ben has already said that as soon as Miss Feng makes a move, she will definitely cure Zhou Zhao!" Zhang Sanshao took the lead in shouting, and the smug energy seemed to be that he had cured others by himself.

Lu Mingyue looked at Xiao Yu, who was standing at the front of everyone and smiled indifferently, and then looked at the awkward faces of those who were talking about her behind her, she only felt extremely happy in her heart, and shouted regardless of reserve: "That's it, Xiao Yu said that if she can save the person, she will definitely be able to save it!" ”

Zhang San laughed and said: "Which girl is so discerning, it's really a hero's vision!" ”

Zhang Da was so angry that his face turned white, and he turned his head to look at the old man surnamed Lu.

His uncompetitive son dared to answer the words of the girl of the Lu family just now, this surnamed Lu has always loved his daughter like his life, and he will not be blackened, right? !

Master Lu just stroked his beard and stood there unhappy or angry, and he couldn't see what he meant.

Xiao Yu whispered to Dr. Qin and others for postoperative care, and asked Dr. Cheng to fix the injury with a thin wooden board for Zhou Zhao, so as not to misalign the bones or crack the wound.

This is Dr. Cheng's strong point, but when he thought of Miss Feng carving bones like wood just now, he couldn't help but feel a sore tooth.

"In the next few days, I will also observe the wound for infection to see if there is a fever. I've tried my best to keep the procedure as clean as possible, and hopefully I won't get infected. Xiao Yu bowed to the old doctors, "If possible, I really want to come out and learn the method of medicine from you." Now I can't, and I can only ask you to bother a lot later. ”

Several doctors hurriedly returned the salute, saying that they didn't dare.

For some reason, looking at the strangely dressed and tall Feng girl in front of them, everyone couldn't associate it with the kind of girl raised in the boudoir at all.

More like a boy than a girl...... Doctor Cheng especially looked at this Feng girl with some suspicion. He is a ulcer doctor, and he also treats bone diseases, and he looks at the bone shape of this big girl, how can he look like a young man......

He was probably tired and confused......

Feng Zhaoqi stood far away in the corner of the door, looking at this sister who was dressed in strange clothes.

Although her voice and smile seemed to be the same as usual, just smiling politely, he was sensitive to the fact that she was really happy, very happy, and that it was the purest joy and joy from the bottom of his heart.

Feng Zhaoqi raised his hand and touched his heart, and that simple joy seemed to have reached him through the strange blood relationship of the twins.

That feeling...... It's so wonderful, and yet so wonderful. Feng Zhaoqi raised the corners of his lips almost unconsciously, and when he realized it, he hurriedly coughed and calmed down.