Fu Shiyi shook his head and asked Jie Xin to take a closer look at the wound: "The wound is like this now, we have to debride it first." Until all the rotting flesh is cleaned. Moreover, this part is infected, and you can understand that something fell on the ground, even if it looks clean, but in fact it is dirty. Only by cleaning up as much as possible can we avoid more contamination by dirty things. ”

"That's how the small is the big." Fu Shi looked at the removal of Xin, and then pointed to the patient's leg: "If we cut it directly into a flat wound, then it means that there is no skin to wrap the wound underneath, so how can the wound heal?" ”

"You see, every part of our body is covered with skin, which is to protect the muscles and bones. It is also only possible to heal faster by covering the wound with the skin. Otherwise it will just rot. In order to let them understand as soon as possible, Fu Shiyi said it quickly, but it was also very detailed.

"So, we can't just cut it off and bandage it. You remember, surgery is done to increase the chances of healing and to create the conditions for healing. Cutting out the bad is one of the important links, but how to make the good part heal faster, heal better, and even the patient's life after healing, we have to take into account. ”

Fu Shiyi used his arm to make a demonstration.

"My arm, you think it's a bone. This layer of underwear is thought of as muscles and blood vessels. The outermost layer is the skin. Let's peel off the skin, then the muscles, and finally the bones. ”

"You see, let's keep the shortest bones. Both the muscles and the skin are longer. Let's wrap the bones with meat as much as possible and make a closure. The outermost layer of skin, on the other hand, is also a little longer, so that the muscles and bones are completely encased inside. ”

Fu Shiyi grabbed his cuffs and shrunk his fist into his cuffs: "But there will be blood inside, there will be liquid oozing, and there may even be a corruption process." So at the end of the day, we have to put a tube in the wound to make sure that if there's liquid in it, it can come out of the tube. ”

"When there is no liquid flowing out, let's pull out the tube and let the wound heal on its own."

Fu Shiyi asked a few people: "Do you understand?" ”

Except for Xin and Luo Yueqing, they nodded.

Bai Zecheng also had a question: "Then according to this, isn't it more convenient from the knees?" In this case, how do you break the bones? Chop with an axe? ”

"No, let's use a saw. The axe will break the bones, so these fragments are not easy for us to clean, and there is no way to ensure that the fracture is smooth, even if it is bandaged, it will hurt the flesh and skin. Fu Shiyi shook his head and directly rejected this proposal.

"As for why not from the knee, it's because keeping this section can allow him to make a wooden prosthesis in the future, replacing the leg, at least he can walk, and he can take care of himself." Fu Shiyi gestured: "The prosthesis can be fixed here with this extra calf." Then the legs can be bent, so that life is more convenient. This is what I just said, when doing surgery, we also need to consider what happens after the patient has healed. ”

Bai Zecheng nodded suddenly: "Little lady Fu is reasonable." What a sentence that breaks through all the fog. ”

In the past half a day, the patient has already drunk all the medicine and played a role.

Fu Shiyi first drew the length of the skin to be retained with medicinal herb juice, and determined the curvature and gap, and then began to go under the knife.

Because he was thinking about surgery, Fu Shiyi prepared another set of tools - after all, it is still not good to use the tools of the dead for the living, and it is mainly unhygienic.

The operation is meticulous work, Fu Shiyi is engrossed, and Luo Yueqing also holds a lamp for Fu Shi - there is not enough light in winter, so a lot of lights must be used.

So the simplified version, the movable shadowless lamp was invented by Fu Shiyi. I'm afraid that Luo Yueqing's hands will be sore, but he still supports it on the ground. However, Luo Yueqing needs to adjust the angle and ensure the stability of the lamp.

Cleaning up the carrion, then peeling off the skin, stripping off the muscles, it takes a lot of effort to do these three things alone.

Not to mention, when cleaning up the carrion, you have to endure the stench all the time.

The water used for rinsing, considering that there is no normal saline, can only choose to use distilled water. When you run out of distilled water, you can only use cold boiled water - no way, when productivity is low, it's so difficult.

Bai Zecheng has no doubts about this process: he now understands very well that if the wound is treated layer by layer, it will be easier to heal in the future.

Moreover, the treatment of Fu Shiyi's pair of main blood vessels has already attracted his full attention.

"Small blood vessels don't need to be taken care of, but large major blood vessels must be taken care of. Otherwise, the patient may lose too much blood and may not survive the operation. "Except for Xin, Fu Shiyi explained.

Fu Shiyi was so engrossed at this moment that he couldn't spare the effort to speak.

After Fu Shiyi peeled off all the skin and muscles, revealing Bai Shengsheng's bones, she took the time to ask Bai Zecheng: "Does Doctor Bai use a saw?" ”

Bai Ze nodded his head.

Fu Shiyi said: "Then next, you saw, I relay, I'm tired of Yueqing." It has to be as soon as possible, okay? ”

Everyone nodded.

As a result, the operating room resounded with the sound of tooth-aching sawing bones.

I have to say that human bones are still quite hard.

So Bai Ze was already sweating profusely when he saw half of it.

Fu Shiyi let him rest, and then he continued to work in the relay - even if she had a lot of strength, she also felt that it was difficult.

And then I started thinking about the modern day again: chainsaws are a good thing.

When Fu Shiyi was also sweating, he finally sawed off the bones.

After the bone was broken, Fu Shiyi asked Bai Ze to transcribe the amputated leg to be removed immediately, so as not to accidentally contaminate the treated section.

"Ready to start stitching." Fu Shi said in a deep voice, and then picked up the needle and threaded it.

The fish intestine is softened, but it is actually a little difficult to control. Fortunately, Fu Shiyi has enough experience, so he is still at ease.

"Generally speaking, this major large blood vessel, let's try to suture it as much as possible." Fu Shi stitched it one by one, and explained: "This is a meticulous job, you must be patient." And it can't be too loose, otherwise it won't heal for a long time. In this way, the blood vessels are sutured and the blood flow here is also guaranteed. ”

"The muscles should also be stitched up and butted neatly—"

"Okay, finally it's the skin."

When you get to this level, the operation is completely coming to an end.

After Fu Shiyi finished stitching, he breathed a long sigh of relief, then gave up his position, and then let Bai Ze transcribe the medicine and bandage.

When the bandaging was completed, the fracture took on a small arc, and although there was a silver round pipe in the middle to divert the flow, it did not look hideous and scary.

Fu Shiyi asked Jie Xin and Bai Ze to transcribe the patient's pulse: "Let's see if there are any other conditions in the body." It is best to prescribe some healing medicine in combination. ”