Department of Trauma and Orthopedic Surgery, Tokyo University Hospital.

It is the leading trauma and orthopedic surgery department in Dongzhou, with more than 30 doctors, many of whom are also masters and doctoral supervisors of the School of Medicine.

Amputations are a common occurrence in the operating room here, most of the time in the emergency and sometimes in the form of lesions.

Chief physician Chen Yunping is preparing to go on stage a right upper limb amputation, this operation is not special, the patient is 36 years old, male, the affected limb caused a large area of severe burns due to an accident in the workshop work, transferred here before the treatment in the town hospital, because the wound inflammation can not be effectively controlled, there is no condition for skin transplantation, there is tissue necrosis, suppuration, poor blood flow, debridement is not applicable, now the situation can only amputate.

This is not the first time Chen Yunping has faced such a case, right forearm amputation, which is difficult to operate, but it is grasped and generally will not be accidental.

However, at the preoperative meeting, their surgical team was suddenly told that the Medical Department of the Tianji Bureau had sent someone to observe the operation, and Gu Jun took the lead.

Now in Dongzhou University and the Affiliated Hospital of Dongda University, Gu Jun is a celebrity and the pride of Dongda.

If it weren't for the confidentiality of this news, the little nurses in the department would have known about it, and they might have taken out the signature pen excitedly.

Whether it was Chen Yunping, anesthesiologist Ji Quan, and others such as the first assistant and the second assistant, they didn't understand the purpose of the Tianji personnel's trip.

The person from the medical department said solemnly: "It's not because of this operation, it's because people need to observe a right limb amputation." didn't tell us the reason, the matter of the Tianji Bureau, I can't manage it. You just need to do your own surgery as usual, and you must also be prepared in your heart, what abnormal situations may occur, anyway, if you feel anything strange, just say it, if something really happens, the heavenly machine personnel will take over. ”

Gu Jun brought a team of more than a dozen medical staff, all of whom are said to be on the operating table at any time.

There was also a group of heavily armed personnel, but they were not wearing white coats, and they were supposed to be members of other departments.

It was in this preoperative meeting that Chen Yunping and Gu Jun and others met and communicated about the patient's situation and surgical plan.

"Director Chen, we're bothering." Gu Jun is very modest, there is no heavenly hero, although Chen Yunping is not a professor, he is also a doctoral student from the School of Medicine of Dongda University, he is Gu Jun's predecessor, and now he does feel the respect from the other party.

"No, we understand, the affairs of your Heavenly Machine Bureau are important." Chen Yunping replied, I really think so, and I didn't ask too much according to the rules.

Gu Jun nodded, "Something happened, but the environment here is still safe, Director Chen, you can do it with confidence." ”

Currently, there are 5 patients with anodysalia who are admitted to the emergency and orthopedic outpatient departments of the Tokyo University Hospital.

However, Chen Yunping did not know, and even the doctor on duty who knew about it was also told that he should be a BIID patient.

The number of patients with anodystrophy is still increasing, and the base of the Ministry of Medicine has carried out artificial coma on many patients such as Zhou Yibao, and the patient's vital signs in the coma are stable, which can be regarded as relieving pain for the time being. But their right hand is still moving, struggling, and deteriorating.

Now, the burn amputee patient is already waiting in the operating room, and without further ado, the group immediately went to the locker room outside the operating room to change into airtight protective clothing brought by the Tianji team to prevent possible accidents. This will naturally have a little impact on the flexibility of the body, but Chen Yunping took the job with confidence.

Gu Jun hadn't walked into the orthopedic operating room for a while, the light of the shadowless lamp, the operating bed, the anesthesia machine, and the monitor......

The patient who has been anesthetized is lying on his back on a black-brown operating table, and the nurse places the torso edge of his affected side as close to the edge of the operating table as possible, abducting the diseased limb and laying it flat on another small operating table, with an inflatable tourniquet on his upper arm, and his vital signs are stable.

Gu Jun saw that the affected limb with extensive burns, only a small part of the upper arm was still intact, in addition, from the upper arm to the elbow, the entire forearm, wrist and palm were all black and red, swollen and swollen, and there was pus everywhere on the wound......

Even if you are used to seeing filthy things, even if you have just dissected the leg of lamb that is a hundred times weirder,

He still had a palpitation that he hadn't had for a long time, just because there was a human face, a sleepy face, on this body with limbs attached.

An ordinary middle-aged man who has never met him.

But that sense of hallucination came again, the hallucinatory feeling that I had from the time I dissected the black goat cubs......

Bang, bang.

He seemed to hear the sound of something hitting the ground.

"Director Chen, let's get started." Gu Jun looked at Chen Yunping and said again, "Don't worry about us." ”

He, Uncle Dan, Zhang Huogang and a few others all walked aside.

And Chen Yunping walked to the small operating table with the affected limb, to say that suddenly there was a Tianji team watching from the side, and the pressure did not increase, it was fake, they calmed down, concentrated their attention, picked up the instruments, and showed their ability and experience.

This is a forearm amputation, the osteotomy plane is set in the middle of the upper arm, this position is ideal, the flap blood supply is good, and the postoperative prosthesis is also more suitable.

The first step in surgery is to make an incision.

At present, Chen Yunping designed the front and rear flaps in the predetermined osteotomy plane according to the predetermined preoperative plan, and then used a scalpel to cut the skin, subcutaneous tissue and deep fascia along the incision line, and then free to the proximal end to the top of the osteotomy plane. At the same time, the first assistant, the second assistant, the instrument nurse and others are all busy.

Gu Jun stood not far away and watched, not only not hindering them from carrying out the operation, but also seeing the situation in the operation area clearly.

Although the arm that had been purulently infected had been debrided, pus was still gushing with pus, mixed with blood.

Under the leadership of Chen Yunping, the surgical team cut the blood vessels to the affected limb and then separated and separated the radial nerve, median nerve and ulnar nerve......

The operating room was quiet, and everyone was focused on the operation.

But the popping and popping sound that Gu Jun heard became heavier and heavier, as if it had fallen on his heart, hitting it again and again.

There was a sudden flicker in front of his eyes, and something flashed in front of him......

This is exactly the purpose of his coming here to observe the operation, and it seems that it can also trigger the illusion......

In the blurry and shattered scene, there is a figure of a child patting the ball...... Bang, bang, it's the sound of the ball hitting the ground...... No, it wasn't the kid, it was another kid next to him, standing not far from the basketball hoop, looking.

The child, without hands, was empty under the shoulders of the short-sleeved T-shirt.

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