The tendon and mouth do not fit the operation, the trouble is that each broken end must be tightly aligned, and no gap can be left to avoid poor healing, so as to prolong the healing time.

However, it should not be too tight, because if the suture is too tight, the tendon will be wrinkled and affect its sliding.

It is the tendons of the hand that are anesthetized first, so it is also the tendons of the hand that are sutured first.

It is the ancestral suture technique of the Xinzi period, and it goes without saying that it is skillful.

Ji can do a limited amount, chatting to distract the attention of the homeless, always observing the operation situation, by the way, helping to hand over cotton cloth to stop bleeding or something.

The tendon of the right hand was in serious condition, but fortunately, the wound was not infected, and Ji was given anti-inflammatory treatment in advance.

The ruptured tendon was slightly retracted, and it was stretched under the action of anesthetic, and the face of the homeless man was as usual, and the Xinzi period became more and more bold.

The handling of the hands is not too difficult, but the level of fineness is very high, and the Xin Zi period, which is immersed in the operation, is fully concentrated, and even the breathing is cautious.

It took nearly an hour to stitch this place before it was the turn of the left hand.

Regarding the left hand, even if both of them had judged in advance, the naked eye could not detect the inside after all, so they had to cut the wound open again.

The situation inside made both Ji and Xin Ziqi breathe a sigh of relief.

The tendon in this hand is really only a superficial cut, and it has healed on its own, and only the trauma needs to be sutured.

After the hands are handled, it is naturally the turn of the Achilles tendon position.

The Achilles tendon is the most powerful and thick tendon in the lower leg of the human body.

The upper end is connected to the muscles of the calf area, and the lower end ends between the calcaneal joints, which plays a key role in the leg activities such as jumping, walking, and running, and the importance is self-evident.

Of course, it is also much more troublesome to deal with than ordinary tendons.

Ji pinched the time and applied a good anesthetic to the homeless man's ankle in advance, which happened to be seamless.

It's not that she doesn't want Xin Ziqi to rest, but the effect of the medicine on the homeless man's wrist has passed most of it, if she doesn't hurry up, wait for him to really hurt......

Moreover, the Achilles tendon takes relatively more time, and the effect of the anesthetic will not last at all, and by then, it is almost certain that there will be severe pain.

All they can do at the moment is to do their best, and every second is a second.

Ji first gave a local anesthesia to his right ankle, because this is the same situation as his left hand, and it won't take too much time to deal with it.

However, because he had used this foot to walk several times, the wound did not heal well.

Out of foolproof considerations, the Xin Zi period was simply reinforced.

With Ji's consent, dissolvable sutures were used for all external wound sutures here and for all wounds except tendons.

At the end of the day, he still wanted to try the stitches.

Not surprisingly, shortly after the stitching of the right foot began, the anesthesia on the wrist of the homeless man passed.

It was Ji who found out from the homeless man's increasingly tense body reaction, and he didn't even say a word.

Xin Ziqi was immersed in the operation, Ji didn't dare to distract him, approached the homeless man, and asked in a low voice, "Is it starting to hurt?" ”

The homeless man raised his eyebrows and did not answer, nor did he nod or shake his head.

Ji didn't force him to respond this time.

The anesthetic wears off, the wound pain returns, that kind of taste...... She's been through it too.

On the one hand, he thinks that the homeless man is ruthless enough, and no one will laugh at him when he screams pain.

On the other hand, I admire the perseverance of this kind of person in my heart.

She continued to ramble, trying to distract the homeless man's mind, but paying extra attention to the bandaged wrists to prevent him from clenching or wrestling.

At the same time, looking at the needle thread during the Xinzi period, it is another mood Every time the needle is entered, out and lifted, it is like being carried out on one's own body, the skin is tight, the flesh is painful, and the whole body is numb......

Xin Ziqi finally pulled a knot neatly, and Ji hurriedly handed over the scissors.

He took it, cut the thread neatly, and used the muslin cloth handed by Ji to wipe the blood oozing out of the stitches.

It was also at this time that he noticed the abnormality of the homeless man.

"Passed the anesthetic?"

"Hmm."

"So what's next?" After all, the most difficult left foot has not yet begun.

Ji hesitated.

Reason told her that it was impossible to delay any longer, but she really couldn't imagine whether the homeless man could bear the current situation and the situation he would face next.

"You...... Can it still hold on? She asked the homeless.

The homeless man who had been staring at the ground slowly raised his head: "Yes." ”

His black Khotanese eyes were fixed on Ji's face, and his gaze was sharp and compelling.

Ji Xinkou was suffocated.

It's just a simple look, why does it give people a deep sense of oppression out of thin air.

She thought it was a delusion, and by the time she was about to check it again, the homeless man had already withdrawn his gaze.

On the other hand, Xin Ziqi was already urging her.

The anesthetic in the left foot has begun to work, because it uses the three-bundle suture method that Ji said, Xin Ziqi is not very confident in his heart, and he needs Ji to keep an eye on it.

Ji tied a rudimentary version of a tourniquet to the homeless man's thigh, and Xin Ziqi went through the previous process again.

Holding a scalpel, take the posteromedial longitudinal incision, make a full-thickness incision to the paratendon tissue, carefully separate the surrounding tissue, expose the severed Achilles tendon, debridement, irrigation, and remove the severed hematoma.

After a series of operations, half of the anesthetic time has passed, and the effect of the right foot has long passed.

In other words, at this time, except for the left foot, which is undergoing surgery, three of the homeless man's limbs are suffering from severe pain.

Ji has to take care of Xinzi's side, and he can't be distracted to see the homeless again.

Or rather, she was subconsciously looking over there.

She didn't dare, she was afraid that what she would see was the face of a homeless man with cracked eyes and pain.

The best way to do this is to let your whole energy focus on the present.

The situation of the Achilles tendon in the left foot is indeed more serious than expected, not only retraction, but also other concurrent problems.

The pungent phase is obviously much trickier to deal with.

Ji repeatedly reminded him not to damage the blood supply to the front of the Achilles tendon.

Xin Ziqi didn't quite understand what she was talking about, and he knew that it was not the time to ask, so he did as he was told.

The Achilles tendon distortion tissue was arranged into three bundles, two proximal and one distal, and then the three bundles of Achilles tendon were sutured separately using the Bunnell suture technique taught by Ji.

After completing the above steps, two more proximal and distal bundles were sutured and repaired according to the end-to-end suture method.

The difficulty of this step is that the proper tension of the broken end should be maintained during repair, and the Achilles tendon should not be excessively shortened, otherwise it will affect the action after rehabilitation.

Halfway through the stitching, the anesthetic effect on this foot has passed.

The homeless's back is like a taut string, and the thin shoulder blades are towering and piercing.

He was trembling all over, trembling uncontrollably.

Ji went around to the head of the bed and squatted down to look at him, only to see that his eyes were bloodshot, and he was almost about to lose his eyes, green tendons bulged out on his temples, and his clenched teeth made a creaking sound.

The pain in the other three places is the postoperative pain, which is far less than the pain in the left foot.

The anesthetic had worked, but the operation on the foot was still ongoing.

He...... How much it hurts.

Again...... Can you really make it to the end?