Chapter 220: Don't be afraid
Even if he couldn't bear to hit Xinzi Period, Ji still said it truthfully.
Xin Ziqi was puzzled and asked: "Why?" ”
It was a different material from any kind of suture he had ever seen before, so why couldn't it be used.
It's actually quite simple.
After the absorbable suture is implanted in the human tissue, it can indeed be degraded and absorbed by the human body, so as to avoid the pain of the patient's suture removal.
However, this is not generally used to suture tendons.
Because tendon rupture requires a long healing time, absorbable sutures, especially this kind of gut, have a short absorption time, sometimes only lasting four or five days, and are mostly used for faster healing tissues and suturing infected wounds, etc., far from the time required for tendon healing.
It is important to know that it is dangerous for the sutures to start absorbing before the tendon heals, and if you don't get it right, the sutured tendon will rupture again.
This is not the case with a normal thread because it will not be absorbed until the tendon has healed safely.
Moreover, the thread for sewing the fascia layer does not need to be taken. This has no effect on the human body, only the sutures of the outer skin need to be removed.
"What's more, the injuries of the homeless are much more serious than usual......
After listening to Ji Jian's explanation, Xin Ziqi stared at the wooden box and sighed: "Isn't that useless?" ”
"Not necessarily, aren't we still sure about the left hand and right foot of the homeless man? If it is not completely healed and needs to be strengthened with a needle, you can use this type. ”
Xin Ziqi nodded: "It has to be like this." ”
The finished powder has been ground and filtered through a fine sieve basket, and Ji has checked it to confirm that it is correct, and the next step is to prepare the anesthetic.
Ji is on the side to guide, and Xin Ziqi is responsible for doing it.
Although he had tried it last night, he still didn't understand some of the details, so he asked the season while concocting.
While Ji answered, he secretly glanced at the homeless man.
It's hard to see any expression on his face, and I don't know if he dislikes her and Xin Ziqi in his heart.
It's no wonder that this is about to go into battle, and the two of them are still sharpening their knives, which is too unreliable.
After the anesthetic was prepared, Xin Ziqi found a four-finger-wide band, adjusted the homeless man into a prone position, and firmly tied it to the wooden bed to prevent the homeless man from struggling after the effect of the anesthetic had passed in the second half.
After the bundle was completed, some other preparations were made.
For example, the wound is cleaned with salt water, and the knife is disinfected by burning it with wine and a lamp.
Ji knew that these treatment methods in the Xinzi period were very simple and there were many problems, but at the moment, there was no better way to deal with this condition, so he didn't say anything.
She came to the homeless man with the medicine bowl, dipped the potion with a small brush, and leaned over to apply it to the homeless man's wrist.
In the process of waiting for the anesthetic to take effect, I couldn't help it, but I still asked the doubts in my heart.
"May I ask what stitches you use for the stitches later? Of course, if this involves your family's ancestral teachings or something, it will ......"
Xin Ziqi waved his hand and showed her directly, without even commenting, and he was not afraid that Ji would not understand it at all.
Because he now feels that Ji seems to understand everything.
Ji did understand.
The most basic suture techniques include figure-of-eight suture, double cross suture, braided suture, etc.
The suture technique of the Xinzi period is similar to that of the figure-8 suture.
"What? If there's anything wrong, just say it. ”
Xin Ziqi was very confident in his ancestral set of acupuncture, but seeing Ji's contemplative expression after listening to it, he was a little uncertain.
At the same time, I couldn't help but faintly look forward to maybe, there is a better way for Ji?
"You 8...... In fact, the tendon is not easy to avulsion after suturing, but it is mainly suitable for tendons with little tension after suturing, such as tendons in the hand and Achilles ......tendons in the feet.
After communicating with Ji so many times, Xin Ziqi has already learned that the tendons and Achilles tendons in her mouth are the tendons and tendons.
"Do you have a better way?" Expectation turned into certainty, and Xin Ziqi stared at Ji with burning eyes.
Ji hesitated: "Yes, yes, but I'm afraid it's too late." ”
Even if she teaches Xin Ziqi now, it is still a question whether Xin Ziqi can learn it on the spot. Even if you can learn it, you can get started without training, in case something goes wrong......
I couldn't help but feel a little remorseful in my heart.
Accustomed to a clear division of labor with the chief surgeon, how can I forget that this is not modern, in addition to the anesthesia plan, the specific surgical plan should also be ventilated in advance with the Xinzi period.
"In time, I have a bit of talent in this area, whether it is memorizing prescriptions, distinguishing medicinal materials or learning acupuncture, I can never forget it."
Xin Ziqi's tone was not half boasting, but he was seriously stating a fact.
There is no room for delay.
"Okay, just to be on the safe side, the tendons of the hand still use your original method, and I have a three-bundle suture method specifically for the Achilles tendon......"
The three-bundle suture method is actually to reconstruct the uneven severed Achilles tendon into three heads similar to the broken end of the tendon through the trimming of the severed Achilles tendon, and then through the tendon suture technique, each severed end is sutured.
Some scholars have conducted follow-up studies and found that patients with Achilles tendon rupture treated with three bundles of sutures can recover about 80% of their preoperative exercise levels after surgery.
"This surgical method can provide better mechanical strength, facilitate patients to carry out early functional exercises, and have fewer postoperative complications than traditional suture ......"
Ji found a few strands of cotton thread and explained the basic ideas while demonstrating.
In fact, it is complicated to say, and if you really demonstrate it yourself, you will find that it is not difficult to learn and easy to understand.
Xin Ziqi listened very carefully, and he didn't dare to blink his eyes, for fear of missing any important information.
That's it, one to talk about, one to remember, and when Xinzi is conscious, Ji will leave time for him to practice on his own.
She herself walked to the head of the bed and squatted down, and gently pressed the skin around the homeless man's wound.
"Do you feel it?" Ji tilted his head and stared at the homeless man's eyes, "Don't stop talking." ”
The homeless man obviously paused, then shook his head, "No." ”
Ji Gai pressed it to pinch: "What about this?" ”
The homeless man still shook his head: "No." ”
Ji was satisfied with his cooperation and repeated the action again, no matter how much force was exerted, the homeless man could not feel it.
Obviously, numbness has developed, and there is no feeling locally.
Xin Ziqi asked: "Has the bone continuation tendon scatter played a role?" ”
Ji nodded: "Prepare for surgery, Doctor Xin." ”
"Okay, let's go."
Xin Ziqi has made enough mental preparations, but when he really says this, he still can't be a little nervous.
This is not the first time he has done this kind of surgery, the difference is only that in the past, he had to take the opportunity to act in the wailing of the patient, see the stitches, make a mess, and be shouted tired, the patient is in extreme pain, and often hurts people.
This time it was different, his first knife had already gone down, and the sound of the sharp blade cutting through the flesh was clear in his ears, but the patient did not react at all.
There was no struggle, no screaming pain, everything was calm, only Ji Xu's slow voice.
She's chatting with a homeless man.
"Don't look at him, don't look at his knife, look at my ......"
"I don't let you see the wound, because the more you look at it, the more afraid you become, don't be afraid, just treat it as if it doesn't exist......"
"Chat with me, let's talk about what you did before, okay? Don't want to talk? ”
"Do you have anything you want to eat? I will make it for you in the evening, and for your sake, you will be allowed to order a meal......"
chattering, but not noisy at all, but makes the listener feel a strange peace in their hearts.
In this kind of light talk, the last trace of nervousness and unconfidence in the Xin Zi period was slowly eliminated.
He took a deep breath and concentrated, his needle and thread shuttling between his muscles and muscles, becoming more and more precise and fast.