Chapter 55 Visits

Of course, tendon suturing is not only the above two methods, but also buried suture, double cross suture, fishmouth suture, buttonhole suture, ferrule suture and so on.

Different types of methods are used flexibly for different tendon rupture situations.

For example, the "8" stitch method is suitable for tendons that are flat and wide, with the same thickness at the two broken ends, especially the tendons of the hand.

Like Zhang Liping at this time, the tendon is ruptured outside the tendon sheath, and the thickness of the two broken ends of the tendon is equal, so it is more suitable to use the braiding method for suture anastomosis!

The operation began.

Cheng Kai is an assistant.

Epidural anesthesia, after the anesthesia takes effect, Hou Quanhai first clamps the broken end of the tendon with a hemostat and tightens it. Take a piece of soft stainless steel wire, and wear slender straight round needles at both ends.

Insert the needle across the tendon at the distance from the broken end, withdraw so that the lines on both sides are of equal length, and then insert the needle immediately next to the needle exit point, cross the tendon diagonally and symmetrically at the broken end, and cross the needle 3 times, and finally penetrate it at the proximal side of the hemostat.

Then, use a sharp knife to cut the tendon along the proximal side of the hemostat, flip the hemostat to expose the section, insert the needle in the same method, and lead out symmetrically from both sides of the tendon section, remove the tendon stump, and tighten the sutures.

Then the weaving ...... begins

At this time, tendon wound anastomosis and sutures like this are not the most stable with more sutures, not the more dense the sutures, the better. In fact, the angle of the suture, the tightness of the suture, and the method have a great relationship.

For example, if you don't stitch well enough, not stable enough, not strong enough, and you stitch twice the number of wires, you won't be able to hit the strongest degree.

If the sutures are not rigorous enough, too hard or too loose, it will also lead to the inability of the tendon to recover most of the time when it comes.

Here, it's about how well you've reached that level of stitching.

Now Hou Quanhai's approach is to simplify this weaving method, simplifying it to allow the tendon to recover and gain toughness, but it can be firm.

Here it is about how many weaves, how many weaves, and the best effect of stitching and anastomosis.

Half an hour later, Hou Quanhai's stitching was completed.

This time it took longer, after all, it was a slightly improved version of his tendon weaving method, which used one-third less wire than the original weaving method, and the number of weavings was also one-third less.

In this way, the density of weaving is greatly reduced, and the tendon will be preserved to a certain extent.

Of course, generally speaking, less than one-third of the amount of steel wire and one-third less of the braiding density may lead to unstable and prone to a second fracture in the future.

However, Hou Quanhai used his world-class stitching strength to simplify, and used two-thirds of the original steel wire to achieve the firmness of the original steel wire volume stitching!

That's why he dared to judge and guarantee that he had a 98% success rate!

"Whew...... The sutures are complete, and we are waiting for the recovery after the surgery. Hou Quanhai said lightly.

"Hou Quanhai, your stitching method makes me feel like a simple way." Cheng Kai next to him could also see that Hou Quanhai's weaving method had been deleted and some other new stitching methods had been added.

"Hehe, have you read too many online novels?"

Cheng Kai: ......

I praise you, but you hurt me......

After the operation, the rest of the work was handed over to Cheng Kai, and Hou Quanhai went back to the dormitory to rest.

The next day, Hou Quanhai was on the night shift.

The people on duty in the emergency department tonight are Jiang Yan, Fan Yu, two interns, and him. Of course, there are 2 internists and 2 obstetricians and 2 paediatricians, as well as a number of nurses and interns in these departments, etc.

After all, they belong to general hospitals, and the types of doctors in the emergency department are still very complete.

Several of them belong to general surgeons, and they rely on them to perform emergency surgeries anyway.

In fact, the most challenging thing in the emergency department is the night shift, the night shift is small, and sometimes when there are many patients, it is really busy that you doubt your life!

As soon as seven o'clock in the evening, it began to rain heavily, and it rained heavily until eight o'clock, and then it turned into a drizzle and continued to fall.

"Is it because of the rain, there are a lot fewer people coming to see the doctor tonight than usual." Hou Quanhai rarely stole an idle way.

"Director Jiang, there is a patient's family member calling for help at the Plaza Vantaa, the patient is a 68-year-old man, with a history of coronary heart disease, and is currently depressed, heartache, sweating, and pale!" The nurse at the front desk said to Jiang Yan.

"It should be a myocardial infarction, Hou Quanhai, you go to the doctor!" Jiang Yan said without hesitation.

As the deputy director, she must be in charge of the emergency department, so she can only let the reliable Hou Quanhai go. As for Fan Yu and those two interns, she didn't bother to think about it, they were unreliable!

"Good!" Hou Quanhai secretly scolded in his heart at this moment that he should not be a crow's mouth just now, just said that there is no patient, you see that there is one who will come to the hospital for emergency treatment now.

Also on call was Nurse Bai Ruoxi.

From the patient's family to the ambulance, the car starts and drives out within three minutes.

It's still raining outside!

To be honest, when he came here for further study, Hou Quanhai was on the clinic for the first time, and he was originally in his county hospital, and he didn't go to the clinic very often.

In addition to him and Bai Ruoxi, there were two stretcher masters and drivers in the car.

The driver was a middle-aged bald guy in his 40s, surnamed Jia. Hou Quanhai looked at the top of his bare head, and he didn't need to look at it because he was often on night duty. He thought he wouldn't be like that in the future......

"Brother Jia, how many minutes does it take?" Hou Quanhai asked. The patient is estimated to have a myocardial infarction, and if he goes late, he may have a burp, so time is of the essence!

"No traffic jams, 15 minutes, traffic jams...... It's hard to say. After Jia Ge finished speaking, he stepped on the accelerator again, and boom, boom, the car flew forward.

Seeing this posture, Hou Quanhai didn't need to remind the other party to drive faster, he was an old driver, and he didn't know that time was life?

"Tick, tick......"

The ambulance's whistle sounded loud all the way, running a red light, and quickly overtaking.

Of course, it's all built on the premise of safety!

"Damn! These private cars in front of you don't give way! A sudden brake, Jia Ge scolded. At this point, they stopped in front of the traffic light intersection.

I wanted to turn right, but there were 3 private cars in front of me, and I didn't seem to see the ambulance behind me in a hurry, so I stopped in place and waited for the red light!

Honk the horn, it's useless!

"Do these people have their driver's licenses on their behalf? Don't you know how to give way to an ambulance! Hou Quanhai frowned.

"Hehe, my Lao Jia has been driving an ambulance for twelve years, and I can count the number of times I have encountered courtesy!" Lao Jia shook his head and said helplessly.

Well, the facts are in front of you!