Yang Ping ate a piece of chocolate, quickly compressed the biscuits, and rushed to the operating room.

Director Han, Song Zimo, Director Tian, Zhang Lin, and Fang Yan have all arrived, and there are many young doctors and interns who rushed to see this baby with a severed finger replantation, after all, this is a rare and difficult operation, and sometimes you may encounter such a case in your lifetime.

The itinerant nurse is scolding the unruly interns: "So many people? Who is the teacher? Stand far away and pay attention to the concept of sterility! ”

Fortunately, the operating room of the orthopedic department is relatively spacious, and it is not very crowded when it is crowded.

"Divided into two groups, Tian Yuan Dai Fang Yan and Chen Xiaobo performed debridement and search for vascular nerve tendons on the free severed fingers; Song Zimo led Yang Ping and Zhang Lin to debride the proximal wound and search for vascular nerve tendons; Then Song Zimo and Yang Ping were in charge, and the rest were in reserve. "Director Han is well organized.

"Which nurse is on stage today?"

"Su Yixuan!"

"The orthopedic surgeon nurse?"

"Yes, Director."

The itinerant nurse replied that Su Yixuan had already gone to wash her hands.

The anesthesiologist is Liang Jing, this is a real big man, or a fat man, but he accidentally took a woman's name. The anesthesia was successfully induced, he gently pried open the baby's small mouth, and then carefully inserted the endotracheal tube, the guidewire was withdrawn, and the stethoscope was placed on the chest to confirm that it had entered the trachea. Then connect the anesthesia machine.

"Well, the anesthesia is successful, and you can wash your hands." Liang Jing sat on the side of the child's head, recording while staring at the monitoring data on the display.

"It's too difficult to take this today, it's so small, even if the microscope magnifications are fifty times, it's not easy to get, and if you shake your hand slightly, the blood vessels will break."

"Yes, I heard that the most difficult thing to do for finger replantation is a baby's, and the blood vessels are estimated to be like hair."

"It's Director Han who did it, Director Han used to be in the Sixth Hospital of the Demon Capital, which is the birthplace of amputated limb replantation in the country, and the world's first amputated limb replantation was in that hospital."

"Really, no wonder, Director Han is so powerful."

"No, Senior Brother Song did it."

"Senior Brother Song, wow!"

"He's very powerful, I heard that he's a genius, don't you see Director Han always taking him?"

"He is tall and handsome, highly educated, and so good, I heard that many girls like him."

Some female interns began to gossip secretly.

"Definitely, I heard that the family is very rich."

"No, all the good things are taken by him."

As soon as the gossip box opened, it was endless.

"Quiet, watch quiet! Finger replantation requires a high degree of concentration. Turn on the video system next door, and go to the next door when the stage opens--" The head nurse inspected the operating room and came in to take a look.

This operating room is the main operating room, there are supporting rooms next to each other, one side is the storage room, the other side is the classroom, and half of the partition wall from the classroom is a transparent glass wall, there is a high-definition screen on the wall, connected to the microscope or the high-definition camera on the shadowless lamp. When needed, the video of the operation can be played in real time.

Su Yixuan had already washed her hands, raised her hands in front of her chest, picked up a sterile gown, stood on the open side, faced the sterile table, shook her hands slightly, and her hands went deep into the inner cuffs. The itinerant nurse immediately stood behind her and helped her pull her clothes on and tie the straps behind her back.

Then put on your gloves and start counting the instruments, partitioning them.

Two operating tables.

On this side, Song Zimo and Yang Ping flushed the wound.

On the other side, Tian Yuan and Fang Yan were also washing off their broken fingers, cautiously, for fear that they would not find it.

After rinsing, everyone went to wash their hands and get dressed.

Generally, the first assistant disinfects the shop, but Song Zimo asked Yang Ping to wear clothes and disinfect the shopkeeper himself.

The microscope is pushed and set aside.

Debridement begins on both sides to remove foreign bodies, necrotic tissue, and viable tissue from the wound, and then trim the edges of the skin.

The young doctors and interns who were observing were all driven next door.

Five fingers, starting from the thumb, Fang Yan sent the thumb that had been debrided and rinsed, and Song Zimo used an electric drill to drill the steel needle into the phalange, and first connected the bone, so that the general scaffold was established.

The next step is to find the blood vessels, nerves, tendons, and suture them together. To put it simply, it's just such a step. Blood vessels are the most difficult to find and the most difficult to suture; Nerves secondary; Tendons are easy to find and easy to suture, and any orthopedic resident can be very proficient in suturing.

The microscope is pushed to the surgical area, fixed, and the focus, interpupillary distance, and magnification are adjusted, this blood vessel is too thin and is magnified fifty times.

Song Zimo used microscopic tweezers in his left hand and microscissors in his right hand, and began to debride and find blood vessels under the microscope.

This guy is proud of having capital, Yang Ping has to admit it.

"The blood vessels are too thin, so you have to hold your hands steady and calm your breath." Director Han encouraged Song Zimo.

Song Zimo didn't speak, quietly manipulating the microscopic instruments, looking for blood vessels, nerves and tendons under the microscope.

In addition to the big screen on the wall next door, there is also a screen in the operating room, which is not as big as the next door. Director Han sat in front of the screen, staring at the screen.

The blood vessels of the thumb are successfully found, and then the nerves and tendons are found, and then the severed ends of the blood vessels are debrided and trimmed, so that the severed ends of the blood vessels become clean and standard, and the lumen can not have any impurities, let alone damage.

Rinse with saline.

Line!

The thinnest double-needle non-damaging vascular suture is only a few tenths of a child's hair.

Cut it from the middle, half of it was handed to Song Zimo, and half was kept by Su Yixuan.

Song Zimo began to suture the arterial blood vessels.

However, the baby's blood vessels were smaller than expected, with a diameter of much less than 0.1 mm and a visual estimate of about 0.05 mm.

Song Zimo took a deep breath, calmed down, and tried to keep his hand slow and steady, at this time, he was challenging the pinnacle of microsurgery.

The first shot begins.

"Slow down, don't rush." Director Han said to Song Zimo.

Now I want to be fast, but I can't get up fast. The blood vessels are not only small, but also the walls are relatively thin, not at all like the walls of arteries.

Song Zimo's first injection was very slow, much slower than the usual training speed, and the tweezers carried the outer membrane of the blood vessel wall, which was very easy to tear, which was a great test of his skills.

The needle gently pierces the wall of the tube, the position is just right, and then through the wall of the other end, gently pulling, tying the knot, and the first needle is perfectly sutured.

Director Han bowed slightly, Song Zimo's talent is indeed very high, he has grown very fast recently, and he has probed down 0.05 mm of vascular sutures, and he is already so proficient.

Yang Ping was about to cut the thread, but Song Zimo refused, and he picked up the microscopic trimming and trimming the thread himself.

The second needle, the third needle,--- until the sixth needle, his rhythm is very smooth, the edge of the needle distance is very beautiful, and the first blood vessel is smoothly engaged.

If it weren't for the need for silence in the operating room, the onlookers next door would probably have applauded.