Chapter 0016 - Perfect

The two arteries and four veins have been anastomosed in one go, without a single superfluous repetitive movement, and there is no delay in the connection of each movement.

Next finger!

Well! Song Zimo's arrogance is not much left.

The sterile refrigerated Xiaoice box was opened, and Song Zimo personally went to take his finger, reached in, took out the severed finger of the middle finger, and seriously put it on the operating table.

"Vital signs?" Yang Ping asked.

"Smooth! Rest assured, you continue. Liang Jing responded confidently, and he was proud to be able to participate in such a challenging surgery.

This kind of tension is not like those rescues, which open and close, noisy and noisy. This tension is restrained, quiet, and uneventful.

It's like a person stepping on a tightrope without any protection, and the tightrope spans the canyon between the cliffs, once you fall down, you will be crushed.

"Would you like to take a break?" Director Han asked with concern.

"No!"

Lao Han looked at the time on the wall panel, and just now the six blood vessels were anastomosed, about twenty minutes, that is, each blood vessel averaged more than three minutes.

Next is the nerve, the anastomosis of the nerve is much easier than the blood vessels, the nerve is not a cavity structure, it is a parenchymal structure, and there is no need to consider patency. Moreover, the finger nerves are all sensory nerves, and the fault tolerance rate is relatively high, and there is no situation where sensory nerves and motor nerves are misaligned with each other.

Tian Yuan, Song Zimo, and other doctors all temporarily took their eyes off the screen to get a short rest and prepare for the next vascular anastomosis.

The most exciting and exciting part of the whole operation is the vascular anastomosis, and they have to put their limited eye power into the essence part. The nerves are tense and they get tired easily.

The two nerves are anastomosed and the flexor and extensor tendons are anastomosed, which is much easier and can be done without a microscope.

Finally, the skin is sutured to completely close the wound and declare the successful replantation of the index finger.

From the beginning of the vascular anastomosis to the completion of the skin sutures, it only took about 30 minutes, and this speed makes people not have a little temper.

After the index finger anastomosis, the rubber strip tourniquet at the base of the finger was released, and the pale finger tip slowly became ruddy, and there was no blood leakage from the vascular anastomosis.

The next one is the middle finger, or Song Zimo took the broken finger over. If Song Zimo still had the last trace of arrogance last time, it is now gone.

He placed his severed finger on the operating table and silently returned to his seat.

Repeat the previous maneuver to fix the fracture-anastomosis vessel-anastomosis nerve-anastomosis tendon, and finally suture the wound.

"Take a break, won't you?" Director Han proposed again.

"Thank you, Director, I'm okay." Yang Ping said.

I'm starting to anastomoses again!

The nerves that everyone relaxed just now immediately tensed again, and some of them may not have rested enough, and they were a little hasty and tense, which was very uncomfortable. Everyone looked at the screen again, not daring to look away for a second.

The surgical action maintains the previous stability and speed, and the middle finger is completed, followed by the ring finger.

Old Han's back sank, his whole body relaxed, and after the ring finger was completed, there was still a finger. Even if it fails, it is the little finger, and the opponent's function does not have too much of an impact.

Now Song Zimo is completely convinced, medicine, especially clinical medicine and surgery, are all real things, and they can't brag if they want to, everything is here, you can see and touch it.

Finally, the little finger.

"Pinky!"

Song Zimo put his little finger on the operating table, and he was happy to do it now.

Yang Ping moved his neck and released the instrument in his hand to adjust his posture slightly and get a moment of relaxation.

"This severed finger is a bit of a problem, and the blood vessels are a little sticky with the surroundings." Yang Ping whispered.

"Premature babies have underdeveloped blood vessels, and the surrounding tissues are not well developed, causing scar-like adhesions!" Lao Han watched the video and reminded Yang Ping.

"Hmm." Yang Ping agreed.

Yang Ping tried to find the blood vessels, separated the hard adhesion tissue little by little, the broken end of the blood vessel was exposed a little, the tweezers clamped the adventitia, and the scissors carefully separated, the adhesion was too tight, not easy to separate, and it was easy to cause the blood vessel wall to rupture.

Yang Ping's scissors stopped.

"There's no hurry, I've already picked up four, the function is completely fine, it's already very successful." Director Han said.

"I'll try again." Yang Ping had no intention of giving up.

He's not a perfectionist, but he's not someone who gives up easily. He likes challenges, when he was in college, he liked to run, from 1,500 meters, to 3,000 meters, to 5,000 meters, to 10 kilometers, and finally to more than 40 kilometers of the whole marathon, he likes the feeling of constant challenges, he always thinks that if you work hard enough, you can reach your goals.

The scissors begin to separate again, slowing down significantly, little by little, each time detached, stopping. The blood vessels carried by the tweezers, the silk lines do not move, and the scissors follow the blood vessel wall, carefully opening and closing.

"You've ever severed your finger?"

Song Zimo asked softly.

"Hmm."

Yang Ping just snorted.

Song Zimo didn't like this kid's temper.

It may be that I have found the feeling of separating this tissue, and the strength of the instrument in my hand is better controlled, and the speed of the scissors is slowly increasing.

The first blood vessel is freed from the adhesions and a sufficient length is obtained. Then start the second blood vessel, a total of at least four blood vessels, two arteries, two veins, so that the blood flow is guaranteed.

Veins are more difficult to separate than arteries because veins are thinner than the walls of arteries. But the surgeon apparently learned quickly from the previous separation. The scissors can precisely cut between the blood vessel wall and the adhesion tissue each time.

Four blood vessels, two arteries, two veins, and the proximal and distal ends were all intact and separated.

This blood vessel, which is separated from the adhesions, has a more fragile wall. And it's the little finger again, and the blood vessels are smaller. It is several times more difficult to suture than the previous blood vessels.

"This one is so difficult to sew that it feels like if you are not careful, it will be broken."

In the next room, someone spoke.

Everyone followed the sound to find the person who spoke, glared angrily, the person who spoke immediately stopped speaking, and everyone watched the video intently.

Su Yixuan is a professional instrument nurse in orthopedics, and her understanding of surgery is much deeper than that of ordinary nurses.

There is nothing to do on the stage for the time being, and she also looks at the screen sideways, with such superb technology, no wonder everyone doesn't speak, so quiet that only the sound of the anesthesia machine is left.

From Su Yixuan's position, you can see Yang Ping's side face, and even Yang Ping's eyes facing the eyepiece.

That pair of eyes deeply touched Su Yixuan, perseverance, confidence, and focus.

I couldn't help but feel a little hot on my face, what's wrong with myself? Su Yixuan immediately shifted her gaze.

Began to anastomoses the blood vessels, suturing the blood vessels of this finger, relatively slow, the surgeon was looking for a feeling, the second one was obviously much faster, and the third one, gradually getting better, he completely found the technique of suturing this special blood vessel.

Yang Ping's stitching is still so natural, and the quality is not compromised at all.

After the last stitch of the anastomosis was completed, Yang Ping put down the needle holder and needle and thread, Su Yixuan caught it steadily, and then carefully put the small needle back on the needle board.

"I'm going to suture the nerves and tendons?" Song Zimo proposed.

Director Han denied: "No, let him finish it all the time." ”

Not for anything else, but to make this operation end perfectly, anyone who replaces Yang Ping at this time, even if it is a stitch, will be considered a defect.

Yang Ping continued, suturing down in one breath, nerves, tendons, and skin.

Loosen the rubber tourniquet, and after a few seconds, the distal end of the little finger turns red.

Dressings, casts, and perfect curtain calls.