With an exclamation, the barrage immediately recovered.

"Emergency reengineering! This is also an emergency thumb reconstruction! Someone screamed in the orthopedic conference room of the Sixth Courtyard of the Demon City.

The live broadcast, which was supposed to be closed, was left behind.

"Teacher, isn't it time to eat?" The students came over and whispered in their ears.

Oh yes, it's already past the time for lunch, and I watched this live broadcast all morning and forgot to eat.

Hong Zhigang raised his hand to look at his watch, it was already past two o'clock.

"Didn't you order a boxed lunch?" Hong Zhigang remembered.

What does the student mean - is it possible to hand out lunch boxes now?

Hong Zhigang nodded: "Let's send it, watch it while eating, everyone's interest is quite high." ”

Hong Zhigang's interest was also very high.

Several graduate students carried several baskets of boxed lunches and handed them out one by one. Set meal, three dishes and one soup, beef, fried egg, tofu skin, seasonal vegetables, and a pork rib soup, a bottle of mineral water, and a paper towel.

Someone had a boxed lunch in front of him and didn't open it; Someone stared at the screen, and the chopsticks were mechanically sent into the mouth, and I don't know if they were sent in. Anyway, after eating this meal, I don't know what it tastes like.

"What do you think?" Hong Zhigang turned his head.

Wen Rentao didn't answer, but just asked, "Is this Uncle Han's masterpiece?" ”

I immediately realized that I had said the wrong thing, but it was irreparable. Han Jiangong is a taboo for Hong Zhigang to chat. His students, no one dared to say this name to his face.

But Hong Zhigang was not angry, sighed and said, "Who else will there be besides him?" ”

"Teacher, you have won the Golden Knife Award!"

Hong Zhigang stopped talking.

---

"I've ordered takeout, and I'm going to die today."

"This madman is overconfident."

"It's amazing, but it's a little inflated."

"I hope that the organizers will pay attention to the survival and function of the amputated limb in the future."

"Can it be defined as showmanship?"

"The Devil's Six is bubbling."

"Of course, we will pay attention to it later."

---

"Xiao Yang, can you still support it? Otherwise, I'll wash my hands and go on stage, and you can take a break. "Lao Han is distressed, but it has come to this point, which is very critical.

Even if this five-stage amputated limb replantation dies and fails later, it will not give people a handle.

However, in this case, emergency toe transplantation thumb reconstruction will cause you to drown in the saliva of your peers if it fails. Even the top hospitals in the industry would not dare to make this choice.

So everyone thinks that this is a naked challenge, a show-off, a kind of blind self-confidence, the expansion of ignorance, and the madness of recklessness.

"It's okay, it's okay, let's rest after you're done, it's not bad for half an hour." Yang Ping understated.

Old Han glanced at him, boy, domineering.

Song Zimo was opposite him and whispered: "That's enough, take it when you see it, let's end it like this, it's completely in line with medical principles, in case--"

Although he really wanted to challenge Yang Ping to reconstruct his emergency thumb, in case, if something went wrong, all his efforts would be in vain, and he would be reproached by his peers.

"What about you? Pastoral, give an opinion? Lao Han urged, this is a simple discussion on a small scale.

Tian Yuan also kept looking at the screen and said: "It's not suitable, it can be rebuilt in two phases." But as soon as I heard what you said, I thought, if it were me, I would take the risk and continue. ”

Lao Han tapped his fingers again, and after a moment, he got up: "Tianyuan, take Fang Yan, prepare for disinfection, take the second toe of the left foot." ”

Because there was no plan for an emergency thumb reconstruction, the left foot was not sterilized and was covered by a sterile sheet.

Tian Yuan and Fang Yan began to take off their surgical gowns, wash their hands again, and disinfect their left feet. The preparations were quickly completed.

"Opened?" Tian Yuan asked.

"Open!" Old Han is categorical.

The knife in Tian Yuan's hand was straightened, and a beautiful V-shaped shape was drawn near the metatarsophalangeal joint of the second toe of the left foot, dorsal side, and plantar side, and then skillfully began to dissect.

The dorsal digital vein, which is connected to the second toe, is gradually dissected proximally, and the dorsalis pedis vein arch and the great saphenous vein are dissected to the anterior and inferior part of the medial malleolus, and the ligation branch is cut off and truncated.

The dorsalis pedis artery, completely free to the plantar perforator, continues to the first dorsal metatarsalis artery, extends the separation along the first dorsal metatarsalis artery to the webbed bifurcation, cuts the useless branch for ligation, approximately equal to the level of the vein to amputate the dorsalis pedis artery.

Then dissect the nerve of the second toe and cut it at the desired length.

Choose a sufficient length to cut the toe length and extensor toe brevis tendon, and the flexor toe longus tendon.

Finally, the rustling of the chainsaw sound, amputated the bone.

The second toe is cut off, and the reason why the second toe is chosen is because it is close to the size of the thumb of the hand.

Fang Yan began to trim the skin and suture the skin. Tian Yuan sent his toes, and Song Zimo took it. In fact, after the second toe is amputated, there is less impact on the appearance. Four toes, five toes, sometimes clumsy, can't see for a while, let alone wearing shoes, it's not a problem.

Here, the snuff socket, the depression where the thumb meets the wrist joint. Toe reconstruction thumb, generally choose to connect blood vessels here,

Yang Ping had already opened the snuff nest, and the broken palm of his hand just avoided here, and the blood vessels were very good.

However, even if it is good, the blood vessels of this thumb will have to pass through three fractures.

If you simply do a toe reconstruction thumb, it is not difficult for a hand surgeon, this is the signature surgery of a hand surgeon, and every hand surgeon must master the operation in order to be independent.

However, in today's situation, the five sections are separated, and emergency reinvention is required.

Similarly, for a motorcycle stuntman, it is not difficult to do a somersault, but to do it on a tightrope, it is quite difficult.

Hong Zhigang stared at the screen, vaguely, he felt, is this a challenge to himself by his junior brother? If the perinal suture just now can be achieved with hand speed, it will not affect the operation time.

The current emergency reengineering is no longer a technical problem. It is completely possible not to do so, and the second phase of reconstruction, there will be no objections.

Emergency reengineering, once it fails, this already peak operation will be branded as stupid, and the voice of criticism will be overwhelming, which will cause huge damage to a doctor's reputation.

The reconstructed thumb feeding blood vessels have to flow through three fractures, and even if one stitch is not sutured properly, it may lead to failure.

The audience, the focus is no longer on technology, but on whether he dares to do it? Where does courage come from.

----

"Or did you do it?"

"Well, it's done!"

"If it's successful, it's going to be in the textbook."

"I don't know what to say."

"I support surgeons, surgeons should be bold and careful, constantly challenge the difficulty, if all people follow the same trend and stick to the rules, how can surgery progress, salute!"

"Salute!"

"The most wonderful academic conference I have ever attended, I will remember it for a lifetime."

---

There was no suspense in the course of the operation, and the battle was resolved within half an hour.

"Vital signs?"

"Normal."

"Normal urine output."

"Counting gauze and instruments"

"Rinse, drain, suture!"

Double-click electrocoagulation under the microscope to stop the bleeding for one last pass, insert a drain, and suture the skin. The gauze is loosely spread on it, and the sterile bandage is loosely fixed.

The prepared upper limb brace is handed over and the affected limb is carefully secured in the brace.

Five fingers of blood vessels, very good!

"It's over!"

"Start anesthesia and wake up!"

"Restore spontaneous breathing and successfully extubate!"

"Send trauma ICU for monitoring!"

The whole operation took 8 hours and 11 minutes.

--

"Finished?"

"It's over!"

"Will there be such a live broadcast at the next conference?"

"Salute! Hand of God! ”

"Hospital, hospital name?"

"Holy! Why is Coke still here? What did Lao Tzu drink just now--"

The last barrage!

---

The video was turned off.