In the operating room, in the office.

Slides were playing on the white curtain, and Chen Qi, as the "spokesperson" of the Viet Chung People's Hospital, was giving a detailed introduction to the operation to these reporters.

Sitting below sat a group of reporters who had changed into surgical gowns, wearing surgical caps and masks, and were fully armed.

Today, more than a dozen reporters were very excited, because this was the first time in their careers that the hospital took the initiative to observe the whole operation, and even allowed them to record and take pictures of the whole process.

Viet Chung Hospital has now created a record in the country, becoming the most inclusive, most cooperative, and most like news media among all hospitals in the country.

Of course, there is also the highest in the country, that is, the amount of red envelopes given by the Vietnamese Central Hospital is the highest among all hospitals in the country.

Therefore, although the reporters did not fully understand the professional medical terms, they grasped the key points from Dean Chen's words:

"Dean Chen, do you mean that Fu Zhenzhen's operation is the first free flap transplantation in China, and it is also the first time that microsurgery in China participates in skin flap transplantation?"

Chen Qi smiled unashamedly:

"In fact, the real situation is like this, there have been doctors in China who have tried free flap transplantation before, but they have all failed without exception, and as long as our Vietnamese and Chinese hospitals succeed in transplantation, it will be the first time in China, right?"

The reporters understood in seconds, and it turned out that Dean Chen was playing word games.

But the clever thing about this game is that someone else has already had a similar operation, but if the surgery fails, it won't be widely publicized and won't be reported in the media.

The Vietnamese Central Hospital was successful at that time, and it is said that it is the first case in the country, and it is not impossible to be the first in the country.

Anyway, the red envelopes are in place, and these reporters naturally know how to write and how to help the Vietnamese Traditional Chinese Medicine Hospital brag, which is the result of a good relationship with the media.

Chen Qi introduced for a long time, and then invited:

"Okay, journalists, the operation is about to begin, in order to facilitate your interviews and get first-hand news materials, so now you can freely take photos or videos, of course, for the sake of patient privacy and sterility requirements, it is through a large glass."

Viet Chung Hospital's ambition is to be a global teaching hospital, so in addition to the fact that each operating room is equipped with closed-circuit television that can be broadcast live at any time, each operating room has a wall made entirely of glass.

And raise the seat so that the person watching the operating room can be condescending and watch the whole operation without obstruction.

At this time, in the hand room, the doctors are already busy preparing for the operation, and the nurses are placing a large handful of surgical instruments on the sterile tray.

The towel laying work has also been completed, and Fu Zhenzhen is covered except for exposing her lower limbs, especially her face, and she is not afraid to take pictures.

Where have reporters seen this posture, one by one excitedly raising the camera or camera, and the film keeps patting as if they don't want money.

Chen Qi continued to brag on the side:

"Look, the bracket hanging on the wall of the operating room is called the operating arm, and the machine below is the electron microscope, which can be operated by two doctors at the same time, which is the most advanced machine in the country, and other hospitals do not have it.

And if you look at the side, the white machine is the ventilator, and next to the anesthesiologist is the ECG monitor, anesthesia monitor, and hemodynamic monitor, all of which are imported.

As long as our anesthesiologists stare at these monitors throughout the whole process, they can understand the patient's vital signs in time and adjust the drug dose at any time, which is absolutely advanced. Unlike other hospitals, anesthesiologists measure blood pressure for a while and body temperature for a while, which is very primitive and delays, isn't it?

And you see, the surgical instruments that our nurses are placing are customized from Bennipro Pharmaceutical Company, and this set costs 50,000 US dollars, and the use effect is definitely comparable to ordinary goods, of course, these are all given to us by foreign businessmen, and we didn't spend money. ”

With Chen Qi's introduction, the reporters really know the hardware strength of the Vietnamese Hospital.

It can be said that in terms of these operating rooms, even Concord and Ruijin in China are far from comparable, and they have created the world's best.

In the operating room, Zhu Huoyan became the chief surgeon, Luo Yuyang, the director of the burn surgery department, was the first assistant, and Zhang Xing, the deputy director, was the second assistant.

I saw Director Zhu and several assistants first measured the area of the wound on the lower limbs, and then drew an irregular circle on the outside of the right thigh of the little patient with purple potion according to the measurement data.

The shape of the loop is the same as that of the wound that needs to be grafted, so that the subsequent graft can be tightly fitted.

Director Zhu then took the scalpel and began to cut along the line, then picked up the corner of the skin, and then took the scalpel to cut horizontally.

Don't look at it simply, this is a very technical test, because when you cut, what epidermis and dermis are fine, and the subcutaneous tissues such as the fat layer, blood vessels, and muscles are all adhered together.

It's like pork belly, layer by layer.

Anyone can cut the meat vertically, but now it is cut horizontally, and the skin flap transplantation only needs to reach the fat layer, and the muscle layer below is not touched, so you need to be very careful when cutting and sharing.

If you are not careful, you go down with a knife, maybe the blood vessel will be broken, and then it will be over, and this selected flap will not be able to be used, because there is no way to anastomosis the blood vessels.

Or if you go down with a knife and cut off any nerve or muscle, it's another medical malpractice.

Another biggest difficulty is how to find the right arteries and veins.

Such a large flap with an area of 34 cm x 18 cm will have countless blood vessels and nerves connected, just like the wires on the street poles in India, a mess of them.

The anatomical diagram we see, the arteries are red packets, and the veins are blue, which is clear at a glance.

But during the actual operation, all you see is a patch of red, and a pile of blood comes out from time to time, and it is very difficult for you to find the arteries and veins you need.

Director Zhu shared the flap while his eyes were fixed on the front.

Zhang Xing held a small vascular B-ultrasound machine, and has been probing the direction of blood flow, guiding the direction of surgery, and preventing the blood vessel from being cut by mistake.

Chen Qi showed off again outside the operating room:

"Look, everyone, our doctor keeps using a small probe to scratch around on the skin, this is vascular color ultrasound, you can check the direction and location of blood flow, there are few of these things in China."

It attracted bursts of exclamations from reporters.

However, it was not enough to have machine guidance, Director Zhu had to stop and first look for the lateral circumflex femoral artery, and then find its descending branch along this artery.

Zhang Xing double-checked it with a vascular ultrasound instrument again and confirmed that there was no problem, so Director Zhu separated the flap again.

At this point, although Chen Qi did not do it himself, and his face was also calm, he was still very nervous in his heart, in case the first skin flap failed, it would be a shame in front of the national media.

Let him play, Chen Qi has absolute confidence to succeed.

But now he wants to push Zhu Huoyan to the top position, show his face in front of the media and the people of the whole country, and let the burn surgery have a new academic leader, then Director Zhu must be the chief surgeon of this operation.

Even if it is from the perspective of repaying gratitude, Chen Qi wants to make Zhu Huoyan a generation of famous doctors.

Lao Guo is not good, the old man is 60 years old, and the golden age of a surgeon has passed, so he can only engage in administration and help Chen Qi in managing the hospital.

Fortunately, Director Zhu's clinical level is still very high and absolutely reliable, and after 2 hours, a whole flap was successfully removed.

Oh no, I can't say it's completely removed, because the blood vessels are connected at this time.

It's like if you take down the electronic painting on the wall, and there are two wires connected to it.

At this point, the chief surgeon began to change.

Director Zhu and the others stepped back, changed positions, and continued to look for the anterior tibial artery that needed to be anastomosed on the side of the patient's lower leg.

Yan Shifan and Bian Meng were treated for vascular separation and anastomosis.

I saw that the two of them pulled the electron microscope fixed on the rocker arm over, and the two looked at the microscope lens together and began to separate the arteries and veins.

The separation process is also very careful, because this surgery is an "immediate flap graft", which is taken here and connected there.

Then the vascular fracture should be very careful, there can be no little damage or even roughness, there can be no inversion of the vascular intima, or anastomotic leakage and so on.

Anastomotic leakage is prone to local edema, platelet aggregation is easy to cause embolism, and then the embolus runs throughout the body and is easy to cause myocardial infarction or cerebral infarction, which is very dangerous.

In addition, it is necessary to pay attention to the pedicle not to be too short, after too short, the blood vessels are easy to spasm, causing blood clots, the skin flap will still be necrosis, and the operation will fail.

(Several free flap surgeries in China have failed because the microsurgical technology is not up to standard)

Suturing or anastomosis on blood vessels is definitely much more difficult than carving words on rice grains.

When the blood vessels were finally successfully separated, the reporters all heard Dean Chen next to him breathe a sigh of relief, the reporters are all human spirits, and they know that this Dean Chen is not as calm as he seems.

But a few female reporters covered their mouths and felt a little like vomiting.

Because this is not only an open surgery, but also a teaching operation, the doctor needs to turn the cut flap back to the camera and the medical staff watching the operation.

So when the bloody piece of flesh and the bloody wound on the patient's thigh after the flap was cut out, the female reporters felt sick and scared.

After the blood vessel is separated, the flap completely loses contact with the human body, and the blood circulation is cut off.

Now it is necessary to anastomosis the blood vessels immediately and re-establish circulation, and after a long time, the flap (this piece of meat) will be useless.

I saw that the doctors at the Viet Chung Hospital were well-trained, Yan Shifan and Bian Meng remained still, and the operating table was immediately adjusted, moving from the thigh side to the calf side that needed skin grafting.

Director Zhu pointed to a few small sections of blood vessels and said:

"This is the anterior tibial artery, and the accompanying vein."

Yan Shifan looked at the microscope to confirm, "Okay, Director Zhu, leave it to us." ”

If he changes to another doctor, Yan Shifan will definitely have to inspect it by himself, for fear that if there is a mistake, it will be a big trouble to connect the wrong blood vessel.

But Director Zhu here, Yan Shifan did not hesitate at all, and directly competed for points and began to do vascular anastomosis.

In the auditorium of the Viethorne-Chung Hospital, the operation was also broadcast live on a large screen.

Because of Fu Zhenzhen's tragic experience, there are many medical personnel who come to the auditorium.

Some of us came purely to watch how the first microsurgical flap transplantation in China was done, and some of them sincerely came to cheer for Fu Zhenzhen.

This is the third time that the doctors from Yangshan Hospital have come here, and they are sitting in the front row, staring at the big screen with their eyes.

From the ventilator at the beginning, to the unknown treatment method to rule out arsenic poisoning, and then to the current microsurgery downstream detachment flap transplantation, all of these piles really happened in front of the doctors in Yangshan Hospital.

If others don't feel it deeply, but the doctors at Yangshan Hospital were the first to treat Fu Zhenzhen, how could they not know the difficulty of treating this little patient.

As a result, all the problems seemed to be difficult to solve in front of the Viethorne Central Hospital.

This gave the doctors of Yangshan Hospital a feeling that the gap between the two hospitals was no longer between tertiary hospitals and secondary hospitals.

The feeling for Yangshan Hospital is that they are comparing themselves with a top foreign hospital, and then they are beaten to the ground.

Professor Wang Qizheng from the Second Hospital of Shanghai Medical College is also sighing silently.

In just over a month, the Viet-Chinese Hospital first proposed that burn patients could use hibernation therapy for painful shock, and then proposed a new rehydration program in Vietnam-Central formula, and then pioneered a "stinky tofu skin grafting".

At present, it is the first batch of microsurgery in China to anastomosis blood vessels, so as to complete the transplantation of free skin flaps.

If the final operation is successful, then the Vietnamese Central Hospital can treat more than 60% of large-scale burns and large-scale deep blast injuries with the above two new procedures, a rehydration formula and a hibernation therapy.

At such a level, not to mention the top in the country, it can actually be said to be world-class.

Professor Wang Qizheng has a sense of powerlessness that the back waves of the Yangtze River push the front waves, and the front waves crash to death on the beach.

Seven hours later, when Zhu Huoyan sutured the left flap and placed a drainage strip, he straightened up, carefully re-examined the patient's lower limbs, and then threw away the needle forceps in his hand.

"Now I announce that the first free flap transplantation in China has been completed."

There was a burst of applause inside and outside the operating room.

The next day, the second page of major newspapers published the news of Fu Zhenzhen's successful operation, and two photos were also placed, one was the two lower limbs injured before the operation, and the other was the two lower limbs after skin flap transplantation.

Let the people see the tragic experience of the little girl more intuitively, and at the same time, indirectly advocate for the Vietnamese Hospital for a long time.

There are even some newspapers that put photos of the operating room of the Vietnamese Central Hospital, and list the most advanced equipment and instruments in the country one by one, which is completely in the advertorial mode.

This has greatly raised the face of Viet Cong Hospital in front of the people of the whole country, and has begun to establish its reputation as a first-class hospital in the country.

At the same time, requests for surgical videos also flew to the Viet Cong Hospital like rain......

(End of chapter)