The flexor tendons of the hand are the key to the fingers to complete the flexion and extension action!

From the anterior third of the human body, five flexor tendons are divided, which extend to the front of the five fingers.

The thickness of each flexor tendon is about the same as that of an iron skewer, but the elasticity and strength are excellent.

The success of the surgery depends on whether the surgeon can ensure the strength and elasticity of each tendon.

High strength avoids secondary rupture of the tendon, and high elasticity represents the restoration of hand function.

One is indispensable,

This is also the difficulty of hand tendon suturing!

Peng Tao knew this deeply, but there was no hand surgery at all in the Third Hospital, and he was the only one who could do this kind of surgery.

With his skills, he can ensure that the patient recovers to 50% after surgery.

Basically, moderate flexion and extension can be completed, as well as light object extraction.

In fact, this is already a very high level!

Hearing that Li Xiyang wanted to do this surgery, Peng Tao hesitated for a moment and asked, "Doctor Li, how much can you guarantee that the patient's hand function will be restored?" ”

Li Xiyang stared at the patient's wound and thought very calmly.

After a while, he said, "The tendons are fresh, the incisions are flat, and it shouldn't be difficult to completely restore the function of the hand!" ”

Hiss~

Peng Tao gasped.

Full restoration?

You mean 100%?

Li Xiyang frowned, "Theoretically, any surgery has a 100% chance of success, but there are often inevitable deviations in actual operations. ”

Peng Tao nodded again and again, "Doctor Li is right, since you are so sure, then this operation will trouble you!" ”

The anesthetic king on the side is always skeptical,

Surgery is not as good as book knowledge, it is the accumulated experience of one operation after another.

He has been an anesthesiologist for 20 years, followed nearly 10,000 surgeries, and always believes that old doctors are treasures, and no matter how talented young doctors are, they are all fancy without going through the baptism of one operation after another.

Li Xiyang didn't care what he thought, staring at the patient's wound with his own care, and several plans were already circling in his mind.

After weighing the pros and cons several times, Li Xiyang finally determined the one that was the most certain.

Immediately to the anesthesia old Wang said, "Obturator plexus block anesthesia." A barometric tourniquet on the upper arm. ”

Lao Wang glanced at Peng Tao, and when he saw the latter nodding, he did so.

Soon, the anesthesia was complete!

The next moment, Li Xiyang took the scalpel, and the temperament of the whole person changed instantly.

"Make an L-shaped incision on the ulnar side of the carpal palm."

Ulnar or radial carpi flexor tendons and palmaris longus tendons were separated......

They are cut off at the finger and free proximal to the musculoventral area......

An arc incision is then made on the dorsal side of the wrist......

Extensor carpi radialis longus tendon, extensor carpi radialis brevis tendon, extensor pollicis longus tendon, extensor digitorum major key are exposed......

The pronator teres tendon is sutured with the extensor carpi radialis longus and brevis tendon through a subcutaneous tunnel......

Director Peng, adjust the tension to the level of the forearm......

It is advisable to extend the wrist joint dorsally at 15 to 20 degrees......

Now split the flexor carpi radialis tendon into two strands......

One strand passes through all the tendons of the extensor digitorum majoris tendon, and the distal end of the flexor carpi ulnaris tendon and the proximal extensor tendon of the major digitorum tendon are tightened with vascular forceps, and the tendons are sutured one by one......

In the same way, the second tendon is passed through the extensor digitorum key in reverse and the tendons are sutured one by one......

The needle flickered,

Suture Walk......

When Li Xiyang lifted the needle forceps, he completely showed the level of suture at the level of traditional Chinese medicine.

Peng Tao stood aside, and his whole face showed an expression that was almost infatuated.

stared closely at Li Xiyang's every action, and his heart was indescribably addicted and enjoyable.

The anesthetized old Wang was shocked.

Hell, such a speed of stitching!

For a while, the operating room was absolutely quiet,

Occasionally, there is a slight sound of an instrument scratching through the tissue.

……

Live room.

At first, the sailors were still immersed in the perfect incision selection of the anchor, as well as the gorgeous tendon free operation.

sighed one after another, the basic skills of the big guy are too strong.

In today's healthcare environment, too many young doctors are focused on more complex surgeries, often ignoring the importance of basic skills.

Every frame of the surgeon in front of him is a textbook-level demonstration.

"The anchor must be an old professor, otherwise it would be impossible to have such profound basic skills!"

"I'm guessing fifty years old!"

"I guess fifty-one!"

"Fifty-three!"

"Sixty!"

The sailors began to make fun of the anchor's age, which scared a group of little sisters and quickly closed the barrage.

I am afraid that the image of the white-clothed male god in my mind will be disillusioned.

"Daba, Daba!"

"The anchor must be a handsome guy like Taku-kun!"

"Nishihachi!!"

"Don't spoil my Oba's image!"

A group of people started to talk about it, but some people also noticed that something was wrong.

"Look, the streamer is starting to stitch up!"

"Oh Mo? That doesn't seem to be a figure 8 stitch legal! ”

"It's not Bunnell sewing legal!"

"Could it be the Kessler Improvement Method of the Beautiful Country?"

In the eyes of water friends, the anchor's sewing method is very rare, and there are even some strange ones!

"No, that's not the Kessler Method, it's the Knitting and Sewing Method!"

The person who said this was an Australian doctor with the online name Wilfried.

He seemed to understand the technique and began to explain it to the crowd. "The concept of weaving sewing was first proposed in the book "Glossary of Microsurgery"."

"During the operation, make a small incision parallel to the direction of the tendon fiber with a blade, thread the tendon at the other end from the incision fissure and suture it, and then make a second small incision parallel to the tendon fiber direction at 90 degrees at a slight distance from the tendon, and insert the broken end of the tendon into the incision fissure again and embed and suture;

This is a tendon repair method in which the other end of the tendon is sutured in the same way, so that the two tendons run through each other and interweave the sutures.

In Australian medical circles, braided sutures are known as the strongest tendon sutures. ”

"Oh, so it's braided and sewn!"

"So the anchor is Australian?"

Wilfred rolled his eyes and said angrily, "Is that the point?" ”

"I will say that this kind of weaving and sewing method was all the rage, but in the next two years it was discovered that it was seriously malfunctioning!"

"What's the downside?"

The sailors were curious.

So the man explained, "In the reconstruction of the extensor function, there are four tendons driven by one power tendon.

Therefore, it is particularly important to adjust the tendon tension and the balance of the tendon tension.

This is also the difficulty of clinical operation! ”

Everyone deducted 6 one after another and expressed their approval.

The man was very proud and continued, "Theoretically, the tendon tension is not easy to be too tight or too loose in order to achieve the desired effect.

However, after the tendon is displaced, the muscle strength will be partially lost, and the displaced tendon and muscle will be affected by traction and gravity for a long time after surgery, and the sliding curve will gradually straighten, which will reduce the tension of the displaced tendon.

Therefore, the tension of the clinically displaced tendon should be appropriately larger.

It can be braided and sutured, and once the tendon tension is found to be too high or too low, the sutures need to be removed and readjusted.

When the balance of tendon tension is inconsistent, adjustment is more complex and time-consuming. ”

Everyone was stunned!

"So, the anchor made a mistake?"

"Hmph, this kind of suture method has been proven to be unsuitable for tendon suturing a few years ago, and this anchor is simply messing around."

"This kind of person is not worthy of being a doctor at all, and he should be disqualified from practicing the profession!"

Wilfred is very angry, as if he has a deep hatred with the anchor.

At this moment, a line of big golden and red words floated out on the barrage: "Come on, that's not legal to weave and sew at all!" ”