in the operating room.

Vascular stripping successful...

Tendon dissection successful...

The bones are cleaned up!

At this point, Deng Wenbo was completely speechless.

Because no matter Li Xiyang's methods or speed, Deng Wenbo is ashamed of himself.

None of the tiny nerves and blood vessels could escape his eyes.

Compared with him, his pride was instantly crushed.

"Whew~"

Li Xiyang is not easy either.

Using a microscope in one posture for a long time is a great drain on both physical and mental strength.

"Wipe the sweat!"

Li Xiyang turned his head sideways, and the roving little nurse hurriedly stepped forward to wipe it.

Lu Liang's eyes were full of admiration, "Doctor Li, let's start to graft the bones next!" ”

Li Xiyang nodded.

The bones of the human hand are carpal bones, metacarpal bones and phalanges from proximal to distal, and there are certain rules in the bone arrangement structure of different parts.

Joints can be formed between the different bones of the hand, which in turn form the entire skeleton structure of the hand.

The carpal bones belong to the short bones, with a total of 8 pieces, arranged in two columns, near and distal. The proximal column from radial to ulnar are scaphoid, lunate, triangular and pisiform. Distally listed are the polyangular bones, minor polygonal bones, capitate bones, and hook bones.

There are 5 metacarpal bones, from the radial side to the ulnar side, and the 1st to 5th metacarpal bones are in order. proximal to the base, connecting the carpal bones; distal to the head, connecting the phalanges; The middle part is the body.

The phalanges are long bones, with a total of 14 pieces.

The thumb has 2 segments, which are divided into proximal and distal phalanxes, and the remaining fingers are 3 segments, which are the proximal phalanx, the middle phalanx and the distal phalanx.

vertex

The proximal end of each phalanx is the base, the middle part is the body, and the distal end is the trochlea. The distal phalanx is rough and is called the tuberosity of the distal phalanx.

"That's... Dr. Lee, do you need my help? ”

Hearing Deng Bowen speak, the two little nurses immediately showed a hellish expression.

Aren't these two people still facing each other in the ward in front of them?

Looking at Deputy Director Deng's demeanor at the moment, as well as the tone of his speech, it is clearly flattering with a bit of flattery.

You must know that Deng Wenbo is notoriously proud outside his bones, can he put on such a low posture, is that doctor from Yuncheng really so powerful?

Li Xiyang glanced at Deng Wenbo and shook his head, "Lu Liang can help me, no need!" ”

But

"If you can, please ask Director Deng to help observe the color of the skin at the crush injury site of the patient, as well as the fluctuation of the distal pulse of the limb."

Deng Wenbo thought for a moment and said, "Are you worried about crush syndrome causing acute kidney failure?" ”

Li Xiyang nodded.

Crush syndrome, also known as traumatic rhabdomyolysis, is a reperfusion lesion.

It refers to the clinical syndrome characterized by systemic microcirculation disorders, decreased glomerular filtration rate, renal tubular obstruction, degeneration, necrosis, myoglobinuria and acute renal failure after the decompression of the compressed parts.

"If the patient has a sudden acute renal failure during the operation, it is necessary to trouble Director Deng to immediately perform local incision and decompression for the patient, and at the same time bedside hemofiltration."

Deng Wenbo nodded, "Okay, leave this to me!" ”

Maybe Deng Wenbo would not have thought that he would have a day to help the two young people.

No one cared what he thought, the bone surgery had already begun.

"Lu Liang prepares!"

"Yes!"

Straight cuts...

Longitudinal incision at the junction of volar and dorsal skin of the 1st metacarpal bone...

Originating from 1 cm distal to the radius and extending 4-5 cm distally...

The dorsal branch of the radial nerve is protected from the formation of neuromas...

Blunt isolation of subcutaneous tissue, protection of the dorsal branch of the radial nerve and abductor pollicis longus...

Peel off the volar muscles...

Incision of the joint capsule...

This was Lu Liang's first shot, but it really gave Li Xiyang a surprise.

The other party's methods are extremely skillful, even better than Li Hua.

Li Xiyang couldn't help but nod with satisfaction, no wonder Director Liu Qi would send him.

Deng Wenbo on the side was also surprised, although Lu Liang's techniques were not as amazing as Li Xiyang.

But this basic skill is quite solid!

To have such surgical skills at this age is to look at the imperial capital, which is also a talent!

Obediently, what the hell is this Yuncheng, you are really willing to send talents out?!

Seeing that Lu Liang was fully capable of helping the role, Li Xiyang didn't accept it.

"Begin traction of the broken bone and perform fracture reduction."

Hand 2 K-wires with a diameter of 1.5mm...

The needle is inserted percutaneously from the distal end of the metacarpal bone, at an angle of about 40° to the long axis of the metacarpal bone...

Through the fracture line, into the proximal fold bone marrow cavity or cortex...

Bend the tail of the needle and bury it under the skin...

Dressing compression bandaging...

Deng Wenbo's eyes were straight.

This... Is this closed manual reduction combined with K-wire pry reduction and fixation?!

This kind of technique is obviously what he is best at, and even proud of, but in the hands of that kid, he has directly raised a realm.

This is the realm that Deng Wenbo has been dreaming of for many years!

Oh, my God

What a talent!

How can you have such a good craft?!

At this moment, Deng Wenbo was really shocked and jealous.

Lu Liang is not easy, he has always known how good Li Xiyang is, but when he really got started, he deeply realized how big the gap between the two was.

At first, he could barely cooperate, but in the back, he couldn't keep up directly.

It has completely become Li Xiyang operating alone.

The phalanx is reset, so delicate work, but there is no sense of stagnation in Li Xiyang's hands at all.

Every time he placed a K-wire, it was all done at once.

What's even more terrifying is that the accuracy is not bad at all, and there is no need for secondary adjustment.

It is important to know that drilling and K-wires are easy to displace or fall off during fixation, so fracture reduction often takes a lot of time and effort from the surgeon.

But Li Xiyang can do it so quickly and accurately.

The two of them are not at the same level at all!

"Alright, the fracture was reduced successfully!"

Li Xiyang put down the tweezers and shook his stiff neck.

To the uninitiated, it may seem like nothing, but in fact, keeping your head down for a long time is a great burden on your body.

At the same time, high-intensity mental concentration is also a huge drain on energy.

This is why there are often doctors who collapse after surgery.

But Li Xiyang didn't have time to rest,

The situation of the severed hand will only deteriorate step by step with the passage of time, and every second must be counted.

Fracture reduction is complete, followed by suturing of the tendon.

There are many tendons in the human hand, also called tendons, that work together to control the movement of each joint.

After the tendon is broken, the corresponding finger can not move or only move a little.

For example, the tendon of the bent finger is ruptured, which is manifested as the inability to bend the finger or only a little bending, and the movement of each tendon and each joint.

If the tendon of the finger is broken, the corresponding finger cannot be extended, and sometimes the tendon is not completely broken, although it can still move, but the force is reduced and painful.

To ensure the recovery of hand function after surgery, tendon suture is crucial.

"Straight pin!"

"3-0 nylon line."

Li Xiyang raised his head, and Lu Liang hurriedly handed it over.

Stitching begins!

The needle is inserted at a distance of 1.5 cm from the severed end, and the tendon is crossed...

Thread the two straight needles diagonally at 1mm upwards at 6mm...

Remove the tendon end with a blade at 5mm on the needle...

Tighten the front line pierced by the broken end of the tendon...

Then put the straight needle 1mm horizontally on the thread...

Tighten the knot!

Deng Wenbo stood on the side, stretching his neck to stare at Li Xiyang's stitching technique.

Needle insertion...

Out of the needle...

Every time Li Xiyang stitches, Deng Wenbo's eyebrows will jump unconsciously.

Where is this stitching, it is clearly performance art!

Such a smooth and gorgeous suture, Deng Wenbo has only seen the surgeries of the elders of the Third Hospital.

Wrong

If you talk about the suture technique alone, Deng Wenbo even thinks that Li Xiyang is more ornamental than those people.

As soon as this thought appeared, Deng Wenbo's heart beat violently.

You must know that those elders are the top existences in the domestic medical field, and the young man in front of him has been able to reach that point.

No, no,

It's just a suture and that's it!

This kid must have a unique talent for stitching!

Deng Wenbo's crazy psychological hints kept him calm as much as possible.

But the fiery eyes still completely exposed his uncalm heart.

Lu Liang sighed in his heart, this is probably Li Xiyang's charm.

As long as he stands on the operating table, no one can stop his light.

suddenly

The sensor door of the operating room slowly opened.

A deep voice sounded in front of the door, "Suspend the operation immediately and leave it to us to take over!" ”