"The ring finger itself has little impact on the function of the hand, and as Deputy Director Chen said, the replanting of the last finger is of little significance."

"Then why not graft your ring finger to your thumb!"

Li Xiyang said to himself, and everyone present opened their mouths in surprise.

Grafting the ring finger to the thumb??

Deng Wenbo swallowed his saliva and said, "Doctor Li, are you talking about displacement and replantation?" ”

Li Xiyang nodded, "Not bad!" ”

Although displacement and replantation are not common in China, they are not new abroad.

Li Xiyang once read a report about a Seattle farmer who accidentally cut off his thumb while using a lawnmower.

To make matters worse, the thumb is severely contaminated and the tissue is completely necrotic.

Losing the thumb, almost 80 percent of the hand function is lost, and a lot of work cannot be done.

In the end, Dr. De Roche helped him complete the operation of amputating his ring finger and grafting it to his thumb.

The operation was a success, and the farmer was able to resume some basic manual work again.

Chen Kai snorted coldly, "That's abroad, do you know how many cases of displacement and replantation there are in China, and how much success there is?" ”

If memory serves, in the last 30 years, there have only been 200 cases.

And less than 25% of them succeed!

Boy, you're really here with your mouth open! ”

Li Xiyang asked rhetorically, "Since there is a success rate, it means that you also know that patients have a chance to succeed in replanting, don't you?" ”

Chen Kai was stunned for a moment, and then snorted coldly, "You don't have to play tricks with me here, once this kind of operation fails, the finger will have to be removed twice, which is a very big blow to the patient's heart and body."

Even the top orthopedic experts in China dare not say that they must be sure, but also depend on the condition of the wound and the activity of the blood vessels and nerves.

At present, this patient, the friction surface of the wound is very serious,

Not to mention whether it can be done, even if it can be done, who will do it?

Will he Deng Wenbo do it, or Director Geng will do it?

Does Renhe have such a person? ”

Chen Kai looked at Li Xiyang like an idiot, and there are probably no more than ten people in the country who can do displacement and replanting.

You are so young, you really don't know how thick the sky is.

Li Xiyang didn't pay attention to Chen Kai anymore, but looked at Deng Wenbo, "Deputy Director Deng, there are indeed many uncertain factors in displacement and replantation, but I always believe that patients have the right to know, and whether to do it or not should be decided by the patient, not by a doctor." ”

Deng Wenbo nodded, "What Dr. Li said is right, this matter must be explained clearly to the patient." ”

"Originally, I convened this meeting to hope that everyone would work together to think about whether there was a better plan, but some people came uninvited and made claims!"

Deng Wenbo glanced at Chen Kai and snorted coldly.

Chen Kai frowned, "Deng Wenbo, you have something to say, why beat around the bush, besides, you have to explain the situation and the patient clearly, I don't object."

But if the patient agrees, who will do the surgery?

You? ”

Chen Kai looked sarcastic.

Deng Wenbo was silent, he really couldn't do it if he shifted and replanted.

"I'll do it!"

At this time, a voice sounded, and everyone saw that it was the kid again.

Several young doctors on the other side laughed even more, "Are you here to be funny?" ”

There are so many orthopedic surgeons here, what are you coaxing a little emergency doctor all the time!

Deng Wenbo's eyes lit up after hearing Li Xiyang's words, "Doctor Li, are you really sure?" ”

Li Xiyang nodded, "I don't dare to say 100 percent, but you can try!" ”

"Boy, human life is at stake, this is no joke!"

Chen Kai warned loudly.

Who would have thought that Deng Wenbo would directly agree, "Okay, this operation will be handed over to Dr. Li, and I will be your assistant!" ”

Everyone was dumbfounded.

Really let that kid do it, and Deputy Director Deng actually wants to be an assistant?!

……

In the hospital room.

Li Xiyang informed the patient of the case and the surgical plan.

The patient did not hesitate at all, and nodded again and again, "Doctor, I am willing to take risks, please heal my hand!" ”

"The whole family is counting on my hands to eat, and I can't break it!"

didn't even wait for Li Xiyang to finish speaking, he hurriedly signed the surgical consent form.

seems to be afraid that Li Xiyang will regret it at any time.

At this time, Deng Wenbo on the side spoke, "Patient, I can understand your feelings, but I still have to make it clear to you that this operation is risky, and it is not..."

Before he finished speaking, he saw the patient shake his head and said, "Director Deng, I understand what you mean, don't say that there is only 25% hope, even one percent I want to give it a try." ”

How much pressure he was carrying, only he knew that this hand could not be lost no matter what!

Deng Wenbo and the others glanced at each other, and they all sighed.

"Alright, let's get ready for surgery!"

……

in the operating room.

Instruments: bowls, debridement kits, microsurgical instruments, orthopedic instruments, sterile boxes, sterilization cups, debridement needles, electric drills,

Fabrics: abdominal bags, large orders, clothes, disposable surgical gowns,

Others: electric knife head, sterile bandage, several pairs of sterile gloves, appropriate amount of mousse thread, nylon monofilament thread, silk braided thread, electric knife cleaning tablet, tourniquet, sterile heparin saline, 10ml, 5ml syringe, sharp blade, diluted iodine, microscope.

The patient is supine, and the epidural space is anesthetized with continuous high high dural space block!

Li Xiyang stared at the assistants and nurses preparing the instruments in every detail, for fear of missing any of them.

In fact, this time the system did not open the exchange mall.

The reason why he agreed to take this operation is entirely because he has operated hundreds of amputated limb replantation surgeries, and he is confident that even without the help of the system, he can be sure that he can complete the replantation with a certain certainty.

】

Anesthesia complete!

As the anesthesiologist stepped off the operating table, the operation began.

At this moment, the induction door of the operating room opened, and Chen Kai walked in.

Deng Wenbo frowned slightly, but didn't say anything.

Li Xiyang glanced at it slightly, and his attention was all on the patient again.

Most of the patient's index finger, middle finger, and ring finger have been severed, and only a few skin and flesh adhesions remain, and a complete fracture operation is the first to be performed.

Taking over the scalpel, Li Xiyang carefully observed the situation of the three severed fingers, starting from the index finger, and cut off all three fingers from the best position.

Debridement then begins.

First of all, decontamination treatment,

Hand sterile soap, soft brush, and normal saline three times repeatedly.

Then pass the saline and rinse repeatedly,

Pass the gauze to dry.

Passing iodine tincture and ethanol for finger skin disinfection;

Pass the iodophor solution and dip the finger section in a small bowl.

After the debridement was completed, Li Xiyang began to search for and mark the digital artery, digital nerve and vein in the section.

Placing the Microscope...

Hand microscissors, microforceps...

Hand ophthalmology small round needle, 3-0# silk thread...

Hand the needle forceps, look for the digital artery, vein, nerve and flexor tendon at the proximal end of the finger, and mark it with 3-0# silk thread...

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