50. No. 1 operating room

A few days ago, I discussed the new operating room with Director Wang Mian, but I didn't expect to have the opportunity to try my hand today, and I don't know if the conditions of the new operating room are really that good, but the operating room in 2009 is just like that...... Chu Liang was a little conflicted, full of expectations, but also afraid that his expectations would be disappointed in the end.

The small operating room equipped in the emergency ward is indeed limited, and Chu Liang did all the small surgeries in it before, and the requirements for instruments and environment are very low, so he didn't feel too restricted.

But now that the development of the emergency ward is gradually on the right track, the minor operation of tendon suturing is obviously no longer able to meet Chu Liang, and the disadvantages of the small operating room are gradually emerging.

"The emergency department has now become an outpost of the MDT treatment team, just like today's animal bite and severed finger child, the doctor on duty used to be the first to find an orthopedic surgeon to consult, but this time he thought of us at the first time."

Chu Liang is well aware that this is a signal that the MDT team will face more and more challenges in the future, and it will become more and more complex.

The small operating room is destined to be eliminated, and the MDT treatment group of the new operating room is imperative!

In the interval of waiting, Li Mingwei also appeared in the rescue room, and saw that Chu Liang, the old salted fish who was despised by himself in the past, has become the first choice for help in the emergency department when encountering problems, I have to say that Li Mingwei was in a very complicated mood at this time and had mixed feelings.

If Chu Liang was not allowed to leave at the beginning, but chose to reuse Chu Liang, would the focus of the whole hospital's attention now be the emergency department?

It's a pity that there is no regret medicine in the world, Li Mingwei can only lament in his heart: "I'm really confused......"

"The animal bites and severes the finger, and the patient is still a six-year-old child?"

After Li Mingwei learned about the specific situation, his eyes widened and he looked a little shocked.

Especially after learning that Chu Liang was going to go to the new operating room for finger amputation and replantation surgery, he secretly smacked his tongue, and looked at Chu Liang's eyes uncertainly, which was very complicated.

I can't hide the eyes of a person who wants to stab, Li Mingwei, I really don't want to play you, I can only say that I have no fate, and you kicked me out of the organization as soon as I went online...... Chu Liang silently looked away and refused to look at Li Mingwei.

"The new operating room should be full now, it has been in use for almost two months, and the major surgeons have all swept up the operating room, today is the busiest Monday, and the surgeries that have saved up for a weekend are scheduled today, and it is estimated that it is a bit troublesome to free up an operating room." Director Li Mingwei said.

Everyone's eyes couldn't help but look at the severed finger lying on the green healing towel.

Time waits for no one!

The key to ex vivo replantation of severed fingers is time, the earlier the success rate of surgical replantation, once the thermal ischemia time is too long, even if the operation is successful, the postoperative success rate will be greatly reduced.

Even for patients with severed fingers who have been suffering from heat ischemia for more than six hours, doctors can only do nothing and sigh.

However, Director Wang Mian did not disappoint Chu Liang, and just ten minutes later, a call came from the new operating room: "Doctor Chu Liang, the operating room has been arranged, and the patient can come up now." ”

"So fast?"

Chu Liang was a little surprised, and hurriedly asked, "What is the operating room?" ”

The other side replied: "Operating room No. 1." ”

"Understood, the patient will be here soon!"

At the same time as the operating room was finalized, the system in Chu Liang's mind also reacted:

[Quest Release: Replanting of Children's Severed Fingers]

[Introduction: Replantation of children's distal fingers, blood vessels and nerves are extremely delicate, and the requirements for the eyes and hands of the surgeon are extremely high, please complete the operation, and the replantation is successful]

After Li Mingwei heard the No. 1 operating room on the side, a thoughtful look suddenly appeared on his face, and this expression just fell in Chu Liang's eyes, making him can't help but muttered in his heart:

"What the hell is this expression, it looks like it wants to see a good show, is there anything to say in the No. 1 operating room?"

The fact that the busiest new operating room on Monday happened to have an extra operating room was indeed a bit of a coincidence, and it felt a little unusual.

However, at this time, it is obviously not the time to slow down your thoughts and ponder micro-expressions, the replantation of severed limbs is about racing against time, although he vaguely knows that there should be some problems in the No. 1 operating room, but Chu Liang is still willing to believe Director Wang Mian.

The wheels are rolling.

The patient was quickly taken to Operating Room 1.

Chu Liang and Zhang Hu also changed their hand clothes and entered the operating room.

Everything went smoothly and was not hindered in any way.

'Bang'

The shadowless light is on.

The blazing light was aimed at the young palm.

The severed finger is placed not far away, echoing the palm of the hand, but it is close to the end of the world, and there is a strange sense of separation.

"Tsk, this operation is a bit difficult, the child's fingers are too thin, and they are also distal knuckles, and the blood vessels are almost as thin as sutures, Lao Chu is honest, how sure are you?" Zhang Hu felt that he had no bottom in his heart when he came to the stage, and turned his head and asked Chu Liang.

"Ten percent." Chu Liang said lightly.

"Good fellow, braggart and don't make drafts?" How could Zhang Hu believe that it is extremely difficult to replant children's severed fingers, who dares to say that there is 100% certainty that the replantation will be successful, and bragging is not like this!

Chu Liang glanced at him and said very calmly: "I'm about to go on stage, even if I don't have ten percent confidence, I have to self-hypnosis. ”

Zhang Hu was stunned and nodded matter-of-factly: "What you said makes sense, I really don't panic when you say this." ”

Sui Wanjun heard Chu Liang's words on the side, her eyes suddenly lit up, and her eyes instantly increased with a little more admiration when she looked at Chu Liang.

The preparations were quickly completed and the surgery officially began.

Brachial plexus anesthesia works.

The tourniquet is slowly pressurized.

Chu Liang was the chief knife, Zhang Hu's assistant, and the two began to bury their heads in trimming the edges of the severed fingers to provide a better anastomosis for the next replantation.

But just from the beginning, Zhang Hu felt the difficulty of this operation.

"Tsk, although there is a professional surgical microscope, this surgical field still looks so hard, and my eyes are very sore after looking at it for a long time!"

Chu Liang has always maintained a very indifferent state, the whole person is like an old monk in a state of meditation, except for the blinking of his eyes from time to time and the slight operation of his hands, his body has completely fallen into a state of silence, and even his breathing seems to have stopped.

It was quiet.

Very focused.

Compared with adults, children's blood vessels and nerves are already more slender, and in addition, the distal knuckles are severed, and under the double BUFF superposition, the slenderness of blood vessels and nerves is almost collapsed.

However, if the replantation is successful, it is necessary for the surgeon to anastomoses these extremely slender blood vessels and nerves with sutures.

Theoretically, the more blood vessels that are anastomized, the more likely the finger is to survive after replantation.

Similarly, the more nerve anastomosis, the more complete the sensory function of the finger after replantation.

At the same time as Chu Liang's operation, a group of doctors had gathered in the observation room on the second floor, and they gathered in front of the huge floor-to-ceiling windows, admiring the difficult surgeries being performed below.

At the same time, there are some interesting anecdotes being discussed.

"The first time in the No. 1 operating room was taken away by Dr. Chu, tsk, this is something I didn't expect."

"The general surgery department is going crazy when they know it, and it took so much money to get the No. 1 operating room, and they haven't found a chance to go under the knife on stage, but they were preempted by Dr. Chu to get through it, which is wonderful."

“…… I suspect you're doing pornography, but I don't have proof. ”

", don't talk about it, the main man is here, Mars is about to hit the earth!"

The door of the observation room opened, and a handsome-looking man walked in, and everyone was silent when they saw him, but they couldn't help but have a look of watching a good show on their faces, which was exactly the same as the micro-expression that Chu Liang had seen on Li Mingwei's face before.

The person who came was none other than Sun Mingwei, an outstanding young physician in general surgery.

I saw him walk to the floor-to-ceiling window and see Chu Liang standing on the operating table, his handsome face suddenly became gloomy.

Especially when he saw Sui Wanjun standing behind Chu Liang with a look of adoration, he gritted his teeth even more, and looked like he was already angry to the extreme.

"It's just too deceitful!"