62. Foster care replantation
"Did you just see that?"
"See what?"
"The prompt light at the door of the No. 1 operating room seems to be on, there is an operation today?"
"No, I just looked at the operation list, and there are no surgeries scheduled in the No. 1 operating room today."
"I guess I'm wrong."
"Heh, have you hallucinated after too much surgery?"
The two doctors wore slippers and walked weakly in the long corridor of the operating room, but after walking a few steps, another doctor suddenly smacked his tongue and muttered to himself: "But when you say that, I seem to have noticed just now that the light in the No. 1 operating room is on, and it is a red light, and the operation is in progress......"
For a while, the two suddenly realized something, their eyes collided in surprise, and they said in unison: "Doctor Chu Liang's, difficult disease, emergency surgery!" ”
……
……
The operating room is so big, and the operating table is so boring.
In this small and crowded space, many surgeons would not be able to persevere without the reconciliation of meat jokes and gossip.
General surgery room.
An operation is underway.
Sun Wei and Sun Mingwei father and son went into battle, one was the main knife, and the other pulled the hook, and the cooperation was quite tacit, and the operation went extremely smoothly.
But at this moment, a doctor who had just walked in from the outside whispered: "An emergency operation came to the No. 1 operating room, and I just happened to see Dr. Chu Liang hurrying into the operating room. ”
"Huh? What is an emergency surgery? ”
"It seems to be a broken limb, but it's too serious, the tire crushed, and it is estimated that it will be amputated."
"Amputation?" The voice was a little disappointed, destroying is far easier than creating, and if it is simply amputation, the operation will not be too difficult.
"I've heard it's replantation." Another voice joined the discussion.
"How can the crushing injury be replanted, that patient is in shock in the emergency department, and his life can't be saved without amputation, and he dares to bargain when he robs people with Lord Yama?" Someone seemed to know something inside, and his tone was a little dismissive.
"Then maybe I heard it wrong......" The person before seemed to be a little uncertain, and his attitude was a little soft.
……
"Be quiet!" Sun Mingwei suddenly glared at the group of doctors, and lost his temper for no reason.
Everyone suddenly fell silent, and they didn't dare to talk casually anymore.
Sun Wei frowned, and said in a sullen voice: "Why are you making such a big fire?" ”
Sun Mingwei snorted coldly and said: "I'm not happy to hear them say Chu Liang, Dad, why did you lend the No. 1 operating room to their emergency ward in the first place, forget it, no matter why, it's almost a month, it's time to take it back!" ”
"One more week." Sun Wei has a good memory and said lightly.
Sun Mingwei knew his father's temper, and although he was unhappy, he didn't continue to say anything.
The operation soon came to an end, but Sun Wei stepped off the operating table at this time and said to Sun Mingwei: "You come to finish, I'll go to the No. 1 operating room to have a look." ”
Sun Mingwei muttered reluctantly: "What's so good about amputation......
But Sun Wei stuffed the sterile clothes on his body into the trash can as if he didn't hear it, and left with his hands behind his back.
And with his departure, several doctors who had been talking about operating room No. 1 also quietly slipped out of the operating room.
Sun Mingwei buried his head in the end without knowing it, but he kept thinking about the situation in the No. 1 operating room.
It stands to reason that if it is just an ordinary crushing amputation, the orthopedic department can be responsible for the operation, why send the patient to the No. 1 operating room and let Chu Liang take the lead?
Although Sun Mingwei was very unhappy with Chu Liang in his heart, but having said that, Chu Liang successfully completed difficult and difficult surgeries so many times, and Sun Mingwei also saw these in his eyes.
Chu Liang often doesn't make a move, and when he does, it's always big news.
"I don't really want to replant, but the truck ran over and injured the patient, and the patient was in shock in the emergency department, how can this situation be a severed limb and replanted, and it will not be fatal?"
Thinking of this, Sun Mingwei only felt as if there were 10,000 ants crawling in his heart, and his curiosity made him hurry to the No. 1 operating room now to see with his own eyes whether the operation was amputation or replantation!
But when he looked up, he was stunned.
"What about people......
In just such a short time, he was the only general surgeon left in the entire operating room, and everyone else sneaked away, needless to say, the destination must be the No. 1 operating room!
The anesthesiologist happened to meet Sun Mingwei's gaze at this time, and he immediately collapsed and said impatiently: "Look at what I'm doing, if you hadn't been able to finish it for a long time, I would be in the observation room of the No. 1 operating room now, why is the movement so slow!" ”
Sun Mingwei forced the anger and said: "What to urge, it's not that the muscles are loose enough, the fields are all crowded together, how can I finish it!" ”
The anesthesiologist was happy, nodded and said, "Okay, I'll add it to you, add it directly to the maximum, you won't be able to finish it later, but don't rely on me anymore!" ”
As he spoke, he picked up a syringe casually, pretended to draw a large tube of normal saline, and pushed all of his brain into the venous access.
……
……
Operating Room 1.
The amputated patient is already lying on the operating table.
The shadowless lamp lit up, aimed at his bloodied severed limb.
Zhang Hu hurried to the operating room, and when he saw such a tragic scene, he took a breath of cool air, frowned, and said: "As soon as the rainstorm fell today, I knew that something must happen, but I didn't expect it to be so serious, hey, this man is quite young, this foot must not be saved, it's a pity." ”
Chu Liang didn't explain too much, but just said lightly: "In this operation, we will do foster care and replantation, deal with the section first, and at the same time find a site to foster the broken foot, and wait for the opportunity for the second operation." ”
"Foster replantation?"
Zhang Hu was stunned for a moment, and then his eyes widened: "Playing so big again?" Are you sure, Lao Chu? ”
Chu Liang didn't speak, and answered Zhang Hu's question with practical actions.
I saw that he walked to the patient's side, but his eyes did not stop at the bloody severed foot, but continued to search for other intact parts.
"Foster care and replanting, where should it be fostered?"
The key to foster care and replanting lies in foster care, and the key to foster care lies in the selection of the receiving area.
Choosing a good recipient area can ripen the amputated limb as soon as possible, and it will also facilitate the secondary replantation surgery.
In 2009, the exploration of foster care replanting was still very shallow, but more than ten years later, foster care replanting has gradually developed, and it has its own school of its own, with a systematic and complete theoretical basis.
Chu Liang clearly remembers the key to the selection of foster care replantation sites.
"First of all, the vascular anatomical variation in the recipient area should be few, easy to be revealed, and the operation is convenient, and secondly, it is best to provide a part of the vascular pedicle in the recipient area during replantation."
"Many people advocate the thoracodal dorsal artery, and separating the thoracic dorsal artery at different segments can obtain blood vessels of different diameters and perfectly anastomosis the severed limb blood vessels, which is the most mainstream scheme."
Chu Liang's gaze stayed on the patient's chest and back, thinking about the possibility of foster care.
"But the disadvantages of choosing the thoracodal artery are also obvious, foster care restricts the movement of the upper limbs, is not easy to fix, and affects normal life."
"There are also people who advocate the use of the contralateral artery as a foster site, and the advantages are mainly concentrated in the second operation, which can provide a second set of blood supply and improve the success rate of replantation, which is a relatively new view, but the call is getting higher and higher after more than ten years."
Chu Liang's gaze shifted to the patient's other foot again, weighing the pros and cons of the two options.
I can't think about it when I stand here, I have to always remember my identity and know how to use my advantages...... Chu Liang blinked, his consciousness sank, and he instantly came to a dark space, only a shadowless lamp lit up.
"Redeem the Foster Care Replantation Technique!" Chu Liang said.
System: "Consume 3,000 points to redeem for foster care replantation." ”
The light and shadow distorted, and in the next second, there was a severed limb and a severed leg on the operating table.
Chu Liang took a deep breath, walked to the operating table, and began to simulate.