64. Wait

Director Sun Wei lived up to his name, just seeing Chu Liang operating on a healthy limb, he immediately thought of the novel operation of foster care and replantation.

You know, this is not more than ten years later, and foster replantation in 2009 is still a very rare procedure, and many young doctors don't even know about it.

Even Director Sun Wei had only learned about it from literature and papers, and had not seen it with his own eyes.

The operation that Chu Liang is working on is also a brand new version that he has never seen at all, which is very attractive.

"But why choose the contralateral artery." Director Sun Wei looked at Shuye intently, very puzzled.

Director Wang Mian said at this time: "At present, the mainstream of foster care and replantation is indeed to choose the thoracic dorsal artery, but after all, this operation is only in the development stage, and the posture of the first person to eat crabs is definitely not very good-looking, and if someone wants to improve, it is also normal." ”

"Improvements?"

Director Sun Wei fell into deep thought, and only after a long time did he speak: "Improvement is risky. ”

Director Wang Mian looked through the glass window, looked at the operating table below, and said quietly: "The least risky way to do this surgery is actually amputation. ”

Director Sun Wei immediately took a deep breath when he heard this, and he didn't know what to say.

Truly.

The safest course of this surgery is amputation.

With little to no risk, the doctor can easily step down and declare the operation a success.

But everything in this world is equal and conserved, and the risk is never gone, but just passed on, and the risk of surgery is transferred to the patient's life, and the patient needs to bear the tragic outcome of lifelong disability.

From the very beginning, Chu Liang chose the most unsafe surgical plan, and it didn't make much sense to talk about any risks at this time.

To be honest, Sun Wei does not approve of this approach, he always feels that doctors cannot be overly loving, which is not cherishing his career.

When a person walks by the river, how can he not get his shoes wet, and a doctor always habitually takes risks to practice medicine, and sooner or later he will pay a terrible price.

And the profession of a doctor, it only needs a one-time price, and it is possible that it will never turn over.

"I hope that Chu Liang will choose this method with confidence and strength, instead of just pitiing the patient and getting dizzy." Sun Wei sighed secretly in his heart, and his attention was completely devoted to the operating table.

Regardless of the outcome of this foster care replantation operation, just focusing on the process was enough to open the eyes of all the doctors present, as if they had explored the boundaries of the current medical field and entered a new and unfamiliar field.

on the operating table.

Chu Liang used a K-wire to fix the broken foot at the ankle on the unaffected side, and took out the posterior tibial artery of the broken foot, which were anastomosed with the posterior tibial artery and saphenous vein on the unaffected side, respectively.

The condition of the blood vessels that crushed the broken foot is bad, whether it is the length of the blood vessels, or the elasticity and filling, they are not at all the same order of magnitude as the contralateral blood vessels, and it is not easy to match the two together.

But fortunately, Chu Liang has simulated several times in the virtual operating room, and he has A-level vascular anastomosis specialty, and the operation went quite smoothly.

The broken foot gradually became connected with the healthy limb, and the blood vessels became the medium, so that the broken foot would not become a rootless tree or rootless water in the following days, and slowly rot and die.

"The wonder of foster replantation is that it can use its own nutrients to supply the severed limb and provide a time buffer for the second replantation, but at the cost of no one knowing what will happen in the next time."

"It's possible that the severed limb is slowly recovering, and everything is going in a good direction."

"It is also possible to wake up and suddenly find that the severed limb is eroding the healthy limb, the decay and necrosis have not stopped, and even begin to spread along the blood vessels that the doctor has anastomosed, and the patient may lose the healthy limb and even life."

Chu Liang's mood was a little heavy, he didn't know if his choice was correct, taking such a big risk to operate on a patient he didn't know, the final price might be completely unbearable for him.

In the event of an accident in foster care, it can lead to a serious systemic infection......

In case of an accident, it took so much effort, but in the end, it was a futile ......

But in just a moment, Chu Liang's eyes became firm again, and his mixed thoughts were swept away from his mind.

"It's not my choice, it's the choice of the patient and their family."

"I'm not going to change their minds out of selfish desires, and I'm not going to hide any viable treatment out of fear of taking risks."

"And ......"

Chu Liang suddenly raised his eyebrows, and his demeanor suddenly became relaxed.

"I'm still a beep, the doctor who probably knows the most about foster care and replantation in the world, with a 100% virtual real operating room with unlimited trial and error...... Although there is no guarantee that the surgery will be completed safely and smoothly, at least there will be no serious systemic infection, and the situation will not be worse than it is now, and I am confident that this is still possible. ”

The difficulty of the foster care operation is not high, and after an hour, the severed limb was anastomosed to the healthy limb by Chu Liang, and the section is attached to the surface of the ankle joint, and there are blood vessels connected inside, which replenishes nutrition and promotes recovery.

Under the shadowless lamp, there is a spectacle of two feet growing on one leg, especially the foot on the ankle side, which is abrupt and grotesque, distorting the perception that people are accustomed to.

This bizarre scene challenged the nerves of everyone present.

"It's like a stitch monster, it's kind of challenging my bottom line, I feel like my stomach is churning......"

"What the hell is going on, can anyone explain to me, snapping a severed limb to a healthy limb, and then what? What's next? ”

"The next thing is to wait, wait for the severed limb to recover, wait for the patient's physical condition to improve, and it is estimated that in another week, we will be able to see this patient again in the No. 1 operating room."

The operation came to an abrupt end, and everyone couldn't help but feel a little empty in their hearts.

They want to see the end result, they want to witness the magic of foster replantation, but all they can do now is wait.

Time is the best catalyst.

The news of foster care and reimplantation first went crazy inside the operating room, and soon spread to the hospital.

Almost all the medical staff of the Second Provincial Hospital have heard the news, and Dr. Chu Liang in the emergency ward is challenging an ultra-difficult operation again, and this time it is a new operation that few people in China have dabbled in, a terrifying operation.

Foster the amputated limb on a healthy limb and wait for the opportunity for a second operation to replant!

Someone couldn't help but be curious, and secretly went to the emergency ward to take a look at the foster replantation patient, but when he appeared in front of the others again, he suddenly kept the matter of foster replantation secretive, and seemed to be frightened in some way, unwilling to recall those horrific pictures.

However, this did not dampen people's enthusiasm, but made more people curious and full of anticipation for the upcoming second surgery.

On the third day after the foster care operation, many TV reporters even came to the emergency ward with cameras on their shoulders, hoping to be able to cover this miraculous operation.

However, President Chen Lu did not accept an interview with the TV station because the operation was not completely completed and there was still a risk of failure in the second operation.

For a whole week.

The severed limb is fostered on a healthy limb, absorbing nutrients and trying to heal itself.

The patient's physical condition is also gradually improving, and the trauma caused by the car accident injury is slowly recovering.

What made Chu Liang breathe a sigh of relief was that there were no moths in the foster care process, the amputated limbs recovered well, and the time was ripe for a second operation!

A week later, the patient was wheeled into the operating room for the second time.

After foster care, it's finally time for the main event...... Replantation!