Fifteen minutes later.

Anesthesiologist Ji Tao said to Zhao Sheng and Zhou Huining: "Doctor Zhao, Doctor Zhou, you can operate." ”

"Okay."

Zhao Sheng and Zhou Huining glanced at each other and nodded tacitly.

As soon as the gauze wrapped around the uncle's right hand, right forearm, and upper arm was uncovered, the instrument nurses Qi Ling and Li Ranran were shocked.

"Doctor Zhou, can this hand still be saved?"

Qi Ling, the instrument nurse, looked at the black and swollen right hand in front of her, and couldn't help but ask with some doubts.

No matter how you look at it, if you directly amputate the limb now, I am afraid it is the easiest and safest.

If this is guaranteed, it is difficult to say whether it can be saved, in case of sepsis after surgery, bacteria into the bloodstream and flow all over the body, it is fatal!

"If you want to have an amputation, you can do it at a local hospital, so you don't have to travel all the way here."

"Patients come here for this hope."

Zhou Huining said slowly.

She is small, but she seems to have a very powerful and trustworthy aura at the moment.

"Doctor Zhao, let's use the jointed skin method."

After a pause, Zhou Huining said to Zhao Sheng again.

"Okay."

Zhao Sheng nodded.

He also mastered this technique.

As for how he, an emergency doctor, could master this rare technique that only professional wound repair doctors can master, it starts with the last time he had surgery with Zhou Huining.

This "articulation method" is one of the most cutting-edge surgical methods in the world that takes into account both the treatment effect and the recovery effect, mainly for the debridement of necrotic tissue.

As the name suggests, it is to preserve the viable skin to the greatest extent without affecting the debridement effect, and make full use of these skin to cover the wound surface, so as to reduce the area of skin grafting required during the wound recovery process and improve the quality of life after surgery.

"Huh? What is the Jointed Skin Method? ”

Seeing that Zhou Huining and Zhao Sheng had a tacit understanding, the resident doctor Xiao Li asked very suspiciously.

He has been in the trauma repair department for so many years, and he has never heard of any [knotted skin method]!

The resident doctor, Xiao Huang, was also confused.

"In general, just like the tissue necrosis caused by this serious bacterial infection in patients now, there will be a large area of soft tissue necrosis under the flap, and the perforator artery of the skin will be destroyed.

Zhou Huining looked at the resident doctors Xiao Huang and Xiao Li who looked puzzled, and explained patiently.

Although it is not commonly used, the specialists who pay attention to wound repair are all aware of it.

"Teacher Zhou, isn't it safe to be safe?"

Resident doctor Xiao Li couldn't help but ask.

"This is of course the safest thing to do until the delay is discovered, but since the delay is discovered, many flaps have lost their perforation arteries and can still survive, so this procedure has emerged."

Zhao Sheng then explained.

"The vascular arch is connected to the adjacent perforating vascular arch by choke vessels, which are of a thin caliber and have a small flow rate under normal conditions. However, when a perforator is blocked, the adjacent choke blood vessels will dilate in the next 2~3 days, so that the arterial arch in the ischemic area can be perfused with nearby blood supply, and this dilatation is permanent, which is called the delayed phenomenon. ”

Zhou Huining nodded to Zhao Sheng and continued.

Looking at Zhao Sheng and Zhou Huining singing and harmonizing, with an incomparably tacit understanding, resident doctors Xiao Li and Xiao Huang couldn't help but look at the two of them.

Is this the world of the great gods?

I know every word, but I can't understand what I'm saying when I put it together!

"The joint skin method is still relatively few used in clinical practice, and it is very valuable, so you two will take a closer look."

After a pause, Zhou Huining said to the resident doctors Xiao Huang and Xiao Li.

In order to lead the students well, Zhou Huining did not let go of any opportunity, which can be said to be heartbroken.

Next, Zhao Sheng and Zhou Huining began the operation.

And the resident doctors Xiao Huang and Xiao Li, their eyes widened even more, and they didn't dare to let go of any detail.

I see.

And so it goes.

Wow!

Resident doctors Xiao Huang and Xiao Li exclaimed in their hearts as they watched.

This operation, for the two resident doctors, is really a knife and an eye-opener!

An hour later, with the tacit cooperation of Zhao Sheng and Zhou Huining, the necrotic tissue on the right hand, forearm and upper arm had all been cleaned up.

Looking at the wounds that had been cleaned up, Zhou Huining's face was solemn.

There are too many necrotic tissues, especially the skin on the back of the right hand, which is almost all necrotic, and as for the right thumb that was stung, it can't be saved even if the gods come.

With such a large skin defect and a very serious marine Vulnificus infection, it is impossible to get past the infection with conventional skin grafting.

The debridement has been done, is it just an amputation?

Zhou Huining was very unwilling, but in the bad situation in front of him, ordinary skin grafting could not survive at all.

"Skin grafts can't survive."

Zhou Huining sighed and said.

"Teacher Zhou, do you need to amputate your leg?"

Resident doctor Xiao Li said.

"Let me think again."

Zhou Huining shook his head slightly, and used the new operation method of [Jointed Skin Method], just to preserve the patient's right hand, a limb, if it is amputated now, it will not be wasted.

Just as Zhou Huining was meditating, a flash of light suddenly flashed in Zhao Sheng's mind.

"Doctor Zhou, I have an idea, I don't know if it will work."

Zhao Sheng said to Zhou Huining, who was very distressed.

He knew that Zhou Huining was the kind of person who was very serious professionally, and he was always striving for better, especially for surgery.

Otherwise, she would not have become a knife in the wound repair department.

"Dr. Zhao, do you have any ideas? Tell me about it! ”

Zhou Huining, who had no clue, immediately looked up at Zhao Sheng with great anticrative anticration when he heard Zhao Sheng say this.

To be honest, the last time they had an operation together, Zhao Sheng gave her a big surprise.

Now she is very much looking forward to Zhao Sheng's thoughts.

Of course, under normal circumstances, there is no way for a specialist like her, and Zhao Sheng is an emergency doctor, of course, there is no way.

After all, everyone knows that emergency is the kind that is broad but not proficient, and can order everything, but is not proficient in anything.

"Dr. Zhou, I was thinking that if a normal skin flap was transplanted, it would not survive on the patient's wound. So can we take a piece of normal and healthy skin from the patient, make a section, and then quickly treat the section with trypsin to produce a complete cell population, and then spray this treated cell solution to the patient's wound? ”

Zhao Sheng said very methodically.

(End of chapter)