Chapter 1636 The Realm of Martial Arts: Lifting Weights Like Light! (Fourth More)
Chen Cang carefully felt the thickness of the burnt skin of the patient with his hands, and the presence of bast...
Then the knife in his hand was very light, penetrated into the skin for three points, and with a little force, he gently cut along the posterior edge of the sternocleidoma muscle, reaching deep to the platysma muscle.
This knife is very accurate!
The effect of perception receiving +30 has been brought to the extreme!
After accurately passing through the phloem tissue, it reaches the depth of the platysma!
No increase or decrease.
The resistance of the knife in different tissues is well grasped!
After thinking for a while, Chen Cang cut open the platysma to completely release the oppression of the ring eschar!
Sure enough, after the incision, the patient's breathing became smoother immediately!
After scab removal, all you have to do is scab removal!
Of course, many mild patients do not need scab removal and scab removal!
Because eschar can be separated naturally!
But this process is also more dangerous. It is a process of eschar infection, dissolution, and liquefaction.
In this process, the body consumes a lot, the inflammatory reaction is heavy, and the infection is aggravated. In order to shorten this process, surgical removal can be used, which is called debridement, also known as scab removal!
This step must be performed under anesthesia!
Because the scalpel and seeing need to separate and remove the eschar along the deep surface of the necrotic tissue!
The people next to you can't help at all!
Even Gong Daizhen can only help a little, Chen Cang needs to do the whole process by himself!
Because even Chen Cang couldn't guarantee how to minimize the stimulation of the operation!
Under the effect of anesthesia, the patient's body has already felt the stimulation.
At this time, Chen Cang held a knife in his left hand and scissors in his right hand.
but……
But it's like having no weight!
That's right!
I saw Chen Cang carefully cut the knife deep into the necrotic tissue, and began to separate and remove the eschar!
Then, at the right hand, cut off the remaining scattered necrotic tissue or exposed unhealthy fat tissue...or lightly scrape it off.
This process needs to be carried out layer by layer!
It's best not to stimulate too much.
Don't hurt too much!
The knife and scissors in Chen Cang's hands seemed to be like cotton swabs wrapped in cotton, weak and weak!
See the eyes of everyone around you shine!
This is a very difficult operation in the operation. If it is really described by the realm of martial arts, it must be: lifting weights as lightly as possible, and complex as simple as they are!
That's right!
Think about how difficult it is to use sharp knives such as scalpels and surgical scissors with the same effect as cotton balls?
Because only in this way can the normal tissues not be damaged too much!
No one knows the depth of the burn and the thickness of the scab!
This seemingly simple scene made everyone excited!
Gong Daizhen at the scene looked at Chen Cang and sighed!
Originally thought that the gap between myself and Professor Chen would become smaller and smaller.
Even if there is, it should be based on inspiration and method, and the operating skills may not be too different!
But this set of operations really frustrated her!
Because, at this height, she is very clear that she has already passed the peak of operational improvement, and it will be difficult to catch up for the rest of her life!
Qin Xiang and Yang Tao looked at each other!
I saw fear and fear in each other's eyes!
Sweat left from the hands of the two, soaking the green clothes inside.
But Chen Cang didn't dare to relax at all!
Finally, after less than two minutes, the normal tissue was finally revealed!
Chen Cang glanced at Gong Daizhen: "Clean!"
He doesn't want to talk too much now, this operation has just begun!
Six hours of surgery, under the high temperature of 32 degrees, I need the main surgeon in my full name, if I can save a little effort, let me save a little!
Fortunately, Gong Daizhen is still reliable!
Skillfully washed with 1% hydrogen peroxide, normal saline, and metronidazole repeatedly to stop the bleeding completely.
After that, it needs to be transplanted from the body skin source!
The skin needs to be collected on site to preserve the activity of the skin as much as possible.
And this skin came from Zhao Yasi's leg!
"Director Qin, prepare to take the skin!"
Qin Xiang nodded, looked at Zhao Yasi, ready to start!
Skinning needs to be done with a roller knife!
Zhao Yasi was lying on the bed beside her, very nervous, very nervous!
But as long as she can save her father, she is willing!
Qin Xiang didn't say much, Chen Cang was waiting and couldn't delay.
While talking, the roller knife passed by, and a piece of skin was taken away!
A piece of bright red was exposed, which looked very hideous!
Yang Tao hurriedly prepared to clean up, and then began to sew up Zhao Yasi's legs!
The skin needed for the neck is not very large, but the difficulty of skin grafting is very high!
How do pedicled blood vessels find blood supply pedicles!
In fact, there are not many blood vessels available at this time!
However, the success rate of skin transplantation must be guaranteed, and the effectiveness of skin grafts in the future must also be taken into account...
Time passed by every minute and every second!
Chen Cang didn't dare to be careless.
Every step is carefully handled!
It took nearly an hour, and the ring eschar on the neck was finally treated!
Next up is the ring eschar on the chest!
The skin area here is three times larger than the neck!
The difficulty increases proportionally!
The surgical incision starts along the bilateral anterior axillary line!
Slowly cut along the 2cm below the clavicle to the 10th rib!
Originally, it only needed to reach the tenth rib!
But... Chen Cang's brows tightened suddenly, he discovered that the patient was actually a chest and abdomen eschar!
If this is the case, you must continue down.
Because men are abdominal breathing!
Chen Cang could only continue to make an incision along the costal margin. The two ends of the incision meet the bilateral anterior axillary line incisions, and the depth of the incisions should reach the deep fascia!
The whole cut is very long!
But the effect is significant, at least the patient's breathing is much better.
Scab removal... Scab removal... Skin grafting...
Every step of the way!
But the remaining twenty percent of the patient's skin simply isn't strong enough to support that much!
This needs to test the ability of the surgeon!
How to fill the 20% skin into the 50% area!
The difficulty is very high!
Chen Cang's brain is like a high-speed computer, constantly starting to calculate, decompose, calculate, and experiment...
Time passed by every minute and every second!
Chen Cang felt like he was in a steamer!
Sweat soaked his underwear again and again.
No chance of drying out at all from start to finish!
Because it's too hot!
Like a steamer!
And the passage of sweat is like dehydration!
Gong Daizhen, who was watching, was a little distressed.
Not only her, but the surrounding doctors, nurses, anesthesiologists, medical department... They all looked at Chen Cang with awe!
This is really a good doctor!
This determination alone should give him a thumbs up!
And at this time!
Zhao Yasi, who was fortunate enough to watch the operation live, saw this scene!
Professor Chen's surgical gown was tightly attached to his back, and the sweat had even wet the ground around Chen Cang on the floor of the operating room.
But... Even so, he didn't move a muscle!
Suddenly, Zhao Yasi burst into tears!
At this moment, she finally understood what was behind Professor Chen's decisive promise to her back then!
what is it
It's stress! It is the responsibility! It's tough! It is also a promise!