Chapter 482 Is This... So Casual?

After assigning tasks, the entire team carried out related work quickly and in an orderly manner!

Replantation of severed limbs is cumbersome, and the required instruments, staffing, and surgical procedures are all troublesome.

Li Ying, the head nurse, went into battle in person and quickly arranged the operating room and prepared surgical supplies.

The three sterile tables beside the operating table are ready, with the severed right hand, debridement instruments, and surgical instruments.

The anesthesiologist was still Liu Jian. In fact, the old director should have come to power, but the old director smiled and asked Liu Jian to do it.

Such an opportunity, the old director no longer cares, but it is an opportunity for Liu Jian.

You must know that the anesthesiologist has a very high status in the operation. This is a human favor. After the operation, the Kong family will inevitably entertain everyone. For Liu Jian, this is a good opportunity to meet people.

In this regard, Liu Jian is also grateful to the old director!

In one's life, there will always be a few noble people. Qin Xiaoyuan's noble person is Mr. Fang Yonglin, and Liu Jian's noble person is the old director.

These nobles will give you some opportunities and push you at a critical time, which is a big step for your life!

Because it is just a simple right hand amputation, general anesthesia is not required, but an epidural anesthesia, which has minimal impact on systemic circulation and breathing, can be arbitrarily extended according to the needs of the operation.

Liu Jian's basic skills are very solid. After explaining it, he was given anesthesia. It didn't take long for the operation to officially begin!

The first is still debridement. Thorough debridement is the basis for infection prevention and successful replantation.

And high-quality vascular anastomosis is the key to the survival of severed limbs.

Repair of muscles, tendons, bones and nerves is the guarantee of functional recovery.

Therefore, every step needs to be handled carefully.

Debridement is more than just cleaning the wound, it is an essential process for a better understanding of the damaged tissue.

This is extremely important for Chen Cang to decide the replantation surgery plan for a while.

So Chen Cang was very serious when he asked for the creation, and spent a lot of time understanding the details of blood vessels, nerves, tendons, and bones!

Chen Cang washed the two ends of the severed limbs with sterile soapy water and a sterilizing brush over and over again, and then rinsed with plenty of isotonic saline.

The next most important process is to thoroughly debride the damaged tissues and foreign bodies!

What is clearing?

More than just cleaning wounds!

It also includes cleaning the wound.

According to the condition of the tissue section, whether there is bleeding, shape and color, etc., it can be judged whether the tissue is alive or not and whether it is excised.

Chen Cang is very careful and serious.

Because this is the guarantee for the success of the operation, and it is also a key factor in the later recovery.

Everyone present was well aware of the difficulty, so naturally they held their breaths and watched it carefully.

But no matter what, debridement is one of the biggest advantages for him!

Because Chen Cang's eyes can clearly see the necrotic tissue, and then clean it up bit by bit, or trim it, or cut it, or keep it.

At this time, Huo Guoqing couldn't help but say, "Doctor Chen... Don't you need to make a mark?"

Chen Cang was stunned for a moment, and before he had time to speak, Tan Zhonglin shook his head at Huo Guoqing and said: Don't disturb Dr. Chen Cang.

Generally speaking, before excising the devitalized tissue, the main nerves and blood vessels need to be ligated with black silk thread to cut off the ends, and then it is easy to find them in a while.

But Chen Cang did not need to do this at all, because after the ligation, there will be continued damage later, and Chen Cang does not need to be identified by ligation, he can clearly distinguish every nerve, blood vessel, tendon...

For him, every minute counts.

Tan Zhonglin and An Yanjun, who often follow Chen Cang, understand these things!

This is something that others cannot imitate. It requires a sufficient understanding of the organization and structure, as well as the memory ability like a super brain!

The removal of tendons, the removal of skin, and the selection of nerves are the most important aspects of debridement.

Chen Cang has his own standards. As long as the system prompts that all the black parts are cut off, it means that there is no cure.

But in the eyes of others, Chen Cang has become a decisive, sharp, stable and ruthless existence!

The selection of each nerve and tendon is well done.

Makes people feel a little bit emotional!

In one operation, from the beginning of debridement, Chen Cang has conquered all the directors present with his strength.

For the wrist with such a large wound, such a high degree of precision, and dense nerves and tendons, Chen Cang handled it as if it were a precise instrument.

It took about an hour or so for Chen Cang to finish the process!

Thinking about it carefully, three hours have passed since the hand was cut off.

Chen Cang couldn't help but get serious!

Every minute means further damage to the muscle tissue, which is related to the functional recovery of the palm in the later stage and the quality of life of the patient.

This process is tiring!

Chen Cang was a little tired. After all, those subtle operations may have an impact on cutting a little bit more, and cutting a little bit less will cause adhesions. Such complex and delicate debridement, precise selection, decisive cutting and repairing... These are Not all directors present can guarantee!

But how old is Doctor Chen?

After an unknown amount of time, when everyone felt tired, Chen Cang finally finished!

Chen Cang put down the scalpel and said to Tan Zhonglin, "Clean up the vascular bed, I'm going to fix the bones!"

Tan Zhonglin didn't dare to be careless, and An Yanjun and An Yanjun quickly began to clean up the blood vessels.

Replantation surgery, whether it is replantation of a severed finger or a severed limb, requires cleaning of the vascular bed. Otherwise, if vascular anastomosis is done in a hurry, it is very likely that blood circulation disorders will occur after the operation, causing another necrosis, or even triggering. Overall systemic symptoms, because one hand causes amputation or death is not rare!

However, Tan Zhonglin and An Yanjun were well prepared and paid great attention to these detailed operations!

The operation with Chen Cang was full of details, and Chen Cang grasped the details very well, which made the two disciples feel something.

After cleaning up, Chen Cang picked up the broken hand and compared it carefully!

Bone nails are an important step in replantation surgery, as well as a scaffold and support for tissue repair.

The requirements for internal fixation of bones are: simple and fast, stable and time-saving!

This is the moment when the surgeon's technique is extremely tested. How the chief surgeon can quickly, quickly and stably connect the ends of the bones is impossible without hundreds of operations.

Because the bones after trauma are defective, how to choose and how to connect is extremely important.

At this moment, all the directors looked at Chen Cang attentively, waiting for Chen Cang to connect!

However, just when everyone was confused, Chen Cang picked up his hands at will, butted his hands together and said, "The screws are fixed through!"

Tan Zhonglin nodded, An Yanjun helped, Huo Guoqing was stunned!

This Nima?

Is it so casual?

Senior official Kong knows that he will go crazy in the future!

Fractured butt does not say ten or eight gestures, but it also needs to be compared carefully. Where are you butt? This is obviously put together at random!

But at this moment, he looked down, and the scene in front of him was something he could never forget for the rest of his life!

What is the method?

This is what he calls a method!

And the people around also came over one after another, each with an unbelievable expression on their faces.

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ps: These two chapters are quite tiring. I checked a lot of things, and I also watched two operations. I was also drunk...