Chapter 405 The Second Suture (2)
What is required for the complete surgical procedure of suturing?
Catgut is required, disinfection methods are required, and suturing techniques are required. Generally, if it is a penetrating injury caused by a gun tip, the wound is too small to be sutured. At this time, anatomy techniques of cutting the wound with a knife are also required.
After the suture is completed, maltose is required to control the diet.
Therefore, all things considered, suturing requires the participation of the embroiderer, but also the participation of the pig butcher.
There are no professional surgeons, but when it comes to the art of cutting open the intestines with a knife, no one is more skilled than the pig butcher.
The pointed butcher's knife commonly used by pig butchers is a very useful dissection tool, better than the ring knife and even better than scissors.
The butcher's knife that I got from the butcher was boiled in hot water in an earthen pot starting from the early morning of the 26th. When I set up camp in the evening, the butcher's knife was boiled in boiling water for a day to complete the disinfection.
After setting up camp, Li Mengxi called together the embroiderer Lady Liu, the butcher Tu Xin, and Tian Bu.
Old Tu Xin was also given a mask to wear. Tian Bu led the old man to wash his hands with hot water, soapy water and alcohol.
Still in the tent, a half-sized fat pig was tied to the door panel and kept grunting.
Li Mengxi frowned and thought about the surgical procedure.
Suppose it is a real battlefield rescue, and at this time, a person's intestines are pierced by a gun.
There is no doubt that the colon cleansing process is still needed at this time.
But unlike yesterday when the sheep were given laxatives, there were no wounds in the sheep's intestines, so there was no need to worry about the bowel cleansing.
The real situation on the battlefield is that wounded soldiers have wounds in their intestines, so such a rough method of colon cleansing cannot be used.
During the actual operation, the colon cleansing process can be roughly divided into two parts.
First, induce vomiting.
The ancients used fecal water to induce vomiting.
The vomiting effect of fecal water is excellent, but if the feces is too dirty, it will cause certain safety problems.
Now Li Mengxi has not succeeded in inventing solid soap, but he has tinkered with soapy water first.
Soapy water is safe and easy to use to induce vomiting.
To operate on a wounded soldier with a severed intestine is straightforward. First, pour a lot of soapy water into the wounded soldier. If it doesn't work once, you have to do it several times.
Then, all the food in the wounded soldier's stomach bag was vomited out.
This is the first step.
Then, the second step is to clean the intestines, after disemboweling.
This process is disgusting, and you have to use your hands, just like washing the large intestine, to clean out the dirt in the human intestine.
During this process, the intestine wound will inevitably be contaminated with certain dirt, so the last step must be carefully cleaned with soapy water and dilute alcohol.
After the intestines are completely cleaned, suturing is performed.
After the suture operation, you need to control your diet for several months, and you can only drink maltose water to survive.
After figuring out the complete process.
Li Mengxi raised his head and looked at Tian Bu, "Let's get started." Li Mengxi said.
Tian Bu came.
The first step is to fill the pigs with soapy water.
Tian Bu was carrying a small bucket filled with soapy water. He raised his mouth and poured several bowls of soapy water into the pig.
Just like a sheep after being doused with soapy water, the pig reacts like crazy and keeps vomiting.
One of the immediate troubles with intestinal suture surgery is the intestinal clearing process.
With today's level of disinfection, 75-degree alcohol, and catgut, can a person still survive if the wound is sutured and a long cut is cut open in the person's abdomen?
If you don't know whether a person can survive, then try it with a pig first.
The poor pig's abdomen was cut open twice by the old man Tu Xin. The incision was 30 centimeters long and the blood was flowing.
The cut satin strips prepared by Li Mengxi came into use. The satin absorbs water well and is easy to use for wiping blood.
Cotton swabs are a very important tool during surgery. Without cotton swabs, there is no way to handle the blood during surgery. Blood interferes with the surgical process. Smooth blood affects the use of the knife and sutures.
You still need some clamps or other tools that can open the wound. Otherwise, you have to keep pulling at the wound to separate it during surgery, which is very troublesome.
Everyone worked together and were busy from the time they set up camp in the evening until it was almost dark.
The embroiderer Ms. Liu carefully sewed the two broken intestines clean with soapy water and stuffed them into the pig's belly.
Then use catgut to sew the wound on the pig's belly tightly and it's done.
The pigskin was too thick, and when Li Mengxi saw Liu threading the needle through the thread, it was difficult to pull out the needle.
Li Mengxi felt that a pliers was needed, pliers specially used to remove needles. Thinking about it, there should be such a pliers in surgery.
After the operation was completed, the pig seemed to be dead and motionless.
Li Mengxi stretched out his hand and patted the pig. The pig grunted, wishing it didn't die.
It also needs to be bandaged, that is, wrapping the wound on the pig with cloth to reduce dust from falling on the wound and reduce the possibility of infection.
When the pig was pushed out of the tent, it caused a sensation. The soldiers were all surprised. The pig was wearing clothes. Haha.
There are such long wounds on the pig's belly. When they were bandaged with linen, they were wrapped one after another from the pig's belly to the pig's back. It was not like the pig was wearing a whole suit of clothes.
Tian Bu was told to feed the pigs sugar water in the future.
Fortunately, the maltose boxcar was ready, otherwise the output of maltose would not be enough to support one pig.
Damn, pigs eat sweets, which are better than those eaten by humans.
"There is also disinfection. Every two days, change the bandage and disinfect with alcohol. Don't forget it." Li Mengxi explained.
Tian Bu nodded seriously.
It finally got dark.
If this suturing operation can be successful, anyone whose intestines are cut off by a knife in the future can be saved.
Chapter completed!