Chapter 238 This professor is the former director of teaching!(1/2)
The head nurse of the surgery department has a good background. Her name is Ji Youyou!
Ji Youyou took a quick look at the schedule and saw that the operating room Lanzhu was temporarily visiting today was an orthopedic operating room. She immediately strode to the operating room where she was!
Then he stepped on the door and said: "Cai Xuan, Director Chen, Director Kang, what's going on with you? I specially sent you Lanzhu and Xiaoya, such good itinerant and hand-washing nurses, and you made her cry for me?"
"
As she spoke, her eyes were still scratching Cai Xuan's body.
Maybe Chen Bing and Kang Xinghua, Ji Youyou, are not easy to bully, but as for Cai Xuan, Ji Youyou still feels that she can handle it.
Speaking of which, Ji Youyou was able to become the head nurse of the surgery department because Cai Xuan's old man was the director of the Health Bureau before he retired, so there is still some relationship left. In fact, Cai Xuan has been able to rely on this relationship for a long time.
When I became director, Cai Xuanzhi was not here at the time.
Upon hearing this, everyone in the operating room was stunned.
Lin Zixiang quickly popped his head out from under the anesthesia machine and looked at Lanzhu: "Zhuzhu is crying? What's going on? Why didn't I know?"
"Xiaoya, do you know? I didn't hear what Director Kang and Director Chen said?"
Xiaoya is the same Jiang Ya who had lost her temper with Lu Cheng before. Since the last time, her temper has also changed a lot.
Jiang Ya quickly looked at Lanzhu and said, "Zhuzhu, are you crying?"
When Lanzhu heard what Ji Youyou and Jiang Ya said, she suddenly felt very embarrassed, and her face was filled with fire. She felt that she had just done a very stupid thing, that is, she went to the very protective head nurse to cry.
If it were normal times, Lanzhu would definitely not do this, but today her mentality was shattered, because Lanzhu had never seen a surgeon and a traveling nurse fighting in the ring, and she should be resting on tour most of the time.
It's so rare to be able to make a nurse unbearable.
That's why she wanted the head nurse to send an extra person, but who knew that the head nurse would go directly to the operating room to find a place for her?
Who didn't care about her and even cried? How should Lan Zhu explain this for a while?
When girls are embarrassed, they want to find a crack to get in.
It just so happens that men also like to find a crack to get into...
Lan Zhu didn't speak. Chen Bing and Cai Xuan looked at her very seriously. The surgeon and the nursing department in the operating room were integrated. Without the help of nurses, it would be difficult for the operation to proceed. There was no need to let Ji Youyou go if it was not necessary.
What a misunderstanding.
Cai Xuan didn't dare to do it even more. Just kidding, if I don't make this clear, how can I pay it back when I go back at night?
"Tourist, bring two antibacterial micro-sutures!" Lu Cheng, who was concentrating on the operation, didn't even notice what was going on, and was still shouting step by step.
When Ji Youyou saw the situation in the operating room, she probably misunderstood. It might not be who bullied Lanzhu, but Lanzhu's own mentality might not have been adjusted right, so she took the initiative to take the conversation and said: "Immediately
Coming."
How many people can be in the operating room now? They are all emergency surgeries. It is better for her to call someone to come and help for a while. Anyway, it is only for a while.
As the head nurse, Ji Youyou clearly stipulated that sutures and various surgical supplies should be placed in categories, so she quickly found antibacterial micro sutures and opened them on the operating table.
After Lu Cheng saw the sutures of Antibacterial MicroQiao, he saw that Cai Xuan was still there and had not finished suturing the skin incision on his middle finger!
But Lu Cheng didn't want to wait any longer and continued to shout: "Teacher Tour, please help me open the tourniquet!"
Lu Cheng completed the suturing of blood vessels and nerves on the severed middle finger and ring finger. What can be checked during the operation is the status of the blood supply.
"Open another five milliliter syringe and come on stage." Lu Cheng ordered again.
Ji Youyou frowned at that time. You screamed so quickly, urging you to hurry up? The traveling nurse is a machine, not a human, right?
But considering that the person being operated on now was Qin Yuanwu, she endured it.
Lanzhu also immediately went to open the syringe and responded: "The five milliliter syringe has arrived."
Lu Cheng took it with one hand and poked the distal pads of Tan Yuanwu's middle finger and ring finger a few times on his left hand. If the blood vessels were well anastomotic, the current wound would bleed, and the broken end of the wound would...
There may be bleeding, but it won't come out.
The blood pressure in the arteries is very high. If there is a hole that is not sutured properly, the blood will surge.
Ji Youyou quickly loosened the tourniquet, and the blood supply to the upper limbs was restored.
Then Lu Chengcheng saw bright red blood slowly emerging from the fingertips. This was bleeding within the capillary network, and the amount was very small. But this little bit was enough.
"Perfect!" Chen Bing saw this scene, looked at the small amount of blood oozing from the severed end, and licked his tongue and exclaimed.
Kang Xinghua also stood on tiptoes and looked at the two severed fingers that Lu Cheng had connected. His eyes rolled around several times. In the end, he couldn't find the right words, so he could only say: "Yeah, it looks very comfortable."
After this, Lu Cheng did not want to be idle, but said again: "Director Chen, could you please help me sew up the skin of the ring finger? I will follow Director Kang to learn how to cut off the palm and replant it."
After Chen Bing heard this, his brows jumped immediately!
Good guy, this Lu Cheng is dissatisfied with the fact that Kang Xinghua and I performed stinky and terrible surgeries, which are on the same level as Cai Xuan.
I'm afraid this was Lu Cheng's original plan. He never thought of splitting up the channels, but wanted to perform all the surgeries by himself.
It was Lu Cheng who debrided the upper arm and replanted the severed fingers on his left hand. Now he has to do the amputated palm of his right hand.
If you had such an idea, you would have said it earlier. Maybe by now you are more than halfway through the process of cutting off and replanting your arm. Are you still worried about our debridement?
But after such strange thoughts came to mind, Chen Bing suddenly thought that he seemed to have sent Lu Cheng to the debridement place, and Lu Cheng also knew that he was a man of few words, so he carried out the operation step by step in a down-to-earth manner.
The speed is not slow!
I shouldn't say not slow, I should say very fast.
Chen Bing nodded and said, "Okay, I'll sew it up, and you can come over and do the Broken Palm with Director Kang."
The complexity of replanting a severed finger is less than that of replanting a severed palm. However, the survival rate of replanting a severed finger is not necessarily higher than that of replanting a severed palm!
After Chen Bing moved to move away, Kang Xinghua also said very confidently: "Xiao Lu, you come to the surgeon's position, and I will cooperate with you in the operation. Now we are competing for time, and I am responsible for cooperating with all your operations."
As he spoke, Chen Bing threw the micro-suturing forceps and needle holder he had just picked up to Lu Cheng, and then he took the initiative to pull up the tendon and gave it to Lu Cheng.
Lu Cheng glanced at Kang Xinghua, nodded, and said, "Thank you, Director Kang."
"Teacher, please open five more tendon sutures." After Lu Cheng took over, he immediately turned on the motor mode again.
The top cosmetic suture technique gave Lu Cheng great confidence. After all, cosmetic suture is more complicated than any other suture!
She opened her mouth five times at once, and Ji Youyou frowned slightly. Just as she was about to speak, she was stopped by Lan Zhu, who whispered: "Head nurse, this surgeon is very powerful. He opens the most medicine all at once."
Twelve sutures, just to save time!”
"Director Qin only lacks time and money for a few sutures."
A suture costs dozens of yuan, which is probably not enough for ordinary people.
Ji Youyou felt a little better after hearing this.
All the sutures Lu Cheng requested were opened one by one on the table.
Previously, Chen Bing and Kang Xinghua only replanted the severed palm to achieve bone reconstruction, so only one tendon could be sutured. They still sewed it in this way according to Lu Cheng's idea.
But it cannot be said that Kang Xinghua's surgery was particularly slow. There were five fixed bones in the broken palm, so the speed was actually relatively normal. But compared with Lu Cheng's replantation of two severed fingers, it was a bit slow.
Lu Cheng has already mastered the anatomy of the palm of his hand. He has mastered the anatomy of the limbs a long time ago, so he is also very skilled in handling tendon ends!
Because the location of the broken palm is near the tiger's mouth, in addition to the flexor muscles of the fingers, there are also ruptures of the abductor pollicis brevis, oppositorum pollicis, and flexor pollicis longus tendons!
The tendons of the palm are thicker than those of the fingers. It is easier to sew thick tendons than smaller tendons!
And because the tendon is relatively thick, its position is relatively fixed when it comes to identification. After all, Kang Xinghua has been doing hand surgery for so many years, so it is no problem to find the broken end of the tendon. With Kang Xinghua's assistance, Lu Cheng's suturing speed was as fast as
A few minutes faster.
The suture needles that I yelled were quickly used up again!
Lu Cheng was in charge of tying the knots, and Kang Xinghua was in charge of cutting the threads. However, during the process of cutting the threads with the thread scissors, Kang Xinghua, despite his age, still felt a little nervous.
With so many ruptured tendons being sutured together in such a short period of time, is there really no problem after the operation? Can the patient afford the torment of postoperative recovery?
However, Lu Cheng was fully involved in the suturing process, which was all modified Kessler tendon suturing. It is basically the best method of tendon suturing that is currently clinically recognized. If such suturing cannot achieve the effect of postoperative rehabilitation training,
, other suturing techniques cannot achieve this.
With the standard suture method, one stitch at a time, there seems to be nothing to worry about.
Lu Cheng's hands and feet were quick, and he had the cooperation of someone who really understood it, so it only took him twenty minutes to suture the tendon.
In Kang Xinghua's opinion, this was simply a miracle. However, Lu Cheng completed the replantation of two severed fingers in less than half an hour. Isn't it a miracle?
Lu Cheng is only in his twenties now and looks like the kind of old professor Kang Xinghua thinks. Isn't this a miracle?
Since he chose to believe in miracles, he would believe it to the end, so Kang Xinghua didn’t beep too much.
Just while watching Lu Cheng's suturing process, he originally wanted to learn some small skills, but he regretfully felt that Lu Cheng's suturing did not have any mysterious skills, it was just the most basic suturing.
It’s just that Lu Cheng increased his speed to an incredible level!
This is something Kang Xinghua could not have imagined.
Of course Kang Xinghua could not have imagined that Lu Cheng's tendon suturing technique had reached an advanced level just by relying on basic skills, without much support from advanced theories about tendon suturing and his own understanding. Such a skill was already close to the top level in terms of simple basic skills.
It’s a level that most people can’t reach!
"Itinerant teacher, open blood vessel sutures and nerve sutures!"
After tendon treatment, nerves and blood vessels are still sutured. The surgical principles and theories of severed finger replantation are so simple and crude.
To be continued...