Instead... the doctor can hardly see his own operations.

Special microscopes, special equipment, and long-term training can ultimately be qualified to urge needles on the blood vessels and nerves of the fingers, but when the actual suture is actually considered, the feel is still considered.

Or, mechanical memory trained on weekdays.

No one knows whether each suture is good or not. If the number of stitches is small, blood will flow out along the broken end. Only then do you know that there is a mistake in the suture.

Too much needle is the more fatal problem.

If you don’t have any loss, you will be bleeding at most, and you can see it at a glance.

However, excessive sutures can easily cause blood clots, causing necrosis of the fingers, and thus causing more serious complications.

"Inflatable tourniquet."

After the operation began, the assistant, under the command of Xu Qiu, cleared the surgical field and then clamped the artery with an inflatable hemostasis clip.

Then, Xu Qiu began to match.

There is no fancy thing, just a simple 2-point intermittent stitching.

However, because he found multiple arteries during the debridement stage, the surgical atmosphere was particularly relaxed.

For routine surgery, it is best to anastomose two finger arteries, which can maximize the survival rate. In addition, sufficient blood supply can also restore the appearance, feeling, etc. of the fingers and nerve repairs more properly.

As for three or four, there is basically no need to think about it.

It’s time to cut off your fingers. The transplantation is urgent. How can I leave the doctor to find it slowly?

But Xu Qiu easily found three or four, which almost doubled the survival rate of the finger!

After the blood vessel repair is completed, it refers to the dorsal skin, tendons, etc.

The order of repair of tendons is to first refer to the extensor tendon and then the flexor tendon.

Qiu Qinghu's broken fingers are quite complicated, and the broken fingers are not consistent.

For example, the proximal interphalangeal joint of the thumb is close to the finger, and this finger needs to repair the lateral tendon bundle in addition to repairing the central tendon.

If the ring finger is broken from the proximal interphalangeal joint to the distal end of the middle joint, the lateral tendon bundle and finger extensor tendon should be repaired.

In addition, the little finger is also required to be separated from the distal interphalangeal joint, and a joint fusion is required.

"Wait, will this stump be sewn up?" Everyone was suddenly stunned.

After completing the repair of the deep flexor tendon, Xu Qiu tried to suture a muscle, which seemed to be synovial and nourishing the tendon.

Wang Shengde and others were puzzled.

Can the suture of finger tendons be completed after the finger extensor tendon and finger flexor tendon repair, and can it be declared over?

Add another nutritional tendon at this time, which will not affect the function of the fingers, but will double the difficulty of the operation!

However, at this moment, Noah, who had been silent, suddenly widened her eyes and said in disbelief: "Where did you see it?"

Wang Shengde looked stunned. Could it be that there is anything else to pay attention to?

Noah whispered: “This is one of the topics I have been working on…

There are many patients in the hand surgery hospitals in the orthopedics country who recover better than others.

Many people think that this should be the gap between different individuals.

But I don't think so.

Therefore, I conducted a long-term tracking and investigation for ten years, and finally found something...

Those who recover faster have no damage to their synovial nutrition tendons or have very little damage!

Therefore, I speculate that this synovial fluid that seems useless nourishes the tendon. It can continuously provide synovial fluid, thereby promoting the repair of the superficial flexor tendon and helping the nutritional regeneration of the tendon sheath!

Even, I speculate that synovial fluid nourishes tendons may also provide a certain degree of blood supply…”

Wang Shengde glanced at Noah in surprise.

He is worthy of being the inheritor of the father of hand surgery. A casual word is enough to inspire all hand surgeons present!

But then, even more shock appeared on their faces and they looked at Xu Qiu one after another.

It would be fine if Noah knew... What happened to Xu Qiu!

He didn't hesitate at all and went to suture the synovial fluid to nourish the tendon!

If Noah is just a guess and has not been put into clinical practice, then Xu Qiu has done this seriously, how dare he be sure!

"Doctor Xu, am I right?" Noah pressed his voice and could no longer calm down.

"It's basically right."

“Basic?”

“There is another advantage, preventing tendon adhesion.”

Noah's pupils shrank.

Wang Shengde and others also looked at each other, and then joy appeared on their faces.

Broken hand replantation has an extremely contradictory prognosis problem.

Time to be healthy!

Health is progressing early, and the various tissues inside the replanted fingers have not yet grown well, and will tear and bleed, causing severe pain.

However, if health progresses later, adhesions will occur at the internal sutures and various anastomosis points.

Clinically, the earlier you do rehabilitation training, the better. Even if you endure the pain and move your fingers and tear your wounds, it is better than adhesion.

After all, once adhesion occurs, you must cut your fingers again to remove the adhesion and wait for it to recover.

Previously, there was no good way to prevent adhesion except for forcing patients to do finger exercises and forcibly tear open the wound.

But now Xu Qiu actually said... Can repair synovial fluid and nourish tendons do this?!

"Xu Qiu, really?" Wang Shengde was very surprised.

Although he is no longer on the front line, if this theory is proven, countless patients with broken fingers will benefit, and no longer need to endure the severe pain of fingers and tissue tearing, and undergo rehabilitation training too early.

and,

Relying on medical means to reduce the chance of adhesion is definitely more skillful and more effective than damaging the enemy by 1,000 and self-damaging 800.

"Yes." Xu Qiu nodded calmly.

Noah was shocked: "If what you said is true, it can prevent adhesions, which solves a huge problem in the field of broken finger replanting... Why are you so calm?"

Xu Qiu: "Why can't you be calm?"

"I……"

Noah wanted to say a few more words, but he thought that the young doctor in front of him had already developed the Linhai small blood vessel, and also opened up the world's first complete craniocerebral fusion separation technique.

For such a monster, it seems that solving the problem of adhesion is not something worthy of fanfare...

"I still underestimate you." Noah glanced at Xu Qiu deeply, and his fingers trembled slightly.

...

The operation is progressing slowly.

As the finger nerves are also repaired, the broken palm is about to be brought back.

Due to the urgent time, the Medicine and Equipment Department can only provide a roughly usable artificial metacarpal bone, but this is much better than losing half of the palm.

Everyone focused.

The palm and finger regeneration technique has been replanted, and it is time for the palm of your hand to replant it.

With the feeling of the previous four hours of surgery, Xu Qiu was able to do a metacarpal bone replantation.

A three-dimensional anatomy of the broken palm appeared in his mind, and blood vessels, nerves, tendons, etc. were marked from it.

Then, he began to repair the bone stent...

The distal end of the metacarpal bone, the artificial metacarpal bone and the proximal end are opposite...
Chapter completed!