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Chapter 43 Replantation of Severed Finger, Zhao Pengcheng's Regret(1/2)

"Okay!" Zhang Yan nodded to the anesthesiologist.

Then he stepped forward and started to clean Chen Dafa's fingers.

Whether the broken finger is cut with a knife or a chainsaw, the wound is relatively dirty and needs to be carefully cleaned.

Zhang Yan cleaned it very carefully, and the wounds on his palms and broken fingers were carefully cleaned.

There was some residue caused by the broken bone fracture at the wound, and Zhang Yan also held tweezers and clamped it out bit by bit.

This is a patient and meticulous job.

Leaving a little bit of bone scum may cause a second stage infection, which will lead to necrosis of the entire finger and amputation again.

After cleaning up, Zhang Yan changed into a pair of gloves.

Start cutting the skin tissue, peeling off the muscle tissue, and peeling out the blood vessels and nerves one by one.

Then trim the tendon tissue at the broken fingers, pick up the broken fingers from time to time, compare them, and then continue to trim.

Not only trim the wound on the palm end, but also peel the fingers and trim it.

"Master Chen, because of the sawing, your fingers will be a little shorter than before after you connect them." Zhang Yan raised his head and said with a smile to Chen Dafa.

At this time, Chen Dafa was almost crying. He watched the person holding scissors on his palms, wiggling like pruning flowers and branches. The feeling was so awkward.

The key is that he can only watch and feel nothing at all.

"It's okay, it's okay! Just follow it up, it's okay to be shorter!" Chen Dafa squeezed out a smile that was even worse than crying.

"Don't be nervous, I can definitely connect my fingers, which will not affect your meal." Zhang Yan said with a relaxed smile.

Chen Dafa really wanted to tell Zhang Yan that even if you don’t attach this finger to me, it won’t affect my meal.

This is my left hand, who uses my left hand to hold the chopsticks?

Zhang Yan's mood is very stable and his hands are also very stable.

Zhang Yan knew that this was the accumulation left to him by his predecessor, an extremely precious wealth.

The most important thing for a surgeon is not how much medical theories you know, but a heart.

I am used to life and death, not afraid of favors and disgraces, and calmness of Mount Tai collapses before her face.

Without such a calm heart, you will never be a great surgeon.

The predecessor left him with such a calm heart, baptized by the battlefield artillery fire.

Sometimes, Zhang Yan himself couldn't figure out whether he was possessed or reincarnated, and then awakened his memories of his previous life.

He has inherited everything from his predecessor perfectly. Sometimes, if he inherits it too perfectly, he will have this unreal feeling.

After trimming the tendon tissue, Zhang Yan began to trim blood vessels and nerves, and finally began to trim the finger bones.

Sharp surgical forceps make the phalanx trim the wrong stubble.

After the trimming was completed, the finger-receiving surgery could not be performed directly. Zhang Yan checked for possible thrombosis in the blood vessels of the broken fingers.

If there is a thrombosis, the thrombus must be cleaned before finger retrieval surgery can be performed.

After cleaning up the blood clot, Zhang Yan picked up the broken finger and started to sever the bones.

When replanting the broken finger, it is naturally necessary to connect the seams from the inside to the outside.

Replanting the broken finger requires internal bone fixation, which is a secondary surgery, and Zhang Yan does not yet have surgical skills.

But who gave him the skill of orthopedic proficiency in traditional Chinese medicine?

This is a bug-level skill.

Zhang Yan does not have internal bone fixation, but the wrong stubble he just trims is preparing for the current bone joint.

Zhang Yan held his fingers and compared them. He heard a light sound. The erroneous stubble at both ends of the finger bones were connected together, like gears, tightly biting together.

There is no need to do internal fixation, as long as you don’t touch it hard, it won’t fall off.

Then Zhang Yan began to repair the soft tissue.

"A needle holder, round needle, 7-number absorbable thread." Zhang Yan stretched out his hand to the instrument-type nurse.

"Ah?" The nurse was stunned for a moment and did not give Zhang Yan the type of device he needed.

"What's wrong?" Zhang Yan asked with a frown.

"Doctor Zhang, have you remembered it wrong? There is no absorbable wire of this model." The instrument nurse said in confusion.

If Zhang Yan hadn't just shown calmness, skillful techniques, and very clever bones, and tall and big, although he couldn't see his face, his eyes were bright and handsome, so he would definitely not have the equipment nurse.

I will explain to him in a good voice.

Zhang Yan had been criticizing him for a long time and could not find him.

Will I have surgery?

Where can I get you something that doesn’t have?

"No?"

"Doctor Zhang, are you talking about foreign standards? We can't produce this type of absorbable suture now." The anesthesiologist smoothed out the situation.

"Oh! Sorry, I don't do surgery often and don't know much about domestic surgical instruments." Zhang Yan showed an embarrassing smile.

Chen Dafa really wanted to cry this time, but he was sober. Originally, Zhang Yan said confidently that he could pick up his finger, but he still had great hope and was very grateful to Zhang Yan.

However, now that I heard that Zhang Yan said that he did not undergo surgery frequently and got the model of the suture wrong, Chen Dafa's heart was dead and he no longer had hope for his fingers.

well!

Chen Dafa didn't speak, and his heart was ashamed.

The cruelest thing is to give you hope and take hope away from your eyes.

"Please get the thinnest intestinal thread for me." Zhang Yan quickly corrected his instructions.

The reason why sheep intestinal thread is that after the broken finger is sutured, it is impossible to cut the wound and remove the thread.

For example, the body's organ sutures and blood vessels are all used for absorbable sutures.

Absorbable sutures are divided into artificially synthesized absorbable sutures, as well as absorbable sutures made of natural materials.

Sheep intestinal thread is an absorbable suture made of natural materials.

At the beginning, the No. 7 suture that Zhang Yan wanted was a 0.05 mm thickness suture, but unfortunately there was no.

It can only be replaced with 0.2 mm intestinal thread.

It's four times worse here. Although the stitching effect is not four times worse, it's also much worse.

It has little impact on the surgical effect, but it has a great impact on postoperative recovery.

After suturing the soft tissue, Chen Dafa's bones finally had a support point, so they would not break again if they were a little harder.

Then, vascular suture and nerve suture finally began.

The blood vessels and nerves on the fingers are very thin and need to be sutured with a microscope.

The more blood vessels and nerve sutures are, the better the postoperative recovery will be.

Zhang Yan was concentrating on vascular suture, not knowing how many people came in behind him.

After Zhao Pengcheng had the operation, he remembered that Zhang Yan had just asked him to borrow the operating room, so he brought his assistant to see the situation.

Although I knew that Zhang Yan would have surgery and had a good vascular suture.

However, there are not many people in China who can do the re-implantation surgery for finger cutting, each of which is a top domestic boss, a boss at the level of a major hospital or a vice president of major hospitals.

The anesthesiologist and the instrument nurse were watching Zhao Pengcheng as he was about to say hello, but Zhao Pengcheng made a gesture of silence, found a good view, and watched Zhang Yan undergo surgery.

When I saw it, I was shocked.

Damn it!

I'm really doing a finger breaking replantation surgery!

Moreover, blood vessel sutures have already begun.

Although I don’t know what the final result is, but seeing Zhang Yan’s skillful suture technique under the microscope, Zhao Pengcheng knew that the chance of this surgery was very high.

I felt extremely regretful. If I had known the operation just now, I would have left it to my assistant to complete it.

Zhao Pengcheng felt a sense of regret of missing billions!

This is a finger-cutting replantation surgery, and he missed the opportunity to observe the finger-cutting replantation surgery.

It’s all because of this bad guy’s lack of strength. Even a major gastrectomy cannot be performed well, which makes me lose a valuable opportunity to observe.

Thinking of this, he glared at his assistant fiercely.

Zhao Pengcheng's assistant was his apprentice Peng Dahai, a doctor in general surgery, and was approximately equivalent to the attending physician in later generations.

Peng Dahai was a little confused and didn't understand why his master glared at him.

He clearly praised his good surgery just now and said that he could have the surgery taken next time.

Why did I suddenly glar at myself again?
To be continued...
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