Wound infection and avascular tissue are both obstacles to this operation, and they are also obstacles that cannot be avoided.

If the wound is barely replanted, the infection of the wound will continue to worsen and will kill the patient. If the broken arm is continued to be treated with ice and the infection is dealt with first, there will be less time.

No matter how good the drug is, it will take enough time to completely remove the infection. At that time, the broken arm will be too long.

There are corresponding treatment principles for limb replantation, not just to take it over and pick it up.

The first point is that compared with life, limb replantation is secondary.

The second point is that the time limit is exceeded when the broken limb is replanted, and there may be potential life-threatening complications after the operation.

The third point is also very important. Survival does not mean success. Success must be successful after replanting the broken limb. Otherwise, it will be just a decoration, which will increase the patient's pain.

Now these three points are occupied by patients, and it is predictable that the possible occurrence is almost the same, not to mention that all the cases are occupied.

"Continue to debunk and discuss it when Dr. Wang comes." Liu Banxia thought for a while and issued an order.

He wandered around his head, and there was no way to deal with it for the time being. He pinned his hopes on Wang Bo, which is the second only to Xu Peichen in orthopedics.

The broken arm is not the broken finger. The principle is the same, and the technical content can be different.

He only had some understanding of orthopedic surgery. After taking an arthroplasty surgery, he found that orthopedic surgery was profound and did not dare to say it randomly.

Wang Bo came over very quickly, and after understanding the situation, he also frowned.

"Doctor Liu, this job is really difficult to do." Wang Bo said.

"The situation is too extreme, and it also involves the patient's elbow. It is very likely that the joints will lose their ability to move and cannot grasp things. To put it bluntly, it will be better than the prosthetics."

"And our routine broken limb replantation surgery is at risk of infection. It is too risky to take such a great risk to connect to an inactivated broken limb."

Liu Banxia frowned, and even though she had a premonition, she still felt cold in her heart.

The emergency center is not in good condition recently, not only him, but the rest are also affected by some negative emotions. Now, the emergency center needs a beautiful case to raise everyone's enthusiasm.

If you do something passionately and do something you deal with, that may be two completely different results.

Now he has to use his brain to solve these two obstacles and give the patient a healthy arm.

Even if your ability to move in the future cannot reach its original health, it needs to be achieved to the maximum extent.

After all, even if the broken limb is replanted immediately, it will have some impact. Such a situation can be a permitted surgical result.

Wang Bo actually had no idea in his mind. He just said so much, but actually gave a diagnostic opinion. Just amputate the limbs and treat the wound.

This is the safest way to deal with patients, and there is no need to worry about it.

"Teacher Wang, how about replanting replanting in quasi-subjects?"

Just when Wang Bo was about to go back to orthopedics, Liu Banxia spoke.

"What does it mean?" Wang Bo frowned, very interested in Liu Banxia's proposal.

"Last time in Jinshui District, I encountered a case where the skin on the hand was severely burned and carbonized. At that time, our treatment was to suture the hands on the abdomen flap stalk, which reduced the risk of infection for the patient and saved a lot of time."

"So is this okay? We temporarily keep the broken arm in the abdomen. Anyway, the blood vessels in the abdominal cavity are also very rich, so we can completely restore blood circulation to the broken limbs."

"This way we have enough time to deal with the infection on the patient's wounds. After the infection is eliminated, we can undergo a broken limb replantation surgery."

When Liu Banxia was talking, Wang Bo kept building the feasibility of this plan in his mind. He thought about it, even though he thought this plan was very bold, he actually felt it was very feasible.

"Not to say, such adjustments can really give us some time. However, this must be explained clearly to the patient. We have never tried this before, and if we temporarily take care of the abdomen, it will also be dangerous." Wang Bo said.

"Especially psychologically, the psychological point of a normal person is that if his arm suddenly grows out of his abdomen, it may be difficult to accept. Even if the arm is replanted successfully in the future, it may leave a psychological shadow."

Liu Banxia nodded, "This is indeed something to be paid attention to. Although the firefighter only sewed his palms to his abdomen to help his skin grow, it was also very difficult for him."

"It's just because I'm a firefighter, my psychological quality is somewhat stronger. In addition, my comrades often come to visit and comfort me, and the adjustments were very good later."

"This patient's ideological work is left to Li Hao. It is also the patient he treated. The final decision must be handed over to the patient."

Wang Bo nodded, "Okay, I'll wait for you for a while and think about how to do this surgery."

He still agrees with Liu Banxia very much on this point, and now he also takes a high look at Liu Banxia.

Regardless of whether the operation can be done or not, he has taken the first step to success if he can come up with such a solution.

If this operation is successful, you can accumulate a lot of experience in this area. Next time you encounter a similar situation, you can do this.

This is also a breakthrough. There will be temporary foster care in ectopic areas, but he has never experienced any such situation as the arm.

"Teacher Liu, it would be amazing if this arm can be replanted successfully." Su Wenhao said.

"Surgery is one aspect, and the more important thing is the patient's psychological control." Liu Banxia said.

"Wait for a while, Li Hao's Qingchuang completed it, and you two will talk to him. The pressure on this matter is a bit too great, so give him some help."

Su Wenhao nodded. Even if it was just an assist, it was accumulating experience. Medical skills can be learned from the instructor, and the skills of communicating with patients or their families need to be slowly honed.

He has a relatively square personality, and he is much worse than other friends in this regard.

"Doctor Liu, then what am I going to do?" Qingkova spoke.

"Just watch the fun. If this operation can be done at that time, let you all go to the operating room to observe it." Liu Banxia said.

"The main reason is that you often speak more directly. Many patients on your side can accept it. We need to pay more attention to it."

Qingkova nodded, and she also discovered this situation. So although Liu Xiao would only be "tortured", she was having a very happy life.

Moreover, her identity is quite special, and relatively speaking, her "authorization" is also very large. You can follow many surgeries, and Liu Banxia's requirements for her treatment time are not that high.

"Mr. Liu, the child with intestinal twisting has completed preoperative preparations, so I went straight to the stage. Who of you followed me?" After waiting for a while, Wang Chao came over.

The last question was of course the interns, but what made him a little depressed was that neither Liu Yiqing nor Su Wenhao seemed to have no interest in his surgery.

"Qingkova accompanied her for a walk?" Liu Banxia asked.

"Okay, otherwise I'll have nothing to do, and there are no patients to treat me now." Qingkova nodded.

"My God, what do you mean? Am I so unpopular?" Wang Chao asked depressedly.

"Teacher Wang, we will do ideological work for the patients later. For temporary foster care surgery for broken arm ectopic ectopic surgery, we must take it seriously." Liu Yiqing said seriously.

Wang Chao opened his mouth, "When did this happen? Why don't I know? You guys... forget it, I'll go on stage first. Qingkova, I will reward you with chicken legs for dinner, so I won't buy it for them."

"Doctor Wang, can it be replaced with pig's trotter?" Qingkova asked seriously.

"Uh..., just pig's trotters, you'll be so greedy for them." Wang Chao said and looked back.

But there is nothing we can do, and we still have to accept that we are not welcomed for the time being.

"Teacher Liu, the de-invention has basically been completed." At this time, Li Hao walked out.

"The task is very arduous, let them tell you." Liu Banxia said, and walked out.

Now everyone has work on hand, so these three little ones still have to do psychological work for the patients, and they have to take care of the work for the treatment.

Fortunately, there are no first aid patients, they are all simple and small situations, and they are easy to deal with.

"Teacher Liu, Teacher Liu, the patient agreed."

Just as he was debridement of a patient, Liu Yiqing ran over excitedly.

Ding! The treatment is completed

Obtain 200 experience points, 300 proficiency in diagnostic skills

This reward gave Liu Banxia a small surprise. It was just a theoretically feasible treatment plan, which gave so many diagnostic skills proficiency, comparable to a moderate-scale operation.

"Go to my office to inform Teacher Wang. I guess I have thought about the surgical plan for so long. I will study hard when explaining to the patient and learn more." Liu Banxia said.

"good."

Liu Yiqing responded excitedly and ran away again.

"Doctor, are the doctors in your hospital so lively?" asked curiously.

"Not that, it will often happen after solving difficult cases and providing help to patients." Liu Banxia said with a smile.

"We do this kind of work. The happiness left over every day is to help patients, in addition to paydays. Being able to save an arm is equivalent to saving half of our life, right?"

The patient gave a thumbs up, "It's true that the words are rough but not rough."
Chapter completed!