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【3322】Not simple

Strange, where did this wrapped skin come from?

The doctor's first choice is definitely not to cut off a piece of skin from other parts of the injured person's body. That would cause secondary harm to the patient.

Therefore, this piece of wrapped skin requires the doctor to design the surgery starting from the surgical removal part. The professional term is called a skin flap.

The length of the skin flap should be longer than the length of the osteotomy, etc. The specific surgical shape should be made into two pieces, the front and back, so that when the time comes to close, the cross-section of the amputated tissue can be completely wrapped, just like packing a bag.

From the above description, we can know that the lowest value of the height limit of the amputation plane cannot be reached on the limit line of the stone pile presser leg, and it must be higher.

How long it goes up also depends on the doctor's skill. How long can the doctor keep the skin flap as long as possible?

The specific design length of the flap will be measured and pondered by the doctor in the operating room with a ruler. The design type of flap length can be a long front flap and a short back flap, or a short front flap and a long back flap.

It can also be that the front and back flaps are of equal length. Even under extreme conditions, the length of the front flap beyond the osteotomy plane is zero and all depends on the posterior flap.

length to wrap the cross section. One of the most important considerations for doctors is how much of the flap can be retained. This involves not only observing the skin integrity of the flap, but also focusing on the blood supply area of ​​the flap.

When cutting, the doctor wants

Try to design the length and shape of the flap so that the important blood vessels contained in the flap are preserved. In today's emergency surgery at the accident site, doctors are destined to be unable to slowly ponder and measure slowly. The requirement is to be fast, no matter what.

It’s fast. What’s more, the visibility is so low that it is restricted by lighting and on-site environmental factors.

, allowing doctors to make quick and accurate judgments is almost an impossible task.

As Grandma Cao said, classmate Xie's eyes should be able to exert their ultimate effect.

Chang Jiawei said directly to his assistant Xie: "You tell me to cut it, and I will cut it."

The trust entrusted to her by her seniors was great, and the pressure was great. Xie Wanying took a deep breath.

"Don't be afraid, just say whatever you have to do, I'll take care of it." Chang Jiawei immediately added this sentence to her. With him at the scene, it was absolutely impossible for her to bear any responsibility.

The senior is really good and has the courage of a real big shot.

There is really no need to be afraid when a big boss is protecting you. Xie Wanying's hand began to point down.

After remembering the route map she planned, the surgeon immediately gave instructions to the anesthesiologist: "You can be anesthetized."

The short-acting anesthetic quickly entered the patient's body, and the operation timer started. Everyone was nervously observing the operation and keeping an eye on the operation time. The second hand passed by second by second, and it was like living a year, and it was like detonating a bomb that was about to explode the heart.

.Everyone is in extremely conflicting moods.

I hate that the face-to-face time is too long, but on the one hand, I hate that the time is too short. Don’t think that the surgery that Mr. Xie mentioned at the beginning only involves resection, and really doesn’t involve suturing at all. It’s impossible. At least the big blood vessels need to be tied during the incision.

Yeah, otherwise if you lose a lot of blood, it won’t be enough to apply pressure and bandage.

Stay until the injured person is sent to the operating room of the hospital.

Therefore, the so-called partial resection operation requires separation, not like cutting up chickens, ducks, gooses, and pigs in a slaughterhouse without caring about other things. If it is separation, you must know what tissues will be encountered during the resection process.


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