How many things are included in the cross-section of the entire calf? There are many. The bones include the tibia and fibula, which are the smallest. Not to mention the most numerous types of nerves and blood vessels, there are many different categories of calf muscles. They are definitely more than laymen imagine. The tibialis posterior muscle,
peroneus longus peroneus brevis, gastrocnemius, ratio
Eye fish, flexor digitorum longus, etc.
Be prepared to separate the muscle groups and then separate the nerves and blood vessels for cutting and ligation. The cutting is done step by step, separate and then cut.
The first incision made everyone suddenly wake up from their ideal dream. Thinking about the above surgical steps that will be performed next, as the young orthopedic surgeon worried, the medical fantasy is beautiful but the practice is very skinny.
With so many steps to separate and cut, how can you complete two in ten minutes?
Cut the legs.
What the nursing staff said would cause trouble if there was no shadowless lamp, it also became a cruel reality.
Other logistics staff tried their best to shine lights on me, but without shadowless lights, the surgical field of view was destined to be unclear.
The two seniors, Grandma Cao and Grandma Zheng, had sweat on their brows. Their presbyopic eyesight was deceiving, so they could only mutter to the young people: "If you have any questions, please tell me."
If you want guidance, you can only rely on the other party to clearly describe the problem. If you rely on their own eyes to see it, it may take a long time to identify it.
The anesthetist swallowed his saliva, his excitement was gone, and he had to prepare for the worst case scenario, which would last for more than an hour.
Only Dr. Guan was calmer because he knew his classmates well and found that Chang's knife was much faster than what he knew.
Looking carefully, it seems that the surgeon Chang has no worries about the future. He only needs to hold the scalpel and cut downwards.
As I said, to cut accurately, the prerequisite is that the separation is in place. Who will do the separation? If you let the main surgeon do it, it will definitely be impossible and very time-consuming.
Worried people around: exhaled, exhaled; exhaled, their hearts hanging in the sky; exhaled, exhaled for a long time, they were completely shocked.
A small retractor and a pair of hemostatic forceps in the surgical area are like a hero showing off his skills with two dog-beating sticks in both hands.
Pulling down this muscle, and then hooking up another muscle, the orthopedic surgeons who were watching were stunned for a moment before they realized that this was stretching the extensor digitorum longus and peroneus brevis muscles, instantly exposing the superficial peroneal nerve. It was really a precise
When the onlookers could no longer recover, the assistant's tool continued to give quick guidance to the surgeon, shortening the lateral calf muscles, and quickly pointed out the location of the pretibial artery and vein for the surgeon to cut. The exposed anterior tibial nerve needed to be gently pulled.
A pull
Then let the main knife cut so that it can retract to the osteotomy plane at that time.
Next is the osteotomy, and then the treatment of the posterior calf muscles and nerves and blood vessels. People around can see that the assistant leading the way is probably a top orthopedic surgeon, otherwise how could he be so familiar with orthopedic surgery paths. Speaking of
Student Xie needs to clarify here. She has never done osteotomy surgery and is not familiar with it.
However, I really don’t understand much about the amputation surgery process. As for her being able to point out these important parts, it was only when she was discussing the surgical approach with Senior Chang, Senior Chang told her which surgical locations he wanted her to point out.
Her three-dimensional eyes have an absolute advantage when it comes to dissecting the injured person's lower legs. Senior Chang is aware of this strength of hers.
As long as the path is correct and there are no accidents such as major bleeding, the operation process can be almost completed in one go. When everyone looked back at the time, it was far less than five minutes, four minutes and two seconds.
