Start with an emergency physician

Chapter 177



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Dean Fang's face turned pale when he looked at it under the microscope

"Zhou Yuan, slow down, you've already divided the blood vessels before I can see what they look like?"

Zhou Yuan:"Does it look good?"

Dean Fang:……

""You continue to sort... Are you sure you didn't make a mistake?" Dean Fang was a little worried.

He carefully checked the three reticular blood vessels and found that they were indeed consistent with Zhou Yuan's judgment. During the inspection, Zhou Yuan had sorted out eight more...

I have three, you have eight.

Dean Fang carefully sorted out two more, still without any doubt.

"How did you divide it?……"Dean Fang couldn't help but be curious.

He was an expert in hand surgery, well-known throughout the province and had a certain status in the country. Therefore, he knew clearly that this thing was accumulated entirely by experience...

Where did he get the experience from as a 26-year-old guy?!

Zhou Yuan stared at the reticular blood vessels and said,"You may not believe it, but when I touch them, they will scream.���If it is an elastic artery, they will make an"ah ah ah" sound, and if it is a very thick and large vein, they will make a"mmm umm" sound."

Dean Fang:"Hurry up and stop talking."

Zhou Yuan smiled.

"It's done. Let's start suturing. Dean Fang, please fix the threads of the same color."Zhou Yuan said.

Dean Fang nodded silently, looked at the microscope, and carefully sutured the blood vessels together.

Then, Zhou Yuan's sutures were seen passing in and out.

Dean Fang stared at these blood vessels, and the sound of"hmm" and"ah" came out of his mind.

"What am I thinking about?……"

Dean Fang was confused.

"Zhou Yuan, you should talk less during surgery in the future."

I feel like I will hear voices in my head when I suture blood vessels in the future.

Under the microscope, some blood vessels with spasms and blood vessels with poor proximal blood ejection were exposed. In spasmodic blood vessels, the smooth muscle of the vascular wall contracts strongly and the lumen is narrow. Even if sutured, the blood flow will be greatly reduced. The eye may even directly block the blood vessel, causing adverse reactions such as vascular embolism, so antispasmodics must be performed.

Zhou Yuan has had experience in this situation before.

"The kiss lasted too long and my toes are cold."Zhou Yuan said calmly.

"Director Wu, please help heat it up, soak the gauze with warm salt water, and cover it for a while."

Wu Guohui hurriedly did as he was told.

Sure enough, after a few dozen seconds, the bleeding disappeared.

The blood spray from the proximal end of the blood vessel was not good due to the narrow wall of the vessel.

Zhou Yuan quickly sutured, and soon the reticular blood vessels were connected.

""Reconstruct the bones." Zhou Yuan said.

This step was relatively simple. He used K's method to connect the palm bones and toe bones of the severed surface, and then used a small splint to fix them.

The fixed parts were exposed except for the fingertips. This was to observe the blood circulation. If there was a problem with the blood circulation, Zhou Yuan needed to adjust it at any time.

After all, Zhou Yuan figured out all the blood vessel anastomosis by himself, and there was still uncertainty whether it was feasible.

"Open the blood circulation." Zhou Yuan said.

Wu Guohui took off the blood vessel clamp on his palm.

Under the push of the heart, the blood flow slowly entered the two toes, circulated a circle, and returned to the vein. After waiting for two minutes, Zhou Yuan breathed a sigh of relief when he saw no abnormality in the blood vessels.

However, this only means that the blood vessels are well anastomosed. The final effect still depends on the patient's recovery.

"Block the blood flow and start nerve anastomosis."Zhou Yuan said

""Scalpel."

Zhou Yuan cut open a few pieces of skin on the toes without hesitation, and centered on the place where the nerve needed to be sutured, he moved from the proximal side of the nerve end to another part where the nerve was connected.

This was to provide a good surgical field.

Compared with skin trauma, the surgical field that ensures the suture effect is obviously more important, and it is normal to make a few cuts.

""Interrupted suture." Zhou Yuan said.

The reason for intermittent suture is very simple, to avoid nerve twisting.

Continuous lock-edge suture is not suitable for nerves, because once there is an inappropriate suture, or the nerve excitability is too high, the entire nerve will be pulled by the suture, causing twisting.

Once the nerve is twisted, the nerve will be damaged, and similarly, it will cause cauda equina nerve damage to the muscle.

The so-called cauda equina nerve damage is a neurological syndrome in which the peripheral nerve is paralyzed, disordered or dysfunctional due to external factors, and cannot regulate the motor sensation, pain, perception, temperature and other functional regulation of the innervated area.

For example, if the nerve is ischemic for too long or the secondary edema paralysis is aggravated, it will lead to paraplegia. Some cauda equina nerve damage is a man's nightmare - it can cause urinary and bowel disorders, sexual and functional disorders.

Cauda equina nerve damage is a global problem. At present, no country has proposed an effective solution. There is no better coping strategy except to avoid it as much as possible, and nerve twisting is also one of the factors that cause cauda equina nerve damage.

Once the cauda equina nerve is damaged, I am afraid that this finger regeneration operation can only be declared a failure.

""Scalpel."

Zhou Yuan freed the nerves of the severed surface and toes under a microscope. Some diseased nerves had to be removed.

Several nerves had nerve defects, which simply meant they were too short. Zhou Yuan could only slightly bend the joints and gently pull the nerves to lengthen them, thus overcoming the nerve defects.

"It's done. Dean Fang, please help fix the nerve again."

Dean Fang, the humanoid fixator, nodded silently, looked at the microscope, and began to anastomose the nerve ports.

There must be no tension in the suture between nerves. Once there is tension, the tension will cause the sutured wound to burst and cause secondary damage.

Therefore, Zhou Yuan slightly extended the nerve by 0.1 mm when he stretched it before to prevent accidents.

Fortunately, the suture of the nerve went smoothly.

Dean Fang, who had been helping to fix it, looked horrified.

There were two villains in his mind arguing about whether Zhou Yuan's nerve suturing technique was good or not.

Villain No. 1:"Fuck, the docking is so precise!"

Villain No. 2:"So precise, so precise!"

"Holy crap! Zhou Yuan chose to directly perform nerve transplantation on this diseased nerve, and performed double-end anastomosis on the nerve pulled out from the side!"

""Oh my god! It matches, it matches!"

Dean Fang was extremely shocked.

Looking at the dedicated young man in front of him, Dean Fang had a feeling... He was witnessing history! The history of hand surgery!

He was watching the future leaders and leaders of the medical field rise up! _To read the ununderlined version of the novel, please download Fulu Novel AP


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