eurekapd Chapter 167
Chapter 167
On the morning of October 20,
The weather is clear and cloudless ~~~
An airplane,
Take off from the imperial capital and arrive all the way to Pengshi Airport.
Ye Jianfeng, the deputy chief physician of the Department of Hand Surgery of Harmony Hospital in the imperial capital, stepped off the plane and then got into the pick-up bus of the First City Hospital.
Half an hour later,
Arrived at the first courtyard of the city.
"Warmly welcome Director Harmony Ye Jianfeng to the First Courtyard of the City..."
The First Courtyard of the City sent a welcoming team of "three banners" + "more than a dozen bouquets of flowers" to greet Ye Jianfeng very grandly.
"Thank you, Dean!"
Ye Jianfeng shook hands with Dean Wang Chang, happy in his heart and feeling valued.
However, he still wants to see the strength of the First Court of the City, and as long as the strength of the First Court of the City is high enough, he will come here to take up his post.
After all, a dragon doesn't live in a loach nest...
Take a break for noon,
In the afternoon, President Wang Chang's 'scheme' began.
After all, the First Hospital of Pengshi City is just an ordinary third-class hospital, and it is simply incomparable with the Imperial Capital Harmony Hospital in all aspects.
Therefore, the first step is to suppress this Ye Jianfeng!
President Wang Chang has prepared for a difficult orthopedic operation, and the patient's right hand was hit by a large stone, resulting in a crushing fracture of the palm of his right hand.
Then
Beep beep ~~~~
An ambulance, with a ———— bang, stopped at the entrance of the hospital.
A patient, was carried down.
The emergency doctor who followed the car was stunned when he saw the dean and the others.
"Dean..."
Seeing the director of orthopedics Xiang Yingyuan, he was overjoyed:
"Director Xiang, you are too good, this patient, 34 years old, male, when operating the machine, the palm of his hand was sawed by the machine blunt saw, resulting in a crushing fracture, now send you to the orthopedic department?"
Dean: "........."
Xiang Yingyuan: "........."
Such a coincidence?
Just about to give Dr. Ye Jianfeng a set, the case came?
And at this time,
Imperial capital Ye Jianfeng looked at the patient's sparse right hand,
I thought to myself: "I just came to the first court of the city, whether I enter the city or not, I also need to show my strength well!"
thereupon
He exclaimed, "Wait... Four-finger crushing fracture, this operation is still quite difficult, so let's be the chief surgeon!"
Dean Old Fox King hurriedly said, "No, no... No, you just came to our hospital and haven't rested yet... Moreover, this kind of small operation, for the first hospital of the city, can be done by any surgeon!"
Imperial Capital Ye Jianfeng listened.
Minor surgery?
This operation is very difficult, even in the imperial capital, there are not many doctors who can do it.
In his opinion, this Dean Wang Chang is dying to face and live to suffer.
Yipeng City First Hospital is at the medical level, and there is no way to carry out this operation, let alone "sneak out a person at will".
However, he is too lazy to debunk it, and when there is no way to go to the first court of the city, does he still have to invite himself to the stage?
Ye Jianfeng smiled in his heart: This is the opportunity you gave me to pretend, don't blame me for hitting you in the face.
The corner of Director Wang Chang's mouth hooked: "Director Ye, are you interested in seeing this operation?
Ye Jianfeng Yile: "Okay..."
......
Hepatobiliary Department, outpatient consultation,
Lin Feng looked at the outside of his clinic, the long queue of patients...
Look at the old director of the consultation room opposite, few people lined up...
Sweating wildly ~~
This robbed the old director's business ...
(According to word of mouth among patients, they all say that Dr. Lin Feng has high medical skills, so they all hang Lin Feng's number.) )
The old director said: "........."
The back wave of the Yangtze River pushes the front wave, and the front wave dies on the beach ·jpg
At this moment,
"Dr. Lin, Dr. Lin, it's not good!"
A little nurse hurriedly ran into Lin Feng's consultation room.
"There was a patient in the orthopedic operating room, and four fingers of his right hand, except for his thumb, were sawed off by a machine!"
“.................."
How is it again!
I don't do it!
Little nurse: "The dean asked you to go over and get that operation..."
Lin Feng pointed outside: "However, I have so many patients..."
Little nurse: "The dean called over... How about these patients be triaged to other doctors? "
Other doctors: Feeling offended...
......
......
After 10 minutes,
Lin Feng came to the orthopedic operating room.
Spend 20 minutes looking at the patient's condition...
The patient, male, 34 years old, a carpentry factory worker, was strangled by a blunt saw (pictured) while going to work.
Broken four fingers.
The incision is severed, torn and uneven
Severe damage to blood vessels and nerves in the incision,
Incision bone crushing (CT figure)
If the incision is smooth, finger replantation surgery (tertiary and fourth-grade surgery) is easier.
However, this patient, the wound is so 'bad', want to repair it, let the hand regain normal flexibility, the operation is very difficult!
Difficult surgery in a proper four-stage surgery!
Lin Feng judged that this operation, the entire city and the first hospital is estimated to be able to accept it.
(At this time, the dean said to Ye Jianfeng: In our city's first hospital, any young surgeon can handle this operation!)
......
Surgery, get ready!
Lin Feng washed his hands, dressed, wore gloves...
Get on the operating table,
Kazusuke is a familiar orthopedic surgeon who often runs to the emergency department to watch and learn Lin Feng's surgery.
"Injection of anesthetic, brachial plexus anesthesia block!"
"Intubation, general anesthesia!"
"In a supine position, the affected limb is abducted!"
Soon after,
Complete anesthesia.
Lin Feng also carefully looked at the actual injury of the patient's severed finger.
......
The operation begins,
Step 1,
Debridement!
Debridement is important to avoid things that have not been washed and to disinfect thoroughly to prevent infection.
"With the upper third of the large artery of the arm, tie the air bag tourniquet to prevent heavy bleeding during the operation!"
"3% hydrogen peroxide and diluted iodine solution to rinse the wound!"
Lin Feng picked up the forceps and began to remove the necrotic tissue around the wound, looking for the finger arteries, veins, nerves and flexor tendons proximal to the finger.
At this stage, Lin Feng did it very carefully.
Because the broken end is too uneven, the difficulty of debridement will be relatively high.
20 minutes later...
End debridement...
......
Next
Start stitching!
"3-0 silk thread!"
Lin Feng ran through the marks one by one in the dazzling finger nerves.
"5ml heparin saline syringe!"
The blood clot in the blood vessel is cleaned to facilitate subsequent finger replantation surgery.
"Bone biting scissors!"
"Bone file!"
Lin Feng picked up the bone-biting forceps to clean the area around the broken finger, and the bone file flattened the protruding finger bone.
Bone wax fills the bone marrow cavity to stop bleeding.
"Electric drill!"
Crossed Kirschner is fixed once for broken bones!
Use a vice to cut off the excess Kirschner needle section.
"Microscrews!"
Lin Feng used an electric drill to drill micro screws into the finger bones for secondary fixation.
"Toothless tweezers!"
"Braided thread!"
"Surgical needle forceps!"
After the broken bone link, the most important, that is, affecting the degree of recovery from broken finger replantation surgery, is the repair of the extensor finger tendon and flexor tendon.
Multidactyly fractures also mean multiple layers of discrete planes.
Lin Feng carefully straightened the extensor tendons according to their respective broken planes.
The braided thread is threaded into the surgical surgical toothless forceps and the extensor finger tendon is sutured.
The amount of surgery on the four fingers was extremely large, and it took Lin Feng three hours to repair the extensor tendons alone.
Next, the repair of the flexor tendon is more difficult than that of the extensor tendon.
"Two 5ml syringe needles!"
Lin Feng directly picked up the needle and penetrated both sides of the flexor tendon.
Immediately after using surgical scissors, subtract the excess tendon part.
"Suture needle with thread!"
The ruptured flexor tendon is sutured in the same way.
......