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MTL - Since 1981 Health School-Chapter 387 I almost bent over looking for blood vessels
Chapter 387 Almost bowed down looking for blood vessels
Chen Qi was hurrying up for surgery at this time, but he obviously also encountered a problem.
Originally he wanted to remove the third toe to avoid affecting the patient's future walking function.
As a result, Chen Qi searched for a long time, but he couldn't find a thicker branch of the dorsalis pedis artery on the third toe. The absence of blood vessels means that there is no way to provide blood supply, so the transplant operation will definitely not be successful.
Chen Qi looked at the five toes in trouble.
"Zhang Xingshun, quickly get me the dissection book."
Director Bian and Director Ma also stopped their work, both a little surprised. Halfway through the operation, they needed to find textbooks, which obviously encountered an unknown problem.
"Dean Chen, what kind of problem is this?"
"Oh, it's a bit embarrassing. Look, I cut the skin of the third toe, but after searching for a long time, I couldn't find a suitable artery. I have to look through the book to see the distribution of arteries and veins in the other toes."
In Chen Qi's impression, there was a record of a big toe being transplanted to his hand in his previous life, so he firmly believes that the surgical idea must be no problem.
After a while, the anatomy book was brought, and Chen Qi put his hands in the air in front of his chest: "Turn me to the hand anatomy diagram."
Several little doctors also approached, Lu Mingqiu pointed at the red blood vessel of the second toe and said:
"Dean Chen, look here, there is a first dorsal toe artery, can you see it?"
Chen Qi carefully looked at the anatomical diagram for a long time, and gritted his teeth: "Go all out, try."
Chen Qi quickly returned to the operating table, cut open the skin of the second toe, and then found the dorsalis pedis artery on the proximal dorsum of the foot, all the way down, and started looking for the first dorsal toe artery from both ends.
Everyone watched this Dean Chen put on a miniature microscope, hold a miniature forceps, bend over, and search along several tiny blood vessels millimeter by millimeter. It was tiring to watch.
When everyone was in a hurry, Chen Qi suddenly half straightened his waist:
"Haiyan, hurry up, hit my waist, I can't straighten it, ah, it really hurts."
After the little nurse Zhou Haiyan heard it, she quickly squatted down and gave Chen Qi a back massage and massage. It took a long time before she recovered.
Director Bian joked next to him: "Hey, Comrade Dean's waist is not strong enough. Dr. Lan is not satisfied."
Director Ma also joined in the fun and said:
"That's not necessarily true. There are only exhausted cows and no plowed fields. Maybe the battle was so fierce last night that I broke my waist. Dean Chen, I have medicinal wine at home. I will bring you a few bottles later. You revive the masculinity!"
"Fart, I still use medicinal wine? See, you have a tiger's back and a wolf's waist."
"I didn't see the wolf's waist, anyway, there is a paralyzed waist now."
"Hahaha~~~~"
After joking for a while, the back pain eased, Chen Qi continued to put on the microscopic microscope, and continued to search for the first dorsal toe artery in the anatomy book.
After a while, I finally heard Chen Qi scolding his mother through gritted teeth:
"No wonder I couldn't find the artery. It was covered by the dorsal interosseous muscles. Fortunately, I was smart and found the deep plantar artery first by going retrograde."
Everyone was joking, but they were actually quite nervous. Now that the most important blood vessel problem has been solved, they all breathed a sigh of relief.
Time waits for no one, and the four groups of surgical teams continue to work separately and devote themselves to intense rescue.
The toes are connected to the hands, and the blood vessels, nerves, and tendons on the toes must match and correspond to those on the fingers one by one. The degree of delicacy and complexity can be imagined.
The subsequent surgery went well.
The arterial, venous, and tendon anastomosis of the two toes was completed at one time with Chen Qi's magical technique.
The operation lasted until 11 o'clock in the evening. After more than 10 hours of hard work, Zhu Shuijin's two toes were successfully transplanted, and the index finger of the right hand and the **** of the left hand were recreated.
When Chen Qi finished the last stitch, everyone in the operating room did not cheer, and all of them were so tired that they sat or lay down on the ground.
Director Bian and Director Ma sat on the ground, pressed each other's swollen feet, and smiled wryly.
“I think back then, when I first became a doctor, the highest record was 24 hours. I was in surgery all day and night without sleep.
"Who says it's not? Your feet are still swollen. My calves are swollen. I was still making fun of the dean's waist just now. Now it seems that I have to drink the medicinal wine myself."
"Hehe, it seems that we are really old, and we can't accept the old. The future will be their young people's world after all."
The two old directors sighed in their hearts, and looked at the young people in the operating room. They understood in their hearts that Chen Qi focused on training these young doctors, and wanted them to be the leaders in the future.
The golden age of a surgeon is between 40 and 50 years old.
Surgeons who are too young have little chance to act as the chief surgeon. They lack experience and are in a state of primitive accumulation.
Beyond this range, if you are a doctor who has been working on the front line for a long time, you must be very capable. For example, Professor Wu Mengchao can still come to power at the age of 90, but there is only one Professor Wu in the whole country.
There are very few doctors who are over 60 years old and still insist on fighting on the operating table. At that time, even if there is no problem with the brain, the eyes are blurred, the waist is disabled, and the physical strength cannot keep up. It is very helpless.
Top surgeons perform top-level fine operations, and they really can’t shake their hands at all. Many old doctors can’t pass this level alone.
After all, a surgeon is not like a doctor of Chinese medicine, just sit there and take a pulse.
Of course, older experts are well-informed and have keen insight into difficult and miscellaneous diseases. They can play the role of "Dinghaishenzhen" during the operation. It is absolutely no problem to stand by and guide.
Such as acute abdomen, when the stomach is opened, the inside is red, and the field of surgery is out of nowhere, and the ooze is flooded into a vast ocean.
The disease is being measured out, the anesthesiologist is resuscitating and greeting you, the risk of disabling shock is increasing every second, you are a young chief doctor, are you panicking?
You know it’s coming out, and you also know that it’s solved by pinching the seam twice with the pliers. The question is where is Nima coming out?
At this time, the veteran surgeon will tell you: Don’t panic, it’s most likely here or there, turn it out, clamp it, OK, end the battle.
This is the experience.
Experts just can't keep up, their brains are very fast, they don't kiss, they just watch and give advice to the Lord
Great sense of security.
It is equivalent to Zhang Sanfeng next to you when you are fighting, or Nie Weiping standing next to the head of chess as a staff officer.
In the operating room, when the two old directors were lamenting the young man, Chen Qi suddenly stood up, took off his gloves and ran out.
Everyone was stunned, and asked nervously from behind: "Dean, what happened?"
"I'm in a hurry to urinate, I've been holding it in for 10 hours, I can't hold it anymore~~~"
hahaha~~~
(end of this chapter)