In the operating room, everyone was a little uneasy.

Especially Wang Shengde, director of hand surgery, Noah and others.

They have been deeply engaged in this industry for a long time, so they understand more clearly how desperate the current situation is.

They once hoped to challenge the limits of human surgery and break the restricted area of ​​hand surgery, but after so many surgeries, watching countless patients who thought they could save had to give up their palms, this sense of powerlessness also made them more respectful of medicine.

What Xu Qiu is doing now is actually challenging the surgical restricted area that they once thought was unreachable.

"call."

Everyone was in a particularly heavy mood and they were cautious in their breathing.

However, when Xu Qiu faced all this, his expression was still extremely calm, as if he was just putting a band-tip on the patient, with a relaxed and calm look on his face.

"Scissors." He reached out.

The ophthalmic scissors were passed to Xu Qiu's hand, and he quickly subtracted the dermis under the dermis at the edge of the broken end. When he cut it to the skin of the back of the finger, he almost clinged to the dermis layer and passed 0.1mm above the subcutaneous vein of the back of the finger...

Then, he first debrides the blood vessel and nerves on the right side of the left palm as the center point.

Then use microscissors to carefully remove contaminated and contaminated tissue around the vascular nerves, and simply peel off the epiarterial tissue of the arterial artery.

After doing this step, gradually expand the debridement range to the surrounding and opposite sides.

When the debridement expanded to the contralateral vascular nerve bundle, Xu Qiu stopped, turned his wrist and began to perform the same debridement centered on the contralateral vascular nerve bundle.

Finally, he simply cut off a layer of fat interstitial tissue with a thickness of about two millimeters.

"This, is this simple?!"

Yang Yuen was very surprised.

It was also debridement, she was like a bath for pig bristles, while Xu Qiu seemed to have made a fine spa.

How can the same operation be so big?

And, not just debridement.

Xu Qiu's eyes were like machines, shooting at every structure of the broken palm. The next moment, a clear three-dimensional image appeared in his mind.

It is almost impossible to do this in a short period of time.

However,

Xu Qiu had a normal anatomical palm section in his mind.

Therefore, what he needed to do was not to remember all the structures of Qiu Qinghu's palm, but to slightly shift and adjust the normal structure in his mind... For Xu Qiu, he had only made subtle changes in the anatomy that had already been engraved into his mind.

Of course, outsiders don't know all this.

When they were still shocked by Xu Qiu's debridement technology, the latter had already cut the fascia layer under a six-fold microscope and marked the thin strips of pale and dark red in turn.

This is the vein of the palm.

Pale white is the color of the blood vessel itself, while dark red means that there is a small amount of blood inside.

This is a very bad sign, which means that the surgery must be accelerated, otherwise once the stagnant blood coagulates in such a thin blood vessel wall, there is almost no chance of clearing it again!

Only deprecated!

For Qiu Qinghu, who has few good blood vessels that can be used, this blow is enough to be fatal.

"The fingers and backs have found three veins that can anastomosis."

"Two small veins were also found in the fascia on the palmar side..."

In the operating room, Noah and others exclaimed in amazement.

Other doctors often spend an hour on finding blood vessels in various gaps and anatomical structures.

However, in front of Xu Qiu, the blood vessels were like the opposite sex, and they wanted to jump to Xu Qiu...

This is outrageous!

Others are looking for blood vessels everywhere, and they can match them together, enough to survive.

And here, there are so many blood vessels to choose from!

“5-0 line mark.”

After Xu Qiu finished speaking, the director of hand surgery and Wang Shengde's beloved disciple Yue Pan rushed to fight and quickly marked the corresponding blood vessels.

"nailed it!"

As Xu Qiu picked out the retracted finger flexor tendon from the flesh and blood, everyone was stunned.

Next, the formal replantation technique.

There are two clinically conventional replantation methods, or in other words, two orders.

First, replant directly.

The steps are: debridement - bone fixation - suture and repair of tendons with extension and flexor tendons - dorsal vein anastomosis - dorsal skin suture - finger inherent arterial anastomosis - finger nerve anastomosis - palmar skin suture.

The other one, just reversely, replants retrogradely.

This method first sutured the palmar skin, then the nerve anastomosis, the inherent artery anastomosis, the flexor tendon suturing, etc. Finally, the extensor tendon, the dorsal side of the finger, etc. ωωw..net

There are no advantages and disadvantages between the two.

But there is a point in the retrograde method, which is that you don’t need to turn your hands frequently during surgery, and you can do it smoothly all the way to the end.

For doctors, use whatever they want.

“0.8mm Kerchner.”

Xu Qiu took the equipment he handed over and quickly and accurately drilled out from the broken bone marrow cavity at the fingertips, and then drilled in retrogradely into the broken bone marrow cavity at the proximal broken bone marrow cavity until he passed through a joint and stopped.

This step is actually similar to skewers of candied haws.

Or exactly the same.

The same red, the same creaky and soft.

It's just that the finger joints are strung together.

Swish.

In the blink of an eye, Xu Qiu had completed the fixation of each replanting finger, and then he strengthened a needle on both sides of the finger flexor tendon.

"This is……"

With the emergence of the reinforcement needle, Noah, Abel and others' pupils shrank.

They immediately realized what Xu Qiu was doing.

The K-S-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-A-

However, there is a huge flaw - it is easy to rotate.

Xu Qiu also considered this, so he used amazing suture techniques to perform fine sewing on a small finger flexor tendon, which will be directly and completely fixed.

"So willful!" Noah was amazed.

As the saying goes, surgery requires less is more, and less is sperm.

Any extra operation will increase the risk.

What's more, is it a step that is extremely considering the foundation of suture, which is a step that is extremely considering the suture foundation?

Others dare not do this at all.

But Xu Qiu's suture technique is so skillful that it makes him dare to use it boldly to solve many problems that other clinicians dare not think of.

For example, rotation.

Other doctors may ask their assistants to act as humanoid fixators throughout the process, but Xu Qiu dared to move needles to the tendon.

He is the only one who dares to take risks like this.

"It's time to assemble the blood vessels." Noah and others cheered up again.

Blood vessels and nerves are the keys to determine the survival of the fingers.

For these two structures, the only way to deal with it is to patch.

However, this is the most difficult operation to replant the entire broken finger.

The blood vessels are extremely thin, and the needles used for suturing are as thin as cow's hair.
Chapter completed!