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Chapter 526 Super microscopic technology, vein stent!

The papers were spread out and everyone's attention immediately shifted.

After seeing the title, Director Yu and others were slightly stunned.

"Application of super microscopy technology combined with improved venous microstent in replantation of severed fingers"

"this……"

Yue Pan, director of the Department of Hand Surgery, who made a special trip to review the paper, was surprised.

Strictly speaking, it is not an audit, but a worship.

In front of Noah, Xu Qiu was the only one who dared to say the word "review", and the others were far inferior.

Yue Pan took the paper, and everyone else stood up from their seats and gathered in front of them, admiring it carefully.

Although they knew little about hand surgery, they could still see the gold content of this paper.

"Super microsurgery is a concept proposed by Professor Koshima, chairman of the World Society of Reconstructive Microsurgery..." Yue Pan's hands trembled with excitement.

Daxia has always been at the forefront of the world in the field of replantation of amputated fingers. However, in the new era, with the development and emergence of various technical capabilities, all kinds of fancy technologies and techniques have come to the stage, which has also pushed this subject to the forefront of technological competition.

era.

The super microsurgery technology proposed by Xiaoriguo can perfectly solve the problem of "the inability to anastomose small blood vessels and single nerve bundles".

Moreover, the replantation technology is very effective for tissue replantation with blood vessel diameter less than 0.3mm.

Xu Qiu's metacarpophalangeal regeneration technique, in which the replantation of tip severed fingers, belongs to the category of blood vessels with a caliber less than 0.3mm, but Xu Qiu uses a method of one effort to overcome ten skills, using an almost impossible-to-replicate operation difficulty to control

Fingertip replantation.

Subsequently, Xu Qiu continued to improve in the simulated operating room, repeatedly reducing the difficulty and improving his skills, and finally taught others the regeneration technique that had reduced the difficulty by half...

This super microscopy technology solves the problem of inability to anastomose tiny blood vessels in another ingenious way.

Prior to this, a lot of research was conducted in China, but to no avail.

However, this paper by Noah reveals this secret!

More importantly than this, Noah also proposed the concept and structure of a microstent for replantation of severed fingers!

Yue Pan's whole body and mind were attracted.

This microstent for replantation of severed fingers is composed of a bridge section and anastomosis sections located at both ends of the bridge section.

Among them, the wall of the anastomosing amine gradually becomes thicker from one end away from the bridge section toward the other section, forming a conical outer surface; while the outer surface of the bridge stage is sunken inward, and anchoring is formed between the remaining anastomosing segments.

district.

The anchoring area also has a special design.

Such as anchor pins.

This is used to pierce the blood vessel wall and fill it with anchoring paint to achieve anchoring purposes.

"This microstent can also be used in metacarpophalangeal regeneration! Its appearance can effectively provide circumferential support to the vascular anastomosis points, greatly shortening the operation time and further reducing the difficulty of the operation!" Yue Pan was extremely excited.

self.

The blood vessels in the fingers are extremely thin, especially at the fingertips. The blood vessels here are distributed in the center of the finger pulp thread as a dividing line and spread out in a branch shape. The thinnest part is even less than 0.1mm.

Therefore, the surgeon must anastomose extremely thin blood vessels of less than 0.3mm or even less than 0.1mm under a microscope.

And it’s not just a matter of successful suturing, the anastomotic blood vessels must be able to bleed smoothly, and there must be no exposed threads to avoid blood clots, infection, etc., which is extremely difficult.

One of the difficulties is that the blood vessels are too small and will dent if touched even slightly.

But how is it possible not to touch the blood vessels during the suturing process?

Because the blood vessels are too small, there is no room for error, and the arteries and veins that can be found in finger replantation surgery are extremely limited. If they meet the conditions, they can be used for anastomosis, and the blood supply is even more scarce.

If any one of them fails, it is very likely that the entire operation will fail!

However, the emergence of intravenous microstents has solved this problem!

With the help of the stent, the blood vessel can be opened in a circular manner and will no longer collapse due to pressure; and the anchoring needle further improves the speed of the operation. The surgeon can complete the operation in a shorter time than before, improving fault tolerance and the success rate of the operation.

, the degree of postoperative functional recovery and risk reduction!

"Not only that, Professor Noah also gave us an improved anterograde replantation method!"

Yue Pan didn't see anything at first, but as the paper progressed and Noah explained the characteristics of this method in detail, he suddenly realized it and was shocked.

The conventional antegrade replantation method is debridement - bone fixation - flexion and extensor finger tendon - dorsal finger vein - dorsal finger skin - digital artery - digital nerve - palmar skin of the finger.

But Noah changed it slightly.

The subcutaneous vein anastomosis is placed behind the fixed bone.

In this step, directly change the previous horizontal position of the affected finger to an upright position, take the volar wound edge as the turning axis, turn the broken finger to the volar side, and approach from the dorsal wound, so that the proximal and distal sections are both upward

Exposure allows the surgeon to change the surgical field of the wound from strabismus to direct vision!

It's like looking askance at someone and looking straight at someone!

This undoubtedly provides better exposure to the surgical field and makes the surgeon's operation smoother.

"Whether it is the microstent or the improved antegrade method, these are blockbuster papers that can affect hand surgery. If these are released, major medical journals will compete for them!" Yue Pan gave his final evaluation.

Director Yu's tense expression eased slightly: "Professor Noah is an honest person."

The others also showed comfortable expressions.

It’s good to have Xu Qiu here. Big bosses are sending papers one after another. If Linhai Doctor doesn’t become a core journal, who can?

Even the top medical journals in the country are not qualified to allow Noah, Joseph, Saitono and others to submit manuscripts together!

"Look at Professor Joseph's again!" Director Yu couldn't wait.

Professor Noah has already produced a paper of this level. If you slip up, I will look down upon your status as a living fossil of cardiac surgery...

Yue Pan put down Noah's paper with some reluctance, and his eyes fell on the other one.

This time it was Director Zheng who came to conduct the review.

Although Director Yu is a thesis expert, he is in the direction of orthopedic surgery. He could guide Xu Qiu's bone reconstruction, and he could speak a few words about the thesis of the internal doctors in the clinic, regardless of department, but facing Noah and Joseph

, is completely inadequate.

I can only yell like when I was reading Xu Qiu’s paper, shouting that 666 is so awesome.

"There are three papers on cardiac surgery..." Director Zheng was also a little itchy.

Seeing Yue Pan's reaction, he could feel that the papers written by Joseph, Saito Ye, and another famous foreign doctor would not be too bad!

"Joseph came from Cleveland Medical Center, which is the palace of cardiac surgeons and the world's top technology mecca and surgical base for cardiac surgery...many difficult surgeries in the hospital were performed by Joseph!

"Besides, he is different from Noah!
Chapter completed!
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