94 Broken finger replanting

The injured were quickly sent to the operating room.

It was not until this time that Su Yang was secretly relieved. His work as a hygienist was completed, and the next thing was the military doctor's business, and he could finally take a breath.

Before, I used to fight and rescue people, and I consumed a lot of energy. When I relaxed, I suddenly felt a wave of fatigue coming like a tide. At this time, I really just wanted to find a place to lie down and not move.

Of course, it would be best if there was another beauty helping with massage and relaxation.

But he was about to turn around and go out, and with a creaking sound, the door of the operating room opened. He Qiong poked his head out from inside and saw Su Yang. She asked, "Xiao Su, will you have a surgery to cut off your finger and replant?"

Replanting the broken finger?

Su Yang was stunned.

In the cab on the Zhiyuan, the militants cruelly cut off a crew member's finger in order to coerce the captain.

Now, it has not been too long since that incident happened, so theoretically, that half of the finger should still be sewn.

Su Yang was extremely tired, but when he heard He Qiong's words, he suddenly became excited as if he had an adrenaline injection.

"Yes!" He answered neatly. After a pause, he added modestly: "If it's not too complicated."

He actually has not had a corresponding operation. At most, he has done experiments with some small animals before. As for the real finger-cutting replantation surgery, he has not done it, but he has already had an expert suture. I think it should be not difficult to suture a finger.

Of course, at this moment, he can't do surgery such as suturing and breaking the broken calves. There are too many things and techniques required, and it is completely impossible for him to be like this now, but a small finger should be no problem.

He Qiong kept looking at him.

Originally, he didn't dare to let Su Yang do this surgery, but because of the lack of manpower at this time, they had to suture the calf. The operation would take at least ten hours. Another military doctor had to treat the burn patient, and there was no one. If the finger cut off is not replanted, the best time for the surgery would pass. In that case, the finger cut off will completely necrotic due to the long ischemia time and it would never be possible to take it. In addition, she personally checked the incision of the incision of the patient. The more she looked at the organ, the more she became surprised. The more she looked, the more she felt that Su Yang's medical skills were actually not much worse than theirs, so this thought suddenly came up.

But she was not sure and was still a little worried because she didn't understand Su Yang.

Hearing Su Yang's answer, she finally made up her mind and nodded and said, "Okay, then you come in."

She first changed Su Yang into a full set of sterile surgical gowns and thoroughly disinfected them, then took him into the operating room.

"His finger was cut off, the blade edge was very flat, the injury was not complicated, and the difficulty of suturing was not very high..." He Qiong whispered to Su Yang to explain the precautions for surgery.

"Okay, OK!" Su Yang nodded repeatedly and listened humbly.

"You are doing it in the compartment next to you. I will come and take a look from time to time. When you do it, call me when you are in the key position, and I will come and check it. If there is no problem, you can continue to do it, okay?" He Qiong said embarrassedly.

She asked someone to come in and do things but didn't trust them. This was naturally not a good thing. She was naturally guilty, but for the sake of the patient, she had to do this.

"Okay!" Su Yang nodded and agreed, not feeling dissatisfied with the other party's actions, and put himself in his shoes. If he were He Qiong, he would have done this.

Su Yang soon came to the operating room.

At this time, the injured person was already lying inside. When he saw Su Yang coming, he hurriedly wanted to sit up.

"Don't move, just lie down." Su Yang said.

"Thank you, doctor." The patient said thanking and stared at Su Yang without blinking. Su Yang's face was covered with oil paint at this time, black and shiny, emitting a strange and mysterious color.

"Don't look, it's not good for you to see too much!" Su Yang whispered.

"Oh! OK!" The guy turned his head quickly.

Today's action is unexpected, and the subsequent finishing work will be a bit troublesome, but the superiors will have good arrangements, so Su Yang and the others are not allowed to worry about these issues.

The replantation of the broken finger has a development history of 30 years in my country. It has grown from the initial high, deep and sharp technology to the main stage of replantation and survival to the stage of popularization, improvement and functional recovery in a few days; in the replantation technology, it simplifies the vascular anastomosis method and shortens the surgical time, so that the replantation of the broken finger reaches a new level.

However, Su Yang's level... can only deal with some simple finger replantation, but it is definitely impossible to do if it is too complicated.

Su Yang first checked the patient's wound.

Because the finger was cut by a sharp blade, the wound was flat, and there were a few abdominal valves, tendons, and bones left on the abdomen, which were completely broken and there were no defects in the area. According to the 1977 etsahy division of the end-section fingers, it was as c-plane.

"This operation is really not difficult." Su Yang looked at it and had a rough judgment in his mind.

The first step is debridement.

Incomplete debridement can cause serious consequences and will directly affect the quality of the surgery.

Different types of finger breaking should be debride at different degrees according to different causes of damage and damage to the two sections;

If the cut is caused by cutting and there is no obvious contamination on the cross section, it can be simple to clean it;

If the two sections are damaged due to stamping, crushing and crushing, and the two sections are contusion and pollution, a large-scale debridement should be carried out, and even extending 5 to 8 mm to obtain a normal tissue structure. If the debridement is not thorough, it will inevitably cause local necrosis, infection, vascular embolism, scar formation and affect the survival or function of the finger body.

Fortunately, debridement in Su Yang's patient is relatively simple.

Su Yang first used 2% lidocaine to block the nerve at the base of the finger.

Then rinse the wound with sterilized saline;

Then, use 2% iodine and 75% alcohol to disinfect the skin of the wound. During this process, the wound should not be touched to avoid protein coagulation and affecting tissue healing;

After doing all this, he turned around and shouted outside. Soon, He Qiong walked in. She looked at it and nodded quickly. Su Yang's approach was very standard and was done very well, without any problems.

She was about to go out, Su Yang said: "How about you just stop going out, just watch here, you can do it in more than fifty seconds?"

What? More than fifty seconds?

He Qiong was stunned.

Su Yang didn't say anything, just nodded.

This stitching is not difficult, it is very simple. With his expert stitching level, it is really a matter of more than fifty seconds.

He didn't say anything, but quickly connected the two sections;

First use line 1 to suture a needle on the dorsal side of the finger and the palm side and suture the tendon together with the center of the skin, then symmetrically suture 4 to 6 stitches, and fix it with a tongue pressing plate.

At this point, the suture was completed. It took him only more than forty seconds to bandage it. Then he started bandaging it, exposing his fingertips during bandaging for observation.

"After the operation, add 2 grams of fosfomycin and 5% glucose once a day for five days, one Yunnan Baiyao Capsule, once a day in the morning and evening, routine dressing changes once every 2 days, fingertips pale and low in temperature 1-2 days after the operation, skin is blue and purple on 3-4 days, skin gradually turns red after 10 days, stitches are removed after three weeks, callus is formed in large quantities, and the finger function of the broken fingers is basically restored after two months, right?" Su Yang asked He Qiong.

“…”

But He Qiong can no longer speak, she just stared at Su Yang blankly!

Is this a hygienist?
Chapter completed!