Chapter 179
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Artificial knots can never be tougher than the seamless suture. Muscle tissue itself is a part of the body with vigorous activity, and the tension in the tendon is the smallest. To protect the knot and ensure the suturing effect, you can choose to bury the knot in the tendon surface to reduce the tension.
Finally, a muscle suturing is completed.
This is just one time... There are a lot of muscles that need to be sutured!
Zhou Yuan did not speak and continued to suturing.
Dean Fang also put away his thoughts and stared at the microscope intently.
For tendons with high tension, clamping with vascular clamps alone is not satisfactory, so steel wire is needed to complete the fixation.
Except for two more steel wires, the other steps are similar to suturing ordinary tendons.
After more than three hours, the suturing of the tendon was also completed in silence.
Zhou Yuan asked the nurse to wipe the sweat off his face, and the lead suit was soaked.
In order to prevent the blood vessels in the severed finger from spasming, the room temperature could not be too low. It was a hot summer, and Zhou Yuan was wearing a lead suit weighing more than 20 kilograms...
It was not easy for him to persevere.
Of course, although Dean Fang and Wu Guohui were not the main surgeons, they were old and had survived until now, which was awe-inspiring.
Although this was just the most basic quality of a doctor,
"Dean Fang, Director Wu, hold on a little longer, it's almost done." A smile appeared on Zhou Yuan's pale face.
Zhou Yuan also needed to conduct a systematic check on the entire regenerated finger, including the repaired blood vessels, nerves, tendons, etc.
Once any of them had a problem, the operation would fail. For example, if the return of blood and lymph nodes was blocked, or if the spasmodic blood vessels were not properly treated, edema would occur, thus affecting the survival of the limb and the recovery of its function.
The check was also to ensure that the first-stage closure achieved the best results. If there was a problem, a second operation would be required, which would also have a huge impact on the patient.
""How is the patient's urine output?" Zhou Yuan asked.
The anesthesiologist knew that Zhou Yuan was tired and reported the result directly:"The urine output is normal. There are no abnormal changes in the urine contents, no acute renal failure, and no complications such as acidosis were found."
"In addition, the patient's heart rate and blood pressure are stable.
Zhou Yuan nodded.
There were no problems with the sutures.
""Let's start suturing in layers." Zhou Yuan said.
This was the last step of the operation.
It was also the simplest step.
Suturing the subcutaneous tissue, suturing the outer skin, and bandaging the wound... Zhou Yuan had done it countless times and was already very skilled.
"Suturing is complete."Zhou Yuan completed the last ligation and put the needle holder on the operating table.
He pushed the microscope aside and looked at the patient who was still anesthetized on the bed with a smile.
Although this operation was difficult, it was finally done.
"The operation is complete."
Zhou Yuan's voice was a little breathless. He took off his mask, his face was pale, and the mask was soaked with sweat.
The breath that everyone had been holding was finally let out, and the atmosphere in the operating room suddenly became relaxed.
Zhou Yuan said weakly:"After the operation, we still need to analyze the patient's blood loss and fluid replacement before and during the operation, and closely observe vital signs."
Although no abnormalities were found during the operation, acute renal failure may be caused by the absorption of necrotic cells by the blood after the operation.
At that time, it will not be a question of whether the operation is successful or not, or whether the regenerated finger can survive, but whether the patient can survive.
"If abnormal urine volume, urine specific gravity, blood potassium, and urine creatinine appear after the operation, the first thing to consider is acute renal failure."Zhou Yuan was still a little worried.
This operation was the first time to be performed in Yanjing International Hospital, and the nurses' care must be lacking. Zhou Yuan must explain one by one.
If acute renal failure really occurs, the only option at that time is to save the patient's life and perform distal limb release surgery, that is, to cut off the transplanted toes.
Of course, this is already a last resort.
The nurses who were waiting by the side and preparing to push the patient to the ward nodded repeatedly.
Zhou Yuan briefly talked about some places that needed special attention, and then he felt a little dizzy, and said:"Anyway, pay attention to anti-shock, anti-vasospasm, anti-infection and anti-thrombosis. Apart from this, the rest is similar to the care of ordinary limb replantation surgery. Dean
Fang listened quietly.
He glanced at the time.
The operation lasted twelve hours and twenty-one minutes.
In other words, Zhou Yuan had been on night duty since last night and had been working non-stop until ten o'clock this evening...
Even with the help of energy and physical potions, it was still difficult for one person to persist in a twelve-hour operation.
""Hurry up and help Zhou Yuan." Dean Fang said.
The young nurses quickly went up to help Zhou Yuan and took him out of the operating room.
As soon as they came out, Zhou Yuan and Dean Fang and others immediately took off their heavy lead suits - they had to wear lead suits in the operating room. Many instruments in the operating room had radiation. Doctors who stayed in the operating room for years to perform surgery would be looking for death if they didn't wear lead suits.
Snap.
The lead suit fell to the ground, and Zhou Yuan immediately felt a lot more relaxed.
"Next, it depends on the patient's recovery.……"Dean Fang limped forward, patted Zhou Yuan on the shoulder, and said.
Zhou Yuan turned his head and looked at Dean Fang.
He only heard a voice
"Congratulations to the host, you have received the approval of your superiors! You have obtained 1 advanced treasure chest!"
Zhou Yuan's face lit up with joy.
Dean Fang was stunned for a moment:"What are you laughing at?"
Zhou Yuan came back to his senses:"I hope everything goes well."
"Well, whether this operation can be successful or not, you���Ideas that have been put into practice may also surprise the medical community……"
During the entire operation, Zhou Yuan's operation was flawless. Even the smallest knot can be called a textbook operation.
In addition, although the patient has not woken up yet and there is no way to know the recovery situation, etc., based on the current surgery, the connection between blood vessels, nerves, tendons, bones, etc. is theoretically valid! Moreover
, this is a theory that cannot be easily replicated!
Who can have such precise operation as Zhou Yuan, such a steady technique, and... twelve hours of operation without any mistakes!
Perhaps, when this theory is really put into practice, the only ones who are truly capable of completing the re-verification are probably Kanhara Jing and other top experts in the field of hand surgery and limb replantation...
In other words, Zhou Yuan has already stood at the pinnacle of hand surgery and limb replantation! _To read the ununderlined version of the novel, please download Fulu Novel AP