Doctor Zhao, help!

Chapter 150 Skin Spray?

15 minute later.

Anesthesiologist Ji Tao said to Zhao Sheng and Zhou Huining: "Dr. Zhao, Dr. Zhou, the operation is ready."

"it is good."

Zhao Sheng and Zhou Huining looked at each other and nodded in understanding.

As soon as they removed the gauze wrapped around the uncle's right hand, right forearm, and upper arm, the equipment nurses Qi Ling and Li Ranran were shocked.

"Dr. Zhou, can I still save this hand?"

Qi Ling, the equipment nurse, looked at the black and swollen right hand in front of her and couldn't help but asked with some doubts.

No matter how you look at it, amputation is probably the easiest and safest option now.

If this can be saved, it is hard to say whether it can be saved. If sepsis occurs after surgery and bacteria enter the blood and spread throughout the body, it will be fatal!

"If an amputation is required, it can be done at a local hospital. There is no need to come all the way here."

“Patients come here just for this hope.”

Zhou Huining said slowly.

Although she is small, she seems to have a very powerful and trustworthy aura at the moment.

"Dr. Zhao, use the skin-saving method."

After a pause, Zhou Huining said to Zhao Sheng again.

"it is good."

Zhao Sheng nodded.

He also mastered this technique.

As for how he, an emergency doctor, could master this rare surgical technique that only doctors specialized in wound repair can master, it starts from the last time he performed surgery with Zhou Huining.

This "skin-section method" is one of the most cutting-edge procedures in the world that takes into account both therapeutic and recovery effects. It is mainly targeted at debridement of necrotic tissue.

As the name suggests, it is to preserve the viable skin to the maximum extent without affecting the effect of debridement, and to make full use of this skin to cover the wound, so as to reduce the area required for skin grafting during wound recovery and improve the quality of life after surgery.

"Huh? What is skin-saving method?"

Seeing the tacit understanding between Zhou Huining and Zhao Sheng, resident doctor Xiao Li asked in confusion.

He has been in the trauma repair department for so many years, but he has never heard of [skin removal method]!

Resident doctor Xiao Huang also looked confused.

"Generally, when severe bacterial infection causes tissue necrosis in current patients, large areas of soft tissue under the skin flap will become necrotic, and the perforating arteries of the skin will be destroyed. In the past, the skin that had lost its blood supply would be removed together. Leave it to the second stage of skin grafting, which is the safest approach.”

Zhou Huining looked at the resident doctors Xiao Huang and Xiao Li who looked confused, and explained patiently.

Today's resident doctors are really inferior to each other. Although this brand-new surgical method, [Skin Sectioning Method] is not commonly used, all specialists who are concerned about wound repair are aware of it.

"Teacher Zhou, isn't it safe?"

Resident doctor Xiao Li couldn't help but ask.

"Before the delay phenomenon was not discovered, this was of course the safest approach. However, since the delay phenomenon was discovered, many skin flaps can still survive after losing the perforating artery, so this surgery appeared."

Zhao Sheng then explained.

"The vascular arch is connected to the vascular arch of the adjacent perforators by choke vessels. The diameter of the choke vessels is small and the flow rate is very small under normal circumstances. But when a certain perforator is blocked, its adjacent choke vessels will be blocked in the next 2~ Dilation occurs on day 3, allowing the arterial arch in the ischemic area to be perfused by nearby blood supplies, and this expansion is permanent, which is called the delayed phenomenon."

Zhou Huining nodded to Zhao Sheng and continued.

Seeing Zhao Sheng and Zhou Huining singing in perfect harmony, resident doctors Xiao Li and Xiao Huang couldn't help but take a look at the two people.

Is this the world of great gods?
I knew every word, but when they were put together, I couldn’t understand what they were saying! "The skin segmentation method is still rarely used clinically, but it is very valuable. You two will take a closer look later."

After a pause, Zhou Huining said to resident doctors Xiao Huang and Xiao Li.

In order to take good care of his students, Zhou Huining did not miss any opportunity. It can be said that he was heartbroken.

Next, Zhao Sheng and Zhou Huining started the operation.

As for the resident doctors, Xiao Huang and Xiao Li, their eyes widened even more, not daring to let go of any detail.

It turned out to be the case.

You can do that too.

Wow!
Resident doctors Xiao Huang and Xiao Li marveled in their hearts while watching.

For the two resident doctors, this surgery was a real thorn in the side and an eye-opener!

An hour later, with the tacit cooperation of Zhao Sheng and Zhou Huining, all the necrotic tissue in the right hand, forearm and upper arm had been cleaned up.

Looking at the cleaned wounds, Zhou Huining's face was solemn.

There were too many necrotic tissues, especially the skin on the back of the right hand, which was almost completely necrotic. As for the stung thumb on the right hand, even if the gods came, they would not be able to save it.

With such a large skin defect and a very serious marine Vibrio vulnificus infection, conventional skin grafting would not be able to overcome the infection.

The debridement has been done, is it just like amputation?

Zhou Huining was very unwilling, but in the dire situation in front of him, ordinary skin grafting could not survive at all.

"The skin graft will not survive."

Zhou Huining sighed and said.

"Teacher Zhou, do you need amputation?"

Resident doctor Xiao Li said.

"Let me think again."

Zhou Huining shook his head slightly, and used a brand-new technique called [Skin Sectioning Method], just to preserve the patient's right hand. If the limb was amputated now, wouldn't all the previous efforts be wasted?

While Zhou Huining was thinking hard, a light suddenly flashed in Zhao Sheng's mind.

"Dr. Zhou, I have an idea. I don't know if it will work."

Zhao Sheng said to Zhou Huining, who was very distressed.

He knew that Zhou Huining was the kind of person who was very serious in his profession and was always pursuing better, especially in surgery.

Otherwise, she would not have become a recognized knife in the wound repair department.

"Dr. Zhao, do you have an idea? Tell me quickly!"

Zhou Huining, who had no idea at all, immediately looked up at Zhao Sheng expectantly when he heard what Zhao Sheng said.

To be honest, Zhao Sheng gave her a big surprise during the last surgery together.

Now she is looking forward to Zhao Sheng's thoughts.

Of course, under normal circumstances, a specialist like her can't do anything, and Zhao Sheng, an emergency doctor, certainly can't do anything.

After all, everyone knows that emergency medicine is the kind of person who is knowledgeable but not expert. He knows everything but is not proficient in anything.

"Dr. Zhou, I am thinking that if a normal skin flap is transplanted, it will not survive on the patient's wound. Then can we take a piece of normal and healthy skin from the patient, make it into slices, and then use trypsin to quickly process the slices , thereby generating a complete cell population, and then spraying this processed cell solution onto the patient's wound surface."

Zhao Sheng said very logically.

(End of this chapter)