Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 149 Who will lead the controversy over the surgical plan?

Click~

The second ambulance stopped and opened the door. The emergency personnel jumped out of the car and dragged the stretcher down.

“There are more fractures, foot detachment injuries, and there is no abnormal situation in the internal organs.”

“good!”

Xiao Jing and all the doctors stepped forward and saw that the little boy on the stretcher was full of pain, his silver teeth clenched, and his whole body trembling lightly, which was soaked in sweat.

As for the exposed left foot, starting from the ankle bone and going down to the heel, the entire skin, muscles, Achilles tendon, and nerve tissue are all torn.

The stretcher was covered with blood, but the dense bones could still be clearly seen.

Everyone frowned upon seeing this!

The skin from the back of the foot to the ankle is exfoliated, and the muscles and bones are exposed. This is a serious injury!

“Sent to the rescue room, first debride the wound to stop bleeding, notify the imaging to prepare for CT, open the operating room, and prepare the blood bank for blood. Hurry!”

Xiao Jing immediately said to the nurse next to her.

“Come on! Move the bed! 1, 2, 3! Go and go!”

Wow~

Immediately afterwards, the little boy was quickly pushed into the rescue room.

“Hmm~”

Xiao Jing frowned, she heard a painful grunt as soon as she touched the little boy’s calf.

She looked at the little boy, her lips were bitten, and she did not call out.

“I’m going to clean your wound first, and shout out if it hurts, don’t bear it.”

Xiao Jing said to him.

The little boy still bit his mouth, shook his head vigorously without speaking, but his eyes were full of tears.

Upon seeing this, Xiao Jing did not continue to speak. She injected tramadol with epidural anesthesia and picked up normal saline to begin simple debridement.

Then he was pushed into the CT room, and the little boy Jiang was cautiously lifted onto the instrument for a full-body scan.

soon,

After the images came out, all the doctors in the emergency conference room began to consult.

So far, no internal organ damage has been found, mainly in the left thigh tibia fracture, calf tibia fracture and severe foot injury.

It can be clearly seen from the CT film that the tibia of the left leg of the little boy is directly broken and staggered.

There was a slight bone crack in the calf, a large wound on the foot, a fracture of the fifth metatarsal, a complete rupture of the left calcaneofibular ligament, and an unstable joint.

“Doctor Sun, you can express your opinion.”

Xiao Jing looked at the male attending doctor in the orthopedics department.

This kind of injury is in the field of orthopedics, so we still have to listen to their opinions first.

“Okay, let me talk about it first.”

Orthopedic Doctor Sun nodded, straightened his waist,

“At present, the patient’s condition is very clear. The skin of the middle and distal part of the foot and the skin of the sole of the foot are completely detached and avulsed. In this case, our orthopedics suggest that we can try to suture, and temporarily do not use the flap.

As for whether the necrosis will occur in the later stage, it depends on the recovery situation. If the necrosis occurs, the limb will be amputated. ”

“I don’t think so.”

As soon as the voice fell, another doctor next to him shook his head and sighed.

“With this degree of avulsion, the possibility of necrosis can be said to be great, and if the flap is not abrasion resistant, it will cause long-term pain to the patient in the later stage. I don’t think it is necessary.”

“Then you mean, amputation?”

Xiao Jing frowned when she heard that, and said in a deep voice. Seeing the other party nodded, she immediately denied.

“No, this child is only 7 years old, what should I do after amputation?”

“But once the soles of the feet die, the patient not only wastes high medical expenses, but also bears the pain of the second operation. Who will bear this risk?”

……

Suddenly, there was a disagreement between the amputation and the attempt to repair the limb.

really!

They are not wrong!

The current situation of children’s degloving injuries is understandable even if they choose to ampute their limbs.

But he is really too young!

The pain of amputation will be long-lasting in future life, and it will even cause huge trauma to the body and mind.

And if you insist on keeping it, according to the experience of orthopedics, the repair of this degree of avulsion and the later necrotic flap surgery are also a torment for the patient.

It is no longer possible to completely repair it.

The blood supply of the skin and the cutaneous nerves are severely damaged!

You must know that the skin on the bottom of the foot must have a sensitive sensation, in addition to the general pain, temperature, and touch, it must also have a higher physical sensation.

In addition, the subcutaneous tissue of the plantar should be dense so that it can be worn when bearing weight, walks stably, and maintains balance.

Avoid the formation of ulcers when rubbing against the soles of the abdomen!

After avulsion skin debridement, in situ suture is not easy to survive, and although the survival rate of replantation of split skin is high, it is difficult to meet the special requirements of foot repair.

In other words, the biggest difficulty of this operation is the intraoperative suture and postoperative survival!

Each one is like a moat!

And wanting to succeed in both is tantamount to a lifetime of death!

“How to do?”

Xiao Jing was also anxious in her heart, and now she had different opinions on the operation, and she couldn’t finalize it.

Bang~

“Dr. Xiao, family members have contacted.”

At this moment, the head nurse opened the door and walked in and said.

Family members found?

Very good!

When Xiao Jing heard this, her eyes were overjoyed. As long as the family members came, the plan would allow them to make a choice.

And everyone’s arguing voices also diminished, knowing that the next choice was the family.

“How is the child’s mother?”

Xiao Jing looked at the head nurse and asked.

“Lumbar 2 and 3 vertebral compression fractures, comminuted fractures of the right arm, and minor concussions. No other problems have been found so far.

Surgery will be scheduled in a while, and probably people will wake up soon. ”

The head nurse talked about the woman’s injury, and Xiao Jing was also relieved.

Fortunately, the injury is not serious~

If the internal organs or the brain are injured, it is really too tragic.

“Well, guys, let’s finalize the two surgical plans, and let them choose when the family members come.”

Xiao Jing took a deep breath and looked at several attending doctors.

Everyone nodded and began to prepare two sets of surgical plans.

But who should do this first type of in-situ suture?

After a debate, the chief of orthopedics couldn’t help but beat the drums in his heart.

To be honest, if he was sutured for such a degloving injury, the chance of survival is indeed uncertain, but as a doctor, even if there is a chance of life, I don’t want a child to lose a foot at such a young age.

So he still has to try!

“I’ll ask the director to come and have a look.”

Xiao Jing got up and said, then walked back to the office and called Zhou Xianren.

When Zhou Xianren saw the child’s injury, his brows were similarly frowned, and he was lost in thought.

In this case, if he were to consider it from the perspective of a doctor, the possibility of final amputation would be slightly greater.

But it is not that there is no opportunity to perform in-situ sutures, but it is very demanding for the surgeon and later regeneration.

It even takes some luck!

“You can try in situ suture first, and finally consider the flap if necrosis really occurs.”

Zhou Xianren pondered for a moment and said, he also denied direct amputation.

“The child is too young, no matter what, we still have to consider it from the perspective of human relations, if we have the opportunity, try our best.”

“But who will be in charge?”

Xiao Jing nodded when she heard this. This was consistent with his opinion, but the most serious question came.

The voice fell silent.

Yes!

This is a big problem!

Tonight, the two directors of the orthopedics department are resting. The two orthopedic departments who stayed on duty are preparing for the operation of the child’s mother, and the remaining one is here.

Seeing everyone’s gaze, Dr. Sun suddenly shrank his neck and looked a little embarrassed.

He can do this detachment injury, but…

It’s still a matter of success rate!

“How about I call the director to ask?”

Orthopedic Doctor Sun looked at Zhou Xianren and said.

“It’s not appropriate to be so late.”

Zhou Xianren shook his head and refused, filtering crazily in his mind, and suddenly stopped on a figure, his eyes flashed.

“I know that one person may be able to take the lead.”

“Are you talking about Director Qin?”

Xiao Jing on the side said immediately.

“Yes, Qin Feng hasn’t left yet, he is busy at the general clinic, he can have this operation, the chance may be better!”

Zhou Xianren nodded, a confident smile appeared on his face.

Qin Feng?

Everyone couldn’t help but trembled when they heard this name!

Yes!

This is the best surgeon in the hospital!

Especially the chief orthopedic doctor stood up excitedly.

Director Qin, his stitching technique is amazing!

If it is really him who is in charge, he is indeed better than himself…no~maybe more sure than the two directors.

Very good!

“I agree!”

Before anyone else could speak, Dr. Sun immediately said loudly.

Oh my god!

Director Qin is in charge, so don’t I have to help?

Qin Feng, a white prostitute at the scene, performed the entire detachment and suture operation. It is estimated that this treatment will make all doctors envy to death!

Fortunately, the brother was asked to perform the operation on the child’s mother, otherwise he would suffer a big loss!

If you let your senior know that you can have the same operation as Director Qin, he might be able to drop the pliers and run over now, and slip him up and replace him on the spot.

Now it’s alright, no one can grab it with me!

Hahahahaha~~~

Thinking of this, Dr. Sun couldn’t help but rub his hands, full of expectation.

The other doctors around him also reacted instantly, and immediately looked at his excited expression, and couldn’t help a black face.

damn it!

He pretended to be this time!

(╬▔︹▔) convex…