Chapter 151 A reward in kind, a scalpel!

Operating room,

After an hour and a half, Dr. Sun of the orthopedics department finally corrected and fixed all the bones of the boy’s foot.

Tired, he was panting, with fine sweat on his forehead, took a step back and looked at Qin Feng.

“Director Qin, I’m done.”

“Okay, it’s hard work.”

Qin Feng nodded and smiled, and touched him with an elbow to express his gratitude.

Dr. Sun suddenly seemed to be beaten up with blood, and he immediately became energetic!

Oh My God!

Director Qin touched me just now?

Make a big profit!

If this is known by the brother…I’ll be dead!

Ha ha ha ha!

It was so happy that it exploded in place!

Although this is a simple little action, will Director Qin also fall in love with me?

Last time Qin Feng took Xu Tiantian from the orthopedics department, will it be me next?

……

If Qin Feng knew his mental activity, it would be a black line again.

Σ(°△°|||)︴~~~~

“Heparin and gentamicin saline wet compress, ready to start suturing.”

Qin Feng looked at the nurse next to him and said.

“Good Director Qin.”

The nurse started the operation immediately, and after 3 minutes, the suture officially started.

“Doctor Xiao, you come to make the skin opening, I will anastomose the tendon first.”

Qin Feng picked up the suture needle and said to the second assistant Xiao Jing.

Xiao Jing nodded, walked to the opposite side of the operating table, along the limbs of Changzhou, began to make multiple incisions about 1cm long on the skin and flaps.

This is a small mesh-like incision that runs through the entire layer to prepare for the reduction and suture of the tension-free skin.

And Qin Feng began to re-anastomize the tendons and internal blood vessels and nerves.

This is the most difficult!

It determines how much nerve perception in the left foot of the little boy can recover!

1 hour……

2 hours……

3 hours……

4 hours…

Dangling~

After Dr. Sun cut the suture, Qin Feng threw the pliers into the dish.

“Hoo~Doctor Sun, choose a flap.”

He sighed deeply, his eyes returned to their original state and said.

For three full hours, his eyes were a little tired.

Although he has super vision, it is really terrifying to mental consumption!

At present, the sole of the boy’s left foot has been sutured, and all the blood vessels and tendons have basically been anastomosed.

But some of the capillaries, although Qin Feng could see, some of them were too thin.

Even if it can be seen clearly, the suture thread is unable to sew!

This makes him a little disappointed~

Fortunately, most of the nerves and blood vessels should be connected without problems, at least at the sensory level, as long as they survive, they can walk.

Of course, there will inevitably be some sequelae, which cannot be escaped.

But what Qin Feng really did not expect was that what prevented him from being able to complete this operation perfectly was his current medical level!

You know, capillaries and fine nerve tissue are almost dozens of times thinner than hair.

In other words, in the current medical methods, even if the thinnest suture thread is used, there is no way to suture such thin blood vessels and nerves.

However, if there is such a thin thread, it would be difficult for the best doctors to suture under a microscope.

Because it’s not just a problem that can’t be observed with the naked eye, but it’s not a touch of traveling at all.

Greatly reduce the controllability!

“Director Qin, let’s perform an anterolateral flap of the thigh.”

Doctor Sun looked at Qin Feng and asked.

“Well, no problem.”

Qin Feng nodded in agreement.

The anterolateral thigh refers to the anterolateral thigh, and the flap here is also the preferred area for all skin grafts.

The anterolateral thigh flap has abundant blood supply and stable and reliable blood vessels.

The most important thing is that the vascular pedicle is longer, which can carry the cutaneous nerve and restore the sensory function of the flap.

Moreover, the cutting area is large, and multiple perforating branches can be selected according to specific needs to meet the size of the skin flap required for skin grafting.

In addition, the skin donor area here is also relatively hidden, which has a relatively small impact on the appearance.

As long as you pay attention to protecting the nerve and muscular branches when freeing the blood vessels, you can not cut the muscle tissue to affect the motor function.

Half an hour later, a triangular flap of about 8 cm long and 5 cm wide was removed.

Dr. Sun carefully placed the film on the tray, waited for Qin Feng to take the suture, and then began to bandage the wound.

“Director Qin, the flap is ready.”

Upon seeing this, Xiao Jing turned her head and said to Qin Feng, who closed his eyes and rested.

Hearing this, he got up immediately.

The final stitching begins~

Because the skin was torn, the middle part of the foot was missing after trimming, exposing a few muscles and the bones underneath, and only skin flap transplantation was possible.

“Start stitching.”

Qin Feng walked back to the main knife position, moved the skin flap to the receiving area, extended his palm, and the instrument nurse handed over the pliers and suture needle.

First, the proximal blood vessel of the flap is anastomosed with the anterior tibial artery with a machine-accompanied venous anastomosis, and then the cutaneous nerve is joined to the anterior peroneal and sural nerve respectively.

This kind of skin flap transplantation is also very particular, and the tension must be appropriately tight when stitching, which is conducive to close adhesion to the subcutaneous tissue.

In addition, some small wounds should be punctured on the skin at any time, which is to facilitate drainage and compression bandaging.

As long as the postoperative gauze does not ooze too much, the time for dressing change after surgery can be prolonged.

If there is too much oozing, the dressing should be changed at any time to prevent the occurrence of effusions can be found in time and treated in time.

In this way, the progress of its survival can be observed to the maximum extent.

One hour……

“Drainage tube.”

Qin Feng stretched out his hand and said, the nurse handed over the drainage tube.

The drainage tube is inserted along the skin to prevent the later exudate from flowing out in time.

Two hours…

Every stitch and thread of Qin Feng was extremely precise, and the orthopedic Doctor Sun and Xiao Jing standing beside them had long been unable to see clearly, and the flowers were blurred.

The two looked at each other, and both saw the surprise and helplessness in the eyes of both parties.

If only the blood vessels and the great nerves were sutured, they would still be able to see clearly.

But as long as Qin Feng anastomosed the thinner capillaries, even if the two of them stared like copper bells, they could only see the direction of the crochet stitch at most.

This stitching is too strong!

How did his eyes see the edge of the blood vessel?

Dr. Sun of the orthopedics department has already set off a huge wave in his heart, which is unbelievable.

This level of micromanagement has been in the past few years from his entry into the medical college to his doctoral degree, and then to his career.

There is no doctor who can perform naked-eye operations without a microscope!

Because this is out of sight of humans.

Unless Qin Feng’s eyes are different from ordinary people!

If Qin Feng knew what he was thinking at this moment, he would nod in relief, and then pat his shoulder.



“Young man, you are very smart~”

Because the pupils of Qin Feng’s eyes are indeed different now, one large and one small, one ellipse and one slender.

This is the real naked eye 3D!

Dangling~

With the sound of the pliers dropping, Qin Feng straightened his waist and said solemnly to Dr. Sun next to him.

“Loosen the tourniquet.”

Hearing this, he immediately took off the tourniquet, and everyone waited with bated breath.

1 minute……

2 minutes……

3 minutes……

finally,

I saw the little boy’s left foot, which was so pale that there was no trace of blood, gradually a faint redness began to extend from the ankle to cover it.

Slowly, in about ten minutes, the whole foot has shown a light pink color, and it has gradually deepened at a speed visible to the naked eye.

The eyes of Dr. Sun on the side also glowed with surprise, and his heartbeat couldn’t help speeding up.

In such a short time, the blood supply can be restored to this point?

Oh my god!

Even if all the cases of detachment injury in the city’s first hospital were turned out, it would not take more than ten minutes to achieve complete blood supply of the limbs!

It is a miracle!

“Doctor Sun, give him a VSD, the operation can be over.”

“Huh? Good, good.”

Only then did Dr. Sun react and quickly agreed.

“what time is it?”

Qin Feng glanced at the time, he couldn’t help being surprised.

“My God, it’s almost 7 o’clock?”

“Yes, you had an overnight operation. This should be the longest single operation Director Qin has done.”

Xiao Jing smiled on the side.

Qin Feng thought about it after hearing the words, really!

Since I was admitted to the hospital, I have handled hundreds of surgeries.

This is the first time that I spent six or seven hours overnight for an operation, and there was almost no interruption.



“Let’s do it, I’ll leave the rest to you, pressure bandage, pay attention to anticoagulation, antispasmodic and prevent postoperative infection.”

Qin Feng nodded, stretched his waist, and explained.

“I’ll go out and buy you early, ha ha ha~”

After speaking, the nurse walked over to help him untie the sterile gown.

“Thank you Director Qin!”

Qin Feng left the operating room and leaned against the wall, only feeling a shaking in front of his eyes, and his spirit was a little weak.

It took two or three minutes to stand up, with a wry smile on his face.

I really tried too hard this time!

【Ding! Congratulations to the host for completing the grade 4 foot degloving injury operation and successfully retaining the patient’s limbs. Reward: scalpel*1]

? ? ?

At this moment, suddenly a familiar system prompt sounded in his mind.

In the next second, a ray of light flashed, and a scalpel glowing with a faint blue light appeared in his mind.

this……

The reward this time turned out to be a scalpel?

Qin Feng was also stunned, with surprise in his eyes!

It used to be some kind of material rewards, or skills.

And this time, he was given a scalpel!

And it seemed very different, because the scalpel glowed with a pale blue light.

Qin Feng couldn’t help swallowing, his small heart speeded up obviously, and he murmured in shock.

“This isn’t… an artifact?”

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