Chereads / The Doctor: My Super Benevolent System / Chapter 105 - Difficult to suture

Chapter 105 - Difficult to suture

After a while, a middle-aged man went to the emergency room.

"Director Liu, you are here, hurry up and take a look at this patient."

Zhou Xianren said quickly when he saw him running over.

"What happened?"

Liu Daliang looked at the little girl in front of him, frowning slightly,

"The ear is torn from the body, this is very troublesome!"

"How? Can you do it?" Zhou Xianren asked.

After speaking, Liu Daliang, director of the ENT department, began to examine the wound. The little girl's ear was almost completely bitten off from the bottom.

Moreover, the wound was extremely messy, and the scratches from a few canine teeth made the entire ear hole look a little bloody.

He looked at the blood-stained little ears on the plate again, and frowned even more tightly.

It's not that he can't do limb replantation, and he has encountered many before.

But you must know that there is a big difference in the separation of limbs!

Usually, the severed limbs are mainly caused by sharp cuts, such as knife cuts, accidental injuries to machinery in factories, etc.

This kind of wound generally tends to be flat, and the degree of damage to the blood vessels is small, which mainly tests the doctor's vascular and nerve suture technology.

But there are still some limbs that are cut off as hard as the sky!

For example, traffic accidents, engine tearing, etc., such wounds are generally severe tearing and contusion injuries, and blood vessels, nerves, muscles, etc. have been irreversibly damaged.

In such a situation, even the best in vitro suture experts in the world are powerless.

And now, the little girl's condition is a laceration!

Although it is completely torn, the wound is messy, and it is no problem to connect it, but he is not sure if it can be restored to survive use!

"Zhou, in this situation, I can only say that I will try my best, but I can't be sure if I can keep it."

After checking the situation, Liu Daliang looked up at him and said in a low voice.

"How sure are you?"

"30%!"

When Zhou Xianren heard this answer, his heart sank immediately.

30%?

what does that mean?

The 30% chance only refers to the operation, and the postoperative recovery is more important!

If the success rate of surgery is so small, don't expect miracles to recover after surgery.

"Zhou, why don't you transfer to another hospital?"

Liu Daliang gave up, not because he didn't want to do it, but because he didn't want to delay the little girl.

"It takes at least 4 hours to get to the provincial hospital ambulance from here, and now the little girl has been injured for an hour."

When Zhou Xianren heard this, he frowned and shook his head, wondering why.

"Even if the operation starts immediately after arriving at the provincial hospital, what do you think the success rate will be when the ear is nearly 6 hours away from the body?"

"This..."

Liu Daliang stopped talking because he was unable to refute.

Now transfer to hospital, after five or six hours of delay, even if the operation is performed by the provincial hospital, the success rate will not exceed 50%.

Once the human tissue leaves the human body, it loses the supply of blood and cells, and it will be in a state of continuous necrosis.

And not only the stump, but also the wound!

"Zhou, I'll listen to you, you decide."

Liu Daliang immediately said with a serious expression, he was ready to let go.

In the whole hospital, in fact, his sense of presence of the ENT department is relatively low. After all, it is not like emergency departments, cardiac surgery, and brain surgery. The patients they receive are life-saving.

The natural status is also higher!

Zhou Xianren fell into thinking, and suddenly his eyes lit up, thinking of a person.

Qin Feng!

However, although Qin Feng has strong medical skills, it seems that he has never had a case of ex vivo replantation after arriving in the first hospital.

What to do now?

He glanced at the little girl on the bed, whose face was full of pain and tears, and couldn't bear to soften.

He doesn't care!

Zhou Xianren could only invite Qin Feng to take a look first with the attitude of giving it a try.

...

After receiving the call, Qin Feng rushed from the transplant center to the emergency door.

"Director Zhou!"

"Qin Feng, you are here!"

When Zhou Xianren heard his voice, his eyes lit up and he said quickly.

"What did you just say that your ear was bitten off?"

Qin Feng asked.

"Come in and have a look first."

Zhou Xianren didn't say much, and dragged him into the emergency room quickly.

As soon as he entered, Qin Feng saw that the little girl lying on the bed only had a bloody hole left in her right ear, and that ear was put aside.

"How could she be like this?"

Qin Feng was taken aback, and immediately walked to the little girl and began to check.

The ear is directly bitten off, which will affect the little girl for a lifetime if the suture is not good.

Outside the door, the police had arrived at this time, and they were negotiating and recording with the crying little girl's mother and the woman with the dog.

When Qin Feng heard that Zhao Yitian had finished talking about what happened, his heart was instantly enraged!

Now there are still people who are so arrogant to walk their dogs without a leash, and they are still large dogs!

No wonder he just saw the woman sitting at the door holding a dog, and although the rope was in her hand, it was hooked with four fingers.

As long as the dog can break free with a little force, what is the difference between it and no leash?

Qin Feng wanted to remind her, but the situation in the emergency room was more urgent, so there was no time.

Now it seems that the culprit is the knee-high juvenile German Shepherd outside!

German Shepherds are extremely common as large pet dogs.

Because it has a high IQ and is friendly to people, many people usually consider the German Shepherd when choosing a large dog as a pet.

After all, it will not run away with others like the golden retriever, and it is relatively obedient.

But even if the dog is obedient, it is a privately bred pet dog, different from the service dogs and police dogs who are engaged in special occupations outside.

Ordinary people are simply unable to completely domesticate the wildness in their bones!

Just like some dogs can't touch bloody raw meat, just tasting it once may completely stimulate the hunting instinct hidden in its genes.

At present, about 40 million people in the country are bitten by cats and dogs every year and are forced to receive rabies vaccine or serum albumin. It is the largest consumer country in the world.

Even so, hundreds of people die from rabies in the country every year!

Rabies has high latency and high lethality, and once the success rate of rescue is extremely low, the current medical methods can still be said to be incurable.

Few of the patients with rabies in the country can be rescued. It can only be said that they have accumulated great virtues in their previous life!

This is why the whole people are now calling for and controlling various measures such as not allowing large dogs to be raised in cities, having to obtain a dog license, injecting pet vaccines, and bringing a dog's mouth.

But even in some cities high-pressure arrests of illegally raised dogs, some people still turn a blind eye.

Treat dogs better than your own biological parents!

This has formed a kind of morbid psychology, and you should find a mental hospital and take the dog for treatment.

"Now this situation is too late even if it is transferred to the provincial hospital, and the success rate of the operation will not exceed 50%."

Zhou Xianren showed a touch of impatience and asked him nervously.

"Qin Feng, how is it? Is there a way?"

"Director Liu, what do you think?"

Qin Feng did not answer, but looked at Liu Daliang, the director on the side.

"Qin Feng, don't look at me. If you can, I won't call you here."

A wry smile appeared on Liu Daliang's face.

"The degree of tearing of this wound is relatively serious, and the damage to blood vessels and nerves is not optimistic. I am only 30% sure."

Hearing this, he nodded and understood.

[Replantation of severed ear] is already a fourth-level operation, and the difficulty is at least one step higher.

If it is another part of me, it is better to say that the ear is a part with extremely dense and slender capillaries, and it is really too difficult!

"It's really too late to transfer to another hospital. Let's do it here. Let's discuss the surgical plan."

Qin Feng raised his head and said solemnly.

"Can you do it?"

Zhou Xianren heard the words, his face suddenly became happy, and his heart was greatly excited!

He sure did not see the wrong person!

This man is a genius!

Even this kind of meticulous limb stitching can be done, what else can he not do?

"It's a bit serious, but it's not a big problem, but we need a surgical plan. It's a big project."

Qin Feng nodded slightly, and then began to say,

"At present, there are two major difficulties in this wound. First, because it is a bite wound, the wound is completely broken and the cross-section is not neat. The congenital surgical conditions are very difficult."

"Second, the blood vessels of the arteries and veins behind the ear are extremely small, which may have reached the limit of the microsurgery conditions in our hospital."

When the words fell, Zhou Xianren and Liu Daliang nodded in agreement.

At present, this is indeed the case. If it is to be done, this is probably a super microsurgical replantation operation!

As for the surgical equipment and sutures that need to be used, it is more precise.

The sutures needed to sew the capillaries of the ears need to use the thinnest surgical thread in China, which is more than ten times thinner than the hair!

The existence of lines cannot be detected by the naked eye!

12/0 (the more 0s, the thinner the stitches)!

And the price is also very expensive, which shows the difficulty of this operation.

"Director Qin, tell me what you want us to do!"

Liu Daliang immediately patted his chest and said firmly,

"We fully support all the equipment in our ENT department, at your disposal!"

Seeing him being so active, Qin Feng and Zhou Xianren were both stunned. This was an operation that robbed their department, so why did they still look excited?

But none of them knew what Liu Daliang was thinking!

In addition to the anorectal and his ENT department, Qin Feng has done a lot of gynecological operations in the whole hospital.

He has accumulated a lot of classic surgical examples and videos for various departments. How can he not be moved?

This is just great!

Finally came across a difficult level 4 replantation and suture operation, it was simply done without effort!

Of course Liu Daliang is happy!

"Okay, then hard work, Director Liu, be my first assistant. I can feel more at ease with you."

Qin Feng nodded and thought about it.

"No problem, don't worry."

When Liu Daliang heard this, he happily agreed.

"Director Zhou, please talk to your family and sign it after you know it."

"Okay! I'll do it now."

"Doctor Zhao, prepare the operating room."

"Head Nurse Liu, perform a preoperative examination on the patient to confirm physical signs and basic indicators."

"Yes!"

One after another instigator fell, and everyone began to prepare nervously.

...

At this time,

The rescue outside was a mess, and the noise was endless.

"Our dog won't bite at all. It just wants to play with your daughter. Who asked her to throw a stone into its eyes?"

The coquettish woman retorted loudly with a reluctant attitude,

"I tell you, if our dog has eye problems, you have to compensate!"

"Your dog bit my daughter like this and asked me for compensation? I've never seen such an unreasonable woman like you!"

The little girl's mother's face flushed with anger, and she pointed at the coquettish woman and roared.

"That's what your daughter deserves! Humph!"

The coquettish woman hugged the dog and sprayed it back unceremoniously.

"Okay, police, what do you say?!"

The little girl's mother looked at the two policemen and said.

"We already have a general understanding of the situation. I have already notified the city management to send a car over to control the dog first."

One of the policemen said,

"Also, I have to trouble you to go to the police station..."

Before the words were finished, the coquettish woman suddenly exploded when she heard the words!

"What? You want to catch our dog? Impossible!"

"I tell you, your director and I are relatives. If you dare to touch my dog, I will let you all take off your clothes and leave!"

Hearing this, the two policemen froze, looked at each other and sneered.

Are you threatening us directly?

Now the surveillance has also been called out, and the evidence is complete, and now it is the Internet society.

Are you going to show it off?

Whose family goes up two or three generations without one or two rich and powerful relatives?

Besides, they are police officers, not temps!

"When you arrive at the police station, tell your relatives in person."

The other young policeman didn't say a word, took a step forward and snatched the rope from the woman's hand, rudely.

"What are you doing? The police are robbing things! The police are beating people!"

Seeing this posture, the coquettish woman immediately shouted.

"I will now officially inform you, follow us back to the police station for investigation, the first warning!"

The young policeman's tone suddenly became cold and solemn, and he looked at the woman with disgust and shouted.

"Second warning!"

"Third warning!"

"Compulsory summons now! Handcuffed!"

Before the words were finished, the two directly picked up the woman. The young policeman took out a pair of handcuffs, handcuffed her with backhands, and carried the dog out.

"it is good!"

Everyone did not know who shouted, and all the people around immediately echoed and applauded.

Whoa!

This is what the People's Police look like!

"Let go of me! Otherwise, you'll be out of luck!"

The coquettish woman is still clamoring, and the young police don't care about it at all. The middle-aged policeman next to him glanced at the woman and then at the young policeman, with a wry smile on the corner of his mouth.

If you change to another police officer, the threat may be really a little apprehensive.

But this time the woman is probably provoking the wrong person~

In the eyes of a young police officer, is a director still called a backer?

Ornament at most!