In the operating room, an hour and a half later, Dr. Sun from the Department of Orthopedics finally corrected and fixed all the bones in the little boy's foot.
He was tired and panting, with sweat on his forehead, and took a step back to look at Qin Feng.
"Director Qin, I'm done."
"Okay, you've worked hard."
Qin Feng nodded and smiled, and touched him with his elbow to express his gratitude.
Dr. Sun suddenly seemed to have a chicken blood, and immediately came to the spirit!
Oh my God!
Director Qin just touched me?
Earn big!
If my brother finds out about this... I'll be dead!
Ha ha ha ha!
Just happy to explode in place!
Although this is a simple little action, will Director Qin also take a fancy to me?
Last time, Qin Feng took Xu Tiantian away from the Department of Orthopedics, will it be me next?
...
If Qin Feng knew about his mental activity, it would be a black line again.
"Heparin, gentamicin, saline wet compress, ready to start suturing."
Qin Feng looked at the nurse next to him and said.
"Okay, Director Qin."
The nurse immediately started the operation, and 3 minutes later, the suturing officially started.
"Dr. Xiao, you do the skin graft opening, and I will anastomos 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, and began to make multiple long incisions of about 1cm on the skin and flap along the limbs.
This is a small decompression mesh incision through the full thickness in preparation for the reduction and suture of the tension-free skin.
On the other hand, Qin Feng started the re-anastomosis of tendons and internal blood vessels and nerves.
This is the hardest part!
Determines how much the little boy's left foot nerve perception can recover!
1 hour...
2 hours...
3 hours...
4 hours...
Dang bang~
After Dr. Sun cut the suture, Qin Feng threw the forceps into the plate.
"Hoo~ Doctor Sun, choose a flap."
He took a deep breath and said with his eyes back to normal.
For three full hours, his eyes were already a little tired.
Although it has super vision, it is really terrifying to mental consumption!
At present, the sole of the little boy's left foot has been sutured, and all the blood vessels and tendons have been basically anastomosed.
But there are some capillaries, although Qin Feng can see them, some are too thin.
Even if you can see it clearly, the sutures are powerless to suture!
This makes him a little disappointed~
Fortunately, most of the nerves and blood vessels should be connected without problems, at least at the level of feeling, as long as they survive, they can walk completely.
Of course, there will inevitably be some sequelae, which cannot be escaped.
But what Qin Feng really didn't expect was that it was the current medical level that prevented him from being able to complete this operation perfectly!
You know, capillaries and fine nerve tissue are almost dozens of times thinner than a hair.
That is to say, in the current medical methods, even if the thinnest sutures are used, there is no way to suture such thin blood vessels and nerves.
But if there were such a thin thread, it would be difficult for the best doctors to suture under a microscope.
Because it is not only a problem that cannot be observed by the naked eye, but also cannot feel the slightest sense of travel.
Control is greatly reduced!
"Director Qin, let's perform an anterolateral thigh flap."
Dr. Sun looked at Qin Feng and asked.
"Well, no problem."
Qin Feng nodded in agreement.
The anterolateral thigh refers to the anterolateral thigh, where the flap 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 incision area is large, and multiple perforators 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 concealed and has little impact on the appearance.
As long as the nerve and muscle branches are protected when dissociating blood vessels, muscle tissue is not cut to affect motor function.
Half an hour later, a triangular flap with a length of about 8 cm and a width of about 5 cm was removed.
Dr. Sun carefully placed the film on the plate, waiting for Qin Feng to take the suture, and then began to bandage the wound.
"Director Qin, the flap has been taken."
Seeing this, Xiao Jing turned around and said to Qin Feng who was resting with his eyes closed.
Hearing this, he stood up immediately.
The final stitching begins~
Because the skin was torn, there was a missing piece in the middle of the foot face after trimming, exposing several muscles and underlying bones, and only a skin flap could be transplanted.
"Start sewing."
Qin Feng walked back to the main knife position, moved the flap to the receiving area, stretched out his palm, and the instrument nurse handed over the forceps and suture needle.
First, the proximal blood vessels of the flap were anastomosed with the anterior tibial artery machine, and then the cutaneous nerves were joined to the anterior peroneal and sural nerves, respectively.
This kind of skin flap transplantation is also very particular, and the tension must be appropriately tight when sutured, which is conducive to the close attachment to the subcutaneous tissue.
And you should also poke some small wounds on the skin at any time, which is to facilitate drainage and pressure dressing.
Postoperative gauze as long as the exudation is not too obvious, can prolong the postoperative dressing time.
If there is too much exudation, the dressing should be changed at any time to prevent the occurrence of effusion, which can be detected and dealt with in time.
In this way, the progress of its survival can be observed to the maximum extent.
One hour...
"Drainage tube."
Qin Feng reached out and said that the nurse handed over the drainage tube.
The drainage tube is inserted along the skin to prevent the late exudate from being able to flow out in time.
Two hours...
Qin Feng's every stitch and every thread is extremely accurate, and Dr. Sun and Xiao Jing of orthopedics standing beside them, their eyes have long been blurred, and the flowers are blurred.
The two looked at each other, and both saw the surprise and helplessness in their eyes.
If only blood vessels and large nerves were sutured, they could still see clearly.
But as long as Qin Feng anastomoses thinner capillaries, even if the two of them stare like copper bells, they can only see the direction of the crochet needle at most.
The stitching is too strong!
How did his eyes see the edge of the blood vessel?
Dr. Sun from the Department of Orthopedics has already set off a huge wave in his heart, which is unbelievable.
This level of micro-manipulation has been a few years since he entered the medical university, graduated with a doctorate, and then started practicing.
There is no doctor who can operate with naked eyes without a microscope!
Because it is out of sight of human beings.
Unless Qin Feng's eyes are different from ordinary people!
If Qin Feng knew what he was thinking at this moment, he would surely nod his head in relief, and then pat him on the shoulder.
"Boy, you are very smart~"
Because now Qin Feng's two pupils are indeed different, one big and one small, one oval and the other slender.
This is the real naked eye 3D!
Dang bang~
With the sound of the pliers falling, 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, the little boy's left foot, which was originally pale enough to have no trace of blood, gradually began to spread down from the ankle with a touch of pink.
Slowly, for about ten minutes, the whole foot has already shown a light pink color, and it is gradually deepening at a speed visible to the naked eye.
Dr. Sun on the side also had a surprise light in his eyes, and his heartbeat couldn't help speeding up.
In such a short period of time, blood flow can be restored to such a level?
OMG!
Even if all the cases of degloving injuries are turned out, the complete blood supply of the limbs will not be achieved within ten minutes!
Simply a miracle!
"Doctor Sun, put him on VSD and the operation can be over."
"Huh? Okay."
Only then did Dr. Sun react and hurriedly agreed.
"What time is it now?"
Qin Feng glanced at the time and couldn't help but be surprised.
"My God, it's almost 7 o'clock?"
"Yes, you performed an overnight operation. This should be the longest single operation that Director Qin has ever performed."
Xiao Jing on the side laughed.
Qin Feng thought about it after hearing the words, it really is!
From being admitted to the hospital to the present, he has performed hundreds of surgeries.
For the first time, I spent six or seven hours overnight for an operation with little interruption.
"Well, I'll leave the rest to you, pressure bandages, pay attention to anticoagulation, antispasmodic and prevention of postoperative infection."
Qin Feng nodded, stretched his waist, and explained,
"I'll go out and buy you breakfast, hehe~"
After that, the nurse came over to help him untie the sterile suit.
"Thank you, Director Qin!"
Qin Feng left the operating room and leaned against the wall. He only felt a sway in front of him, and his spirit was a little weak.
It took two or three minutes before he stood up with a wry smile on his face.
Really overworked this time!
[Ding! Congratulations to the host for completing the grade 4 foot degloving surgery, successfully retaining the patient's limb, reward: scalpel*1]
? ? ?
At this moment, a familiar system prompt sounded in his mind suddenly.
The next second, a ray of light flashed in an instant, and a scalpel 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, his eyes full of surprise!
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 had a pale blue glow all over it.
Qin Feng couldn't help swallowing a mouthful of saliva, his little heart obviously accelerated, and he whispered in shock.
"It won't be... an artifact, will it?"