When Doctors Have a Simulated Operating Room

Section 115

He was a man under 40 years old.

When he came, he was shaking all over.

His forehead was covered with fine beads of sweat.

After entering the emergency room, he saw that his daughter had lost a leg.

And his wife was lying on the bed with a look of pain on her face.

The man could no longer hold on.

He burst into tears in the emergency room.

He was sobbing and out of breath.

But he knew in his heart.

At this time, the mother and daughter could only rely on him.

He suppressed the grief in his heart, looked at Li Cheng and asked:

"Doctor, how are my wife and children...? Will they be okay?"

"Your wife is out of danger now, there is no other serious trauma, just a closed pneumothorax caused by rib fractures, and the ribs will be reset in the operating room later."

"But your daughter..."

Li Cheng frowned, his face solemn.

The man panted and said carefully:

"Doctor, please help my daughter. She is only nine years old. Please help her connect her legs!

She is still so young. Please help her!"

The man was on the verge of collapse.

The emotions that had just been suppressed came out again.

Li Cheng also understood the family's feelings very well.

But the operation is a yes or no.

"I will definitely help, but we have to go into the operating room to know whether the legs can be connected.

You should go to the hospital first and pay 20,000 yuan in the account.

If this operation can be done, you can make up the money later.

If it can't be done, we will notify you in time."

The man shook his head and grabbed Li Cheng's arm tightly:

"No, doctor, please help my daughter. She is still so young. A girl will definitely be looked down upon if she loses her legs..."

The man wanted a positive answer very much.

But in the hospital, no one could give him a positive answer.

Alas!

Everyone sighed.

If the injury was less severe.

If it wasn't severed, Li Cheng might have a better chance.

But now.

According to his observation, the girl's right calf was first crushed and then twisted.

The broken bone fragments are probably not recoverable.

So this operation is really difficult.

"I will do my best, don't worry, I will do my best."

That's all Li Cheng could say.

Looking at the man's red eyes, Li Cheng turned around and began to prepare for the operation.

Paid the fee and went to the hospital.

Twenty minutes later, the mother and daughter were pushed into the operating room one by one.

Debridement required manpower, and Li Cheng also specially asked Tang Xiaocheng to help.

In the operating room, separated by a wall.

On one side was the mother's rib surgery.

On the other side was the daughter's limb replantation surgery.

Outside the operating room, the man sat on a bench in the corridor with lifeless eyes.

He put his hands together and kept muttering something:

"God... please protect the mother and daughter.

Please, I'll give you everything I have in exchange, but you must protect Xinxin's leg so that it can be reattached..."

In the operating room.

Huang Yuanxin had been fully anesthetized and was sleeping peacefully.

The proximal end of her right calf was being repeatedly cleaned by Li Cheng and Tang Xiaocheng with saline.

The distal end was taken to another operating table for cleaning by two other doctors in the orthopedic surgery department.

In addition to saline.

A large amount of disinfectant, sterile soapy water and tissue brushes are also needed to repeatedly scrub the cross section.

Be sure to rinse all the dirt and foreign matter on the cross section.

Otherwise, it is easy to cause postoperative infection.

The dried blood was washed away, and after changing the water several times, the cross section tissue was brushed from dark red to a light flesh pink.

Next, start checking the various nerves and blood vessels.

If you find that there are already necrotic ones, don't hesitate, just cut them off.

Because once the necrotic tissue is not removed, after the replantation is successful, a small necrosis will trigger a series of systemic reactions.

So the necrotic tissue must be removed, leaving only the relatively intact part that is not contaminated.

Trimming is also included in the scope of debridement.

If suturing is the basic skill of surgical operation.

Then debridement is the basic skill of orthopedic surgery.

The uneven cross-sections should be trimmed neatly.

When trimming, pay attention to the length of the blood vessels at both ends.

Gradually, the more he trimmed, the deeper the wrinkles between Li Cheng's eyebrows became.

Suddenly, Li Cheng's hand paused.

He found a very serious problem!

Tang Xiaocheng looked at him: "What's wrong, Director Li?"

"The lateral sural cutaneous nerve is missing here! And here, the small saphenous vein is not found, and I don't have the popliteal artery here.

Xiao He, how long did you trim there? Did you see the small saphenous vein and popliteal artery?"

If there is no one end, you can only count on the other end.

But the doctor named Xiao He shook his head.

"Master, I... I didn't find it."

Li Cheng sighed and said, "I'll look for it."

After checking for more than 20 minutes, Li Cheng still couldn't find it.

"It's bad. A large part of the popliteal artery and the small saphenous vein is missing, and the lateral sural cutaneous nerve is also missing."

Looking at the tibia and fibula that were broken into more than ten pieces.

Li Cheng could only sigh helplessly:

"Forget it. After cleaning the wound, it was found that there were too many injuries. This leg can't be reconnected at all. Tell the family to amputate to save his life."

Chapter 91 Don't worry! I found a big guy to do the surgery for you

Tang Xiaocheng was stunned.

Is there really no other way?

Alas!

It's a pity for this child.

Chapter 115/242
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When Doctors Have a Simulated Operating RoomCh.115/242 [47.52%]