When the Doctor Uses A Hack

After tasks were distributed, the whole team swiftly and orderly began their related work!

Replantation surgery of a severed limb is complicated, requiring a variety of instruments, personnel allocation, and a complex surgical procedure.

Nurse Li Ying personally took to the field, quickly arranging the operating room and preparing all the necessary surgical materials.

Three sterile tables beside the operating table were ready, respectively holding the severed right hand, debridement instruments, and surgical tools.

The anesthesiologist was still Liu Jian. In fact, it should have been the senior chief who took charge, but the senior chief smiled and let Liu Jian do it.

Such an opportunity didn’t matter much to the senior chief anymore, but for Liu Jian, it was a chance.

It’s important to note that the role of the anesthesiologist in surgery is quite significant. This favor would not be forgotten; after the operation, the Kong family would undoubtedly treat everyone participating, presenting Liu Jian with an excellent opportunity to network.

Liu Jian was, therefore, very grateful to the senior chief.

In one’s lifetime, you’re bound to encounter several benefactors. Qin Xiaoyuan’s benefactor was Teacher Fang Yonglin, while Liu Jian’s was the senior chief.

These benefactors provide you with opportunities at critical moments, giving you a push that can greatly advance your life.

Since the injury was only a simple right-hand amputation, general anesthesia wasn’t necessary. They opted for epidural anesthesia, which had minimal impact on systemic circulation and respiration and allowed for the extension of anesthesia time as needed for the surgery.

Liu Jian had solid fundamental skills. After giving his instructions, he administered the anesthesia, and it wasn’t long before the surgery officially began!

The first step was still debridement. Thorough debridement is essential for preventing infection and is the foundation for a successful replantation.

High-quality vascular anastomosis is key to the survival of the reattached limb.

The repair of muscles, tendons, bones, and nerves ensures the restoration of function.

Therefore, each step required careful handling.

Debridement is not merely about cleaning the wound. It’s also an indispensable process for further comprehensive understanding of the damaged tissue.

This was extremely important for Chen Cang to decide on the replantation plan later on.

Thus, Chen Cang was very meticulous during the debridement process, spending a lot of time to understand the details of the vessels, nerves, tendons, and bones!

Chen Cang repeatedly scrubbed the ends of the severed limb with sterile soap and a disinfectant brush, followed by copious irrigation with isotonic saline.

The next crucial step was to thoroughly debride all damaged tissues and foreign materials!

What does debridement mean?

It’s not just washing the wound surface!

It also involves clearing the wound area.

Based on the condition of the tissue cross-section, whether there’s bleeding, the shape, color, and so on, one must determine whether the tissue is viable or needs to be excised.

Chen Cang was very attentive and thorough.

Because this was the guarantee of successful surgery and a key factor for later recovery.

Everyone present knew the difficulty and watched with bated breath, observing attentively.

But no matter what, debridement was one of Chen Cang’s greatest advantages!

Chen Cang’s eyes could clearly see the necrotic tissue, then methodically clean it up, either by trimming, cutting, or preserving.

At this moment, Huo Guoqing couldn’t help but say, “Dr. Chen… don’t you need to make any markings?”

Chen Cang was slightly startled and before he could reply, Tan Zhonglin shook his head at Huo Guoqing, signaling not to disturb Dr. Chen Cang.

Normally, before excising devitalized tissue, it’s necessary to ligate the main nerves and blood vessels with black silk to mark the ends, which facilitates finding them later.

Yet Chen Cang didn’t need to do this at all because ligating them would lead to further damage, and he didn’t need to rely on ligation to identify each nerve, vessel, tendon…

For him, every minute was precious.

These things, which Tan Zhonglin and An Yanjun, who frequently followed Chen Cang, understood well!

This wasn’t something others could imitate; it required sufficient knowledge of the tissues and structures as well as a superbrain-like memory capacity!

Deciding what stays and what goes, with tendons, skin, and nerves is the most critical part of debridement.

Chen Cang had his own standards, as long as the system prompted that everything black should be cut off, these indicated no hope of saving.

But in the eyes of others, Chen Cang had become a decisive, sharp, and ruthlessly accurate presence!

The selection and control of each nerve and tendon were extremely precise.

It couldn’t help but evoke a sense of admiration!

From the initial debridement of the surgery, Chen Cang had already conquered all the attending directors with his strength.

For such a large wound, with such a high degree of precision, and in the nerve and tendon dense area of the wrist, Chen Cang handled it as if he were a sophisticated instrument.

It took about an hour for Chen Cang to finish the treatment!

Upon reflection, it had been three hours since the hand was amputated.

Chen Cang couldn’t help but become serious!

Every minute meant further muscle tissue damage, which related to the functional recovery of the hand later on, as well as to the patient’s quality of life.

This process was exhausting!

Chen Cang felt some fatigue, after all, those fine manoeuvres, a fraction too much could have an impact, a bit too little could cause adhesions, such complex and precise debridement, accurate choices, resolute cutting and repair… these were not guaranteed by all directors present!

But, how old was Doctor Chen anyway?

After an indeterminate amount of time, when everyone felt tired just from watching, Chen Cang finally finished!

Chen Cang put down the scalpel and said to Tan Zhonglin, “Vascular bed is clean, I’m ready for bone fixation!”

Tan Zhonglin didn’t dare to be careless, and An Yanjun hurriedly started cleaning the blood vessels.

In replantation surgery, whether it’s finger or limb replantation, it’s necessary to clean the vascular bed, otherwise, if one rushes to perform vascular anastomosis, after the surgery it’s very likely that circulatory disturbances will occur, leading to another round of necrosis, or even inducing systemic symptoms, because it’s not uncommon for a hand to cause amputation or even death!

However, Tan Zhonglin and An Yanjun were very well prepared, paying great attention to these details.

Operating with Chen Cang by their side, every aspect was about detail, and Chen Cang’s grasp of details was particularly precise, which gave the two disciples some insights.

After the cleaning was finished, Chen Cang picked up the amputated hand and carefully compared it!

Bone pinning is an important step in replantation surgery, as well as the support and reliance for tissue repair.

And the requirements for internal skeletal fixation are: simple and fast, stable and time-saving!

This is a moment that greatly tests the surgeon’s technique, how the chief surgeon can quickly and stably dock the ends of the bones, which cannot be done without hundreds of surgeries.

Because the bones after trauma are defective, how to choose and how to dock all become extremely important.

At this moment, all the directors watched Chen Cang with rapt attention, waiting for him to dock!

But at that moment when everyone was bewildered, Chen Cang casually picked up and joined the two hands together, saying, “Screw through for fixation!”

Tan Zhonglin nodded, An Yanjun assisted, and Huo Guoqing was dumbfounded!

What the hell?

Is it really that casual?

Governor Kong will go crazy when he finds out!

Not to mention ten or eight trials for bone alignment, but it does require careful comparison, what you are doing isn’t docking, it’s clearly just carelessly putting them together!

But just at that moment, when he looked down, the scene in front of him was something he would never forget for the rest of his life!

What is technique?

This damn well is technique!

And the surrounding people also crowded over, each with an expression of disbelief on their faces.

…

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ps: These two chapters were exhausting to write, I looked up a lot of information, and even watched two surgeries, I’m also overwhelmed…

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