Chapter 259

In the operating room, Chen Cang is no longer a stranger. When the little nurse saw Chen Cang, she narrowed her eyes and smiled.

Chen Cang was flattered and laughed quickly.

Just... Why does this little nurse often have * * in her eyes.

Xing Yu's assistants, relatives and company staff are not allowed to enter the operating room in order to ensure the smooth progress of the operation.

After anesthesia, the operation began soon.

Wang Yushan's actions are clean and tidy. There are no redundant operations. Each step is simple and clear. Compared with himself

Less handsome, more efficient.

Chen Cang seems to find that he has a lot of redundant movements during the operation.

Not that these actions are good, but after these actions are removed, the interference to the operation can be reduced and the stability of the operation can be improved.

Chang Honglei is the most cooperative. She has strong coordination with Wang Yushan. They basically belong to the kind of seamless connection, and old Director Tan Zhonglin doesn't hesitate to let them show their style!

The operation of the three gives people a hearty pleasure!

Chen Cang looked at it with great energy.

There is still a big gap between watching videos and on-site observation.

Just like you watch the ball, watching TV may be a little clearer, and it is a macro perspective, with explanations, and so on

But you will never feel the atmosphere and shock at the scene.

Therefore, Chen Cang was very grateful to be brought into the operating room by Tan Zhonglin.

Three people in the operating room work in an orderly manner. Before tendon suture, all the damaged tissues around must be cleaned up!

Because these are the hidden dangers of adhesion in the future.

At this time, director Chang Honglei's ability is reflected. She has a good grasp of details, micro operation and various influencing factors. Basically, she will take into account every link affecting adhesion!

In this regard, Wang Yong and director Chang are somewhat similar.

In fact, everyone has his advantages and disadvantages. Only when we enlarge our advantages infinitely and continuously improve, will your value be truly reflected.

During this time, Chen Cang found that Wang Yong had a good grasp of the details. At the beginning, Wang Yong was the first to learn the small incision. This is not only because he had more contact, but also because Wang Yong paid attention to the details and was good at thinking about the details!

At this time, Chen Cang felt sorry for the surgeons of the second provincial hospital. It has been more than a month. Hasn't a person learned the minimally invasive wound of endoscopy?

The hospital project is about to be applied for. These people haven't learned it yet. Who will do the project at that time!

The most important thing is that there are no rewards

Outside the conference room, everyone watched the operation video and discussed it. The only advantage here is that there are many people, which is convenient for everyone to discuss and discuss with each other.

This atmosphere is actually good.

The operation was performed normally.

Chen Cang felt that if he followed this rhythm, he was still very sure.

However, the most critical tendon suture has not yet begun.

Chen Cang also wants to know, director Wang Yushan, what kind of suture should be used.

The three tendons were abductor pollicis longus tendon and extensor pollicis brevis tendon; The ulnar boundary is extensor pollicis longus tendon.

These three tendons determine 60% and 70% of the efficacy of the thumb, and the thumb is the most important finger in the fingers. Without the thumb, 90% of the daily operations can't be done. You can try. What can you do without the thumb?

The extensor pollicis longus tendon is thicker, and attention should be paid to the tension of extensor pollicis longus tendon in the selection of suture.

After all, it is necessary to consider the tendon repair during early activity and exercise. If two bundles of sutures are used, such as Kessler and Tsuge method, they are likely to break, which can not meet the early active and passive functional exercise after operation.

Four, six or even eight sutures can be used.

Of course, not the more the better. As long as you meet the early exercise, it's enough. Basically, four bundles are OK.

Choosing a simple suture method to maintain the mechanical properties of multi bundle group suture is the best choice.

Bunnell suture is used for Wang Yushan's first tendon. This suture method is very good because foreign bodies will not be retained in the tendon and adhesion in the tendon is prevented. However... This suture is complex and requires high technical requirements for the operator!

After receiving the double needle tendon line, Wang Yushan held his breath, walked obliquely from one side of the tendon towards the distal end, passed through the center of the tendon and took out the needle on the opposite side. This set of actions must be consistent.

Even he dare not have the slightest carelessness!

To tell you the truth, Wang Yushan, although others look light, is actually uneasy. This feeling is like dismantling bombs!

We must be careful. If we are not careful, we will make a big mistake.

The three people's breathing was very subtle. They felt the touch from the tendon. Tan Zhonglin's eyes were meticulous.

The tendon joint repaired by this suture method has high tensile strength, but carelessness will cause tendon suture stenosis, poor local blood supply, but it is not conducive to tendon healing.

So all three must be careful!

"Director Chang, pull it and I'll feel it," said Wang Yushan.

Chang Honglei nodded, pulled the tweezers slightly and felt it: "Director Tan, cut the thread and pull the right."

Tan Zhonglin nodded and was about to pull. At this time, when pulling, he felt a sense of frustration!

Drop it, the sound was very small, but all three heard it!

This faint sound, as if like thunder, exploded in the three people's minds.

The three people who were ready to operate dared not move in an instant!

Second degree tendon injury, plus suture fracture!

They have seen that there is a crack in the suture area of the tendon, which was not originally available, but the suture needle can also damage the tendon during suture! But the damage may be insignificant most of the time, but at this time... The problem arises.

Another reason is the existence of myosheath inflammation.

The tendon is excessively rubbed in the tendon sheath for a long time, causing swelling and chronic traumatic inflammation of the tendon and tendon sheath.

Wang Yushan said in a deep voice, "Xing Yu often plays the piano and his thumb is often active. There is stenotic tenosynovitis of the styloid process of the radius. There was a problem with the suture injury just now. Our choice is not quite right!"

This sound was not quite right, which made everyone tremble!

In a few words, the success rate of the operation was suddenly reduced to 11%!

Xing Yu was stunned when he saw the faces of the three people

"Director, I..."

Looking at the three people with serious faces and worried eyes, Xing Yu can be said to be at the bottom of his heart!

This is so, one wave is not flat, another wave rises again!