Chen Cang carefully felt the thickness of the patient’s skin burn and the presence of phloem...
Then the knife in his hand is very light, into the skin three points, with a slight force, gently cut along the rear edge of the sternocleidomis, reaching the platysma.
This knife is very accurate!
The effect of receiving +30 has been exerted to the extreme!
After passing through the phloem accurately, it reaches the depth of the platysma muscle!
No increase, no decrease.
The resistance of the knife in different organizations is well grasped!
After thinking a little bit, Chen Cang cut open the platysma to completely loosen the pressure of the ring eschar!
Sure enough, after this cut, the patient's breathing suddenly became smoother!
After cutting the scab, all you have to do is peeling!
Of course, many mild patients do not need to cut and peel the scab!
Because the eschar can be separated naturally!
But this process is also more dangerous. It is a process of eschar infection, dissolution and liquefaction.
In this process, the body is consumed, the inflammatory reaction is severe, and the infection is aggravated. In order to shorten this process, surgical removal can be used, which is called expansion surgery, also called scab removal!
This step must be carried out under anesthesia!
Because the scalpel and the sight need to be separated along the deep surface of the necrotic tissue to remove the eschar!
The person next to me can't help at all!
Even Gong Daizhen can only help a little, and Chen Cang needs to do the whole process by himself!
Because even Chen Cang can't guarantee how to reduce the surgical stimulation to the lowest!
Under the effect of anesthesia, the patient's body has already felt the stimulation.
At this time, Chen Cang held the knife in his left hand and the scissors in his right hand.
but……
It's as if there is no weight!
That's right!
I saw Chen Cang carefully cut the knife into the deep surface of the necrotic tissue and began to separate and remove the eschar!
Then, when the right hand saw the scattered necrotic tissue or unhealthy adipose tissue left in the wound base, he would cut it off...or gently scrape it off.
This process needs to be carried out layer by layer!
It is best not to stimulate too much.
Don't damage too much!
The scissors in Chen Cang's hand seemed to be like cotton swabs wrapped in cotton, weak and weak!
Looking at the eyes of everyone around!
This is a difficult and difficult operation during surgery. If it is really described in the martial arts realm, it must be: if the weight is light, the big and complicated is simple!
That's right!
How difficult is it to think about how sharp tools like scalpels and surgical scissors can be used as cotton balls?
Because only in this way can we not damage too many normal tissues!
No one knows the depth of the burn and the thickness of the scab!
This seemingly simple scene, watching everyone's excitement!
Gong Daizhen at the scene looked at Chen Cang and sighed!
I originally thought that the gap between myself and Professor Chen would be getting smaller and smaller.
Even if there is, it should be inspired and methodological, and the operating skills may not be too different!
But this set of operations really frustrated her!
Because, at this height, she knew very well that she had passed the peak of operational improvement, and it would be difficult to catch up for the rest of her life!
Qin Xiang and Yang Tao looked at each other!
I saw jealousy and fear in each other's eyes!
The sweat left from the two of them reaching out, soaking the green clothes inside.
But Chen Cang did not dare to relax at all!
Finally, less than two minutes later, the normal organization was finally revealed!
Chen Cang glanced at Gong Daizhen: "Clean!"
He doesn't want to talk much now, this operation has just begun!
Six hours of surgery, at a high temperature of 32 degrees, and his full name needs a surgeon, it can save a bit of effort, just save a little!
Fortunately, Gong Daizhen is pretty reliable!
Use 1% hydrogen peroxide, physiological saline, metronidazole to clean repeatedly to stop bleeding thoroughly.
After that, the skin source needs to be taken from the body for transplantation!
The skin needs to be collected on-site to preserve the skin's activity as much as possible.
And this skin came from Zhao Yasi's leg!
"Director Qin, prepare to take the skin!"
Qin Xiang nodded, looked at Zhao Yasi, ready to start!
The peeling needs to be carried out with a roller knife!
Zhao Yasi was lying on the bed beside her, very nervous, very nervous!
But as long as she can save her father, she is willing!
Qin Xiang didn't say much, Chen Cang was waiting and couldn't delay.
While talking, the roller knife passed, and a piece of skin was taken away!
A bright red piece was exposed, which looked very hideous!
Yang Tao quickly prepared to clean up, and then began to stitch Zhao Yasi's legs!
The skin on the neck is not very big, but the skin grafting is very difficult!
How to find the blood supply pedicle for the pedicled blood vessel!
In fact, there are not many blood vessels available at this time!
However, the success rate of skin transplantation must also be guaranteed, and the effective rate of skin grafting in the future must also be taken into account...
Time goes by every minute!
Chen Cang did not dare to be careless.
Every step is taken seriously!
It took nearly an hour, and finally the ring-shaped eschar on the neck was processed!
Next is the circular eschar on the chest!
The skin area here is three times larger than the neck!
The difficulty increases proportionally!
The surgical incision starts along the bilateral anterior axillary line!
Slowly cut along 2cm below the collarbone to the 10th rib!
Originally only needed to reach the tenth rib!
But... Chen Cang suddenly tightened his eyebrows, and he discovered that the patient was actually chest and abdomen scabs!
In this way, must continue down.
Because men breathe abdominally!
Chen Cang can only continue and make another cut along the costal margin. The two ends of the incision meet the bilateral anterior axillary incisions, and the depth of the incision should reach deep fascia!
The whole incision is very long!
But the effect is significant, at least the patient's breathing is much better.
Cut the scab... Peel the scab... Skin graft...
Every step is going on!
But the remaining 20% of the patient’s skin is simply not enough to support so much!
This requires a test of the surgeon's ability!
How to fill the 20% of the skin in the 50% folded area!
The difficulty is very high!
Chen Cang's brain is like a high-speed computer, constantly beginning to calculate, decompose, calculate, and experiment...
Time goes by every minute!
Chen Cang felt like he was in the steamer!
Sweat wet his underwear again and again.
There is no chance to dry out from start to finish!
Because it's too hot!
It's like a steamer!
But the passing of sweat is like dehydration!
Gong Daizhen who was watching was a little distressed.
Not only her, but the surrounding doctors, nurses, anesthesiologists, medical department... etc. They looked at Chen Cang in awe!
This is really a good doctor!
Just for this concentration, he should be praised!
And now!
Zhao Yasi, who was fortunate to watch the operation live, saw this scene!
Professor Chen's surgical gown was tightly attached to his back, and his sweat had even wetted the ground beside Chen Cang on the floor of the operating room.
But... Even so, he doesn't move at all!
Suddenly, Zhao Yasi burst into tears!
At this moment, she finally understood that Professor Chen had decisively agreed to her behind!
What is it?
It's pressure! It's responsibility! It's hard! It is also a promise!