The Affiliated Hospital of Dongda University, Department of Traumatology and Orthopedics.
A large number of patients with orthopedic diseases are diagnosed and treated here every day, such as joint trauma, fractures, arthroscopy, joint replacement, deformity correction, etc. It is the leading trauma orthopedic surgery department in Dongzhou. There are more than 30 doctors, many of whom are experts from Dongdae Doctoral tutor of medical school.
Amputation is a common thing in the operating room here, most of the time it is an emergency, and sometimes it is a lesion.
Chief Physician Chen Yunping is preparing to perform a right upper limb amputation operation. This operation is not special. The patient is 36 years old, male, and the affected limb has a large area of severe burns due to an accident in the workshop. Hospital treatment, because the wound inflammation can not be effectively controlled, before the conditions for skin transplantation, there will be tissue necrosis, suppuration, poor blood flow, debridement is not suitable, and now the situation can only be amputated.
It is not the first time that Chen Yunping has faced such a case. Amputation of the right forearm is a difficult operation, but it is sure that there will be no accidents.
However, at the pre-operative meeting, their surgical team was suddenly informed that the medical department of the Tianji Bureau had sent someone to observe the operation, and Gu Jun led it.
Now in Dongzhou University and the affiliated hospital of Dongzhou University, Gu Jun is a celebrity, the pride of Dongdae University.
If the news hadn't been kept secret, and the little nurses in the department knew about it, they might have taken out their signature pens excitedly.
Neither Chen Yunping nor the anesthesiologist Ji Quan, nor the first assistant, the second assistant, and others did not understand the purpose of the Tianji personnel's trip.
The person in the medical department said solemnly: "It's not because of this operation, it's because they need to observe a right limb amputation operation. They didn't tell us the reason, and the Tianji Bureau's affairs are out of their control. You do your own operations as usual. That’s enough, and you have to be prepared in your heart that something unusual may happen, anyway, if you feel something weird, just say it, if something really happens, the Tianji staff will take over.”
What Gu Jun brought with him was a team of more than ten medical staff, all of whom were said to be able to go to the operating table at any time.
There is also a group of heavily armed personnel, but they are not wearing white coats, they should be secret personnel from other departments.
It was at this pre-operative meeting that Chen Yunping and the others met with Gu Jun and others, and communicated with each other about the patient's condition and the surgical plan.
"Director Chen, we are the ones who interrupted you." Gu Jun was very modest, and he didn't have any airs of being a secret hero. Although Chen Yunping was not a professor, he was also a doctoral student of the School of Medicine at Dongdae University. He was Gu Jun's senior. Respect from the other side.
"No, we understand that the matter of your Tianji Bureau is important." Chen Yunping replied, he really felt so, and did not ask more questions according to the rules.
Gu Jun nodded, "Something happened, but the environment here is still safe, Director Chen, you can rest assured."
At present, 5 patients with different hands are admitted to the emergency department and orthopedic clinic of the Affiliated Hospital of Dongdae University.
But Chen Yunping didn't know, even the on-duty doctor who knew about it was told that he should be a biid patient.
The number of patients with heterohand syndrome is still increasing. The base of the Ministry of Medicine put Zhou Yibao and many other patients into coma. The vital signs of the patients were stable in the coma. This method has the effect of relieving the pain for the time being. But their right hand is still moving, struggling, and deteriorating.
Now, the burned amputee patient was already waiting in the operating room. Without further ado, the group went to the dressing room outside the operating room and put on the airtight protective clothing brought by the Tianji team to prevent possible accidents. This will naturally have a little impact on the flexibility of the body, but Chen Yunping took the job with confidence.
Gu Jun hasn't entered the orthopedic operating room for a while, the light of the shadowless lamp, the operating bed, anesthesia machine, monitor...
The patient who has been under general anesthesia is lying on the dark brown operating table in a supine position. The nurse puts his torso on the sick side as close to the edge of the operating table as possible, and lays the sick limb on another small operating table. An inflatable tourniquet was placed, and vital signs were stable.
Gu Jun saw that only a small part of the upper arm was still intact in the affected limb with extensive burns. Apart from that, from the upper arm to the elbow, the entire forearm, wrist and palm, the skin was black and red, and Swollen and swollen, with pus everywhere on the wound...
Even if you are used to looking at filthy things, even if you have just dissected that leg of lamb that is a hundred times weirder,
He still had a heart palpitation that he hadn't felt for a long time, just because there was a human face, a sleepy face, on this limb-connected body.
An ordinary middle-aged man, and he has never met.
But the sense of illusion came again, the sense of illusion that I had when dissecting black goat cubs...
Bang bang, bang bang.
He seemed to hear the sound of something falling to the ground.
"Director Chen, let's start." Seeing Chen Yunping and the others looking over, Gu Jun said again, "Don't worry about us."
He, Uncle Dan, Zhang Huo and others all walked aside.
And Chen Yunping and others walked to the small operating table where the affected limb was placed. It would be false to say that the Tianji team suddenly watched by and the pressure did not increase. They calmed down and concentrated their attention. Pick up the equipment and show your own ability and experience.
This is a forearm amputation, and the osteotomy plane is set at the middle 1/3 of the upper arm. This position is ideal, the blood supply of the flap is good, and it is more suitable for postoperative prosthesis.
The first step in surgery is to make an incision.
At present, according to the established preoperative plan, Chen Yunping designs the front and rear equal-length skin flaps on the predetermined osteotomy plane, then uses a scalpel to incise the skin, subcutaneous tissue and deep fascia along the incision line, and then moves proximally to the osteotomy plane. above. At the same time, the first assistant, the second assistant, the equipment nurse and others are all busy.
Gu Jun stood not far away and watched, not hindering them from performing the operation, but also seeing clearly the situation in the operation area.
Although the arm that had been purulently infected had undergone debridement, it was still gushing pus, mixed with fresh blood.
Chen Yunping's hand strength was very stable and was not affected much by the airtight protective clothing. Under his leadership, the surgical team went to the affected limb to cut off the blood vessels, and then separated and cut off the radial nerve, median nerve and ulnar nerve...
The operating room was very quiet, and everyone was concentrating on the operation.
But the bang, bang, bang that Gu Jun heard was getting heavier and heavier, as if it was falling on his heart, hitting him one after another.
His eyes flickered suddenly, and some scenes flashed...
This is exactly the purpose of his coming here to observe the operation, and it seems to be able to trigger the illusion...
In the blurry and broken scene, there is a figure of a child patting the ball... bang, bang, the sound of the ball hitting the ground... no, it's not that kid, it's another kid next to him, standing not far from the basketball hoop , looking at.
The child, with no hands, was empty under the shoulders exposed by the short-sleeved T-shirt.