Human bones are very hard.
The bones of the limbs - the long bones, are among the hardest inside.
Ordinary amputations require the use of powerful bone saws, but Cao Yicong's right hand that needs to be amputated is still such a foreign limb, and the hardness is likely to be even higher.
In such a situation, perhaps even the bone saw would be blocked.
And worst of all, there are no bone saws, no other chainsaws, or hand saws.
So when Gu Jun said that he wanted to amputate his limbs, except for Cao Yicong, who was getting more and more delirious, Li Liangbin and Wang Yong were all taken aback, completely confused. Although they were not the ones who were going to perform the surgery, and they were not medical students, some common sense was still there. Yes, this environment, this condition...
"Doctor Gu, what are you going to do?" Li Liangbin couldn't help asking.
Wang Yong scanned his surroundings anxiously, also looking for any sharp tools that could be used as bone saws.
In fact, it is good to have a kitchen knife now. After all, the most primitive amputation is basically to cut off the limb directly, and then wrap the amputated plane tightly with cloth.
But they didn't bring any cold weapons, pistols couldn't amputate limbs, and the small scalpel in Gu Jun's hand couldn't amputate limbs either...
"I'm going to use this scalpel to finish it, including the bone sawing step." Gu Jun said seriously, this is the only chance right now.
Li Liangbin and the others were stunned, but Gu Jun knew that he was neither joking nor trying blindly. It was this Kalop scalpel that pierced through the bone of the leg of a young black goat that could not even be sawed by a chainsaw. It wasn't a bone saw in Callop's equipment, but he had room to maneuver.
"This scalpel is extremely sharp." He briefly explained, "Things that are harder than iron and stone can be broken."
"Doctor Gu...you can try it if you think it's okay..." Cao Yicong gritted his teeth, his mind was wandering, and he was able to endure the great pain until now, which is worthy of the Dongzhou Investigation Department, "If it really doesn't work... just give me a... Have fun... don't hesitate, don't blame yourself..."
"Deputy team!" Li Liangbin couldn't help but said anxiously, and Wang Yong also blushed.
They know, they understand, they all have written suicide notes, and they would say the same if they were in this position.
Not only do they not want to be in pain, but also because of the harsh swamp environment, the supplies are extremely limited, and they don't know where the end will be and when they can get rest and supplies.
But how can it be.
"I don't agree to you." Gu Jun interrupted their thoughts, and put the medical kit on the ground as he spoke, took out a morphine from the box, and put it in an intravenous injection needle, "Deputy Cao, let me give you the medicine first." Pain relief, you just hold on, it’s just an amputation, don’t think it’s too difficult.”
There was no time left, and he made every movement as fast as possible, and he had programmed it in his mind before making it.
Grabbed Cao Yicong's left hand, rolled up his sleeve, exposed the thick blood vessel inside the left elbow, pulled out the cannula of the needle, pinched the injured elbow tightly with one hand, and stabbed the blood vessel at a suitable angle with the needle in the other hand. The puncture feeling, the blood return is very good, the injection is injected, and the blood returns again, no problem.
It's been a long time since Gu Jun did intravenous injection, but the skill he learned from the little white mouse has not been lost.
Only then did I feel a little relieved.
He knew that the more confident and agile he was, the higher the patient's confidence in fighting the disease and the stronger his will.
If the needle just missed, I am afraid that Cao Yicong's chance of surviving will be greatly reduced.
But now, just as he expected, Li Liangbin and Wang Yong's confidence has greatly increased, and their eyes are different; Cao Yicong gritted his teeth harder again, because the morphine is taking effect quickly, his mind is clearer, and he is willing to try his best to support : "I try my best to hold on..."
These investigators were originally the most proficient in emotional manipulation, but they also lost their composure in the face of illness and pain.
Gu Jun looked around and decided to perform the surgery on the spot. The surrounding swamps did not have a particularly good location, but here the light is good, and there is a small piece of hard mud for shelter. As for shadowless lamps, operating tables, sterile bandages, etc., there are naturally none of them.
If it is in the surgery building of the medical department, CT and MRI examinations will be done before the operation, and even an X-ray film will be done to check the bone condition, but there is no such thing now.
Looking at the things in the small medical kit, Gu Jun quietly took a deep breath, ordinary tourniquet, a few rolls of sterile gauze, two bottles of normal saline, needles and threads for sutures...
Carlop's dissecting scissors, dissecting forceps, dissecting hammer, dissecting needle, and several common instruments.
The drug includes procaine for local anesthesia and hemocoagulase for hemostasis...
There are not many things, but there is indeed an opportunity, and it must be done at one time, and there must be no waste.
While thinking about the operation plan, Gu Jun has already picked up the tourniquet and tied it to the abnormal end of Cao Yicong's right upper limb - the position of the osteotomy plane will be about 5cm below the upper end of the humerus, almost reaching the scapula , the entire hand will be truncated from the appearance.
Gu Jun's confidence comes from the right upper arm amputation he participated in not long ago. He still remembers the operation steps, intraoperative precautions, postoperative treatment and complications clearly, and he can do what he should do now.
"Hemocoagulase, it's used to prevent bleeding." While prescribing the medicine and giving Cao Yicong an intravenous injection, he continued to boost their confidence by explaining: "There will definitely be blood during the operation, don't worry, it's normal, I will treat the large blood vessels and All other blood vessels were ligated, and there was no major problem if there was no major bleeding."
Wang Yong and Li Liangbin nodded when they heard the words, even though they knew it was comforting words for them, they still listened comfortably.
Gu Jun's mastery is well-known within the Tianji Bureau, and it is not the first time that the operation has been completed in the field. There is hope.
"Deputy team, you just hold on." Li Liangbin was in charge of pressing Cao Yicong's struggling right hand with both hands. Before Gu Jun started to make the skin flap, he asked Wang Yong to go up and press it together, because once the blade scratches the skin of the other limb , the struggling strength may suddenly increase several times, even ten times.
One of the biggest difficulties of this operation is that the affected limb will not be at the mercy of others, and there is a lack of fixation tools here.
Those delicate operations cannot be given up just because the situation is urgent.
Even with a kitchen knife by his side, Gu Jun would not choose to cut off the affected limb directly. If the blood vessels are not treated gradually, the injured person will bleed too much during the operation, and the bleeding cannot be stopped after the operation. It is impossible to survive in this alien wilderness without blood transfusion.
Therefore, the incision and skin flap must be done well. The higher the quality, the higher the survival rate.
Gu Jun applied local anesthesia to Cao Yicong's right shoulder, then picked up the Kalop scalpel again, and started the operation in this harsh environment.