Lu Zewei smiled sarcastically, but as Su Yun lowered his head, his expression gradually became serious.
Compartment syndrome, incision and decompression? The necrosis is complete, how can I reduce the pressure
Although he is not an orthopedic surgeon, Lu Zewei still understands the most basic common sense.
The surgeon then made a longitudinal incision about 20cm long on the outside of the right calf, and cut through the skin and subcutaneous tissue.
When the lateral and anterolateral compartment fascia were opened, it was found that the tension in the fascia was high and the muscles had become necrotic.
The surgeon sighed and began to remove the necrotic tissue.
"Boss, how much will the motor function be affected?" Su Yun suddenly asked.
"It's very big, but it's better than amputation." Zheng Ren replied, "If you can save one leg, the injury is considered relatively minor. Do more functional exercises after the surgery, and other muscles may compensate for part of the function."
Lu Zewei was dumbfounded.
This is not because the entire muscle is removed. This kind of surgery is rare, but it is definitely not unprecedented.
He was a little stupid because he heard Su Yun call the young man in front of him boss.
Such a young boss? He is still an orthopedic surgeon, so he knows what he can do to make Su Yun, who has always been noisy and sarcastic, become more honest.
The magician and Su Yun were talking, but the movements of his hands did not slow down at all.
He explored the surgical area and found that the anterior tibial artery was contused and thinned at the level of the fractured end of the tibia and fibula. The distal pulse was significantly weakened, the proximal pulse was normal, and the continuity of the superficial peroneal nerve was intact. He applied warm saline wet compress and then explored the posterior tibial artery. Proximal pulse recovery at the level of the tibiofibular fracture end.
Only then did Zheng Ren let out a sigh of relief.
"It's finally opened. The embolization time is still relatively short. If it had been a few hours longer, I'm afraid it wouldn't work."
Su Yun smiled and said nothing.
Zheng Ren asked the anesthesiologist to take a look at his feet. The anesthesiologist was also very excited. He quickly walked around Lu Zewei, opened the warm saline gauze, and measured the injured person's feet with his hands.
"The dorsalis pedis artery is fluctuating!" the anesthesiologist said excitedly.
"That's completely open." Zheng Ren was also very happy and asked: "VSD negative pressure suction, right?"
"have."
"It depends on the situation after the operation. If there is a problem with the decompression port..."
"Boss, you are very verbose. This is the provincial hospital, you don't need to worry about the most basic operations." Su Yun looked up at Zheng Ren and said.
The restoration of arterial fluctuations means many things. The simplest is that the injured person who was lifted out can no longer need amputation for the time being.
The reason why it is temporary is because there is local necrotic tissue and compartment syndrome. It is difficult to say whether the muscles, blood vessels, and nerves can survive.
The rest depends on subsequent treatments. Among them, vsd decompression technology is this one.
vsd technology, also known as vacuum sealing drainage technology.
Negative pressure attracts the cell membrane, causing it to expand and twist. The cell considers it as damage and conducts damage information to the cell nucleus. Through signal conversion, it causes the cells to secrete pre-healing growth factors, including vascular proliferation factors, thus stimulating the tissue to produce more New blood vessels.
And it can effectively reduce the possibility of postoperative infection.
For the injured person lying on the operating table, without VSD decompression equipment, the possibility of saving his calf is less than 10%. But with the vsd decompression device, there is an 80% chance of saving the calf.
"Haha." Facing Su Yun's words, Zheng Ren was already immune and just laughed.
"Boss, speaking of vsd reducing stress, do you know there are other uses?" Su Yun suddenly asked.
At this time, all the problems were solved, and Zheng Ren was very happy and said with a smile: "Is it the negative pressure suction that acts on ED treatment? I think it is quite unreliable. Although there are relevant reports in various literatures, the amount of data is Not enough, I am skeptical about this.”
"You even know this?" Su Yun was surprised.
"When I was learning vsd decompression, I read relevant literature reports." Zheng Rendao: "If you want to do it, there will probably be technical improvements in the near future, so don't worry."
Uh... Lu Zewei felt happy when he saw that Su Yun was deflated.
The reason why I kept being arrogant in front of Su Yun back then was not because this guy could read all kinds of books and had a high technical level, so he was very sharp in finding faults.
The reason why you can't keep silent is because your skills are inferior to others.
Lu Zewei felt secretly happy for a few seconds, but then he thought about it and was shocked.
Facing Su Yun's provocation, the magician in front of him easily resolved it. Why can people do it? Not just because Su Yun opened his mouth, the practitioner knew what he was going to say next.
This is a crushing of knowledge reserves. Although it is not as direct as a crushing of technical levels, from a side perspective...
This magician seems to be very powerful.
Well, it seems that Lu Zewei is not sure.
He watched with some confusion as the surgeon performed an incision and decompression on the injured person's dorsal foot. The surgeon touched the dorsal artery of the foot and said, "The fluctuation is not bad. I want to take an image to see."
"Boss, this doesn't seem like your style." Su Yun had just suffered a loss silently. He grabbed Zheng Ren's words and wanted to fight back.
"Well, embolization is a destructive surgery, so I'm relatively supportive. But for opening surgery, I always want to see the results of capillary opening." Zheng Ren said lightly.
Lu Zewei looked a little confused. Seeing the magician and Su Yun began to brush their hands again. He still didn't understand why.
"Lao Lu, let's go out and take a look." The anesthesiologist pulled Lu Zewei out of the operating room.
"This... what kind of surgery is it?" Lu Zewei still hasn't figured it out yet.
"Lao Lu, you can see the master today." The light in the anesthetist's eyes flickered dazzlingly.
"Ah?" Lu Zewei still doesn't understand why he is so excited. Seeing that the equipment nurse also came out, closed the airtight lead door, and listened quietly to the anesthetist's words.
"Lao Lu, this wounded man is a volunteer who went into the mountain." The anesthesiologist said: "When we were evacuating, he was hit by a stone in his calf, causing a fracture and being pressed for more than an hour. Because the follow-up personnel arrived in time. , so the crushing injuries and necrosis are not too serious.”
"But then the leg should be amputated." Lu Zewei was a little confused.
"This is where it gets awesome." The anesthesiologist said proudly, as if he had performed the surgery. "Director Chen has just brought the wounded here."
"Which Director Chen?"
"You have never seen the retired director of the interventional department. The old man has a very stubborn temper." The anesthesiologist did not forget to comment on Director Chen's temper, and then continued: "Old Director Chen said that these volunteers are Those who came to help us would not amputate their limbs if they could. I thought it was just a wish, but I didn’t take it seriously. But who would have thought that the surgeon would agree and then start the operation.”
"I saw it. Is the fracture fixed?"
"What you see is the second half." The anesthesiologist said, "The really exciting part is the first half of the operation."