12:20.
Ergency Departnt Operating Room.
Deputy Chief Surgeon Ding Guoqin, who was responsible for the vascular aspects, also entered the operating room, although he did not take the stage, he stood by the operating table.
Lu Cheng used a syringe with a needle to prick each of the patient's five fingers, then waited slowly.
About half a minute later, blood droplets oozed from the fingertips, bright red in color.
In surgery, it's not the blood that scares us, but the lack thereof.
Blood signifies life and vitality.
Seeing this, Lu Cheng finally breathed a sigh of relief, wiped it with gauze, and said, "The arteriovenous anastomosis is done, now we begin dealing with the fracture."
"Director Hou, were the preoperative antibiotics administered?"
An amputated limb represents an open fracture. Internal fixation is a foreign object, and an open fracture is a class three incision; the antibiotics must be used sufficiently.
"I administered them imdiately, don't worry." Hou Jiagui confidently replied.
Lu Cheng politely glanced at Xiang Kuihua: "Director Xiang, let's do the plate internal fixation together!"
Xiang Kuihua smiled and said, "No problem, Teacher Lu."
Limb replantation is a team-oriented surgery, which is one of the reasons he decided to 'make ands' with Lu Cheng.
The standard procedure for limb replantation is to first perform internal fixation of the fracture, except for special patients—
It can be seen that after performing nurous open reduction and internal fixation with plate and screws for fractures, Xiang Kuihua is very skilled in this area.
The internal fixation of the amputated limb's fracture was supposed to be straightforward, but because the sequence of the replantation was changed by suturing the arteries and veins first, it heightened the difficulty of the surgery.
But the problem was not significant; at this ti, the internal fixation of the fracture was even more transparent and visible to the naked eye than in ordinary fracture cases.
With the cooperation of Xiang Kuihua and Lu Cheng, it took less than half an hour to securely fix the severed ulna and radius.
After finishing these, Xiang Kuihua stood up and gave way.
The subsequent handling of muscle, tendon, and nerve suturing was beyond his capability.
Naturally, Xiang Kuihua did not leave but sat at the assistant's position on the operating table, earnestly watching Lu Cheng's operation.
Under the oblique illumination of the shadowless lamp, even the surgical microscopes couldn't hide from the light, and the surgical field was exceptionally bright.
Because blood flow was restored, as Lu Cheng handled muscle suturing, a small amount of blood slowly oozed from the ends.
Yet, when Lu Cheng finished the suturing, the oozing at the ends was held back as if sealed, and suturing was also an effective hemostatic thod...
Lu Cheng operated with utmost care and ticulousness.
His eyes seed to pierce, unblinking, blinking not more than three tis within five minutes.
The beeping of the anesthesia monitor echoed, and the footsteps of the circulating nurse slowed, while the head nurse from the nursing departnt exited the operating room, and the chief responsible for vascular surgery also left…
At this mont, Xiang Kuihua was full of silent astonishnt.
Limb replantation is a very standard surgical technique in hand surgery, one of the benchmarks for evaluating whether a facility possesses specialized hand surgery capabilities.
This type of surgery, Xiang Kuihua had long heard of, but it always remained a blind spot for most county hospitals, a surgery many wish to perform but lack the capability for.
Yet now, this very surgery was slowly nearing conclusion in Lu Cheng's hands.
As Lu Cheng finished the muscle and tendon suturing, he looked up at Lin Qianlong and said, "Director Lin, could you go and inform the patient's family?"
"The patient's hand should survive, but we can't guarantee postoperative functional recovery. Please try to lower the family's expectations a bit."
"We didn't conduct a detailed preoperative discussion or signing. But still, the family should be inford."
Lin Qianlong nodded without hesitation: "Okay. I'll go and talk."
Such discussions are indeed more persuasive when conducted by soone of his rank as a director.
Sotis, hospitals in counties serve as the first point of dical service for many townsfolk and can also be their final stop.
Not every patient with every kind of condition has the chance to be transferred to higher-level hospitals.
Lin Qianlong left the operating room…
Ti passed like water, and it soon approached five o'clock.
After personally completing the outermost skin suturing, Lu Cheng applied a cast for the patient, specifically instructing: "The cast should not be moved for the first few days; monitor the blood supply continuously."
"Postoperative antithrombotic therapy and blood flow must be keenly monitored… the key post-surgery is the prevention of vascular spasms and anticoagulation… also, use a vasodilator, Alprostadil."
"I'll write all the dical orders. Director Lin, but I can't be in the ward 24/7."
Lin Qianlong had returned from the discussion to rejoin on stage: "This patient is under our departnt, not yours alone to attend 24/7."
"I will instruct them to take photos and send updates in the group chat."
"In terms of postoperative dication, you personally verify it daily."
For the departnt's first limb replantation surgery, as the ward director, Lin Qianlong had to handle it very cautiously.
"Yes, postoperative warmth is essential. Orthopedics should have infrared lamp equipnt, it might be necessary to borrow it." Lu Cheng said.
Lin Qianlong looked at Xiang Kuihua: "Director Xiang, is that convenient?"
Xiang Kuihua chuckled awkwardly: "Director Lin, you might find it more appropriate to go through the equipnt departnt for deploynt."
Xiang Kuihua was unsure if Peng Haibo would deliberately cause trouble at this ti, usually they wouldn't, but exceptions cannot be ruled out.
So going through the equipnt departnt for allocation would be more prudent.
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