Chapter 260 Sudden Change!

In the operating room, Chen Cang was no longer a stranger. When the nurse saw Chen Cang, she squinted and smiled.

Chen Cang was flattered and hurriedly smiled.

It's just... why does this little nurse always have ** in her eyes.

Xing Yu's assistants, relatives, and company staff are not allowed to enter the operating room. This is to ensure the smooth operation of the operation.

After the anesthesia, the operation began soon after.

Wang Yushan's movements are clean and neat, there are no redundant operations, and every step is simple and clear, compared to himself...

A little less handsome, a little more efficient.

Chen Cang seemed to find that he had a lot of redundant movements during the operation.

It is not that these actions are good, but that after these actions are removed, the interference to the surgery can be reduced, and the stability of the surgery can be improved virtually.

And Chang Honglei is the most cooperative. She and Wang Yushan have a very strong coordination. The two basically belong to the seamless connection, and the old director Tan Zhonglin is not too much, and each shows his style!

The operation of three people gives a hearty pleasure!

Chen Cang looked very energetic from the same place.

There is still a big gap between watching the video and observing the scene.

Just like you watch football, watching TV may be a little clearer, and it's a macro perspective, with commentary, etc...

But you will never feel the atmosphere and shock of the scene.

So Chen Cang was very grateful for being brought into the operating room by Tan Zhonglin.

The three people work in an orderly manner in the operating room. Before the tendon is sutured, the surrounding damaged tissue must be cleaned up!

Because these are the hidden dangers of future adhesion.

At this time, the ability of Director Chang Honglei is reflected. She has a good grasp of details, micro-manipulation, and various influencing factors. Basically, she will take into account every link that affects adhesion!

In this regard, Wang Yong and Director Chang are somewhat similar.

In fact, everyone has his strengths and weaknesses. Only when we infinitely magnify our own strengths and continuously improve, will your value be truly reflected.

After getting along during this period of time, Chen Cang found that Wang Yong has a good grasp of details. Wang Yong was the first to learn about the small incision. This is not only because he has many contacts, but because Wang Yong has People are very attentive to details and are good at thinking about details!

At this time, Chen Cang felt sorry for those surgeons in the Second Provincial Hospital. It's been more than a month. Hasn't anyone learned the microtrauma of endoscopy?

The hospital project is about to be applied for, and this group of people has not learned it yet, who will do the project when the time comes!

The most important thing is that I don't have one of my rewards...

Outside the conference room, everyone watched the video of the surgery and discussed it. The only advantage here is that there are many people, so it is convenient for everyone to discuss and discuss with each other.

The atmosphere is actually pretty good.

Surgery proceeds normally.

Chen Cang felt that if he continued at this pace, he was quite sure.

However, the crucial tendon suture has not yet begun.

Chen Cang also wanted to know what kind of stitching method to use, Director Wang Yushan.

The three tendons are radially bounded by the abductor pollicis longus and extensor pollicis brevis tendons; the ulnar bound is the extensor pollicis longus tendon.

These three tendons determine 60 to 70 percent of the function of the thumb, and the thumb is the most important finger in the finger. Without the thumb, 90 percent of the daily operations cannot be done. You can try it. What can you do with your thumb?

The extensor pollicis longus tendon is thicker, and the choice of suture should pay attention to the tension of the extensor pollicis longus tendon and so on.

After all, it is necessary to consider the repair of the tendon during the early activities and exercise. If two bundles of sutures, such as the kessler and Tsuge methods, are used, it is likely to break and cannot meet the active and passive functional exercise in the early postoperative period.

You can use four, six, or even eight stitches.

Of course, it is not the more the better, as long as the early exercise is satisfied, it is enough, basically four beams are enough.

Choosing a simple suture method that maintains the mechanical properties of the multi-bundle suture is the best choice.

Wang Yushan used the Bunnell suture method for the first tendon. This suture method is very good because it will not leave foreign bodies in the tendon and prevent the adhesion in the tendon. However, this kind of suture is more complicated and requires the operator's skills. Very high!

After receiving the tendon line of the double needle, Wang Yushan held his breath, walked obliquely from one side of the tendon toward the distal end, and passed the center of the tendon to draw out the needle on the opposite side. This set of movements must be consistent.

Even he didn't dare to be careless!

To be honest, at this time, although Wang Yushan seems to be calm to others, he is actually uneasy in his heart, and this feeling is like disarming a bomb!

You have to be careful, if you are not careful, you will make a big mistake.

The three people's breathing was very subtle, and they felt the touch from the tendons, and Tan Zhonglin's eyes were meticulous.

The tendon junction repaired by this suture method has a high tensile strength, but if it is not careful, the tendon suture will be narrowed, which is not good for the local blood supply, but is not conducive to the healing of the tendon.

So all three must be careful!

"Director Chang, pull it and let me feel it." Wang Yushan said.

Chang Honglei nodded, pulled the tweezers slightly, and felt it: "Director Tan, cut off the thread and pull the right side."

Tan Zhonglin nodded, and was about to pull, at this time, when pulling, he felt a sense of disappointment!

A beep, the sound was very low, but all three of them heard it!

This weak sound, like thunder, exploded in the minds of the three of them.

The three people who were preparing to operate didn't dare to move for a moment!

Second degree tendon injury, plus suture rupture!

They have seen that the tendon has a crack in the sutured area, which originally did not exist, but when sutured, the suture needle can also cause damage to the tendon! It's just that this kind of damage may be negligible most of the time, but, at this time... the problem arises.

Another reason is the presence of myosynovitis.

The tendon rubs excessively within the tendon sheath for a long time, causing swelling and chronic damaging inflammation of the tendon and tendon sheath.

Wang Yushan said in a deep voice: "Xing Yu often plays the piano, his thumb moves frequently, and there is stenosing tenosynovitis of the radial styloid process. There is a problem with the suture injury just now. Our choice is not right!"

This sound is not right, it makes everyone tremble!

With just a few words, the success rate of the operation was suddenly reduced to less than 11%!

When Xing Yu saw the faces of the three of them, he couldn't help but be stunned...

"Director, I..."

Seeing the serious faces of the three of them and worry in their eyes, Xing Yu can be said to be at the bottom of his heart!

This is what he is, a wave of unsettled waves rises again and again!