Chapter 45: I Just Learned Replantation of Severed Finger

"Ah~" Wu Qinghua thought Wang Chuan was a perverted genius.

"1.5 times?"

Wang Chuan explained, "Teacher Zhang, I have memorized the video operation steps and content just now. The 1.5 times fast playback is to check if the order of my memory has any problems."

Wu Qinghua's inner thought was, 'Wang Chuan, what are you saying? Fast playback is to check if the order is wrong, not because the content was not memorized and needs to be watched again to be remembered.'

"No problem." Zhang Yang, who was not yet thirty, curled the corners of his mouth upward.

Privately delighted: 'Haha, Mingzhou First Hospital did not qualify to represent Mingzhou in the Three-City Competition last year; even if we cannot defeat Mingzhou Sixth Hospital this year, we should be able to beat Mingzhou Four Hospitals.'

After playing it once more, Wang Chuan checked the time; five minutes remained. "Teacher Zhang, may I try the Microscope? After all, watching a video and operating with both hands give different physical feedback." This book is first published on Tiantian Read Novels to solve book shortages, ttkts. tw, super practical, providing you with an error-free chapter and non-disordered chapter reading experience.

"Sure, they are all imported. Look at the appearance first." Zhang Yang lifted the cover of the Microscope.

Wang Chuan finished familiarizing himself in exactly three minutes; with two minutes remaining, Zhang Yang asked random questions based on the Training Textbook just now.

As expected, Wang Chuan answered everything correctly.

Ding-dong, a new box 【Microsurgery Training】 appeared in the 【Virtual Operation Training】 under Suture Technique. After learning the theory of Microsurgery, a new training module actually appeared.

However, for the virtual training, the second activation condition is 4/6, including cricothyroid membrane Puncture and the suturing by Xin Yisheng and his two subordinates; two more operations are needed to activate.

'Today I must complete the second activation condition in the Emergency Department.'

At this moment, Zhang Yang was thinking of applying to get a White Rat in the lab later to let Wang Chuan perform Rat Tail Artery suturing training.

After the handover at eight in the morning, in the Emergency Surgery, only Zhang Yang, Wu Qinghua, and Intern Wang Chuan were present now.

By noon at twelve o'clock, under Zhang Yang's watch, Wang Chuan completed ten sutures; the Virtual Operation Training activated the second and third times, and the fourth activation condition is 2/6.

Zhang Yang saw that Wang Chuan's face was somewhat pale after the morning operations.

Remembering that Wang Chuan went to the police station early this morning, he told him to finish lunch quickly and return to the Dormitory to rest; he did not need to come in the afternoon, as Doctor Gu and his Intern, who were not on night duty, would come later.

Privately delighted, Wang Chuan went to the hospital entrance to buy two sesame cakes and a cup of coffee, wolfing them down while sending text messages to Li Wei and Luo De, saying they would not have lunch together and that he was very busy.

Sitting on the bed in the Intern Dormitory, ding-dong, 【Virtual Operation Training】; the second and third trainings activated, totaling twelve hours of training.

This is equivalent to two hours passing in real time.

Wang Chuan clicked the new box 【Microsurgery Training】 under 【Suture Technique】.

Whoosh, a bright white light flashed, and Wang Chuan arrived in the Surgery Room; at this moment, some words appeared in the empty space before him.

Jacobson, the founder of modern microsurgical techniques.

In 1960, he first reported anastomosis of small blood vessels with a diameter of 1.4mm under a surgical microscope and proposed the concept of microsurgery, marking the beginning of modern Microsurgery.

In 1963, Chen Zhongwei in the country.

He first reported a successful case of replantation of a severed forearm limb and was called the "Father of Replantation of Severed Limbs".....

After reading this, Wang Chuan admired these medical pioneers in his heart; they were figures to be forever remembered by human history.

Arriving at the operating table, besides the Microscope, there was also a Microsurgical Instrument Kit; Wang Chuan opened it to check if straight/bent Forceps, Spring Scissors, Needle Holders, etc., were complete.

The first training was to use the Needle Holder under the Microscope, keeping hands steady without shaking and eyes without dizziness.

Because it was virtual training, Wang Chuan felt no fatigue at all; after an hour of repeated training, holding the needle was steady without shaking, and his eyes were not dizzy.

Boom, a anesthetized White Rat appeared, with a cute tail.

The Rat Tail Artery is a common blood vessel for practicing vascular anastomosis in Microsurgery.

It is located on the ventral side of the center of the rat's tail, with a superficial position and convenient exposure.

The diameter near the proximal end is close to 1mm, tapering towards the distal end.

Wang Chuan picked up the scalpel, decisively raised his hand and dropped the blade, cutting the tail into ten segments; the practical video of Microsurgery floated in his mind, with every detail flashing quickly once.

"Start~"

Connecting the severed rat tail is actually a Suture Technique, requiring six to eight stitches on the cross-section of the tiny blood vessel.

Soon, one anastomosis point was completed with suturing......

Just like that, repeatedly suturing and connecting the White Rat's tail, and another anesthetized White Rat appeared on the operating table.

Four hours passed in the Virtual Space.

Wang Chuan could no longer remember how many rat tails he had connected.

Looking up, ding-dong, the proficiency in Rat Tail Artery of 【Microsurgery Training】 was completed.

There were still eight hours left; at this time, the White Rat above disappeared, and only a light screen appeared.

Surgical indications for Replantation of Severed Finger: general condition, no combined injury to vital organs; age generally under 60; subjective requirement for replantation; the severed finger appearance is intact, ischemia within 6~8 hours......

The severed finger must meet the requirements of low temperature and dryness; generally, it should be wrapped in thicker Sterilization or clean dressings, placed in a sealed plastic bag, and then put in a container with ice cubes or popsicles.

Low temperature and dryness can slow down tissue cell metabolism, death, and bacterial reproduction speed. But the severed finger cannot directly contact ice cubes to avoid frostbite.

Soaking the severed finger in Disinfectant would further aggravate tissue cell damage.

Boom, a right palm with the index finger completely severed appeared on the operating table.

Wang Chuan closed his eyes to recall every step of the Replantation of Severed Finger video and finished the recollection quickly.

He began to examine the necrotic and severely contaminated tissues through the Microscope, operating gently, and repeatedly rinsing with Iodophor and Hydrogen Peroxide......

The steps Wang Chuan adopted included Debridement, marking the Intrinsic Artery, Auxiliary Incision and marking blood vessels and nerves, Bone Shortening Fixation, Suture of Flexor and Extensor Tendons, vascular repair, Digital Nerve anastomosis, Wound Suturing.....

Nearly eight hours passed in the Virtual Space before this case of Replantation of Severed Finger was completed.

Returning to reality, Wang Chuan touched his forehead, which was covered in sweat; a wave of fatigue struck him. He checked the time and found he could still sleep for four hours.

He pressed the back of his head against the pillow and fell asleep like an infant.

He did not know how long it had passed when his Mobile Phone rang; it was a call from Wei Tuo. "Wang Chuan? Hurry back to the Director's Office, we can't handle it."

Wang Chuan returned to the Emergency Department and saw two Microsurgical Limb Replantation surgeries; the two patients were a husband and wife. For some reason, they had an argument, and the husband accidentally chopped off his wife's right index finger with a kitchen knife.

The husband was filled with regret; with a ruthless heart, the kitchen knife fell, and his own left middle finger and index finger were completely severed.

Now, Zhang Yang and Wu Qinghua were performing Replantation of Severed Finger surgery on the husband.

As for the wife, she was being operated on by Attending Physician Sun Ke, who was called back by phone.

Currently, in the Emergency Department, only Zhang Yang and Sun Ke can serve as Chief Surgeon for such procedures, aside from the head.

Doctor Gu and Wei Tuo handle other patients in Emergency Surgery.

Nurse Chang Min entered Emergency Surgery and said to Wang Chuan: "Attending Physician Zhang Yang says he cannot leave; he wants you to check on Attending Physician Sun Ke's progress with the Replantation of Severed Finger and ask what difficulties he's facing."

"Report his difficulties back to Attending Physician Zhang Yang."