Surgery for degloving injury

Seeing that the attending doctor of the orthopaedic department agreed, everyone nodded.

The whole hospital, the whole Jiangcheng, they couldn't find a more suitable candidate.

"Okay, then the surgical plan will be tentatively decided on these two sets, and the decision will be made after the family members arrive."

Seeing this, Zhou Xianren immediately looked at Xiao Jing,

"I'm going to Qin Feng now and tell him that the operation will be ready immediately."

After speaking, he turned around and left the conference room, heading towards the general outpatient clinic.

...

10 minutes later,

A man walked into the emergency hall unhurriedly, stretched out his head to look around, and still had a cigarette in his hand.

"Hello sir, smoking is not allowed in the hall, what's the matter with you?"

A nurse walked over to persuade him to ask.

"Oh, hello, did you have a woman and a little boy sent over in a car accident before?"

Hearing this, the man quickly snuffed out the cigarette butts and said with a smile,

"I am their family."

"Are you a family member?"

Hearing this, the nurse was stunned and couldn't help but looked him up and down.

"Then come with me."

"Okay, thank you!"

The man thanked him and followed.

He had just walked into the emergency room, and when he saw the little boy on the hospital bed, he rushed in and burst into tears.

"Son, my son! Daddy is late!"

That voice startled the busy nurses and Xiao Jing and several doctors in the emergency room.

When they regained their senses, they saw a man lying beside the hospital bed, reaching out and touching the little boy's face with a sad face.

That state, how affectionate and affectionate.

...

"Are you a family member of patient Zhao Ranran?"

Xiao Jing walked over and asked the man.

"Yes, I am his father."

Hearing this, the man turned his head to look at her, and replied with a sad face,

"Doctor, how is my son?"

"The patient's condition is not very good now. Come out and let me tell you..."

Xiao Jing said to the man, turned around and walked out.

Hearing the words, the man got up and followed, wiped his tears and walked out of the emergency room.

Just as the door closed, the little boy stared at the nurse beside him with watery eyes, as if he had something to say.

"What's wrong with you?"

The nurse walked over to him and whispered softly.

"Where's my mother?" the little boy asked.

"Your mother is in the department of orthopedics. You will be able to see your mother after the operation."

The nurse smiled and said comforting words, but the next sentence surprised several nurses.

"Sister, I don't want him to come, can I?"

"He? You mean... your dad?"

"He's not my father."

...

In the orthopaedic operating room, the woman looked and woke up, and the doctor was about to give her anesthesia.

"Doctor, where is my son?"

The woman endured the severe pain in her arm and looked at the doctor next to her.

"Don't worry, your son is still under treatment. The doctors are discussing the operation plan, and the operation will be performed on him later."

The doctor said with a smile,

"The emergency department has notified the child's father to come, and the relative's signature is required."

"What?!"

When the woman heard this, she immediately shouted, and then struggled.

"No...hs~! No, he can't let his father sign!"

"Don't move, don't move!"

The nurse quickly reached out to hold her down.

"Doctor, please, don't let his dad come."

The woman's arm was in severe pain, she lay back again, and shouted eagerly.

"Why is this? Only the father of the child can sign now?"

The doctors were also puzzled and couldn't help asking.

"The child's father is a bastard! Don't let him ruin the child!

Doctor, I beg you, can I sign this word? Or let my mother come."

As she spoke, her voice trembled slightly, and tears streamed down the corners of her eyes.

"This...."

The chief surgeon's brows were slightly wrinkled, feeling that something was wrong, he nodded after thinking about it.

"Okay then, I'll help you contact the emergency room, don't worry, lie down."

After speaking, he raised his head to the itinerant nurse beside him and motioned her to call the emergency department.

...

In the emergency center, the man shouted and looked angry,

"Why?! He is my son! I have the right to sign!"

"What does that woman want to do? What does she want to do!"

Um?

In the general clinic, Qin Feng and Zhou Xianren were confirming the operation.

Suddenly, a man's angry roar came from outside, and just as he was about to get up, the office door was opened.

"What happened?"

"Director Zhou, it's the little boy who was just delivered. When his mother was preparing for surgery in the orthopaedic department, she refused to let the father sign." The head nurse said.

"What's going on?"

Qin Feng and Zhou Xianren looked at each other, then got up and walked out.

Just in time to see the door of the emergency room, a man was shouting at Xiao Jing at the top of his voice.

"Director Zhou, I'm going to the emergency room to see the child."

Qin Feng didn't get involved. This is an emergency. As a transplant center and the director of a general outpatient clinic, it is not easy for him to intervene.

Immediately, he walked into the rescue room and saw the child on the hospital bed and his feet.

Even though he had gained all the world-class surgical experience, he couldn't help frowning and heartache when he saw this scene.

This foot hurt really badly!

Although he has seen CT images, this is the first time he has met, and it is really scary.

In an instant, Qin Feng had more than three sets of targeted surgical plans in his mind.

The results are not good!

Including the two sets of programs that have been proposed by the joint departments, the desirability is not high.

Amputation is the most direct method, but it should also be considered based on the actual situation of the patient, and was directly removed by him.

After filtering, only two sets of surgical plans were finally left, all of which were sutured in situ.

One is multiple layered operations, where the patient's foot is sutured layer by layer with the world's most advanced medical methods, giving priority to blood vessels and nerves to restore blood supply and nerve perception to the foot.

The tendon and the skin layer are sutured with lag, and the drug is continuously stimulated to prevent necrosis.

After waiting for the blood vessels and nerves to start to lag in the recovery period, they will be cut off again, sutured again, and re-grown. At least 4 operations will be performed in sequence.

Although the success rate is much higher than the current global normal means, it is also extremely expensive.

Because most of the equipment and active drugs required for surgery are purchased from abroad, it is simply not affordable for ordinary people.

Just one word, expensive!

The second type of in situ suturing involves suturing the tendon, foot nerve, subcutaneous nerve, and skin layer in one operation, and its complexity is far beyond what normal doctors can bear.

Even to outsiders, this possibility is really low.

Even the top orthopaedic surgeons in China may not be able to perform such high-precision and long-term surgery.

But Qin Feng wants to try~

Because only he has unparalleled precision stitching and stamina consumption!

This is not a big problem for him, the most important thing is recovery after surgery.

As long as the recovery is good, this foot can be completely preserved. Although it will not be able to bear heavy weight in the future, there should be no problem with normal walking.

Bang!

"Since I won't be allowed to sign, then I'll transfer my son to another hospital, and I won't treat it with you!"

The sound of a man slamming on the table suddenly sounded outside the door, and it seemed that the agreement had not been reached.

Qin Feng judged that the little boy's foot could last for less than an hour at most before surgery, otherwise he would have no chance when the cell activity was lost.

Can't wait!

When he went out, he saw Zhou Xianren was comforting.

"Sir, I can understand your mood, so let me call and ask."

After speaking, Zhou Xianren called the Orthopedics Department again.

He learned that the child's grandmother was rushing here, but it was not easy to take a taxi so late, and it would take nearly an hour to get to the hospital at the earliest.

Zhou Xianren didn't hang up, but looked at Qin Feng.

"How's it going? Can you get in?"

"Yes, but as soon as possible, it can't wait an hour."

Qin Feng nodded, Zhou Xianren understood the meaning of this, and let the orthopaedic operating room convey it.

After two minutes, the child's mother finally let go, nodded reluctantly, and agreed to let the man sign, but the operation to keep the child's left foot was necessary.

After all, she couldn't wait for the child's grandmother to arrive. In the end, there is no hope of amputation.

When the man found out, he immediately turned his anger into joy and nodded again and again.

He signed on the surgical order.

"Okay, we'll have the child's surgery right away. You quickly take the form to pay the bill, and the class will be hospitalized."

Xiao Jing handed the list to the man and said.

As soon as the words fell, the man's expression became stagnant, and he seemed a little reluctant, standing there with a look of embarrassment.

"What? Don't want to save your son?"

Xiao Jing's eyes sank, and she shouted angrily.

"No, no, I'll pay the money right away."

The man immediately smiled awkwardly, then turned and left, walking towards the registration payment window.

Xiao Jing couldn't help rolling his eyes at the man's moving back.

"I've never seen anything like this. This man is really the child's father? He looked reluctant when he heard the payment."

"Okay, okay, don't get involved in other people's affairs, and don't talk nonsense."

Zhou Xianren made a speech to stop the road, waved his hand,

"Hurry up and push the child to the operating room, Qin Feng, please."

"Do not worry."

Qin Feng nodded and looked at Dr. Sun from the Department of Orthopedics.

"Dr. Sun, you will be the first assistant, and Xiao Jing will be the second assistant, preparing for VSD (a type of negative pressure suction, which is the most advanced treatment technology for the treatment of various acute wounds and chronic refractory wounds)."

When the voice fell, everyone immediately bought the operating room and began to clean and disinfect, and the little boy was also pushed into the operating room.

Brush hands, rinse, wear masks, sterile caps, put on sterile clothing and gloves when entering the operating room.

A series of preparations have been completed, and the equipment nurses and circuit nurses have also been prepared.

"Time: At 0:12 a.m. on September 1, patient Zhao Ranran, the in-situ suture operation for the degloving injury of the left foot began."

Qin Feng glanced at the time, and after confirming the patient's vital signs, his voice fell.

1% Xinjieer wet compress, iodophor disinfection, towel, and tourniquet.

"Scissors."

Snapped!

The surgical scissors fell into his hands, Qin Feng's eyes changed, and the torn muscles and skin in front of him were pulled in in an instant, while the other eye showed the prototype of the foot bone.

Subsequently, the detached skin was cut longitudinally along the medial border of the foot, and the dirt and inanimate tissue remaining on the skin and muscle tissue were thoroughly removed.

Removal of foreign bodies and blood clots, removal of necrosis and suspected necrotic soft tissue.

The skin on the dorsum of the foot was then trimmed, and the full-thickness fatty skin flap and the ancestral skin flap with a thin layer of fat were removed.

This is to strive for the largest suture area, as long as the basic skin layer is left to ensure normal and normal healing.

Qin Feng's hands are extremely fast, and even this kind of action that needs to preserve the skin area as much as possible is still extremely accurate!

Almost every time the scissors are closed, they are close to the edge of the damaged skin without any deviation.

Dr. Sun from the Department of Orthopedics next to him was immediately stunned!

The surgery has just begun!

Although he has also seen Qin Feng's surgical teaching videos, because many of the teaching videos used by attending doctors in the hospital are what Qin Feng left for various departments in the past.

But now he is standing beside Qin Feng, watching from the closest distance.

Just too fierce!

10 minutes...

20 minutes...

Dang bang~

"Doctor Sun, you fix the fracture."

Qin Feng threw the scissors into the plate, turned his head and said to him.

"Me? Okay."

Dr. Sun was stunned for a moment, then reacted, walked to the front and immediately took action,

"Give me rivets."

Then, a sound like the decoration sounded in the operating room.

The calcaneofibular ligament was reconstructed, the fifth metatarsal head was fixed with Kirschner wire, and the fracture site was repositioned.

At this time, in the orthopaedic operating room, the operation of the child's mother also began.

Only one figure was lying at the payment window, handing in the form.

"A total of $5873, how much do you want to pay first?"

The nurse glanced at the expense report.

The man's expression suddenly changed when he heard the number.

"No, didn't the operation just start? Why so much money?

So, you wait, I'll ask. "

"Okay, hurry up!"

The nurse handed the list back.

The man left the window with the list in his hand, looked left and looked again, and then paced two circles.

Disappeared outside the emergency door...