Chapter 1639 : The realm of martial arts: lifting weights lightly!(1/2)
Chen Cang used his hands to carefully feel the thickness of the patient's skin burn and the presence of phloem...
Then the knife in your hand is very light, three points into the skin, and gently cut it along the posterior edge of the sternocleidum** muscle to reach the latitude-spinal muscle.
This knife is very accurate!
The effect of sensing the +30 received is at its peak!
After accurately passing through the phloem tissue, reach the depth of the lats muscle!
No increase or decrease.
The resistance of the knife in different organizations is very well grasped!
After Chen Cang thought for a while, he cut open the latissimus membrane to completely loosen the compression of the annular eschar!
Sure enough, after this incision, the patient's breathing suddenly became smooth!
After cutting the scab, all you need to do is scab peeling!
Of course, many mild patients do not need to cut and peel the scab!
Because eschar can be separated naturally!
However, this process is also relatively dangerous, and it is a process of eschar infection, dissolution and liquefaction.
During this process, the body consumes a lot, the inflammatory response is severe, and the infection is aggravated. In order to shorten this process, surgical removal can be used, called expansion surgery, also known as scab stripping surgery!
This step must be performed under anesthesia!
Because scalpels and seeing need to separate along the deep surface of necrotic tissue to remove the eschar!
The people next to you can't help at all!
Even Gong Daizhen could only help a little, and Chen Cang needed to do the whole process himself!
Because even Chen Cang cannot guarantee how to reduce the surgical stimulation to the lowest level!
Under the action of anesthesia, the patient's body has already felt the stimulation.
At this time, Chen Cang held a knife in his left hand and a scissor in his right hand.
but……
But it's like there's no weight!
That's right!
Chen Cang carefully cut the knife into the deep surface of the necrotic tissue and began to separate and remove the eschar!
Then, when you see the scattered necrotic tissue or exposed unhealthy fat tissue that begins to be left on the burning base, cut it off...or gently scrape it off.
This process needs to be carried out layer by layer!
It is best not to stimulate too much.
Don't damage too much!
The knife cuts in Chen Cang's hand seemed to be like cotton swabs wrapped in cotton, weak and weak!
Looking at the people around him, the eyes shining!
This is a very difficult operation in surgery. If you really use the realm of martial arts, it must be: lifting weight is as light as light as big, as complicated as simple as simple!
That's right!
How difficult is it to think about the effect of using a sharp knife like a scalpel and surgical scissor as a cotton ball?
Because only in this way can we avoid damaging too much normal tissue!
No one knows the depth of the burn and the thickness of the scab!
This seemingly simple scene was so excited to see everyone!
Gong Daizhen at the scene looked at Chen Cang and sighed!
I originally thought that the gap between me and Professor Chen would become smaller and smaller.
Even if there is one, it should be inspiration and method, and the operation skills may not be too different!
But this set of operations really made her feel frustrated!
Because, she knew very well that she had passed the peak of operational improvement and would be difficult to catch up for the rest of her life!
Qin Xiang and Yang Tao looked at each other!
I saw fear and fear in each other’s eyes!
Sweat was left from the two of them, soaking the green clothes inside.
But Chen Cang did not dare to relax at all!
Finally, less than two minutes later, the normal tissue was finally revealed!
Chen Cang glanced at Gong Daizhen: "Purge!"
He doesn't want to talk much now, the operation has just begun!
The six-hour operation was in a high temperature of 32 degrees. My full name required a main surgery. I could save some effort, so I could save a little!
Fortunately, Gong Daizhen is quite reliable!
Proficiently use 1% hydrogen peroxide, normal saline, and metronidazole to completely stop the bleeding.
Then, the autologous skin source needs to be transplanted!
The skin needs to be collected on site to retain the activity of the skin as much as possible.
But this skin comes from Zhao Yasi's legs!
"Director Qin, prepare to take off the skin!"
Qin Xiang nodded, looked at Zhao Yasi, ready to start!
Leather removal requires a roller knife!
Zhao Yasi was lying on the bed beside him, very nervous!
But as long as she can save her father, she is willing!
Qin Xiang didn't say much, Chen Cang was waiting, so he couldn't delay.
While speaking, the roller knife passed by and a skin was taken away!
A bright red piece was exposed and looked very ferocious!
Yang Tao quickly prepared to clean up and then began to stitch Zhao Yasi's legs!
The skin required for the neck is not very large, but the difficulty of skin grafting is very high!
How to find a blood supply pedicle for pedicle with pedicle!
In fact, there are not many blood vessels available at this time!
However, the success rate of skin transplantation must be ensured, and the efficiency of skin transplantation in the future must be taken into account...
Time passes by minute by minute!
Chen Cang dared not be careless.
Every step is being handled seriously!
It took nearly an hour to deal with the annular eschar on the neck!
Next is the ring-shaped eschar on the chest!
The skin area here is three times larger than the neck!
The difficulty increases in proportion!
The surgical incision begins along the bilateral anterior axillary line!
Slowly cut it along the 2cm below the clavicle and end at the 10th rib!
Originally, I only had to reach the tenth rib!
But... Chen Cang suddenly had his eyebrows tightened, and he found that the patient was actually eschar about the chest and abdomen!
In this case, we must continue.
Because men breathe abdominally!
Chen Cang could only continue and cut it along the rib margin. Both ends of the incision meet the incision on both sides of the anterior axillary line, and the depth of the incision should reach the deep fascia!
The whole incision is very long!
But the effect is very significant, at least the patient's breathing is much better.
Cut the scabs... peel the scabs... skin graft...
Every step is going on!
But the remaining twenty percent of the patient's skin is not enough to support so much!
This requires testing the surgeon's ability!
To be continued...