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Chapter 1971 Earth Chapter 1977: It's just a minor operation!(1/2)

After Chen Cang came in, he glanced at Deng Ming with a warning:

"Stay away from my son in the future!"

Chen Cang held a very revenge threatening sentence.

It made Deng Ming laugh and cry!

"The operating room has been arranged, boss, the operation can be started at any time. Do you want to meet the patient's family?"

Chen Cang started watching the movie with the movie in his hand at this time.

After reading it, he breathed a sigh of relief. It seemed that the operation was not very difficult. He nodded and said, "See!"

"After all,... the minor surgery will give the patient's family peace of mind. During the Chinese New Year, it will be a pity for anyone to encounter this."

Wang Qing and Chen Bingsheng next to him naturally heard it clearly!

Old Chen asked in a low voice: "Doctor Wang? Is this... a minor operation?"

Wang Qing was speechless for a moment and didn't know how to answer such a question!

If this is a minor operation, would it be so entangled?

You didn’t see my frown. Is there any psychological burden?

Silence is the best answer.

...

...

In the operating room.

Chen Cang changed his clothes.

Obviously, it is not the first time I have been to have surgery in the middle of the night.

But to be honest, this is also the first time Chen Cang has had an ophthalmic surgery in reality.

Old Chen, who was standing beside him, stared at Chen Cang with his eyes fixed on him.

This made Chen Cang feel guilty.

If they ask, how should they answer?

After all, the surgery I did there?

Lying is really a technical job.

It’s a pity that Chen Cang didn’t learn this skill.

To be honest, ophthalmic surgery focuses on fineness, and difficult to fineness.

It depends entirely on operation!

There aren't so many fancy tricks.

Many times, it depends on basic skills to polish: stitching!

Liu Jian is on duty to be an anesthesiologist.

Ophthalmological anesthesia does not require general anesthesia, local anesthesia is fine.

However, in order to prevent the child from suddenly waking up and affecting the operation, Liu Jian chose a safe basic + local anesthesia.

Ophthalmic surgery needs to be performed under a microscope.

It is also a special microscope, with some series of devices such as light source condensers.

Such a surgery is much more difficult than other surgery.

Because subtle operations may affect the sclera, cornea and even the eyeballs!

Chen Cang held the pen in both hands, his hands as stable as a rock!

The operation is about to begin!

No one can help with this surgery.

Wang Qing and Deng Ming can only do miscellaneous work, and in addition to that, they can shout a few more: "Come on."

But obviously the atmosphere is not in line with the operating room.

After Chen Cang was ready, he gently cut the ball conjunctiva at the wound 2mm after the cornea limbus.

The full name is no blood seeping out!

Even the tiny blood vessels outside should be bypassed as much as possible.

This step is simple and difficult!

Wang Qing stared at this scene and couldn't believe it at all!

How did this be done?

This is perfectly avoiding the peripheral nerves and blood vessels of the eyes.

The cornea has no blood vessels and nerve distribution, which is why donated corneals are loose in many cases. At least many diseases will not be transmitted to the cornea.

The sclera structure is dense and tough!

Although he has no blood vessels, the scleral catheter that penetrates the entire sclera layer has arteriovenous and nerves, and the ophthalmic fascia is also covered with the surface.

Not only is it difficult to choose the direction, but the severity of the scalpel needs to be grasped in place, and even the position must be grasped well!

But Chen Cang's knife is very relaxed and casual!

With a light stroke, the incision is completed.

Very perfect incision!

This step alone is an extremely difficult step in the eyes of all ophthalmologists.

But for Chen Cang, it may be really a minor operation!

Next, Chen Cang replaced the knife with tweezers with his right hand.

Begin to isolate the bulbous fascia sac and fully expose the scleral wound!

After entering the sclera, the lens can be clearly seen through the hydronephrosis!

The lens has now been partially embedded in the vitreous area.

It's not difficult to remove it.

However, after taking it out, it is too difficult to complete the suture with the sclera and fix the lens!

Moreover, the texture of the sclera is hard and the operation is difficult.

But at this time, Chen Cang held a long needle in his hand and fixed the suture from the inside to the outside!

"Is this...triangle fixation method?"

Chen Cang nodded, looked at Wang Qing with some curiosity and asked, "That's right, have you seen it?"

Wang Qing was a little excited!

How could he have ever seen such a tall lens fixation technique?

He said excitedly: "I haven't seen it before, but... it is written in the latest guide for 2023 that Professor Obary proposed such a triangular fixation method in the guess of the best fixation method for intraocular lens implantation!"

"But everyone generally believes that this stitching technique is difficult to achieve, so... everyone thinks it is just a guess!"

Chen Cang said oh, he didn't expect that there were so many stories about this stitching technique!

However, although he spoke, the needle and thread in his hand did not stop.

After making a small triangular scleral flap, use a long needle to pass through the ciliary groove from one side from outside to inward, and the needle point is behind the kerasal margin.

From the opposite side, use a sharp needle to pass through the ciliary groove from the outside to the inside, and then insert the long needle into the needle, and the long needle is guided through the contralateral ciliary groove!

The entire process technique, needle method and thread method are very relaxed and comfortable!

But Wang Qing was very excited to see it.

real!

This is true!

It can be achieved if Professor Chen’s method is followed.

At this moment, he admired Chen Cang from the bottom of his heart.

He is obviously an emergency department doctor, but he always does ophthalmic surgery!

Next, scleral repair!

When suturing the scleral cleft, be sure to recognize the wound on both sides of the wound!

Because the parenchymal layer of the sclera is composed of dense collagen, it is 1 mm thick and easy to identify.

However, it is very difficult to make the scleral parenchymal layer tightly aligned.

But at this time, Chen Cang took the needle and thread.
To be continued...
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