Chapter 3322 【3322】Not Simple

Strange, where did this wrapped skin come from?

The doctor's first choice is definitely not to cut a piece from other body parts of the wounded to remove the skin, that would cause secondary damage to the patient.

Therefore, this wrapped skin needs the doctor to make a surgical design from the surgical resection part. The technical term is called a skin flap.

The length of the skin flap should be greater than the length of the osteotomy, and the specific surgical shape should be made into two pieces, front and back, so that the cross-section of the amputated tissue can be completely wrapped up after closing, just like a package.

Through the above description, it can be known that the lower limit height of the amputation plane is impossible to be on the limit line of the rock pile leg pressing, and it needs to be higher.

How long it goes up also depends on the doctor's skills. The doctor can design and keep the flap as long as possible.

In the operating room, the doctor will use a ruler to measure and ponder the specific length of the flap design.

The design type of flap length can be that the front flap is long and the rear flap is short, the front flap can be short and the rear flap is long, or the front and rear flaps can be equal in length. Even under extreme conditions, the length of the anterior flap beyond the osteotomy plane is zero, and the length of the posterior flap is used to wrap the cross section.

One of the most important considerations for doctors is how much of the flap can be preserved. This involves not only observing the skin integrity of the flap, but also focusing on the blood supply area of ​​the flap. When cutting, the doctor should try to design the length and shape of the flap so that the important blood vessels contained in the flap are preserved.

The emergency surgery at the scene of the accident today, the doctor is destined to be unable to ponder and measure it slowly, the requirement is fast, no matter how fast. What's more damning is that the low visibility is restricted by light and environmental factors, which makes it almost impossible for doctors to make accurate judgments quickly.

As Grandma Cao said, whether Xie's eyes can play its ultimate role.

Chang Jiawei directly said to his assistant, classmate Xie: "You tell me what to cut, and I will cut what."

The trust of the senior committee and her is great enough, and the pressure is huge. Xie Wanying took a deep breath.

"Don't be afraid, just tell me, I'll take care of anything." Chang Jiawei immediately added this sentence to her. With him at the scene, it is absolutely impossible for her to take any responsibility.

The senior is really good, with the courage of a real boss.

There is really no need to be afraid of a big boss. Xie Wanying's hand began to point down.

After the chief surgeon memorized the road map she had planned, she immediately gave instructions to the anesthetist: "You can be anesthetized."

The short-acting anesthetic quickly enters the patient's body, and the timing of the operation begins.

Everyone watched the operation nervously while keeping an eye on the operation time. The second hand passed by second by second, it can be said that the days are like years, and it is like dismantling a bomb that will make the heart explode. Everyone is extremely contradictory. On the one hand, they hate that the time is too long, and on the other hand, they hate that the time is too short.

Don't think that the operation that Xie mentioned at the beginning is only the excision part. It is impossible to do no sutures at all. At least the large blood vessels need to be tied when cutting, otherwise, if there is a lot of blood loss, the pressure bandaging will not last until the time to send the injured to the operating room of the hospital.

Therefore, the so-called partial resection operation requires separation, instead of ignoring other things like slaughtering chickens, ducks, geese and pigs with one knife.

If it is separated, it is necessary to know which tissues will be encountered during the resection process.