Chapter 1636: Chapter 1640: Progressive Literature!
This is a time-limited surgery!
A patient in shock can’t endure a prolonged operation.
Time is limited!
Chen Cang estimated the limit to be six hours.
After six hours, the operation must be concluded!
He doesn’t have time to rest!
Performing an escharotomy during shock is already very difficult, let alone for Chen Cang also performing debridement, skin grafting...
This debridement is not a simple regional removal!
The patient’s whole body has only the skin on the back intact, the skin on the front and legs is basically completely burned!
Bringing him to the hospital alive is already a stroke of luck amidst misfortune!
The entire surgery can’t simply be called an escharotomy.
To be precise, it should be called a debridement surgery.
Chen Cang found that multitasking made him easily distracted.
And frankly...
This surgery is really boring!
After all, it requires nonstop debridement...
This made Chen Cang think of "Painted Skin". He thought, those people who lived to this day must be academicians of dermatosurgery!
Thinking about it this way, the development of domestic surgical procedures actually has deep historical roots.
What a pity!
It’s used in the wrong place.
Like gunpowder being used for firecrackers...
Disappointed, yet expectant!
...
Chen Cang monotonously carried out various debridements.
Upper limb annular eschar, hand annular eschar, lower limb annular eschar, foot eschar...
These all need to be incised, treated with special dressings, to relieve tension!
Wounds are covered with special dressings and gauze!
No artificial skin or allograft skin is used, because these all need to be regrafted later!
This time, only about fifty percent of the surgery can be done.
The eschar on the limbs will not threaten the patient’s life within a certain time.
As an emergency skill, mastering escharotomy and decompression is still very challenging.
Wanting to achieve the ease that Chen Cang demonstrates cannot be done without decades of experience!
Moreover, when cutting to relieve tension, be careful not to damage skin nerves, and try not to damage subcutaneous vessels!
These vessels and nerves are precious now!
The limb debridement surgery must be conducted under hemostasis, otherwise accidents are likely to happen!
Gong Daizhen’s presence significantly reduced Chen Cang’s pressure.
On the side, He Jin tried to make himself look like a department head.
The reason he could attend this surgery wasn’t because he was a key figure in Dongyang Province’s burn surgery field.
But simply because his familial affiliations were with the Provincial Second Hospital.
That’s why he had a chance to be here.
After the limbs were treated, they were cleaned with hydrogen peroxide and saline, then antibiotics gauze was applied externally!
The recently popular online method of using tilapia skin to treat burns is actually hardly used in China!
In Brazil, due to the lack of other treatment options, doctors turned to using tilapia skin.
Of course, the fish skin definitely isn’t used directly after removal.
It needs various disinfection and processing before use.
The application of animal skin for treating burns isn’t a new thing.
It has a very long history!
For a long time, animal skin has been used to treat burns in many countries, but Brazil lacks the widely available human, pig, and artificial skin found in other countries.
Moreover, tilapia, which is bred extensively in Brazil, is cheap.
It contains a lot of type I and III collagen, which are very important for scab formation and greater tension, and tilapia skin’s resistance is much higher than human skin, with greater moisture, providing a more suitable environment for skin growth!
However, Chen Cang still used dressings!
He worried that if he overreached and used fish skin unsuccessfully, his renowned name would be tarnished.
The seconds of the operation ticked by!
At this time, the patient’s back skin was divided into geometric shapes by Chen Cang!
The grafting of skin pieces itself is no small feat.
Now it’s even better.
Trying to make the twenty percent of skin play a forty percent role.
The difficulty increased exponentially!
But!
Chen Cang stubbornly managed to do it.
People say, a true master should have the heart of an apprentice!
But!
Gong Daizhen felt that being with Chen Cang, he would always just be an apprentice.
Not only should one have the heart of an apprentice, but also the courage of an apprentice, the lungs of an apprentice, the... of an apprentice.
Somehow, he’s just an apprentice!
And in the Provincial Second Hospital’s dermatosurgery department, He Jin was extremely anxious!
He felt like his i3 processor couldn’t handle the current i7 scenario!
He was out of his depth!
Throughout the entire surgery, he was continually outclassed.
And those watching the surgery saw the scene unfold with a mix of tension and excitement, yet feeling grateful!
They were luckily just spectators!
At first, they thought He Jin was just lucky.
But now, it seems.
This guy was out of luck.
The difficulty of this surgery was simply beyond what they could manage.
Even Gong Daizhen was struggling.
Being briefly scolded by Chen Cang from time to time.
He Jin glanced at Chen Cang’s eyes on him, blushing heavily, ashamed, wishing he could crawl right into the patient’s abdomen.
This is downright embarrassing!
I don’t even know how many people outside are watching me operate right now.
Just like that...
The seconds ticked by.
Everyone’s eyes were glued to the screen, not daring to even blink, let alone go to the bathroom!
How can twenty percent of skin serve forty or fifty percent’s purpose?
Chen Cang always seems able to create a miracle!
And this time, he very well might do it again!
Just like that, watching the peculiar pedicle skin being moved piece by piece, then connected with the blood vessels, then stitched...
The whole process was extremely smooth!
Every step, even if people didn’t understand, they had to take note.
The once noisy conference hall was now dead silent.
No one wanted to miss a single frame!
Finally, after Chen Cang sutured and spliced a skin piece to the chest-abdomen junction,
Everyone was stunned!
Because they realized that the piece of skin directly covered the entire chest and abdomen!
Moreover, after the other skin pieces were handled through rotation, advancement, interlacing... and other various methods,
these random flaps began to have a main line of sorts.
Chen Cang began using techniques like sliding advancement, Z-plasty, and rotation, where these islands, musculocutaneous, and free flaps could actually be sutured together!
The entire chest-abdomen and back skin became complete!
Seeing this scene, suddenly everyone was dumbfounded!
Speechless for a long time!
As if using an entry-level graphics card G210 to handle GTX2080’s rendering.
Out of frame!
For a long time!
Everyone slowly managed to say two words: "Holy crap!"
That’s right!
At this moment, whether a department head, attending physician, or resident, their feeling could only be described as "Holy crap!".
Suddenly, they realized that "Oh my God" was so concise, yet expressive of their emotions.
Perhaps, this should be considered progressive literature?
...
PS: Five updates delivered, two more Chapters tonight, as you can see... If last night’s two updates were finished, it would have been unsatisfactory...
So, haha, to the generous readers enjoying themselves, I kindly request your votes,