Chapter 437 Urgent discussion! Save the unsaveable!

Wang Shengde was very direct. Since he was worried about the money, the clinical doctor was exempted.

It just so happened that Qiu Qinghu could use this to perform limb-saving surgery, and the clinical doctor could also apply Xu Qiu's "palm-finger regeneration surgery" to the clinic on this patient who couldn't be more suitable.

Each party got what they needed.

Even if it failed in the end, for Qiu Qinghu, it was nothing more than giving up his palm, which would not be worse than the previous plan.

"Free... free?"

Fang Wenwen came back to her senses from her sadness, her eyes full of surprise.

In despair, she never thought that she would get the warmth she had never had in the hospital.

"I don't want to give up on him, I want to give it a try." Fang Wenwen's voice suddenly became firm. She looked at Xu Qiu in front of her, and an inexplicable trust arose spontaneously.

...

The operating room, anesthesia department, etc. soon received news. Before five o'clock in the morning, the director of the anesthesia department immediately rushed over to participate in this emergency operation.

In addition, there were several directors of orthopedics and hand surgery.

Everyone was extremely excited. At the beginning, brain surgery and heart surgery became famous all over the country because of Xu Qiu and became one of the trump cards of Linyi.

Now it's finally their turn!

The palm and finger regeneration surgery may be able to make a name for itself in hand surgery by replanting the artificial metacarpal bone and the expanded end of the medullary cavity.

A few minutes later, Noah, Abel and others also arrived late.

Noah, who was in the lead, was energetic and bright-eyed, and was looking forward to this clinical operation.

In contrast, Abel put on a sour face, obviously he still thought that palm and finger regeneration surgery was just a show of skill.

In clinical practice, less is better.

There are too many operations in palm and finger regeneration surgery, and it is too complicated. The blood vessels in the fingers are as thin as hair. It is not easy to operate on such a fragile anatomical structure and continue to increase the number of blood vessel breaks.

I guess it can only be so smooth on a simulated dummy...

"Why is there no seat for my teacher?"

Abel sat down next to the director of Linyi Hand Surgery. When he looked up, he found that the most core seats were already full, and he frowned in dissatisfaction.

Wang Shengde, the director of orthopedics, the director of hand surgery, and others turned their heads silently and stared at Abel without saying a word.

Noah said angrily: "Didn't you see that this is my seat?"

Abel stood up quickly: "What about mine?"

In the corner, Yang Yuen pointed to the front of the conference room with a smile: "Isn't there an empty seat?"

"That's right, thank you, ma'am."

Just as Abel was about to walk over, Noah glared at him fiercely: "That's Xu Qiu's seat, get out of the way."

"???"

Abel stayed where he was for a while. Wasn't he the first hand surgeon of the younger generation? How could he be reduced to such treatment!

...

Five minutes later, Xu Qiu arrived last.

"Doctor Xu!"

"Thank you for your hard work, Doctor Xu. You have to come to the operation so early."

Everyone stood up, and Noah was no exception, looking at Xu Qiu with envy.

At this time, he finally understood the feelings of Joseph, Saito Ye and others.

They wanted to keep Xu Qiu in the operating room and force him to perform the operation day and night!

"Let's start."

Xu Qiu glanced at them and started the emergency preoperative discussion regardless of whether everyone was present.

Generally speaking, there are three key points in Qiu Qinghu's operation.

The first is the treatment of avulsion injuries in the wrist, forearm and other parts.

This is also the simplest step.

The second and third are palm replantation and finger replantation, respectively.

Neither of these two operations is simple.

However, what lies before Xu Qiu is obviously a bigger problem.

For example, palm replantation is not suitable for patients with multiple fractures or severe soft tissue injuries. Similarly, if the vascular bed of the finger is severely damaged, it cannot be performed.

Qiu Qinghu is a patient with "multiple injuries" and "severe damage to the vascular bed".

In addition, finger replantation is also a challenge. Qiu Qinghu has to do a more difficult distal replantation.

This is actually the biggest reason why Wang Shengde is willing to waive all fees for Qiu Qinghu.

Traditional palm replantation and finger replantation can't save him, but Xu Qiu's palm and finger regeneration is just for patients like Qiu Qinghu!

In this sense, he is the chosen one.

After half an hour of discussion, the surgical plan was confirmed.

Almost at the same time, the entire conference room started moving.

It was 5:30 in the morning.

In the first half hour after admission, after Qiu Qinghu's physical condition was initially stabilized, he was pushed onto the operating table.

In the emergency room, Yang Yuen had already performed preliminary debridement on the patient.

After going on stage at this time, Xu Qiu patiently washed and disinfected routinely.

This step is not just deep debridement.

More importantly, it is actually to have a holistic understanding of the entire broken end, and mark the blood vessels, nerves, etc. on the broken surface, so as to facilitate the subsequent operation.

With the anatomy of the broken hand in mind, when starting to replant, you can be comprehensive and not be led by various emergencies.

Under the shadowless lamp, the patient's severed palm is particularly hideous.

A mass of blood and flesh, the palm was roughly cut off in half, and there was a lot of crushed skin and muscle on the broken end, and several blood vessels hissed out of the flesh and blood, as well as several pale, elongated nerves.

Even Wang Shengde's pupils shrank when he saw this scene.

This injury is too serious!

Let alone the blood vessels, how can the nerves be repaired?

If you cut a little further back, the patient's entire palm will be severed, leaving only the wrist. Such an exaggerated palm can actually be saved by palmo-finger regeneration?

The replanted palm and fingers can actually survive? !

Not only Wang Shengde and others found it incredible, but Noah and Abel who were watching were also unbelievable.

They had observed before that the part of the patient's palm that was removed was pale and swollen, like a pickled pepper chicken claw soaked in formalin, and its vitality was very low.

This means that in order to make the replanted palm and fingers survive, extremely high requirements are placed on the reconstruction of the blood path!

If the blood circulation is not smooth enough, the reattached severed palm will dare to die for you to see!

And this is the most troublesome part of replanting severed fingers.

The reconstruction of the venous circuit and the anastomosis of the arteries are all performed under a microscope.

It is difficult for doctors to judge whether the blood vessels as thin as hair are anastomosed, and whether the anastomosed blood vessels are completely unobstructed and tension-free.

They can only rely on years of practice to ensure the completion of the suture as much as possible.

Moreover,

it is easy to cause vascular crisis when replanting a severed hand. Once it occurs, it means that the palm cannot survive.

Even various severed finger replantation techniques that have long been very mature in clinical practice are difficult to solve the current problem.

This is the first time that palmar finger regeneration has entered the clinic. Can it really work?