This is a ti-limited surgery!
A patient in shock can’t endure a prolonged operation.
Ti is limited!
Chen Cang estimated the limit to be six hours.
After six hours, the operation must be concluded!
He doesn’t have ti to rest!
Performing an escharotomy during shock is already very difficult, let alone for Chen Cang also performing debrident, skin grafting...
This debrident 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 debrident surgery.
Chen Cang found that multitasking made him easily distracted.
And frankly...
This surgery is really boring!
After all, it requires nonstop debrident...
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 developnt of dostic 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 debridents.
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 ti, 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 ti.
As an ergency 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 debrident 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 departnt 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 thod of using tilapia skin to treat burns is actually hardly used in China!
In Brazil, due to the lack of other treatnt 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 ti, 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 environnt for skin growth!
However, Chen Cang still used dressings!
He worried that if he overreached and used fish skin unsuccessfully, his renowned na would be tarnished.
The seconds of the operation ticked by!
At this ti, the patient’s back skin was divided into geotric 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.
Sohow, he’s just an apprentice!
And in the Provincial Second Hospital’s dermatosurgery departnt, He Jin was extrely 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 excitent, 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 ti to ti.
He Jin glanced at Chen Cang’s eyes on him, blushing heavily, ashad, wishing he could crawl right into the patient’s abdon.
This is downright embarrassing!
I don’t even know how many people outside are watching 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 ti, 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 extrely 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 fra!
Finally, after Chen Cang sutured and spliced a skin piece to the chest-abdon junction,
Everyone was stunned!
Because they realized that the piece of skin directly covered the entire chest and abdon!
Moreover, after the other skin pieces were handled through rotation, advancent, interlacing... and other various thods,
these random flaps began to have a main line of sorts.
Chen Cang began using techniques like sliding advancent, Z-plasty, and rotation, where these islands, musculocutaneous, and free flaps could actually be sutured together!
The entire chest-abdon and back skin beca complete!
Seeing this scene, suddenly everyone was dumbfounded!
Speechless for a long ti!
As if using an entry-level graphics card G210 to handle GTX2080’s rendering.
Out of fra!
For a long ti!
Everyone slowly managed to say two words: "Holy crap!"
That’s right!
At this mont, whether a departnt 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,
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