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Chapter 239 Neurosurgery: Nonsense!

(Chapter 237 has been slightly modified~)

Can't I do it?

I definitely can! Wei Haiyang definitely can't admit that he can't handle this problem. He is the attending doctor of the municipal hospital, so he still has no problem with this simple fracture.

Soon, after the examination, Wei Haiyang began to bone joints on Chen Weiming.

I worked hard for about half an hour and got it done.

Next is to start the nerve repair technique.

Ruan Bin first conducted surgery to investigate the location of the nerve rupture.

He found that the common peroneal nerve was broken at the longus part of the peroneal muscle, and the superficial peroneal nerve and deep peroneal nerve were broken at the anterior tibial muscle between extensor longus tympanium.

"Ruan Bin, is it very important to have nerve repair?" Wei Haiyang couldn't help asking when he saw Ruan Bin start to take action. Because nerve repair is very important. It is related to whether the patient can recover in the future and how much he can recover.

Almost a one-time deal.

If the first repair is not good and the second repair is done, it will be a second damage to the nerve, which is more or less bad.

"Can you believe me?" Ruan Bin smiled.

This time, Ruan Bin repaired these peroneal nerves for Chen Weiming, intending to use the best way to recover - (biological materials + autologous nerve inlaying and suture repair!)

This method is a unique improved version of his world-class neurorepair technique. It is definitely an improved version of the technique that is more advanced than all current technologies.

Traditional leg nerve repair uses biological materials, mainly used as a guiding structure for the growth of nerve axons. It can be plastic at will according to the repair tissue condition, and can form vital tissues, etc.

In fact, the quality of biological materials determines the degree of repair. For example, good biocompatibility, when implanted in the body, its own and degraded products should have no toxic side effects, and will not cause the body's inflammatory reaction and cause the host's transplant rejection; high porosity and a certain mechanical strength must be achieved. This is conducive to the implantation and attachment of cells, and the infiltration of cell nutrients and the excretion of cell metabolites, and also provides a channel for regenerated axons to pass through damaged tissues; plasticity.

It can be easily shaped into various shapes, and its shape can still be maintained for a certain period of time after implantation into the body; biodegradability and degradation rate can be adjusted according to the regeneration rate of different tissue cells; surface chemical characteristics and surface microstructure are conducive to maintaining cell phenotype, adhesion and proliferation, and leading to tissue regeneration.

However, in Ruan Bin's eyes, this method is still not ideal. Biological materials are biological materials, and human nerves still have a certain chance of repulsion of the fusion and healing of biological materials.

Twenty minutes later, the operation was completed.

The operation was very successful!

"You will go to deneurosurgery or orthopedics tomorrow morning." Ruan Bin said.

"Okay, neurosurgery, his fracture has been processed, but although the nerve break has been repaired, it still requires later rehabilitation and medication. It is more appropriate to transfer to denervical surgery." Wei Haiyang said.

"OK!"

In this way, the night shift continued to pass through busyness.

…………

The next morning, Chen Weiming went to the neurosurgery department.

Qiao Yejian, director of neurosurgery.

Today is his rounds.

When he found Chen Weiming who had just turned around, he looked at the other party's medical records and frowned immediately.

"Last night, the car accident was treated in the emergency department. The examination found that the calf bone fracture was broken and it was already corrected. It was found that there was a fracture of the common peroneal nerve, two fractures of the superficial peroneal nerve, and one deep peroneal nerve. The nerve repair surgery was completed in the emergency department." Director Qiao looked at the medical record report, and then checked the results of various examinations that Chen Weiming had done in the emergency department before.

As expected, he saw many broken parts of the calf nerve, which was broken!

"People in the emergency department are simply nonsense! Is such nerve breaks repairable at will? Professional fields should be done by professionals! It is also a nerve repair performed by a resident doctor. If the repair is not done well, the patient's nerves cannot recover part of their functions. Who will bear the responsibility?" Qiao Yejian's face became gloomy.

If the chief doctors in the emergency department of this operating room did it, of course he would not be so angry. He knew that the chief doctors were definitely very skilled.

But you, a resident, dares to do nerve repairs on patients. This is not a joke!

If the nerve repair surgery is not done well, or you do not do it well enough, then the patient's nerve recovery will have problems. What should I do if the patient becomes a cripple at that time?

This kind of surgery should be done by their neurosurgery department. What does a resident in your emergency department do? I don’t know that the best neurorepair surgery must be done. If you are not satisfied with it, you will lose everything!

"What's wrong with you? Shouldn't such a patient be held responsible for the emergency department?" Qiao Yejian asked at the attending doctor next to him.

If the patient's recovery is not ideal due to the inadequate neurorepair surgery in the emergency department, their neurosurgery will suffer!

"I, that... the person in the emergency department said the operation was very smooth and there should be no problem. He just asked us to help with follow-up treatment and rehabilitation treatment." The attending doctor was sprayed with bloody face, but he could only explain with a thorn in his teeth.

"Hmph! Who can do the nerve repair surgery except those directors in the emergency department? We did the surgery without drinking it! We really took Xiong Xin and Leopard Gallbladder." Qiao Yejian couldn't help but roar. If something went wrong, we must push it to the emergency department at that time!

At this time, Chen Weiming on the hospital bed listened to Qiao Yejian's words and couldn't help but say, "I heard from Dr. Ruan that the operation was done very well, and he did it very quickly, as if it was completed in about 20 minutes."

"What? It's done in twenty minutes? It's finished!" The first thing that came to mind was that the other party must have had random surgery. How could it be done in 20 minutes?

Could it be cutting corners?

Qiao Yejian put on gloves, touched Chen Weiming's toes, and said, "Do you feel anything?"

"I feel it, but my entire calf is still slightly numb and painful. The pain is much higher than numbness!" Chen Weiming answered truthfully.

As soon as this sentence was spoken, Qiao Yejian's expression became rich in an instant!

The first thought in his mind was impossible!

Because the common peroneal nerve and the shallow peroneal nerve are broken, the soles of the feet will definitely lose consciousness!

Unless the common peroneal nerve and superficial peroneal nerve are only damaged and have not broken, the skin numbness in the innervation area will occur, mainly due to the numbness of most skin in the dorsal foot and the back of toes. If the nerves are not broken, the normal feeling will gradually return to the numbness after numbing.

"Can your toes move?" Qiao Yejian continued to ask in surprise.

"You can move, look, but the movement range is not large, I can only move a little bit, as if my toes are a little bit disobeying my order!" Chen Weiming said.

"Hiss..." Qiao Yejian was shocked in an instant.

Even after he has undergone nerve rupture repair, it is impossible for him to feel the calf and soles so quickly, and even his toes can move a little bit.

Shen Weiming's situation now shows that he has done a good job in the nerve repair surgery and is very successful, and is even higher than the level of his director!

Because Shen Weiming now has a feeling in the soles of his feet, it proves that his nerves have been connected and have recovered part of them, which is not like the harsh situation where he has no feeling at all.

If the calf and soles of the feet have no feeling at all, this is the worst case. Even if one of the legs is scrapped, it will become a cripple in the future.

If a situation like Chen Weiming is treated with drug and rehabilitation, then 100% will be restored as before, at least 90% will be possible. Daily movements and walking should not be a problem!

After all, nerve breakage is irreversible, and no matter how amazing the surgery is, it cannot be cured and repaired 100%! Only part of the function can be restored. But this "part" is very uncomfortable, 1%~99%?

But 99% are almost impossible clinically.

It is already scary to be able to recover some functions that reach 85%!

"I have heard of this Ruan Bin. It is said that he is a little genius and has improved several surgeries. But I didn't expect that he was so scary in the field of nerve repair?" Qiao Yejian was shocked.
Chapter completed!
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