In the operating room, in the office.

A slideshow was playing on the white curtain, and Chen Qi, as the "spokesperson" of the Vietnam-China People's Hospital, was giving a detailed introduction to the surgery to these reporters.

Sitting below were a group of reporters who had changed into surgical clothes, wore surgical caps, masks, and were fully armed.

Today, more than a dozen reporters were very excited because this was the first time in their careers that the hospital actively invited them to observe the entire operation, and even allowed them to record and take photos throughout the operation.

The Yuezhong Hospital has set a new benchmark in the country and has become the most tolerant, cooperative and news-media-friendly hospital among all the hospitals in the country.

Of course, there is another hidden secret that is the best in the country, that is, the amount of red envelopes given by Yuezhong Hospital is the highest among all hospitals in the country.

So even though the reporters couldn't fully understand the professional medical terminology, they grasped the key points from Dean Chen's words:

"Dean Chen, are you saying that Fu Zhenzhen's surgery was the first free skin flap transplantation in China and the first time microsurgery was involved in a skin flap transplantation surgery in China?"

Chen Qi smiled shamelessly:

"Actually, the real situation is this. Doctors in China have tried free flap transplantation before, but they all failed without exception. As long as our Yue Traditional Chinese Medicine Hospital succeeds in transplantation, wouldn't it be the first time in China?

Do you think everyone is right?"

The reporters immediately understood that Dean Chen was playing a word game.

But the clever thing about this game is that others have indeed undergone similar surgeries, but if the surgeries failed, they would not be widely publicized or reported by the media.

The Vietnam Traditional Chinese Medicine Hospital was successful at that time. It is not impossible to say that it is the first case in the country and the first in the country.

Anyway, with the red envelopes in place, these reporters naturally know how to write and how to help the Vietnam Hospital of Traditional Chinese Medicine brag. This is the result of having a good relationship with the media.

Chen Qi introduced him for a long time, and then he invited:

"Alright fellow journalists, the operation is about to begin. In order to facilitate your interviews and obtain first-hand news materials, everyone is now free to take photos or videos. Of course, for the sake of patient privacy and sterility requirements, isolation is required.

Covered with large glass.”

The ambition of the Vietnam-China Hospital is to become a global teaching hospital, so in addition to each operating room being equipped with closed-circuit television that can broadcast live broadcasts at any time, one wall of each operating room is entirely made of glass.

And the seats are raised so that people watching the operating room can be condescending and watch the entire operation without obstruction.

At this time, in the hand room, the doctors were already busy preparing for surgery, and the nurses were placing handfuls of surgical instruments on the sterile tray.

The draping work has also been completed. Except for Fu Zhenzhen's lower limbs, the rest of her body is covered, especially her face, so she is not afraid of taking pictures.

Reporters have never seen this kind of gesture before. They excitedly raised their video cameras and kept snapping films as if they were free of charge.

Chen Qi continued to boast:

"Look, everyone, the bracket hanging on the wall of the operating room is called the surgical arm. The machine below is an electron microscope, which can be operated by two doctors at the same time. This thing is the most advanced machine in the country and is not available in other hospitals.

And if you look at the side, the white machine is a ventilator. Next to the anesthesiologist are ECG monitors, anesthesia monitors, and hemodynamic monitors. These machines are all imported.

Our anesthesiologists only need to keep an eye on these monitors throughout the process to understand the patient's vital signs in real time and adjust the drug dosage at any time, which is absolutely advanced. Unlike other hospital anesthesiologists who only measure blood pressure and temperature at one time.

It's very primitive, and it also delays things, doesn't it?

And you see, the surgical instruments our nurses are placing are custom-made from Japan's Nipro Pharmaceutical Company. This set costs 50,000 US dollars, and the results are definitely comparable to ordinary ones. Of course, these are all

It was given to us by foreign businessmen and we didn’t spend any money.”

With Chen Qi's introduction, reporters now really knew the hardware strength of Yuezhong Hospital.

It can be said that for these operating rooms, even the Union Medical College and Ruijin Hospital in China are far behind, and they have created the best in the world.

In the operating room, Zhu Huoyan became the chief surgeon, Luo Yuyang, director of the burn surgery department, was the first assistant, and deputy director Zhang Xing was the second assistant.

Director Zhu and a few assistants first measured the area of ​​the wound on the lower limb, and then based on the measurement data, they drew an irregular circle with violet on the outside of the patient's right thigh.

The shape of this circle is the same as the wound that needs skin grafting, so that the subsequent transplantation can be tightly closed.

Director Zhu then took the scalpel and began to cut along the lines, then picked up a corner of the skin, and then used the scalpel to cut horizontally.

Although it sounds simple, it is very technically demanding, because when you cut, the epidermis and dermis are fine, but subcutaneous tissues such as fat layer, blood vessels, and muscles are all stuck together.

Just like pork belly, layer by layer.

Everyone knows how to cut meat vertically, but now it is necessary to cut it horizontally, and the skin flap transplant only reaches the fat layer, and the underlying muscle layer is not touched, so you need to be very careful when cutting and sharing.

If you are not careful, you may cut a blood vessel and the blood vessel may be broken. Then it is over and the selected skin flap cannot be used because there is no way to anastomose the blood vessel.

Or if you cut a knife and directly cut off a nerve or muscle, it would be another medical accident.

Another biggest difficulty is how to find suitable arteries and veins.

For such a large skin flap, with an area of ​​34 cm x 18 cm, there will be countless blood vessels and nerves connected to it, just like the wires on the telephone poles on the streets of India, a mess.

In the anatomy diagram we see, the arteries are in red and the veins are in blue, which is clear at a glance.

But during the actual operation, all you see is red, and there is a pile of blood coming out from time to time. It is very difficult for you to find the required arteries and veins.

Director Zhu kept his eyes fixed on the front while sharing the skin flap.

Zhang Xing held a small vascular B-ultrasound machine and was constantly exploring the direction of blood flow to guide the direction of surgery to prevent accidental cutting of blood vessels.

Chen Qi showed off again outside the operating room:

"Look, everyone, our doctor keeps using a small probe to scratch the skin. This is a vascular color Doppler ultrasound. It can check the direction and location of blood flow. There are not many such devices in the country."

It attracted bursts of sighs from reporters.

However, machine guidance alone was not enough. Director Zhu had to stop and search for the lateral femoral circumflex artery first, and then find its descending branch along this artery.

Zhang Xing checked again with a vascular color Doppler ultrasound machine and confirmed that there was no problem. Then Director Zhu separated the skin flap again.

At this point, although Chen Qi did not do it himself and his face was calm, he was still very nervous. If the first skin flap failed, he would be embarrassed in front of the national media.

Let him go, Chen Qi has absolute confidence in success.

But now he wants to push Zhu Huoyan to the top, show his face in front of the media and the people of the country, and give burn surgery a new academic leader, so Director Zhu must be the chief surgeon of this surgery.

Even out of repayment of gratitude, Chen Qi wanted to make Zhu Huoyan a famous doctor.

Lao Guo can't do it. The old man is already 60 years old, and the prime age of a surgeon has passed, so he can only engage in administration and help Chen Qi in managing the hospital.

Fortunately, Director Zhu's clinical level is still very high and absolutely reliable. After 2 hours, the entire skin flap was successfully removed.

Oh no, it can't be said to be completely removed, because it is connected to blood vessels at this time.

It's the same as if you took off the electronic painting on the wall, but there are still two wires connected behind it.

At this point, the chief surgeon began to change.

Director Zhu and the others stepped back, changed positions, and continued to search for the anterior tibial artery that required anastomosis on the side of the patient's calf.

Yan Shifan and Bianmeng underwent blood vessel separation and reanastomosis.

The two of them pulled the electron microscope fixed on the rocker over. They looked at the microscope lens together and began to separate the arteries and veins.

This separation process is also very careful, because this operation is an "immediate skin flap transplantation", which means it is removed here and reattached immediately there.

Then the blood vessel break must be very careful, there must be no damage or even roughness, no inversion of the blood vessel intima, or anastomotic leak, etc.

Anastomotic fistulas are prone to local edema, and platelet aggregation can easily cause embolism. When the embolus travels throughout the body, it can easily lead to myocardial infarction or cerebral infarction, which is very dangerous.

In addition, be careful not to make the pedicle too short. If it is too short, the blood vessels will easily spasm, causing thrombosis, the skin flap will still become necrotic, and the operation will fail.

(Several previous free flap surgeries in China failed because of inadequate microsurgical techniques)

Making sutures or anastomoses on blood vessels is definitely much more difficult than engraving words on grains of rice.

When the blood vessels were finally separated smoothly, the reporters all heard Dean Chen next to him let out a sigh of relief. The reporters were all human beings and knew that Dean Chen was not as calm as he appeared.

But a few female reporters covered their mouths and felt like vomiting.

Because this is not only an open surgery, but also a teaching surgery, the doctor needs to show the cut skin flap to the camera and the medical staff who are observing the surgery.

Therefore, when the bloody piece of flesh and the bloody wound on the outside of the patient's thigh after the skin flap was cut off, the female reporters felt disgusted and frightened.

After the blood vessels are separated, the skin flap completely loses contact with the human body, and blood circulation is cut off.

Now it is necessary to anastomose blood vessels immediately and re-establish circulation. Over time, this skin flap (this piece of meat) will be useless.

I saw that the doctors from the Yue Traditional Chinese Medicine Hospital were well-trained. Yan Shifan and Bian Meng remained motionless, and the operating table was immediately adjusted, moving from the thigh side to the calf side where skin grafting was needed.

Director Zhu pointed to a few small blood vessels and said:

"This is the anterior tibial artery and its accompanying veins."

Yan Shifan looked at the microscope for confirmation, "Okay, Director Zhu, leave it to us."

If it were another doctor, Yan Shifan would definitely have to do the inspection himself, for fear of making mistakes and connecting the wrong blood vessels, which would cause big trouble.

But here with Director Zhu, Yan Shifan didn't hesitate at all and started to perform the vascular anastomosis directly.

In the auditorium of the Vietnam Traditional Chinese Medicine Hospital, the operation was also broadcast live on the big screen.

Because of Fu Zhenzhen's tragic experience, many medical staff came to the auditorium.

Some of the people came simply to watch how the first microsurgical flap transplantation in China was performed, while others came to sincerely cheer for Fu Zhenzhen.

This is the third time that the doctors from Yangshan Hospital have come. They sit in the front row and stare at the big screen.

From the ventilator at the beginning, to the unknown treatment method to eliminate arsenic poisoning, to the current free flap transplantation under microsurgery, each of these incidents really happened to the doctors of Yangshan Hospital

before.
To be continued...