What did I learn?

How do I stroke your hands with the pliers? How do I wipe your sweat?

Dr. Mu was embarrassed...

Throughout the entire surgery, he only held the forceps, wiped Xia Tian's sweat once, and helped with dozens of stitches. He was definitely a second assistant, while Xia Tian was the first assistant.

"Cough cough."

"Xia, well done."

Dr. Mu patted Xia Tian on the shoulder, his face turning bright red.

At that moment, a nurse rushed in and shouted at the two of them.

"Operating room number 3 needs the assistance of two doctors."

"The patient's right foot was completely severed. The severed limb has been there for two hours and has been kept in an ice bucket. Dr. Li is stuck in operating room number 5. Are you two ready?"

"If it's working now, please change the channel immediately."

Without saying a word, the two rushed to operating room number 3.

Inside the operating room.

The patient was under general anesthesia. The patient's right foot had been completely severed from the ankle, with torn muscles, severed Achilles tendon and blood vessels. The cut was already bluish-purple and black. There was a strong smell of blood in the operating room.

Sudden.

Drop drop!

The monitor is flashing red, and blood pressure and heart rate are both approaching zero.

"Oh no, the patient is experiencing ventricular fibrillation."

"What should we do, Dr. Mu?"

Ventricular fibrillation is equivalent to cardiac arrest, where the heart loses its ability to circulate blood, leading to ischemia in tissues and organs throughout the body, especially the brain, which is most sensitive to ischemia. If the ischemia lasts for more than 4 minutes, irreversible damage to the brain can occur.

If the patient survives for more than 10 minutes, their survival rate is essentially zero.

The patient was in good condition before anesthesia, and was relatively young, only 29 years old, with no history of heart disease. No one in the operating room expected ventricular fibrillation.

For a moment, Dr. Mu was stunned.

At this time.

Xia Tian rushed over and immediately began performing chest compressions on the patient.

He also yelled at the nurse.

"Give me an injection of amiodarone."

"quick!!!"

After the amiodarone injection, Xia Tian performed cardiac resuscitation for two minutes.

Two minutes later, the patient's heartbeat gradually returned.

"Alright, alright, the patient has recovered."

The nurse exclaimed in surprise.

Everyone in the operating room breathed a sigh of relief at the same time.

Summer's expression remained tense.

"The patient has lost too much blood, leading to hemorrhagic shock. The surgery must be completed within one hour."

"Otherwise, the patient will be at risk of a second ventricular fibrillation."

"Dr. Mu, please prepare for the surgery."

A complete foot fracture requires not only bone repair but also the reconnection of the Achilles tendon, nerves, and blood vessels. It is an extremely complex surgery. Dr. Mu has performed three such surgeries, the fastest of which took three and a half hours.

An hour... he simply couldn't finish it.

"no."

"I can't finish the surgery in an hour."

"The patient's condition is unstable; we can consider continuing the surgery after the condition stabilizes."

Summer immediately rejected it.

"The survival rate of organs after being removed from the body is highest within six hours. The patient has already wasted two hours, and he doesn't have any more time."

"If we wait any longer, his leg will not be able to be reattached."

"Surgery is necessary immediately."

The survival rate is highest within six hours, and as the deputy director of orthopedics, Dr. Mu certainly understands this principle.

but……

The problem is, he can't do it.

He wanted to save the patients, but what could he do if he couldn't?

He frowned and said quietly, "The surgery can't be completed within an hour."

"It can be completed."

Without saying a word, Xia Tian went straight up to the stage and said to Dr. Mu, "Take four bone screws and insert them first."

first step.

Bone setting.

The patient's wound was not crushed, and the fracture was intact. The only need to connect the broken bone was to use bone screws.

Ding ding ding!!!

Inside the operating room, there was the sound of hammers and nails.

Ten minutes later, the four bone screws were in place.

Next step: reattach the Achilles tendon.

Make a longitudinal incision 2cm inside the midline of the Achilles tendon, bring the severed ends of the Achilles tendon together at an angle of about 30 degrees, and suture them.

Eight minutes.

"Only five stitches left to suture," Xia Tian said to Dr. Mu.

"Dr. Mu, prepare for the suturing of the blood vessels."

Two minutes later, the Achilles tendon connection was complete.

Dr. Mu located the broken ends of the blood vessels. Because there were many blood vessels and they were quite small, the two of them sutured them together.

Dr. Mu is 35 years old and has been a surgeon for 10 years.

He considered his stitching technique to be first-rate.

It only takes about three minutes to connect a single, delicate blood vessel. With a total of more than a dozen blood vessels of varying sizes, it can be done in half an hour by two people.

After suturing a blood vessel, Dr. Mu glanced at Xia Tian.

Summer had already started suturing the third blood vessel.

He was very fast and his technique was steady.

His gaze was firm, without the slightest hint of tension.

It's like a heartless stitching machine.

That's too fast!!!

Ten minutes later, Dr. Mu sutured four blood vessels, Xia Tian sutured nine, and there was only one thin blood vessel left. Without saying a word, Xia Tian sutured it directly.

One minute later.

All blood vessels have been sutured.

Xia Tian said, "Let's check the blood flow."

We've reached the most crucial step.

The bones and Achilles tendon are very easy to connect, but whether the foot can be saved depends on the bleeding. Due to the lack of blood flow, the broken foot has turned blackish-blue.

Thirty seconds later.

Dr. Mu was getting a little anxious.

"Why hasn't anything changed?"

"Wait a little longer," Xia Tian said.

Twenty seconds later.

The black and blue severed foot gradually regained its color and turned bluish-purple.

"marvelous!"

"Dr. Xia is awesome!"

"His foot is saved."

Cheers erupted in the operating room; everyone was incredibly excited. The final step was yet to come.

Connect the nerve!

The foot has been saved, but whether it can be used depends on the recovery of the nerves.

"Dr. Mu, clamp the severed nerve, I'll suture it."

Dr. Mu assisted with the stitching in the summer.

The nerves are delicate, making suturing difficult.

Given the importance of nerves to a person, Xia Tian was very careful during the suturing, and the process was a bit slow, taking a full fifteen minutes.

Then.

Suture the torn skin.

Disinfect the wound, fix the cut with a splint, and wait until everything is done.

Xia Tian glanced at the time and addressed the crowd.

"The surgery is over, it took a total of 55 minutes."

"Everyone was great."

Inside the operating room, life and death are witnessed every day, but for medical staff, performing a successful surgery and curing a patient brings them a profound sense of satisfaction.

"Dr. Xia, you're the best."

"Thanks to Dr. Xia."

"Dr. Xia, there's another patient outside with a tibia and fibula fracture. Shall we move to the next station with you?"

The nurses in the emergency room all stared at Xia Tian with sparkling eyes.

Summer smiled and said.

"sure."

"Dr. Mu, let's go together."

Operating room number 21.

Ye Zimo completed his first surgery.

"The surgery is over, taking one hour and 45 minutes."

Wang Boyi praised from the side, "Senior Brother Ye is amazing! He finished the bone-setting surgery in just over an hour. It would take an average doctor at least three hours, right?"

I am indeed very capable.

Ye Zimo was confident, but kept a low profile on the surface.

"One hour and 45 minutes isn't the fastest; it's just not bad."

There are always higher heavens and more capable people.

"In the capital, you can see all kinds of genius doctors. If you have the chance to go to the capital, you will be able to meet them."

At that moment, a young nurse said something in a low voice.

"You don't need to go to the capital to see it."

"Dr. Xia set the bone in just 55 minutes."

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