Chapter 3322： 【3322】Not simple
Strange, where did this wrapping skin come from?
The doctor's first choice is definitely not to cut a piece from other body parts of the wounded to remove the skin, which will cause secondary injury to the patient.
Therefore, the wrapped skin needs the doctor to start the surgical design from the surgically excised part. The technical term is called the flap.
The length of the flap should be greater than the length of the osteotomy, and the specific surgical shape should be made into two pieces, the front and the back, so that the cross-section of the amputated tissue can be completely wrapped up after closing, just like a bag.
According to the above description, it can be known that the lower limit value of the height of the amputation plane cannot be achieved on the limit line of the rock pile pressing leg, and it must be higher.
How long goes up, also depends on the doctor's technique. The doctor can design as long as possible to keep the flap.
The length of the specific flap design, in the operating room, the doctor will use a ruler to measure and ponder constantly. The type of flap length design, the front flap can be long and the flap is short, the front flap can be short and the flap can be long, or the front and rear **** can be the same length. Even under extreme conditions, the length of the anterior skin flap is zero beyond the osteotomy plane, and the posterior skin flap is completely
length to wrap the cross section. One of the most important considerations for this doctor is how much the flap can be preserved. This involves not only observing the skin integrity of the flap, but also focusing on the blood supply area of the flap. When cutting, the doctor should
Try to design the length and shape of the flap so that the important blood vessels contained in the flap are preserved. Today's emergency surgery at the scene of the accident, the doctor is destined to be unable to slowly ponder and measure slowly. The requirement is to be fast, no matter what. What's more damned is the low visibility limited by lighting and on-site environmental factors
Allowing doctors to make quick and accurate judgments almost seems like an impossible task.
As Grandma Cao said, Xie's eyes should be able to exert the ultimate effect.
Chang Jiawei said directly to his assistant Xie: "Whatever you say, I will cut it."
The seniors entrusted her with enough trust, and the pressure was enormous. Xie Wanying took a deep breath.
"Don't be afraid, just say it, I'll take care of anything." Chang Jiawei immediately added this sentence to her. With him at the scene, it was absolutely impossible for her to take any responsibility.
Senior is really good, with the spirit of a real boss.
There is really no need to be afraid of a big boss. Xie Wanying's hand began to point down.
After remembering the roadmap she planned, the chief surgeon immediately gave an instruction to the anesthesiologist: "You can be anesthetized."
The short-acting anesthetic quickly enters the patient's body, and the operation timing begins. While watching the operation nervously, everyone watched the operation time nervously. The second hand is passing by second by second, and it can be said that life is like a year. Everyone's extremely contradictory mood is one side
Hate time is too long on the face, and hate time is too short on the one hand. Don't think that the surgery that Xie said at the beginning only performed the excision part, and really didn't do any sutures at all, it was impossible. At least the large blood vessels need to be tied when cutting, otherwise, it is not very good to press and bandage if there is a large blood loss.
Live until the wounded is sent to the hospital operating room.
Therefore, the so-called partial excision operation is to be separated, not completely reckless like slaughtering chickens, ducks, geese and pigs with one stroke in a slaughterhouse. In the case of separation, know which tissues will be encountered during the excision process.
The doctor's first choice is definitely not to cut a piece from other body parts of the wounded to remove the skin, which will cause secondary injury to the patient.
Therefore, the wrapped skin needs the doctor to start the surgical design from the surgically excised part. The technical term is called the flap.
The length of the flap should be greater than the length of the osteotomy, and the specific surgical shape should be made into two pieces, the front and the back, so that the cross-section of the amputated tissue can be completely wrapped up after closing, just like a bag.
According to the above description, it can be known that the lower limit value of the height of the amputation plane cannot be achieved on the limit line of the rock pile pressing leg, and it must be higher.
How long goes up, also depends on the doctor's technique. The doctor can design as long as possible to keep the flap.
The length of the specific flap design, in the operating room, the doctor will use a ruler to measure and ponder constantly. The type of flap length design, the front flap can be long and the flap is short, the front flap can be short and the flap can be long, or the front and rear **** can be the same length. Even under extreme conditions, the length of the anterior skin flap is zero beyond the osteotomy plane, and the posterior skin flap is completely
length to wrap the cross section. One of the most important considerations for this doctor is how much the flap can be preserved. This involves not only observing the skin integrity of the flap, but also focusing on the blood supply area of the flap. When cutting, the doctor should
Try to design the length and shape of the flap so that the important blood vessels contained in the flap are preserved. Today's emergency surgery at the scene of the accident, the doctor is destined to be unable to slowly ponder and measure slowly. The requirement is to be fast, no matter what. What's more damned is the low visibility limited by lighting and on-site environmental factors
Allowing doctors to make quick and accurate judgments almost seems like an impossible task.
As Grandma Cao said, Xie's eyes should be able to exert the ultimate effect.
Chang Jiawei said directly to his assistant Xie: "Whatever you say, I will cut it."
The seniors entrusted her with enough trust, and the pressure was enormous. Xie Wanying took a deep breath.
"Don't be afraid, just say it, I'll take care of anything." Chang Jiawei immediately added this sentence to her. With him at the scene, it was absolutely impossible for her to take any responsibility.
Senior is really good, with the spirit of a real boss.
There is really no need to be afraid of a big boss. Xie Wanying's hand began to point down.
After remembering the roadmap she planned, the chief surgeon immediately gave an instruction to the anesthesiologist: "You can be anesthetized."
The short-acting anesthetic quickly enters the patient's body, and the operation timing begins. While watching the operation nervously, everyone watched the operation time nervously. The second hand is passing by second by second, and it can be said that life is like a year. Everyone's extremely contradictory mood is one side
Hate time is too long on the face, and hate time is too short on the one hand. Don't think that the surgery that Xie said at the beginning only performed the excision part, and really didn't do any sutures at all, it was impossible. At least the large blood vessels need to be tied when cutting, otherwise, it is not very good to press and bandage if there is a large blood loss.
Live until the wounded is sent to the hospital operating room.
Therefore, the so-called partial excision operation is to be separated, not completely reckless like slaughtering chickens, ducks, geese and pigs with one stroke in a slaughterhouse. In the case of separation, know which tissues will be encountered during the excision process.
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