Bill entered the operating room smoothly, and Jiang Lai personally administered the anesthesia. Before the operation, he also asked the Japanese man who suffered internal chest and abdominal injuries about the operation. The result was that it had not been completed yet.

I heard that the liver and spleen were damaged, the chest wall was compressed, and there were rib fractures.

Jiang Lai felt a little emotional in his heart. Whether he could be saved or not depended on his luck.

As for the woman, because the car turned in time, there was nothing in the passenger seat except for some glass shards, and the woman was protecting her head. It was indeed only her hand that was injured, or a skin injury.

For doing this, Jiang Lai is worthy of his conscience.

Professor Bourne took Bill's position as the first surgical assistant, and Sophia took the position of the second assistant. Since several other doctors who were observing were dragged away by Rodan, only two young doctors were left to observe.

Of course, a camera is essential.

"The left wrist was completely severed and the amputated limb was replanted. The operation began. The start time was 3:45 in the morning on January 1, 1937."

The eyes of several people were solemn. The wrists were completely severed, which is actually much more difficult to replant than the severed fingers. The bluish-white severed limbs indicated that they had been severed for some time. The incisions were slightly torn, but they were all bright red and white.

The bones, the red marrow cavity, the pulled muscles, the light yellow fat particles, and the black oil stains... looked quite scary.

The instrument nurse is Zhang Li. She and Xia Yu graduated from the same nursing school. They were the two most outstanding people in that class. Looking at the severed hand at this moment, her face turned pale. It was not that she had never seen bloody wounds, but

...The severed hand looks quite awkward when you look at it up close!

"Prepare the hydrogen peroxide! Prepare the saline!" Jiang Lai said immediately, because he had previously stated in the newspaper that patients did not need to do any treatment for amputated limbs, as long as they were brought to the hospital, so the severed limbs were stained and needed to be disinfected repeatedly.

"I'll do the disinfection, Jiang, prepare for the next steps!" Professor Byrne took over the disinfection job.

"Okay." Jiang Lai agreed, "Be careful and try not to injure blood vessels and nerves."

"Don't worry, little guy." Professor Bourne smiled. They had discussed issues related to replantation of severed limbs for a long time before, so he also wanted to verify it during the operation.

On the side, Sophia had to hold the suction device as the second assistant, constantly absorbing the mixed liquid of blood and disinfectant. When it was empty, she looked at Jiang Lai's profile. Such a doctor...

Their unparalleled first aid ability, super field control ability, and innovative imagination will play a greater role in their St. Mary's Hospital and save more people.

Jiang Lai, they must take down Santa Maria!

…

Jiang Lai didn't know what his first and second assistants were thinking. Instead, he looked at Bill's wound and thought about how much tissue would be appropriate to remove at once, but he had doubts in his heart.

"Why do patients still go to have their machines repaired on New Year's Day?" Jiang Lai had the impression that foreigners would not work on New Year's Day, so he naturally asked.

"It's not the Chinese New Year." Sophia explained, "The machine in the factory broke down and he had to go for maintenance."

Jiang Lai is helpless, is this a factory in this era? It is indeed the most evil form of zbism!

"It turned out that it was the New Year after all, so I drank some wine..." Sofia sighed, "so an accident occurred. Fortunately, the worker next to him reacted in time, pulled his hand out, and sent it to Santa Maria in time. We immediately

An intravenous channel has been established...otherwise, I'm afraid it won't work."

Jiang Lai was stunned, was he drinking again?

"Those who were involved in the car accident just now, including Mr. Louis, also drank a lot." Jiang Lai added, "These things tell us that drinking makes things worse, and living is not easy!"

Bourne: ...Fortunately, I only drank a little at night!

Sophia: ...Fortunately, I don’t like drinking!

Zhang Li:...Fortunately I'm on duty!

More than ten minutes later, Bourne exhaled a long breath. He cleaned and disinfected the injured area and poured two large bottles of hydrogen peroxide. No matter what, he couldn't skimp on medicine at this time.

However, he was a little tired. He had stayed up all night and had surgery. It was still a bit difficult for a person of his age.

Looking at the energetic Jiang Lai again, Bourne had to lament that time flies by.

Jiang Lai had already adjusted the microscope. He felt that fortunately the microscope at this time was easy to operate and at least it met the basic requirements for microsurgery.

"Because some blood vessels and nerves in the hand are too small, that's why we use a microscope. From now on, we can call this kind of surgery - microsurgery!" Jiang Lai explained, and began to cut out the inactive tissue under the microscope.

In addition to crushed carpal bones, the carpal bones are trimmed to make them suitable for fixation and regeneration.

"Due to the damage, some tissues are no longer usable, including tendons and bones, so we need to clean them, and we also need to repair the bones. After all, we will have to reconnect the sections." While operating, Jiang

Come and explain to these people, "Of course, after the operation is completed, the amputated limb will be partially shortened."

For people of this era, these are novel theories, but they are not difficult to understand.

"So the severed finger you connected before is indeed shorter than the finger on the other hand!" Sophia suddenly realized.

"Yeah, but his reconnection conditions are much better than this one, so it's not much shorter, about 0.4 centimeters." Jiang Lai explained, "Kirschner needle!"

After trimming the wrist bones, Jiang Lai first used Kirschner wires to fix the wrist joints. "In the order of the operation, we usually need to look at the alignment of the bones first, so we use Kirschner wires to fix the wrist joints first, and then the tendons. This part

tendon, affecting the patient's flexion function."

I took the needle holder with needle and thread from Zhang Li's hand and sewn the tendons steadily using the loop method, which was extremely comfortable.

Sophia was stunned when she saw Jiang Lai's operation. She had never seen such a suturing method. In this era, there are not many surgical suturing techniques.

"After suturing the tendons, we can start sewing blood vessels and nerves."

"We usually suture the veins first."

"Then the radial ulnar artery."

Jiang Lai sewed and explained the location of the sutures. Each anastomosis was beautifully and neatly stitched, and everyone was filled with admiration.

Just with this hand operation, Jiang Lai is destined to leave his name in this industry! Not to mention, the technology he brought to replant amputated limbs.

…

Time passed minute by minute, and outside the operating room where Jiang Lai and the others could not see, dawn broke the darkness, which meant that a new day had truly arrived, the first day of 1937.

…

In the operating room, seeing Jiang Lai suturing the arteries, Professor Byrne loosened the proximal vascular clamp. Visible to the naked eye, the two arteries began to beat again.

"What a magical skill!" Bourne said excitedly, "I am more and more sure that this technology will flourish in our hands!"

"Yes!" Sophia also exhaled. As an experienced doctor, she is very aware of the important role of the surgical technique of replanting amputated limbs.

With the beginning of the Industrial Revolution, the industrial era has developed to a quite mature stage. Every day, workers have accidents at their jobs... For these countries with a small population, this surgery is undoubtedly extremely important.

.

"Then there's nerves."

After Jiang Lai had sutured his nerves, his whole body felt relaxed. He glanced at the clock hanging on the wall and saw that it was just past 9 o'clock!

In other words, the entire operation only lasted a little over 5 hours. Such a record will be considered for future generations. The operation time is considered short. Generally, 6 hours or even 8 hours are common for wrist replantation.

of.

"Is it over?" Bourne exhaled a long breath. He felt that he was about to die. "Then I will step down first... In the end, only the skin will be sutured, right?"

"Yes." Jiang Lai nodded, "Dean Sophia should go and rest first."

Sophia shook her head, "Although I am tired, I am not sleepy, and I am even very excited! Doctor Jiang, do you know the significance of this technology?"

Jiang Lai carefully checked the sutured blood vessels and nerves, and after confirming again that they were all anastomotic, he raised his head, met Sophia's excited eyes, and said with a smile, "I think that every advancement in medical technology has a great impact on patients."

They are all irreplaceable. As doctors, all we have to do is treat illnesses and save lives, right?"

Sophia laughed and nodded, "Dr. Jiang, as the president of Santa Maria Hospital, also known as Guangci Hospital, I formally invite you to join us at Santa Maria, as the director of the Department of Surgery at the same level as Rodin, and to establish the Department of Surgery.
Chapter completed!