Chapter 21 Stitching in front of everyone
The Eight Immortals table in the Chen family hall has become a temporary operating table.
Village Chief Zhang sat on it, stretching his feet to expose the soles of his feet. A large group of villagers surrounded the door, and even the walls of the courtyard were covered with people watching the excitement.
Chen Qi took out a debridement bag, a suture bag, and several large bottles of povidone-iodine from the "back room".
In 1981, alcohol, red solution, violet solution, etc. were used for disinfection in China. If the conditions were better, some hydrogen peroxide and iodine were added, but the disinfection effect was not as good as povidone-iodine.
It was also in the countryside, where people in the mountains didn't know much, that Chen Qi dared to use it boldly.
During the disinfection, the severe pain caused Village Chief Zhang to break out in a cold sweat, but he gritted his teeth and held on without shouting. Apparently he still had some backbone.
So Chen Qi decided to use local anesthesia.
He also knows how to perform epidural anesthesia, which makes the operation more convenient and less painful for the patient. But in that case, the operation will be much more complicated, and it will be a bit difficult for him to do it alone.
"Village Chief Zhang, I'm going to give you anesthesia next, but your tendon is completely severed. I guess the anesthesia won't be able to numb the area, and it will be very painful to sew it up. You must endure it."
"Okay, Chen Zhongzhong, just sew it up. I'm not afraid of pain, but I'm afraid of becoming lame."
Chen Qi put on his gloves and said confidently: "With me here, it's hard for you to become a lame."
A joke made the atmosphere in the room much more relaxed.
After anesthesia, Chen Qi used physiological saline to clean it initially, and then carefully observed the wound. He felt confident and asked:
"Village Chief Zhang, there are two suture methods. One is the braiding method. The effect of the braiding method is that the sutures are denser and the strength of the tendon is restored better after suturing. The disadvantage is that the toughness of the tendon will be destroyed.
There is also a circumferential suture method. The advantage of the circumferential suture method is that the toughness of the tendon can be maintained, but it also has a disadvantage, that is, the strength of the Achilles tendon is weaker after suturing. You can choose now. Which one should you choose?"
As soon as Chen Qi's words came out, there was a lot of discussion at the scene. There were all kinds of choices. Some said that strength is more important, and some said that toughness lasts longer.
The village elder's wife was anxious: "Chen Vocational School, is there a way to restore strength and maintain resilience?"
Chen Qi shook his head.
Village Chief Zhang is quite decisive:
"Chen Zhongzhong, I choose the weaving method. We mountain people must have strong feet. If I can't even lift a load of one or two hundred kilograms, I am no longer qualified to be the leader of this village. As for the future, in the future
Let’s talk about it later.”
People, even until death, will not let go of fame and fortune. At this time, they are still trying to keep the position of village chief, but their body has become second.
It doesn’t matter to Chen Qi anyway, he can do any kind of suture, as long as he doesn’t regret the choice he makes in the future.
So he sat on a low stool, picked up the surgical needle and thread, and began to work.
If this were a hospital in the past life, the people in the hospital's infectious disease department would go crazy.
The environmental safety is not up to standard, the sterility and disinfection are not up to standard, there are many people in the room, and the doctor did not change into sterile surgical gowns, all of which violate the scope of diagnosis and treatment.
Deducting money will not kill you, a barefoot doctor!
Although the medical conditions in 1981 were very poor, the medical environment was really good.
These days, doctors can do whatever they want, and they can treat you however you want. If you are cured, you will be given a banner, if you are cured, you will be given a banner. If you are cured, it is the fate of the patient. There is rarely any medical trouble.
That’s why doctors in the 1980s were so courageous. They dared to treat any patient who came in. If they couldn’t cure it, they would read books and find answers on the spot.
This saved the lives of many patients and helped them preserve many functions.
Unlike later, when Chen Qi was in surgery in his previous life, he might die if he performed some operations, but he would die if he didn't do anything. Because of the risks and fear of family trouble later, doctors often choose conservative treatment.
Don't blame the doctor for being timid and worrying too much. This is all a helpless move after paying tuition over and over again.
People in the mountains have seen people sewing clothes and shoes, but this was the first time they saw someone sewing people, and the fire of gossip was ignited.
Those who can enter the operating room (actually the main hall of the Chen family) are senior officials from Liandong and Xiaze villages, as well as family members of Village Chief Zhang’s family.
Others could only wait in the yard and listen to the live broadcast inside.
Everyone held their breath and watched Chen Qi use a "half-moon-shaped" thin needle to thread the thread and start working on the soles of Village Chief Zhang's feet.
Many people think, oh, this is really similar to sewing clothes, stitch by stitch, now this way, now that way, until people are sewing out flowers.
Chen Qi first anchored and sutured the tendon, and then effectively bridged the tendon and bone.
This stitch is different from the stitch on the surface of the skin. It requires certain surgical skills and proficiency, which is much more complicated than women's embroidery.
If this kind of surgery is performed in an emergency, it often requires the cooperation of an assistant. Now that Chen Qi is alone, the speed of the surgery will naturally slow down.
At this moment, several people in white coats hurried in from outside the door. It turned out that they were villagers from Liandong Village who went to the commune health center to get plaster. Ke Weiliang, the director of the health center, heard that some technical secondary school students from the health school wanted to be sutured, so he insisted on going together.
Come.
In order to speed up, several people also rode a few donkeys.
When Dean Ke entered the room, Chen Qi had just finished suturing the tendon.
A layman watching the fun, an expert watching the door. Dean Ke and several doctors at the health center were shocked when they saw such a complicated suture technique.
Can you still sew like this? Are you having fun?
For this kind of mountain village health center, the orthopedic technology is not bad, such as bone setting and bone setting, but all the techniques used are traditional Chinese medicine.
Surgery is not enough, and simple clearance suturing is not enough. If there is trauma, the most it can do is bandage. In the past, those with onychomycosis were rejected by the commune health center.
Chen Qi saw several people in white coats entering the room, but he just glanced at them and said nothing.
Dean Ke couldn't help it anymore: "Comrade Chen, I am Ke Weiliang, the director of Xingtang Health Center. You, do you have any specialties in this suturing technique?"
In his previous life, Chen Qi was the chief resident, and he often dealt with trainee doctors, accompanying doctors, and intern doctors. He also had teaching tasks in the department, so he was no stranger to teaching work, so he replied casually.
"Oh, this is called braided suturing. It usually only deals with tendons, so it's quite complicated."
After finishing speaking, Chen Qi briefly talked about the indications, advantages and disadvantages, surgical steps, and precautions of braiding and suturing.
For the doctors at the health center, they understand what they are listening to, but their eyes are good at it, but their hands are not. After all, surgery requires experimental operations, which require more practice and more practice.
Chapter completed!