Chapter 230: Chapter 152: Physical Reward, Scalpel!

In the operating room,

an hour and a half later, Dr. Sun from orthopedics finally corrected and fixed all the bones in the little boy’s foot.

Exhausted, he was panting, his forehead covered in sweat, and he took a step back to look at Qin Feng.

“Director Qin, I’m done.”

“Alright, great job.”

Qin Feng nodded and smiled, nudging him with his elbow as a sign of thanks.

Dr. Sun immediately felt invigorated, as if he’d been injected with energy!

Oh my God!

Did Director Qin just nudge me?

What a gain!

If my senior finds out about this… I’m doomed!

Hahaha!

I’m so happy I could explode right here!

Even though it’s just a simple gesture, could it be that Director Qin is also interested in me?

Last time Qin Feng took Xu Tiantian from orthopedics, will I be next?

…

If Qin Feng knew what he was thinking, he’d probably be speechless.

Σ(°△ °|||)︴~~~~

“Heparin gentamicin normal saline for wet compress, prepare to start suturing.”

Qin Feng instructed the nurse beside him.

“Yes, Director Qin.”

The nurse immediately started the procedure, and after three minutes, the suturing officially began.

“Dr. Xiao, you handle the skin incision, I’ll first connect the tendons.”

Qin Feng picked up the suture needle and spoke to the second assistant, Xiao Jing.

Xiao Jing nodded, walked to the other side of the operating table, and began making several approximately 1CM long incisions along the length of the limb on the skin and skin flaps.

These were full-thickness relieving mesh incisions to prepare for tension-free skin repositioning sutures.

Qin Feng, meanwhile, began reconnecting the tendons and internal vascular nerves.

This was the most difficult part!

It determined how much sensation the nerve in the little boy’s left foot could recover!

hour…

hours…

hours…

hours…

Ding~

After Dr. Sun cut the suture thread, Qin Feng tossed the forceps into the tray.

“Phew~ Dr. Sun, let’s select a skin flap.”

He exhaled deeply, his eyes returning to normal as he spoke.

In three hours, his eyes had grown somewhat weary.

Even with his incredible vision, the mental strain was truly overwhelming!

Currently, the bottom of the little boy’s left foot was fully sutured, and all major blood vessels and tendons were mostly reconnected.

But some capillaries, though Qin Feng could see them, were still too delicate.

Even though he could see them clearly, the suture thread was inadequate for suturing!

This left him a bit disappointed~

Fortunately, most of the nerve and vascular connections seemed to be intact, at least enough to promise mobility if the skin graft took well.

Of course, some complications are inevitable, an escape not easily made.

Yet, what Qin Feng hadn’t anticipated was that the barrier to perfectly completing this surgery was the current state of medical science!

It’s worth noting that capillaries and fine nerve tissues are dozens of times thinner than a hair.

This means that even with the finest suture threads available in modern medicine, suturing such fine vessels and nerves is impossible.

And even if such fine threads existed, suturing under a microscope would be challenging for the best surgeons.

Because not only is it beyond the perception of the naked eye, but there is also absolutely no tactile feedback.

Precision is greatly diminished!

“Director Qin, should we proceed with the anterolateral thigh flap?”

Dr. Sun asked, looking at Qin Feng.

“Hmm, no problem.”

Qin Feng nodded in agreement.

The anterolateral refers to the front side of the thigh, a preferred region for all skin grafts.

The anterolateral thigh flap boasts rich blood supply and stable, reliable vessels.

Most importantly, the long vascular pedicle can carry skin nerves to restore sensory function to the flap.

Moreover, a large area can be excised here, allowing for multiple perforator choices to meet graft size requirements as needed.

Additionally, the donor skin site is quite concealed, minimizing aesthetic impact.

As long as the neurovascular branches are preserved while freeing the vessels, and muscle tissue is not harvested to avoid impacting motor functionality.

Half an hour later, a triangular flap measuring approximately 8 cm long and 5 cm wide was excised.

Dr. Sun carefully placed the piece onto a tray, ready for Qin Feng to suture, and then began dressing the wound.

“Director Qin, the flap is ready.”

Xiao Jing observed and turned back to inform Qin Feng, who was resting with his eyes closed.

He stood up after hearing this.

The final suturing began~

Due to the skin being torn, after trimming, a portion was missing from the mid-dorsal aspect of the foot, exposing some muscles and underlying bones, necessitating flap transplantation.

“Start suturing.”

Qin Feng returned to the primary surgeon position, moved the flap to the recipient site, and stretched out his hand as the instrument nurse handed over forceps and a suture needle.

First, the proximal blood vessels of the flap were anastomosed with the anterior tibial artery machine and accompanying veins, then the skin nerves were connected respectively to the superficial peroneal and sural nerves.

This type of skin flap transplantation is quite particular. The tension during suturing must be adequately tight to aid in close adherence to the subcutaneous tissue.

Furthermore, small incisions need to be made on the skin at all times to facilitate drainage and pressure bandaging.

After the operation, as long as the gauze does not seep too much, the time for postoperative dressing can be extended.

If there is excessive seepage, the dressing must be changed at any time to prevent fluid accumulation, which can be promptly detected and handled.

This method allows for maximum observation of its survival progress.

An hour…

“Drainage tube.”

Qin Feng stretched out his hand and said, and the nurse handed over the drainage tube.

The drainage tube was inserted along the skin to prevent postoperative seepage from accumulating and to allow it to drain in time.

Two hours…

Every needle and stitch by Qin Feng was extremely precise, while Dr. Sun from orthopedics and Xiao Jing stood beside, their eyes already blurred and unfocused.

The two exchanged a glance, seeing the surprise and helplessness in each other’s eyes.

If it were just about vascular and major nerve suturing, they could still see clearly.

But whenever Qin Feng tackled the finer capillary anastomosis, no matter how wide they opened their eyes, they could only follow the trajectory of the needle.

The suturing is too strong!

How exactly does he see the edges of the vessels with those eyes?

Dr. Sun from orthopedics was astonished beyond belief, difficult to comprehend.

Such a level of microoperation, from when he entered medical school to his Ph.D. graduation and in all his years of practice.

No doctor has been able to perform operations unaided by a microscope.

Because it’s beyond the scope of human visible eyesight.

Unless Qin Feng’s eyes are different from ordinary people!

If at this moment Qin Feng knew what he was thinking, he would surely nod gratefully and pat his shoulder.

“Young man, you’re very smart~”

Because indeed now Qin Feng’s pupils are different, one large, one small, one oval, and one slender.

This is truly naked-eye 3D!

Clang~

With the clatter of the forceps hitting the tray, Qin Feng straightened up and said in a deep voice to Dr. Sun beside him.

“Release the tourniquet.”

Upon hearing this, he immediately removed the tourniquet, and everyone held their breath in anticipation.

minute…

minutes…

minutes…

Finally,

The previously pale and bloodless left foot of the little boy gradually developed a faint pink hue starting from the ankle and spreading downward.

Slowly, in about ten minutes’ time, the entire foot turned a light pink and visibly deepened in color at a steady rate.

Dr. Sun beside had eyes filled with joy, unable to control his quickening heartbeat.

In such a short time, the circulation could recover to this extent?

My God!

Even if you went through all avulsion injury cases at City Hospital No. 1, there’s no case of full limb circulation recovery in ten minutes!

It’s simply a miracle!

“Dr. Sun, apply VSD, the surgery can end now.”

“Ah? Oh, okay.”

It was only then Dr. Sun reacted, quickly agreeing.

“What time is it?”

Qin Feng glanced at the time, even he was surprised,

“My goodness, it’s almost 7 o’clock?”

“Yes, you’ve been operating all night; this must be the longest single operation Director Qin has ever done.”

Xiao Jing said with a smile beside him.

Hearing this, Qin Feng thought for a moment, indeed!

Since joining the hospital, he had handled hundreds of surgeries.

This was the first time he’d worked overnight, six to seven hours for a single surgery, with almost no interruptions.

“Okay, I’ll leave the rest to you. Apply pressure bandaging, pay attention to anticoagulation, antispasmodic measures, and postoperative infection prevention.”

Qin Feng nodded, stretches with a yawn, while instructing,

“I’ll go out to get you all breakfast, hehe~”

After saying that, a nurse came over to help him remove the sterile clothes.

“Thank you, Director Qin!”

Qin Feng left the operating room, leaning against the wall, feeling a bit dizzy and mentally drained.

He stood for two to three minutes before straightening up, a bitter smile on his face.

This time, he really overexerted himself!

[Ding! Congratulations to the host for completing the level 4 avulsion injury surgery, successfully preserving the patient’s limb, reward: scalpel*1]

???

At this moment, a familiar system prompt rang in his mind.

In the next second, a flash of light appeared, and a scalpel emitting a faint blue glow appeared in his mind.

This…

This time’s reward, it’s actually a scalpel?

Qin Feng was stunned, his eyes full of astonishment!

Previously, it had always been some tangible material rewards, or skills.

But this time, it actually gave a scalpel!

And it seems quite different because this scalpel is entirely glowing with a faint blue light.

Qin Feng couldn’t help but swallow, his heart clearly racing, murmuring in shock.

“Could this be… an artifact?”

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