Human bones were very hard.
The bones of the limbs — the long bones — were among the hardest.
An ordinary person's amputation would require the use of a high-powered bone saw, but Cao Yicong's right hand needed to be amputated was such an abnormal limb, so it was very likely to be harder.
Under such circumstances, even the bone saw would be blocked.
The worst thing was, there were no bone saws, chainsaws, or handsaws.
Therefore, when they heard Gu Jun say amputation, other than Cao Yicong, who was getting more and more confused, Li Liangbin and Wang Yong were stunned. They had no confidence. Even though they were not the ones performing the surgery, and they were not medical students, they still had some common sense. This environment, this condition …
"Doctor Gu, what do you plan to do?" Li Liangbin could not help but ask.
Wang Yong scanned the surroundings anxiously. He was also searching for a sharp weapon that could be used as a bone saw.
Actually, a cleaver was not a bad thing. After all, the most primitive amputation technique was to chop off the limb and wrap it up with cloth.
However, they did not bring any sharp weapons. Pistols could not amputate the limb, and the small scalpel that Gu Jun was holding could not do the job either …
"I plan to use this scalpel to complete the surgery, including the bone-sawing step," Gu Jun said seriously. This was their only chance.
Li Liangbin and the rest were stunned, but Gu Jun knew that he was not joking. It was also this Carlop scalpel that could pierce through the leg bone of the baby goat that even a chainsaw could not cut through. This was not the bone saw from Carlop's machine, but he had room to maneuver.
"This scalpel is exceptionally sharp," he explained. "It can cut through anything harder than iron and stone."
"Doctor Gu … if you think it's possible, then go ahead …" Cao Yicong gritted his teeth. His mind was wavering. To be able to endure such pain until now, he was worthy of the Eastern State Investigation Department. "If it really doesn't work … then give me … a quick death … Don't hesitate, don't blame yourself …"
"Vice-captain!" Li Liangbin said anxiously. Wang Yong's face was red as well.
They knew, they understood, and they had all written their wills. If they were in this position, they would also say the same thing.
It was not only because they did not want to sink into pain, but also because of the harsh environment of the swamp. Resources were extremely limited, and they did not know where the end was, or when they could get rest and supplies. The team could not afford to have injured people who would only drag the whole team down.
But how could he do that?
"I don't agree." Gu Jun interrupted their thoughts. As he spoke, he placed his medical box on the ground, took out a morphine from the box, and installed an intravenous needle. "Deputy Captain Cao, I'll give you some pain relief first. Just hold on. This is just an amputation. Don't think about it too hard."
He didn't have much time left. Every move he made was as fast as possible, and before he did it, he had already planned it out in his mind.
He grabbed Cao Yicong's left hand, rolled up his sleeve, and exposed the thick blood vessels on the inside of his left elbow. He pulled out the cannula of the needle, squeezed the patient's elbow tightly with one hand, and held the needle with the other to pierce the blood vessels at a suitable angle. There was a piercing sensation, and the blood returned very well. There was no problem with the injection and the blood returned again.
Gu Jun had not performed intravenous injection for a long time, but the skills he had learned from the mice had not been lost. He hit the nail on the head, and the needle was completed in one go.
Only then did he let out a sigh of relief.
He knew that the more confident and agile he was, the higher the patient's confidence in fighting the disease, and the more tenacious their will would be.
If the needle had missed just now, Cao Yicong's chances of survival would have been reduced by a large margin.
But now, just as he expected, Li Liangbin and Wang Yong's confidence soared, and there was a different look in their eyes. Cao Yicong gritted his teeth even harder. It was also because the morphine was taking effect quickly that his mind was clearer, and he was willing to try his best to hold on. "I'll try my best to hold on …"
These investigators were originally the most proficient in emotional manipulation, but in the face of illness and pain, they also lost their composure.
Gu Jun looked around and decided to carry out the surgery on the spot. There was no place in the swamp around him that was particularly good, and the lighting here was good. There was also a small piece of hard mud for him to hide in. As for shadowless lamps, operating tables, sterile bandages, and so on, naturally, there were none of them.
If it were in the Surgical Building of the Medical Department, there would be a CT and MRI examination before the surgery. At the very least, there would be an X-ray to check the condition of the bones, but there were none now.
Looking at the items in the small medical box, Gu Jun quietly took a deep breath. A normal tourniquet, a few rolls of sterile gauze, two bottles of normal saline, a needle and thread for suturing …
Carlop's dissecting scissors, dissecting forceps, dissecting hammer, dissecting needle, and a few normal instruments.
There was procaine for local anesthesia, hemagglutinase for hemostasis …
There were not many items, but there was indeed a chance. It had to be done in one go, and not the slightest bit of waste could not be allowed.
While thinking about the surgery plan, Gu Jun had already picked up the tourniquet and tied it a little closer to the abnormal end of Cao Yicong's right upper limb. The position of the osteotomy would be about five centimeters below the upper end of the humerus, almost reaching the scapula. From the outside, the entire hand would be amputated.
Gu Jun's confidence came from the right upper arm amputation that he had just participated in. He still remembered the steps of the surgery, the things to pay attention to during the surgery, the postoperative treatment, and the complications clearly. Now, he just did what he had to do.
"Hemagglutinase, used to prevent bleeding." As he applied the medicine and gave Cao Yicong an intravenous drip, he deliberately explained to continue to increase their confidence. "There will definitely be blood during the surgery. Don't worry, it's normal. I will ligate all the major blood vessels and other blood vessels. If there is no major bleeding, there will be no major problem."
Wang Yong and Li Liangbin nodded when they heard this. Even though they knew that these words were meant to comfort them, they still felt at ease when they heard it.
Gu Jun's miraculous hands were well-known in Phecda. It was not the first time that he had completed a surgery in the field, so there was hope.
"Vice-captain, you just hold on." Li Liangbin was responsible for using both hands to press down on Cao Yicong's constantly struggling right hand. Before Gu Jun started to make the skin flap, he asked Wang Yong to go up and press down on the right hand as well. This was because once the blade cut the skin of the abnormal limb, the force of the struggle was likely to suddenly increase by a few times, or even ten times.
One of the greatest difficulties in this surgery was that the injured limb would not be at the mercy of others, and there was a lack of fixation tools.
They could not give up on the delicate operation just because of the urgency of the situation.
Even if there was a kitchen knife beside him, Gu Jun would not choose to directly amputate the injured limb. If the blood vessels were not treated step by step, the injured person would lose too much blood during the surgery, and the bleeding would not be able to stop after the surgery. Without a blood transfusion, it would be impossible for the injured person to survive in this Other World.
Therefore, the incision and the skin flap had to be done well. The higher the quality, the higher the survival rate.
After Gu Jun gave Cao Yicong's right shoulder local anesthesia, he picked up the Carlop scalpel again and began the surgery in this harsh environment.
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