godfather of surgery
Chapter 20 1 Blockbuster
Chapter 20 A Blockbuster
The high-definition camera is installed on the microscope and directly captures the surgical field of view under the microscope.
The video barrage function is turned on. In order not to affect viewing, the barrage is moved to a special area below the video.
Because they didn't meet each other, it was just an online meeting, so everyone was free, and the barrage immediately became lively.
"Damn it, what's going on? Don't anastomos the blood vessels first, but the tendons first, is this a novice?"
"Well, I should be a novice."
"It's funny to make a novice live broadcast for a meeting of this level?"
"Is it possible to sponsor a conference and advertise it."
"There was no introduction to which hospital it was from."
"Quiet!"
"Look at your speed."
"In a few seconds, a tendon was anastomosed, perfect fit, newbie?"
"Newbies have that kind of speed."
"This order is not blood vessels first, but a hierarchical order, and most experts don't dare to play like this."
"Sit on the small bench!"
"The blood vessels have been anastomosed!"
"Whether you are a novice or not, you can see at a glance the quality of vascular anastomosis."
The last time was a replantation of a severed finger in a baby, and the thin blood vessel wall limited the speed of the hand.The blood vessels anastomosed this time are different from adults, not to mention the blood vessels of the forearm, and the speed can be accelerated.
"The blood vessels in the forearm, can you tell the difference? Wash and sleep."
"It's a few seconds again, one for a few seconds, did you read it wrong?"
"Nerve, the nerve is anastomosed, and the median nerve is ready to be anastomosed."
"Damn! Is this going to be sutured with a periosteum?"
"Five-stage detachment, how dare you suture it with a periplasmic membrane and kill yourself?"
-
"You're crazy, you need to suture with periosteum?" Song Zimo asked in a low voice.
Old Han touched his chin, and his fingers were already beating on his thigh, and he was a little puzzled: "It's not wise to use the perimetral suture method for this kind of five-section severance. What is this kid doing?"
Lao Han knows that the live video of the surgery is now being watched by colleagues all over the country.But Yang Ping didn't know and couldn't tell him, for fear of increasing his pressure.
Peripheral suture?Hong Zhigang unscrewed the cap of the mineral water bottle, took a sip, and approached involuntarily.For this kind of replantation of five segments of severed limbs, the adventitial suture must be selected, and no one will use the periperitoneal suture method.The reason is simple, it is too time consuming.Like the three main nerves of the upper limbs - the median nerve, the ulnar nerve, the radial nerve, and a nerve branch, there are generally more than a dozen bundles.
Like a thick wire is made up of a dozen thin wires.The outer membrane is sutured, and only the outer layer of the outer layer of the thick wire is sewed.As for the peritoneum suture, the thin wires are sewed around each outer leather.
With the adventitial suture method, generally twelve stitches can solve the problem, while periosteal suture is equivalent to expanding the number of suture needles more than ten times.What is this concept?If the adventitia suture method sews one, then the periperitoneal suture method requires more than a dozen stitches.
This kind of operation itself takes a long time, more than ten hours, dozens of hours, which is very normal.It is also sutured with a perianth membrane, and I am afraid that it may not be completed by tomorrow. How could this junior brother make such a low-level mistake.
Hong Zhigang couldn't understand a little bit, and everyone couldn't understand it either.
Everyone wants to see what happens to this necromancer!The five-stage replantation is already challenging the limits of the industry. He also needs to suture the periosteum, and he is blindly confident that the boat will capsize.
It's bound to fail, but it's just grandstanding.Hong Zhigang thought, most people think so.
"The higher you fly, the worse you fall!"
-
The live video continues!
The tiny perineurium is clamped by micro-tweezers, and the needle and thread seem to repeat along a predetermined trajectory, never deviating, piercing, piercing, piercing again, piercing again, pulling together, and knotting.
The air in the operating room also seemed to freeze, no one spoke, and even walked lightly, for fear of disturbing Yang Ping.
Yang Ping breathes evenly. In the system, the super training of [-] pieces of severed finger replantation has allowed him to adjust his body to a state of ease, without being nervous or slack, and his movements will not be stiff or random. .
This is a high degree of coordination between the brain and muscles.
Every instruction of the brain, through the nervous system, is transmitted to the muscles, the muscles control the fingers, and the fingers control the instruments. From the brain to the tip of the instrument, there is almost no loss of instructions.
With his hands getting faster and faster, Song Zimo finally couldn't keep up with the rhythm. He placed the micro scissors next to Yang Ping's right hand. After each stitch, Yang Ping replaced the tweezers with scissors and trimmed the thread.Then switch back to the forceps and continue suturing.During the whole process, the eyes did not leave the operating field of vision, and there was not a single error in the exchange of forceps and scissors.
Su Yixuan focused her attention on the next move, trying to understand the meaning of Yang Ping's every move and every look.
She held her breath, feeling both nervous and excited. She was nervous because she had never gone all out to cooperate with an operation. She was excited because she could keep up with his rhythm.
"Cao Nima, speed? That's not it, the video is fast-forwarding."
"I found it too, fast forward! Damn, can this be faked too?"
"What about the live broadcast, how to fast forward?"
"It's a live broadcast!"
"Who is it, the coordinates of the imperial capital, the top three in the hospital's arrogance, and the top-ranked anastomotic vascular expert in this hospital, can't reach this speed, saying that there is no fast-forward?"
"Don't be blind, the brain is a good thing, some people don't have it! See clearly, in the same shot, the other hands are obviously human's speed, and those hands can't keep up with the rhythm. I want to ask, say fast forward, you put Two hands in the same shot, give me one fast forward and one normal - I can't do it myself, don't say that others can't do it."
"Woooooo, my eyes are dazzled, I thought it was a bronze, but it turned out to be a king."
"I haven't seen such a smooth operation for many years."
"There is no ineffective superfluous movement, every stitch is stitched like a precision machine, perfect! Art! Please accept my knee with a damaged meniscus, oh my god."
-
The first fracture, the blood vessels, nerves and tendons have been perfectly sutured, and the second fracture is started.The five-stage separation: two fractures in the forearm, one fracture in the palm, and two fractures in the fingers.The thumb was still missing and was not found at the scene.
Each fracture of the forearm needs to be anastomosed with six blood vessels, three nerves, and seventeen tendons; while palms and fingers are anastomosed more, and they are all small blood vessels and nerves.
Hong Zhigang held the mineral water bottle in his hand and tried to unscrew the cap several times, but he didn't do it for a long time, feeling a little anxious.In the video, that pair of hands, and now almost one pair of hands are continuing the operation.
This junior brother, what happened in these years, the operation of microsurgery has been so superb.Ten years ago, the mentor stepped down from the position of director, and the original successor should be Han Jiangong.Hong Zhigang used a little trick to force Han Jiangong to leave the Sixth Academy of Magic Capital.Naturally, Hong Zhigang became his successor.
Hong Zhigang's lips trembled. In fact, he didn't want to do that. Later, the development of the situation was out of control, which led to the ending that the junior and junior brothers were forced to leave.
He always wanted to explain to Han Jiangong and said sorry.But in the past ten years, the two have never been in contact again. Even in academic conferences, they are just like strangers, smiling and saying hello.
This time, Hong Zhigang did not call Han Jiangong after receiving an invitation from the G city government to guide the rescue operation remotely.
Hong Zhigang took out his mobile phone and flipped through the address book. When he saw Han Jiangong's number, he smiled bitterly.
"Mr. Hong!" A student came over and asked softly with his head down.
Today is Sunday. Except for the doctor on duty, all the other doctors are participating in the online conference in the conference room. The Sixth Hospital of the Magic City is the organizer.
"What's the matter?" Hong Zhigang retracted his thoughts.
"Participants strongly demanded that the live video broadcast continue!" said the student.
Hong Zhigang looked at the screen and said, "Isn't the video live streaming all the time?"
The students said: 'They were worried that they would be cut off for a long time. '
"Okay! Go on."
"What other meeting items?"
"Compression! Explain it to everyone."
"Ok!"
-
Barrage:
"Excited! Big piece! Coke fries are ready."
"The top shift has been found, and the phone has been turned off."
"I ask weakly, this level should be able to compete for the Golden Knife Award, right?"
"Yes, I want to ask too."
"Which hospital?"
"There is no information at this time."
"Nima, emergency surgery, emergency surgery at this time."
"Don't go, let the director do it."
"I am the director!"
"Let the dean do it."
"The president is engaged in obstetrics and gynecology."
-
The barrage has been burning like a raging fire, and this warm atmosphere is more than any previous similar online conference.Hong Zhigang turned his head, everyone behind him stared at the screen, and no one left.Even if someone occasionally goes to the bathroom, they run and run.
Old Han had a smile on his face, hummed a Beijing opera tune, tapped his fingers on his thighs, turned his head and looked at Yang Ping—this kid, dare to play like this, even if I am 20 years younger, I can’t Don't dare to play like this.
The anesthesiologist also turned to look at the screen from time to time, but limited to his duties, he immediately focused on the patient monitoring screen.
Su Yixuan's eyes looked at Yang Ping secretly from time to time. She didn't know why she was so daring today. Anyway, he focused on surgery and couldn't see himself, so he cast his eyes again.
The spacious conference room in the surgical building of Sanbo Hospital was already crowded with people at this time.Official media such as city newspapers and city TV stations are invited to enter legally.Some other reporters, such as online media, through various relationships, such as serving tea and water, have mixed in.
This kind of big event, everyone wants to grasp the fresh information as soon as possible.You know, for some websites, a heavyweight eye-catching news brings immeasurable traffic.
Secretary Luo sat in the middle of the front row, next to President Xia, and the armed police, the Public Security Bureau, the Health Bureau, the daily newspaper, and the TV station lined up on the left and right—
Secretary Luo is very nervous. He has been in politics for many years, and he has experienced a lot of stability. He has dealt with numerous public events, but he is still very nervous at this time.
After the accident, the first deputy mayor went to the scene to direct the rescue; several other leaders of the municipal government went to each hospital to direct the rescue.Secretary Luo assigned it to Sanbo Hospital.
"Have a drink?" Dean Xia pointed to the mineral water.
Secretary Luo found that the bottle in front of him had not been opened, and he had not been drinking water.
Slowly unscrew the lid, take a sip, and cough a few times.
Surgery goes on!
The barrage continues!
"Starting palms."
"The rhythm is clear."
"Behind the palm, there are five fingers, two of which are equivalent to ten fingers, and the scalp is a little numb!"
"It's four fingers, seven segments."
"And another finger?"
"Didn't you read the medical record introduction? The little finger was not found at the scene, and it is estimated that it can only be repaired."
The residual repair means that there is no finger connection at the broken end, and the wound can only be trimmed and sewed directly.
(End of this chapter)
The high-definition camera is installed on the microscope and directly captures the surgical field of view under the microscope.
The video barrage function is turned on. In order not to affect viewing, the barrage is moved to a special area below the video.
Because they didn't meet each other, it was just an online meeting, so everyone was free, and the barrage immediately became lively.
"Damn it, what's going on? Don't anastomos the blood vessels first, but the tendons first, is this a novice?"
"Well, I should be a novice."
"It's funny to make a novice live broadcast for a meeting of this level?"
"Is it possible to sponsor a conference and advertise it."
"There was no introduction to which hospital it was from."
"Quiet!"
"Look at your speed."
"In a few seconds, a tendon was anastomosed, perfect fit, newbie?"
"Newbies have that kind of speed."
"This order is not blood vessels first, but a hierarchical order, and most experts don't dare to play like this."
"Sit on the small bench!"
"The blood vessels have been anastomosed!"
"Whether you are a novice or not, you can see at a glance the quality of vascular anastomosis."
The last time was a replantation of a severed finger in a baby, and the thin blood vessel wall limited the speed of the hand.The blood vessels anastomosed this time are different from adults, not to mention the blood vessels of the forearm, and the speed can be accelerated.
"The blood vessels in the forearm, can you tell the difference? Wash and sleep."
"It's a few seconds again, one for a few seconds, did you read it wrong?"
"Nerve, the nerve is anastomosed, and the median nerve is ready to be anastomosed."
"Damn! Is this going to be sutured with a periosteum?"
"Five-stage detachment, how dare you suture it with a periplasmic membrane and kill yourself?"
-
"You're crazy, you need to suture with periosteum?" Song Zimo asked in a low voice.
Old Han touched his chin, and his fingers were already beating on his thigh, and he was a little puzzled: "It's not wise to use the perimetral suture method for this kind of five-section severance. What is this kid doing?"
Lao Han knows that the live video of the surgery is now being watched by colleagues all over the country.But Yang Ping didn't know and couldn't tell him, for fear of increasing his pressure.
Peripheral suture?Hong Zhigang unscrewed the cap of the mineral water bottle, took a sip, and approached involuntarily.For this kind of replantation of five segments of severed limbs, the adventitial suture must be selected, and no one will use the periperitoneal suture method.The reason is simple, it is too time consuming.Like the three main nerves of the upper limbs - the median nerve, the ulnar nerve, the radial nerve, and a nerve branch, there are generally more than a dozen bundles.
Like a thick wire is made up of a dozen thin wires.The outer membrane is sutured, and only the outer layer of the outer layer of the thick wire is sewed.As for the peritoneum suture, the thin wires are sewed around each outer leather.
With the adventitial suture method, generally twelve stitches can solve the problem, while periosteal suture is equivalent to expanding the number of suture needles more than ten times.What is this concept?If the adventitia suture method sews one, then the periperitoneal suture method requires more than a dozen stitches.
This kind of operation itself takes a long time, more than ten hours, dozens of hours, which is very normal.It is also sutured with a perianth membrane, and I am afraid that it may not be completed by tomorrow. How could this junior brother make such a low-level mistake.
Hong Zhigang couldn't understand a little bit, and everyone couldn't understand it either.
Everyone wants to see what happens to this necromancer!The five-stage replantation is already challenging the limits of the industry. He also needs to suture the periosteum, and he is blindly confident that the boat will capsize.
It's bound to fail, but it's just grandstanding.Hong Zhigang thought, most people think so.
"The higher you fly, the worse you fall!"
-
The live video continues!
The tiny perineurium is clamped by micro-tweezers, and the needle and thread seem to repeat along a predetermined trajectory, never deviating, piercing, piercing, piercing again, piercing again, pulling together, and knotting.
The air in the operating room also seemed to freeze, no one spoke, and even walked lightly, for fear of disturbing Yang Ping.
Yang Ping breathes evenly. In the system, the super training of [-] pieces of severed finger replantation has allowed him to adjust his body to a state of ease, without being nervous or slack, and his movements will not be stiff or random. .
This is a high degree of coordination between the brain and muscles.
Every instruction of the brain, through the nervous system, is transmitted to the muscles, the muscles control the fingers, and the fingers control the instruments. From the brain to the tip of the instrument, there is almost no loss of instructions.
With his hands getting faster and faster, Song Zimo finally couldn't keep up with the rhythm. He placed the micro scissors next to Yang Ping's right hand. After each stitch, Yang Ping replaced the tweezers with scissors and trimmed the thread.Then switch back to the forceps and continue suturing.During the whole process, the eyes did not leave the operating field of vision, and there was not a single error in the exchange of forceps and scissors.
Su Yixuan focused her attention on the next move, trying to understand the meaning of Yang Ping's every move and every look.
She held her breath, feeling both nervous and excited. She was nervous because she had never gone all out to cooperate with an operation. She was excited because she could keep up with his rhythm.
"Cao Nima, speed? That's not it, the video is fast-forwarding."
"I found it too, fast forward! Damn, can this be faked too?"
"What about the live broadcast, how to fast forward?"
"It's a live broadcast!"
"Who is it, the coordinates of the imperial capital, the top three in the hospital's arrogance, and the top-ranked anastomotic vascular expert in this hospital, can't reach this speed, saying that there is no fast-forward?"
"Don't be blind, the brain is a good thing, some people don't have it! See clearly, in the same shot, the other hands are obviously human's speed, and those hands can't keep up with the rhythm. I want to ask, say fast forward, you put Two hands in the same shot, give me one fast forward and one normal - I can't do it myself, don't say that others can't do it."
"Woooooo, my eyes are dazzled, I thought it was a bronze, but it turned out to be a king."
"I haven't seen such a smooth operation for many years."
"There is no ineffective superfluous movement, every stitch is stitched like a precision machine, perfect! Art! Please accept my knee with a damaged meniscus, oh my god."
-
The first fracture, the blood vessels, nerves and tendons have been perfectly sutured, and the second fracture is started.The five-stage separation: two fractures in the forearm, one fracture in the palm, and two fractures in the fingers.The thumb was still missing and was not found at the scene.
Each fracture of the forearm needs to be anastomosed with six blood vessels, three nerves, and seventeen tendons; while palms and fingers are anastomosed more, and they are all small blood vessels and nerves.
Hong Zhigang held the mineral water bottle in his hand and tried to unscrew the cap several times, but he didn't do it for a long time, feeling a little anxious.In the video, that pair of hands, and now almost one pair of hands are continuing the operation.
This junior brother, what happened in these years, the operation of microsurgery has been so superb.Ten years ago, the mentor stepped down from the position of director, and the original successor should be Han Jiangong.Hong Zhigang used a little trick to force Han Jiangong to leave the Sixth Academy of Magic Capital.Naturally, Hong Zhigang became his successor.
Hong Zhigang's lips trembled. In fact, he didn't want to do that. Later, the development of the situation was out of control, which led to the ending that the junior and junior brothers were forced to leave.
He always wanted to explain to Han Jiangong and said sorry.But in the past ten years, the two have never been in contact again. Even in academic conferences, they are just like strangers, smiling and saying hello.
This time, Hong Zhigang did not call Han Jiangong after receiving an invitation from the G city government to guide the rescue operation remotely.
Hong Zhigang took out his mobile phone and flipped through the address book. When he saw Han Jiangong's number, he smiled bitterly.
"Mr. Hong!" A student came over and asked softly with his head down.
Today is Sunday. Except for the doctor on duty, all the other doctors are participating in the online conference in the conference room. The Sixth Hospital of the Magic City is the organizer.
"What's the matter?" Hong Zhigang retracted his thoughts.
"Participants strongly demanded that the live video broadcast continue!" said the student.
Hong Zhigang looked at the screen and said, "Isn't the video live streaming all the time?"
The students said: 'They were worried that they would be cut off for a long time. '
"Okay! Go on."
"What other meeting items?"
"Compression! Explain it to everyone."
"Ok!"
-
Barrage:
"Excited! Big piece! Coke fries are ready."
"The top shift has been found, and the phone has been turned off."
"I ask weakly, this level should be able to compete for the Golden Knife Award, right?"
"Yes, I want to ask too."
"Which hospital?"
"There is no information at this time."
"Nima, emergency surgery, emergency surgery at this time."
"Don't go, let the director do it."
"I am the director!"
"Let the dean do it."
"The president is engaged in obstetrics and gynecology."
-
The barrage has been burning like a raging fire, and this warm atmosphere is more than any previous similar online conference.Hong Zhigang turned his head, everyone behind him stared at the screen, and no one left.Even if someone occasionally goes to the bathroom, they run and run.
Old Han had a smile on his face, hummed a Beijing opera tune, tapped his fingers on his thighs, turned his head and looked at Yang Ping—this kid, dare to play like this, even if I am 20 years younger, I can’t Don't dare to play like this.
The anesthesiologist also turned to look at the screen from time to time, but limited to his duties, he immediately focused on the patient monitoring screen.
Su Yixuan's eyes looked at Yang Ping secretly from time to time. She didn't know why she was so daring today. Anyway, he focused on surgery and couldn't see himself, so he cast his eyes again.
The spacious conference room in the surgical building of Sanbo Hospital was already crowded with people at this time.Official media such as city newspapers and city TV stations are invited to enter legally.Some other reporters, such as online media, through various relationships, such as serving tea and water, have mixed in.
This kind of big event, everyone wants to grasp the fresh information as soon as possible.You know, for some websites, a heavyweight eye-catching news brings immeasurable traffic.
Secretary Luo sat in the middle of the front row, next to President Xia, and the armed police, the Public Security Bureau, the Health Bureau, the daily newspaper, and the TV station lined up on the left and right—
Secretary Luo is very nervous. He has been in politics for many years, and he has experienced a lot of stability. He has dealt with numerous public events, but he is still very nervous at this time.
After the accident, the first deputy mayor went to the scene to direct the rescue; several other leaders of the municipal government went to each hospital to direct the rescue.Secretary Luo assigned it to Sanbo Hospital.
"Have a drink?" Dean Xia pointed to the mineral water.
Secretary Luo found that the bottle in front of him had not been opened, and he had not been drinking water.
Slowly unscrew the lid, take a sip, and cough a few times.
Surgery goes on!
The barrage continues!
"Starting palms."
"The rhythm is clear."
"Behind the palm, there are five fingers, two of which are equivalent to ten fingers, and the scalp is a little numb!"
"It's four fingers, seven segments."
"And another finger?"
"Didn't you read the medical record introduction? The little finger was not found at the scene, and it is estimated that it can only be repaired."
The residual repair means that there is no finger connection at the broken end, and the wound can only be trimmed and sewed directly.
(End of this chapter)
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