My medical path

Chapter 142 Good, good, very good!

After removing part of the collarbone, Chen Bo entered today's topic.

Next, Chen Bo needs to open the periosteum, where the blood vessels and nerves under the clavicle are located.

This step must be very careful, because the periosteum is next to the blood vessels and nerves, and it will be injured if you are not careful.

It was also at this point that Professor Ding had a serious expression on his face for the first time.

"Teacher Ding, this is the key position, how about you?"

Although Chen Bo is very confident in his ability, he knows how to advance and retreat. If a big boss watches him operate on such a key part with trepidation, his heart may not be able to bear it...

Professor Ding was indeed a little worried at first, but after hearing Chen Bo's words, he let go of his worries all at once.

Now he feels that Chen Bo not only has a solid theoretical foundation and skilled operation skills, but also maintains the fine qualities of humility and prudence, which is really commendable...

Therefore, Professor Ding did not follow Chen Bo's request to take over Chen Bo's position as chief surgeon, but chose to let Chen Bo continue:
"You go on, pay attention to the operation carefully, and stop in time when you encounter unsure. I'll help you watch over here."

"This……"

Zhu Bin was envious when he heard the conversation between Chen Bo and Professor Ding.

Chen Shu and Pang Zhi were also inexplicably shocked.

Professor Ding is really kind to Chen Bo, right?
He didn't put so much effort in cultivating his graduate students...

Chen Shu and Pang Zhike had never seen Professor Ding let his graduate student do the surgery.

Now that Professor Ding is backing him up, Chen Bo is no longer modest.

But this part is a minefield after all, Chen Bo didn't dare to be sloppy, so he turned on the intelligent system scan.

When cutting the periosteum, Chen Bo deliberately lifted the periosteum, poked a small opening, and then cut it sharply with scissors, without using an electric knife again, this was also to reassure Professor Ding.

Because the electric knife has heat conduction, if it is not used properly, it may hurt the nerve.

Professor Ding nodded in satisfaction when he saw Chen Bo's operation.

After the periosteum was cut, the underlying nerves and blood vessels were completely exposed. Chen Bo did not proceed to the next step immediately, but electrocoagulated the bleeding points of the previous wound one by one to stop the bleeding.

This step caught another wave of eyeballs.

Because Professor Ding saw that every time Chen Bo stopped the bleeding, he was very accurate. Wherever the electrocoagulation went, there must be a bleeding point at that position...

Professor Ding has seen many surgeries performed by surgeons, including some big-name professors. When he saw bleeding, he couldn't find the location of the bleeding, so he used electrocoagulation to coagulate everywhere. This operation will undoubtedly aggravate tissue damage.

.....................

After adequate hemostasis, Chen Bo started the next step.

The retractor pulls the incised periosteum to both sides, and the underlying vascular and nerve sheaths are clearly exposed in front of everyone.

Just like Chen Bo's previous prediction, the nerves in this area are obviously compressed, and a "small waist" has appeared.

What Chen Bo needs to do is to loosen this "belt" and completely release the "body shape" of his nerves...

Before that, Chen Bo chose to remove the osteophyte on the first rib.

Professor Ding saw Chen Bo move the neurovascular sheath aside, and the osteophytes on the first rib finally revealed their true appearance.

Consistent with Chen Bo's judgment, this osteophyte is the culprit of nerve compression.

Removing this osteophyte is just a matter of hand, and Chen Bo solved it easily.

Then comes the part that Professor Ding is most concerned about, which is to release the compressed nerves.

This sounds very noble, but in Chen Bo's eyes, it's not a great technology, it's just a matter of understanding.

To perform surgery on nerves, the most important thing is to pass the microscopic technique.

The second is to know which ones are normal tissues and which ones are abnormal ones.

But most importantly, Chen Bo believes that there is still a certain degree to be grasped, and this degree is that the nerve release should be moderate.

Just solve the problem, over-relaxation is not necessarily a good thing.

Just like this patient, Chen Bo with the intelligent system can actually release the nerve fibers, but it is not necessary. If Chen Bo does this, not only will it not be beneficial, but it will also cause adhesions between the nerve fibers after the operation...

Therefore, Chen Bo had expressed his opinion to Professor Ding before the operation, and the degree of loosening was limited to the perineurium.

Seeing that Chen Bo was about to release the nerve, Professor Ding asked the roving nurse to help Chen Bo put on a head-mounted microscope.

Originally, Chen Bo didn't need it, but Chen Bo knew that without wearing this microscope, he couldn't reassure the onlooker Professor Ding.

After all, this kind of fine operation can be carried out on a magnified field of view, and of course it must be more detailed and safer.

The one worn by Chen Bo is a five-power lens, which is usually enough for most surgeries.

At this time, Professor Ding, as a first assistant, also wore a microscope with the same magnification.

And Zhu Bin seemed a bit bitter...

He doesn't do fine operations, so he doesn't need a microscope, but the work of pulling hooks is indispensable, so it naturally falls on him...

Poor Zhu Bin, the boss who has already begun to show his talents in the orthopedics department, actually gave Chen Bo a bitter hook today. If there will be tears in sadness at this time, Zhu Bin has undoubtedly flowed upstream...

But soon Zhu Bin's sadness was covered up by the shift of attention.

Because he saw Chen Bo's angry operation next.

The micromanipulation of this part no longer allows the hands to be in a very relaxed position like the hands and feet, and the micromanipulation technique with both hands suspended in the air is considered.

In this regard, Chen Bo is undoubtedly outstanding.

Although Zhu Bin didn't wear a microscope, he could see the general situation very clearly.

I saw Chen Bo holding microscopic tweezers in his left hand and microscopic scissors in his right hand. The tweezers lifted the epineurium, and the scissors pushed forward...

Chen Bo's operation is like scissors cutting cloth to decompress. Wherever it passes, the adhesive scars are loosened one by one, revealing the underlying fibers...

At this time, Professor Ding could see more clearly under the magnification of the microscope.

As Chen Bo opened the outer membrane of the nerve, Professor Sha clearly saw the appearance of the inner nerve bundle.

Judging from his experience, the adventitia of five bundles of nerves needs to be released. Professor Ding did not tell Chen Bo his judgment immediately because he wanted to see Chen Bo's own understanding.

As Chen Bo's operation progressed, Professor Ding's eyes became brighter and brighter.

Because Professor Ding saw that Chen Bo's judgment was exactly the same as his, and the five bundles of nerves that Chen Bo loosened were exactly the five bundles he saw...

As for Chen Bo's proficient microscopic techniques, Professor Ding ignored...

When Chen Bo completed the release of the five bundles of nerves, Professor Ding was about to praise him, but suddenly stopped the words.

Because he was surprised to see that Chen Bo pulled away the nerves presented in front, and then, Professor Ding suddenly discovered that there was still a bunch of nerves sticking obviously on the lower back side!
No one can understand the shock in Professor Ding's heart at this time...

After decades of working on the brachial plexus, he was pecked by an eagle!

If Chen Bo didn't have a smart system, this bunch of cohesive nerves would probably be missed, because the nerves around it appear to be normal, and according to common sense, there shouldn't be any problems here.

Chen Bo estimated that when he was injured, the small blood vessels of this bundle of perineurium bleed a little, which caused the adhesion of a single bundle of nerves...

Next, Chen Bo completed the release of this bundle of nerves, which means that the main steps of the operation have been completed.

"Mr. Ding, do you think it's okay to relax to this extent?"

At this time, Chen Bo must still need Professor Ding to make the final decision.

"good, very good, excellent!"

Professor Ding was a little absent-minded, and answered irrelevant questions.

It was the first time Zhu Bin saw such an abnormal situation of Professor Ding, and he was puzzled.

Chen Shu and Pang Zhi looked surprised, you looked at me, I looked at you, and finally waved their hands helplessly...

………………

This moment is also destined to become history. As a doctor in training, Chen Bo performed this level of surgery, which should have caused a huge sensation.

But out of the consideration of protecting Chen Bo, Professor Ding signaled everyone present to deal with it coldly, and in the end this matter rotted in the stomachs of a few people.

But there is no doubt that Chen Bo, a young doctor, has left a deep impression on Professor Ding and Zhu Bin...

　Lack of sleep recently, so future updates will be changed to [-]:[-] p.m., and special circumstances will be notified shortly, thank you book friends for your support!

　　
　
(End of this chapter)