My medical path
Chapter 145 How is it possible?
Chapter 145 How is it possible?
Professor Ning saw that Chen Bo stripped out the blood vessels and nerves, and he thought in his heart that he was afraid of being young.
The blood vessels and nerves on both sides have been dealt with, and it is not difficult to deal with the bones and tendons.
Because Chen Bo said that it took about half an hour for him to do a severed finger, so Professor Ning paid special attention to the time.
Then he was shocked to find that, including the final treatment of bones and tendons, the total time spent by Chen Bo was only——
4 minutes!
How many times faster than I don't know...
At this time, Professor Ning had completely believed that what Chen Bo said was [-]% true.
In other words, at least in terms of replanting severed fingers, Chen Bo's skills are not weaker than his.
.....................
Chen Bo and Professor Ning have finished handling the transplanted materials on the foot side, but Zhu Bin and Zhong Xiaofu have not yet finished handling the transplanted materials on the other side.
At this time, Professor Ning spoke for the second time:
"Boss Zhu, you and Xiaofu are here to treat the wound here, and Dr. Chen and I will continue to treat your side."
It is said to treat the wound, but in fact it is to repair the wound surface of the part where the material is taken.
Because the cut flap is relatively large, it is impossible to sew up the wound directly.
This requires local skin flaps, which are usually repaired by local advancement of skin flaps or adjacent toe flaps plus skin grafting.
This job is no problem for Zhu Bin.
Teamwork is like this. After the professor completes the main steps, other members must race against time to complete the remaining tasks.
Only in this way can the entire team perform their duties and perform their duties effectively.
Hearing Professor Ning's words, Zhu Bin was obviously taken aback.
How long has it been?Two 10 minutes?
Why did Professor Ning complete the preparations for the transplant materials?
Under normal circumstances, no matter how fast it is, it will take more than half an hour...
Doubts are doubts, Zhu Bin and Zhong Xiaofu gave up their seats immediately.
"Okay, Mr. Ning, we have just finished exposing the blood vessels on the palm side of the thumb, and we haven't finished the one on the back side..."
While giving up his position, Zhu Bin explained to Professor Ning.
With the successful experience just now, this time Professor Ning asked Chen Bo to expose the blood vessels and nerves on the back of the thumb.
It made Zhu Bin and Zhong Xiaofu fly with envy.
Nurse Chen Shu and anesthesiologist Pang Zhi have gradually become accustomed to this kind of operation...
At this time, Chen Bo was no longer polite. After receiving the knife, he cut along the stump of his thumb to find blood vessels and nerves.
For the dorsal side of the thumb, Chen Bo knows that the most important thing is to find out the branches of the radial artery and the superficial branch of the radial nerve.
After a while, it will be necessary to anastomose the blood vessels and nerves with the transplanted nail flap.
It was rare for Professor Ning to be an audience today, and he took Chen Bo's operations very seriously.
The more I look at him, the more I feel that Chen Bo is different.
He obviously looks very young, but he has a calmness that doesn't quite match his age.
Facing a professor of provincial medicine with a certain status like himself, Chen Bo did not have the timidity and formality common to other young people.
Obviously the technology is very good, but he doesn't have the arrogance and arrogance of others...
And what makes Professor Ning most strange is that Chen Bo seems to hide inexhaustible potential, which can surprise you at every turn.
Originally, when Professor Ning asked Chen Bo to use the knife, he just wanted to see how far the doctors in the county hospital like Chen Bo, who were about the same age as Xiaofu, were from Zhong Xiaofu.
Facts have proved that the gap is indeed very large, but Chen Bo is not behind, but far ahead.
Now that Professor Ning saw Chen Bo's way of wielding the knife again, he nodded secretly in his heart.
When Chen Bo used the knife, he really grasped the true meaning of "heavy and heavy" and "quick and slow", and he completely reached the realm of doing whatever he wanted.
After watching this round of operations, Professor Ning didn't find Chen Bo's shortcoming.
Even if Professor Ning was picky and wanted to find out the flaws in Chen Bo's operation, he could only say helplessly in the end:
"Chen Bo's operation speed is too fast, and the assistant can't keep up with the rhythm..."
Yes, if it wasn't for Professor Ning to be an assistant himself, it would be difficult to keep up with Chen Bo's speed.
It only took Chen Bo 3 minutes to dissect the blood vessels and nerves on the back of the thumb...
In addition to the dissected blood vessels and nerves on the palm side of the thumb, there are two blood supply arteries in this nail flap surgery. If the quality of the anastomosis passes the standard, survival is almost a certainty.
Chen Bo looked at Professor Ning inquiringly, implying who would go on to the next matching step.
Professor Ning signaled Chen Bo to continue, he wanted to see where the boundaries of Chen Bo's abilities lie.
Because the blood vessels and nerves on the back side of the thumb are near the tiger's mouth, when Chen Bo dissected the blood vessels and nerves just now, he did not cut the skin on the back of his hand, but sneaked open a passage.
At this time, the blood vessels and nerves of the transplanted tissue are sent to the anastomotic site near the tiger's mouth through this channel.
The blood vessels are relatively thin. Professor Ning asked the roving nurse to help him and Chen Bo put on the head-mounted microscope.
According to Professor Ning's expectation, as long as the artery and vein are anastomosed with the branches of the radial artery and the cephalic vein on the dorsal side of the thumb, and the nerve is connected with the branch of the radial nerve, the task will be completed.
When cutting the nail flap just now, Chen Bo deliberately cut two extra veins. Professor Ning believed that Chen Bo was using it as an alternative blood vessel, and appreciated his prudence in his heart.
As Chen Bo's operation proceeded, the facts completely overturned Professor Ning's thinking.
Although the cutting of blood vessels and nerves just now requires great care, it is relatively rough work.
Now it's time for delicate tasks such as anastomosis of blood vessels and nerves. That is the real microscopic technology, and it is also a good show that Professor Ning is good at.
So when Professor Ning saw that Chen Bo started to anastomose the blood vessels, the expression in his eyes was—appreciation!
That's right, it's appreciation!
Generally, only masters who judge other people's works are worthy of the word appreciation.
As the leading provincial expert in the field of severed finger replantation, Professor Ning has his own pride...
But with the progress of Chen Bo's operation, Professor Ning's original appreciation activities with great interest were terminated...
Seriousness began to appear in his eyes...
Slowly became dignified...
Then surprise appeared in the eyes...
In the end, it completely turned into admiration!
………………
Professor Ning was deeply impressed by Chen Bo's stitching scene.
Chen Bo's hands for manipulating the microscopic instruments are nimble and precise, as if the microscopic instruments were grown in his hands.
Every time Chen Bo inserts the needle is a success, without causing any unnecessary damage...
The key is that Chen Bo adopted the mattress-style eversion suture method. If this suture is done well, it can keep the anastomotic vessel lumen as smooth as possible and avoid thrombus formation...
But the difficulty is too great!
It's equivalent to half the work...
It is also for this reason that surgeons who are not fast at micromanipulation directly give up such operations.
However, Chen Bo's operation completely maxed out Professor Ning's eyeballs...
After carefully watching Chen Bo's operation, and then looking at the time, Professor Ning repeated this sentence in his mouth:
"how is this possible……"
(End of this chapter)
Professor Ning saw that Chen Bo stripped out the blood vessels and nerves, and he thought in his heart that he was afraid of being young.
The blood vessels and nerves on both sides have been dealt with, and it is not difficult to deal with the bones and tendons.
Because Chen Bo said that it took about half an hour for him to do a severed finger, so Professor Ning paid special attention to the time.
Then he was shocked to find that, including the final treatment of bones and tendons, the total time spent by Chen Bo was only——
4 minutes!
How many times faster than I don't know...
At this time, Professor Ning had completely believed that what Chen Bo said was [-]% true.
In other words, at least in terms of replanting severed fingers, Chen Bo's skills are not weaker than his.
.....................
Chen Bo and Professor Ning have finished handling the transplanted materials on the foot side, but Zhu Bin and Zhong Xiaofu have not yet finished handling the transplanted materials on the other side.
At this time, Professor Ning spoke for the second time:
"Boss Zhu, you and Xiaofu are here to treat the wound here, and Dr. Chen and I will continue to treat your side."
It is said to treat the wound, but in fact it is to repair the wound surface of the part where the material is taken.
Because the cut flap is relatively large, it is impossible to sew up the wound directly.
This requires local skin flaps, which are usually repaired by local advancement of skin flaps or adjacent toe flaps plus skin grafting.
This job is no problem for Zhu Bin.
Teamwork is like this. After the professor completes the main steps, other members must race against time to complete the remaining tasks.
Only in this way can the entire team perform their duties and perform their duties effectively.
Hearing Professor Ning's words, Zhu Bin was obviously taken aback.
How long has it been?Two 10 minutes?
Why did Professor Ning complete the preparations for the transplant materials?
Under normal circumstances, no matter how fast it is, it will take more than half an hour...
Doubts are doubts, Zhu Bin and Zhong Xiaofu gave up their seats immediately.
"Okay, Mr. Ning, we have just finished exposing the blood vessels on the palm side of the thumb, and we haven't finished the one on the back side..."
While giving up his position, Zhu Bin explained to Professor Ning.
With the successful experience just now, this time Professor Ning asked Chen Bo to expose the blood vessels and nerves on the back of the thumb.
It made Zhu Bin and Zhong Xiaofu fly with envy.
Nurse Chen Shu and anesthesiologist Pang Zhi have gradually become accustomed to this kind of operation...
At this time, Chen Bo was no longer polite. After receiving the knife, he cut along the stump of his thumb to find blood vessels and nerves.
For the dorsal side of the thumb, Chen Bo knows that the most important thing is to find out the branches of the radial artery and the superficial branch of the radial nerve.
After a while, it will be necessary to anastomose the blood vessels and nerves with the transplanted nail flap.
It was rare for Professor Ning to be an audience today, and he took Chen Bo's operations very seriously.
The more I look at him, the more I feel that Chen Bo is different.
He obviously looks very young, but he has a calmness that doesn't quite match his age.
Facing a professor of provincial medicine with a certain status like himself, Chen Bo did not have the timidity and formality common to other young people.
Obviously the technology is very good, but he doesn't have the arrogance and arrogance of others...
And what makes Professor Ning most strange is that Chen Bo seems to hide inexhaustible potential, which can surprise you at every turn.
Originally, when Professor Ning asked Chen Bo to use the knife, he just wanted to see how far the doctors in the county hospital like Chen Bo, who were about the same age as Xiaofu, were from Zhong Xiaofu.
Facts have proved that the gap is indeed very large, but Chen Bo is not behind, but far ahead.
Now that Professor Ning saw Chen Bo's way of wielding the knife again, he nodded secretly in his heart.
When Chen Bo used the knife, he really grasped the true meaning of "heavy and heavy" and "quick and slow", and he completely reached the realm of doing whatever he wanted.
After watching this round of operations, Professor Ning didn't find Chen Bo's shortcoming.
Even if Professor Ning was picky and wanted to find out the flaws in Chen Bo's operation, he could only say helplessly in the end:
"Chen Bo's operation speed is too fast, and the assistant can't keep up with the rhythm..."
Yes, if it wasn't for Professor Ning to be an assistant himself, it would be difficult to keep up with Chen Bo's speed.
It only took Chen Bo 3 minutes to dissect the blood vessels and nerves on the back of the thumb...
In addition to the dissected blood vessels and nerves on the palm side of the thumb, there are two blood supply arteries in this nail flap surgery. If the quality of the anastomosis passes the standard, survival is almost a certainty.
Chen Bo looked at Professor Ning inquiringly, implying who would go on to the next matching step.
Professor Ning signaled Chen Bo to continue, he wanted to see where the boundaries of Chen Bo's abilities lie.
Because the blood vessels and nerves on the back side of the thumb are near the tiger's mouth, when Chen Bo dissected the blood vessels and nerves just now, he did not cut the skin on the back of his hand, but sneaked open a passage.
At this time, the blood vessels and nerves of the transplanted tissue are sent to the anastomotic site near the tiger's mouth through this channel.
The blood vessels are relatively thin. Professor Ning asked the roving nurse to help him and Chen Bo put on the head-mounted microscope.
According to Professor Ning's expectation, as long as the artery and vein are anastomosed with the branches of the radial artery and the cephalic vein on the dorsal side of the thumb, and the nerve is connected with the branch of the radial nerve, the task will be completed.
When cutting the nail flap just now, Chen Bo deliberately cut two extra veins. Professor Ning believed that Chen Bo was using it as an alternative blood vessel, and appreciated his prudence in his heart.
As Chen Bo's operation proceeded, the facts completely overturned Professor Ning's thinking.
Although the cutting of blood vessels and nerves just now requires great care, it is relatively rough work.
Now it's time for delicate tasks such as anastomosis of blood vessels and nerves. That is the real microscopic technology, and it is also a good show that Professor Ning is good at.
So when Professor Ning saw that Chen Bo started to anastomose the blood vessels, the expression in his eyes was—appreciation!
That's right, it's appreciation!
Generally, only masters who judge other people's works are worthy of the word appreciation.
As the leading provincial expert in the field of severed finger replantation, Professor Ning has his own pride...
But with the progress of Chen Bo's operation, Professor Ning's original appreciation activities with great interest were terminated...
Seriousness began to appear in his eyes...
Slowly became dignified...
Then surprise appeared in the eyes...
In the end, it completely turned into admiration!
………………
Professor Ning was deeply impressed by Chen Bo's stitching scene.
Chen Bo's hands for manipulating the microscopic instruments are nimble and precise, as if the microscopic instruments were grown in his hands.
Every time Chen Bo inserts the needle is a success, without causing any unnecessary damage...
The key is that Chen Bo adopted the mattress-style eversion suture method. If this suture is done well, it can keep the anastomotic vessel lumen as smooth as possible and avoid thrombus formation...
But the difficulty is too great!
It's equivalent to half the work...
It is also for this reason that surgeons who are not fast at micromanipulation directly give up such operations.
However, Chen Bo's operation completely maxed out Professor Ning's eyeballs...
After carefully watching Chen Bo's operation, and then looking at the time, Professor Ning repeated this sentence in his mouth:
"how is this possible……"
(End of this chapter)
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