There is no need to be too normal to be a doctor.
Chapter 172 Taught!
Chapter 172 Taught!
At this moment, the Department of Hand Surgery, the First Affiliated Hospital of Shanhe Medical University.
There was no sound in the office.
Everyone's attention was focused on the two industry leaders in the room.
On one side is Qiao Dingcai, director of the Department of Hand Surgery at the Affiliated Hospital of Nantong Medical University and a member of Professor Tang Jinbo’s team.
On one side is Lin Zhanhai, director of the Department of Hand Surgery at the Sixth Hospital of Magic City and vice president of the National Association of Hand Surgeons.
These two are definitely leading figures in the industry.
Lin Zhanhai is more famous and even more influential than Qiao Dingcai. He has been the vice president of the Medical Doctors Association for two consecutive terms, making him more influential in the industry.
At this time, Lin Zhanhai was also two years older than Qiao Dingcai.
It can be said!
The evaluation of this surgery depends entirely on the two people's observation of the patient and their decision-making.
Wu Baocheng is an old employee of the heavy machinery factory.
Similarly, he was also a national labor model of craftsmanship last year. He was obviously a worker from a workshop, but he was able to demonstrate the craftsmanship of a great country in a world-class competition.
Wu Baocheng, 55 years old, is an employee of Shanhe Heavy Machinery Factory. He was originally just a worker, but now he is the manager of the maintenance department of Shanhe Heavy Machinery Factory.
He is also the equipment procurement consultant of Shanhe Heavy Machinery Factory!
Wu Baocheng, who entered Shanhe Heavy Machinery Factory at the age of 16, dedicated 40 years of his life to the workshop.
From a worker to an equipment procurement consultant, he was also a model among the "Top [-] Craftsmen" selected by the country last year.
And the most powerful thing about Wu Baocheng happens to be those hands!
Wu Baocheng's hands are definitely one of the most precious treasures of Shanhe Heavy Machinery Factory!
Outside the office at this moment.
Li Zheng, the director of Shanhe Heavy Machinery Factory, is gloomy!
"Lao Li, don't worry, these two are experts invited from Shanghai and Nanchang, there will be no problem!"
A leader on the side comforted him.
Hearing this, Li Zheng couldn't help but said:
"Hey!"
"To be honest, Lao Zhang, you really don't understand the importance of Lao Wu in our minds!"
"He has been the head of the maintenance department for 20 years. In these 20 years, it is no exaggeration to say that Lao Wu has saved us nearly billions of dollars. Similarly... he has also created 3000 for the heavy machinery factory. Multiple jobs!”
"Do you think those pianists are great? How many millions can they buy on insurance for each hand?"
"I tell you!"
"Old Wu's hands are dozens of times more powerful than those of those pianists!"
"This pair of hands broke the German heavy machinery equipment maintenance patent in the early years. The cost alone was hundreds of millions!"
At this point, everyone on the side obviously didn't believe it.
Li Zheng took a deep breath and shook his head: "At that time, I was still the workshop director!"
"At that time, we had just introduced the HFG-3300 assembly line. After several countries bid for it, we chose Germany. That 3300 was definitely industry-leading, but... we had limited funds in the factory at the time, so the equipment we chose only cost only It cost 3000 million U.S. dollars, and foreign exchange reserves were limited at the time."
"However, the equipment money was saved, and then... we ran into big trouble with the maintenance and repair of such a huge thing!"
"That's a million dollars at a time!"
"Hey, the foreign exchange reserves were limited at that time, and the cost of each repair was a huge expense!"
"It's Lao Wu, this front-line worker. He has a natural sense for machines, and his hands are even more magical."
"He could really find the place just by patting and touching it, and his hands were really dexterous. At that time, Germany made a lot of hidden and even dangerous defenses to prevent us from opening the equipment. But... they were all resolved one by one by Old Wu!"
"Start then!"
"We never invited any Krauts from outside again."
"Haha... Even during the meeting, the German guys were surprised at what happened!"
"Do you know? That 3300 is still working after 30 or [-] years!"
"This is the value of Lao Wu!"
"Moreover, he can not only find problems, but also solve them. His improved equipment was sold internationally, which actually created exports for us for the first time!"
"Lao Wu has been in the factory for so many years, but he has added more than 120 patents to the factory!"
"Tell me, can I not worry about such a person?"
"It's no exaggeration to say that the heavy machinery factory can live without me, but...it can't live without Lao Wu!"
As soon as these words came out, everyone and leaders around him were speechless.
No one thought that the man in the room with his eyebrows furrowed, holding a cigarette in one hand, wearing a gray overalls, dark skin, and dressed like a worker, could be so powerful!
Li Zheng looked at the provincial leaders with a solemn expression and said quickly:
"Lao Zhang, let me beg you!"
"Really, decide as soon as possible."
"Find us a top-notch, reliable, trustworthy hand surgeon!"
"Nowadays, in several factories under the Heavy Machinery Factory, there are cases of finger injuries occurring from time to time."
"But do you know how difficult it is to train these experienced and skilled front-line workers?"
"The treatment is good, it's true that the treatment is good, but... none of them can go to the assembly line at all."
"These workers have rich experience and sharp eyesight, and the skills in their hands have been honed over time."
"We have been cultivating it for many years, and one accident ruined it."
"We also have hand surgery in our province, but... this is not the hand surgery we want."
"What kind of surgical experts do we need, not to say that they are completely rich after surgery, but... they will not affect their life and work!"
"If you are short of money, our factory can provide it."
"We have already discussed this matter..."
Zhang Chun couldn't help but sigh: "Aren't you looking for this all the time?"
"You see, these two experts were specially invited by us."
Li Zheng waved his hand: "Okay!"
"Stop saying anything. We, Old Wu, are the treasures of the country and the wealth of the province. You must go all out!"
"If you fool people like you did before, don't blame me for turning against you."
"How many outstanding employees in our factory have had their futures ruined, and now they can only live in the factory for retirement."
"If there is anything wrong with this old Wu, I will definitely...absolutely..."
"Humph!"
Li Zheng was filled with anger and nowhere to vent his anger.
He has reported this matter to the province more than once.
It’s even been years!
But...don't pay attention at all!
I was put off every time.
Every time we promise to build an excellent security system and related supporting facilities.
The result is the same every year!
Li Zheng himself is a college student in the 90s. From the grassroots level to the factory director, he even spent much more time in the workshop than in the office.
In the words of the factory, Li Zheng is the most powerful workshop director.
Therefore, Li Zheng's biggest wish over the years has never been to get promoted and make a fortune, but to hope that the old employees in the factory will have more security in the future.
But there is no way to solve such a small problem.
It is a lie that Li Zheng is not angry!
A heavy machinery factory is not a small unit.
It turned out to be a central enterprise named North China Second Heavy Machinery Factory, and even a lot of domestic missile equipment was produced here in the early years.
After the great development period, it was renamed Shanhe Heavy Machinery Factory, but it served as an important base for domestic large-scale equipment.
Outside the office, there is gloom and bleakness, and people are panicked.
But inside, he was equally anxious.
Only Wu Baocheng, who was sitting there, was in the best mood.
I always couldn't help but ask: "Doctor...can I go out and have a cigarette?"
This is already the sixth time he has asked.
Faced with such a problem, Qin Xuehai has long been numb.
"Smoke, smoke, smoke in the office."
"Xiao Zeng, open the window!"
For this special object, Qin Xuehai could only treat him specially.
Didn't he know that after the accident, Wu Baocheng felt the most painful in his heart.
As a person whose sense of collective honor is greater than his own, he has dedicated his life to the heavy machinery factory.
"Hey, expert, don't worry."
"I'm so old, I know it all."
"As long as you can pick it up."
As he spoke, Lao Wu took out a puff of cigarette.
At this time, not only him, but also Lin Zhanhai anxiously consulted everyone before lighting a cigarette.
Never think that doctors don’t smoke.
The surgical office was filled with smoke.
Just don't smoke around the ward, it will affect everyone.
Lin Zhanhai also wanted to cure Lao Wu perfectly at this time.
However, this old Wu had three broken fingers, including his index finger, middle finger, and ring finger.
Moreover, the wound is not a regular wound, which means that it is very difficult to suture.
Because tendons, nerves, and blood vessels all have a certain degree of elasticity.
If there is too much damage to the wound, the connection will not be possible at all.
If the tension is too high, it may even break, causing secondary damage.
This is true for tendons and nerves!
The tendon suturing method also requires tension.
Especially the Towns tendon suture.
As the most advanced tendon suturing technology in the world, it does have many advantages.
For example, it can reduce the operation time and recovery period, and also reduce the risks of surgery.
Compared with traditional tendon repair methods, the Towns tendon suture method can better protect the integrity of the tendon and reduce postoperative complications.
In addition, because this method does not require tendon cutting and pinning, it can reduce surgical time and postoperative recovery period.
However, there is no perfect thing in this world.
The Town's tendon suture method also has a big problem, which is the problem of tension.
If you want to use the Towns tendon suture method, you must evaluate the wound.
Only when the length, elasticity, and tension are maintained within certain values can the surgery be performed perfectly.
In the operating room, everyone was frowning.
And Qiao Dingcai was even more at a loss.
The Town's tendon suture method that he is best at seems to have no use at this moment!
Qiao Dingcai was not a mediocre person, so he couldn't help but say:
"I think we can use the bunnell buried suture method. In this way, when we repair the ruptured tendon, we can choose a V-shaped fish mouth shape, and then use a traction wire..."
"No, the bunnell buried suture method requires the shuttle of thick and thin tendons, and the crochet needle will also cause secondary damage to the tendon. Although it can be treated, there is no possibility of cure at all!" Lin Zhanhai immediately refuted Qiao Dingcai's words.
"This won't work, that won't work either, what should I do? It's been a while."
"If the planned surgery cannot be determined as soon as possible, by then, no matter how good the method is, the tissue will be ischemic and necrotic."
...The room, with the crazy discussion between Qiao Dingcai and Lin Zhanhai, once again fell into an endless dispute.
At this moment, Chen Gong and Li Sicheng arrived in a hurry.
The two of them nodded to Zhang Chun and walked in.
The arrival of Chen Gong and Li Sicheng did not cause much reaction.
After all, at this moment, the most important thing is still Wu Baocheng.
After Chen Gong came in, he looked at the smell of smoke in the room and was a little surprised. This could actually smoke?
However, Chen Gong was quickly attracted by the heated discussion.
After Chen Gong finished listening, he had some general understanding of the patient's condition.
However, at this time, he did not say anything.
Listening to the two people arguing fiercely for a long time, there was still no answer.
Chen Gong couldn't help but find Zeng Hui.
"Xiao Chen?"
"How did you come?"
After Zeng Hui saw Chen Gong, his eyes suddenly became more friendly.
It’s been a long time since I last saw Chen Gong, and Zeng Hui honestly misses him a little.
"Teacher Zeng, can I see the patient's condition?"
Zeng Hui was stunned, glanced at the people arguing, and couldn't help but said: "Okay!"
"Be quiet."
"Let me tell you, these two people in front of you are not simple people. One is the vice president of the National Association of Hand Surgeons, and the other is an expert on Professor Tang Jinbo's team."
"You are lucky to have come today!"
"Come on, let me show you."
"This is the MRI film."
"It will be helpful to you in the future if you listen more and learn more."
While talking, Zeng Hui took Chen Gong aside and started to take a look.
Chen Gong looked at the film and his face became a little more solemn.
I have to say, this movie is really terrible.
The nerve signal can be seen that part of it is damaged. This is not a laceration, but a mixed wound.
This means that the difficulty of the operation will be much higher.
Nervous, Chen Gong does have a solution.
but……
This tendon is a bit interesting.
Chen Gong looked at the film and started thinking.
Zeng Hui couldn't help but explain to Chen Gong:
"It's very difficult to sew up the tendons after three fingers were broken to this extent."
"There are many things involved, such as nerve anastomosis, which is the first problem. If the nerves cannot be connected well, the finger's mobility will be greatly reduced!"
"Tendon suturing is the key point. If the tendon cannot be repaired perfectly, it will be useless!"
"Hey, you just need to find out more today."
"If I can get into the operating room later, I will take you to see the operation."
"This is a rare learning opportunity!"
"But if I can't get in, don't have any expectations. Of course, you won't need this kind of thing in a short time..."
After hearing this, Chen Gong nodded and walked aside.
"Do you have paper and pen? I'll use them."
Zeng Hui was stunned: "You take notes?"
While talking, he took out a pen and a notebook from his pocket.
And Chen Gong started painting directly on it.
He suddenly felt that his improved bunnell suture method seemed to be able to solve the shortcomings of Town's tendon suture method.
In this operation, the Tang's tendon suture method must be used, because the Tang-suture method still has unique advantages in the field of restoring flexor tendons.
but……
If the tang suture method is used, the biggest problem is excessive tendon tension.
But how to solve it?
This requires the use of the bunnell suture method that I improved.
Of course, even the bunnell suture method cannot completely eliminate the problem of excessive tension.
However, it can be relieved!
If it is relieved, then you can use your own improved tang method, that’s fine too!
At this moment……
Chen Gong began to draw detailed and specific plans.
In the office, it is still impossible to get accurate results because of normal conditions.
At this time, Qiao Dingcai's phone rang.
After a while, Qiao Ding was so excited that he almost jumped up.
He didn't expect that Professor Tang Jinbo was really willing to stand up for him?
He hung up the phone and said quickly to Qin Xuehai:
"Director Qin, Professor Tang said that remote video conferences can now be started. He is back from surgery!"
After getting the news, the office suddenly became excited.
You know, Tang Jinbo's status in the Chinese hand surgery circle is definitely a giant!
No, even Lin Zhanhai couldn't help but widen his eyes after hearing this.
Qin Xuehai was even more excited and quickly asked someone to turn on the remote video conferencing TV.
For a moment, the office fell silent.
While waiting, a gentle middle-aged man appeared on the TV.
This is the No. 1 tendon suture in China!
Tang Jinbo!
Tang Jinbo smiled slightly: "Hello everyone!"
"Send me the patient's wound photos and films."
"Let me see the situation first."
Hearing Tang Jinbo's words, Qin Xuehai nodded quickly and found someone to send it to.
Everyone in the room waited quietly for Professor Tang's answer.
In the picture, Tang Jinbo couldn't help but frown.
Obviously, the patient's condition is not optimistic.
It’s not that it can’t be cured, it’s that the treatment reaches a certain level.
For today's surgery, even Tang Jinbo was invited. Naturally, it couldn't be just for simple suturing.
But to find a better solution.
After a long time...
"I think it's not impossible."
"However, the surgery is more difficult and risky."
"Be more cautious."
"First of all, the advantages of the Coriolis suture can be combined to stably fix the tendon. The tendon defect is relatively high, so it must be fixed first."
"Then, use the bunnell suture fishmouth style... to increase the length and leave 3 millimeters of space for stretching."
"The final suture is done using the tang suture."
"There are several issues that need to be paid attention to during this process. I haven't thought about it yet, but... the idea is like this..."
Tang Jinbo's voice quickly echoed in the room, and everyone's thoughts settled.
Just when everyone was thinking carefully and listening.
Tang Jinbo also became quiet.
"This method is feasible! It is the most perfect solution at present..."
Qiao Dingcai said immediately.
Lin Zhanhai shook his head: "This is all too ideal!"
but!
At this moment, a person suddenly spoke.
"I think there are several problems that need to be solved!"
"First: the Coriolis suture method is completely unnecessary and will destroy the integrity of the tendon. Although the traction wire stretches the tendon to a limited extent, the tension also increases."
"Second: The traditional bunnell suture method is not good. Although it is strong, it lacks precision processing."
"Third: The biggest drawback of Town's tendon suture method is tension control. This solution cannot solve this problem!"
"So, this is not the best solution!"
As soon as these words came out, everyone immediately opened their eyes and looked for words.
They wanted to see who had the courage to directly deny Tang Jinbo's plan!
Zeng Hui was frightened!
He didn't expect that this boy Chen Gong would be so bold. He wanted to touch Professor Jinbo of Ci Tang in broad daylight? !
Tang Jinbo was slightly startled when he heard the sound.
He was not angry at all, but asked curiously:
"Then what can you do?"
Chen Gong directly picked up the paper in his hand and placed it on the projection, and soon the picture appeared on the screen.
"This is my plan!"
"The improved bunnell suture method can use double-needle cross suture method to cleverly relieve tendon pressure!"
"Although it increases the needle entry point, it lacks the damage of the crochet hook, and it can also relieve the tension!"
"This is the first step!"
"Secondly, one of the shortcomings of the Towns tendon suture method lies in the tension suture angle."
"I think assistive technology could be used to improve stability."
"That is, when suturing the cross section, use the traction wire finger method to fix it. This will greatly reduce the instability of the Townsend tendon suture method."
"Then, during the operation, the sutures at both ends of the tendon must be processed accordingly, paying attention to the axial alignment..."
Chen Gong spoke unhurriedly.
And the room fell silent again.
People who are familiar with Chen Gong and those who are not familiar with it are confused at this moment.
This scene lasted for a full 5 minutes!
After a while...
Tang Jinbo suddenly took a deep breath, turned to the staff on the side and said:
“Book me a ticket to Shanhe Province!”
"I think this plan works!"
"You can operate first and wait for me!"
"By the way...what do you call this little brother?"
Chen Gong smiled slightly: "My name is Chen Gong!"
Tang Jinbo said with a solemn expression: "I have learned a lesson!"
As soon as these words came out, the silence in the room dropped by three orders of magnitude again.
……
ps: I went out yesterday and wasted some time. Sorry.
(End of this chapter)
At this moment, the Department of Hand Surgery, the First Affiliated Hospital of Shanhe Medical University.
There was no sound in the office.
Everyone's attention was focused on the two industry leaders in the room.
On one side is Qiao Dingcai, director of the Department of Hand Surgery at the Affiliated Hospital of Nantong Medical University and a member of Professor Tang Jinbo’s team.
On one side is Lin Zhanhai, director of the Department of Hand Surgery at the Sixth Hospital of Magic City and vice president of the National Association of Hand Surgeons.
These two are definitely leading figures in the industry.
Lin Zhanhai is more famous and even more influential than Qiao Dingcai. He has been the vice president of the Medical Doctors Association for two consecutive terms, making him more influential in the industry.
At this time, Lin Zhanhai was also two years older than Qiao Dingcai.
It can be said!
The evaluation of this surgery depends entirely on the two people's observation of the patient and their decision-making.
Wu Baocheng is an old employee of the heavy machinery factory.
Similarly, he was also a national labor model of craftsmanship last year. He was obviously a worker from a workshop, but he was able to demonstrate the craftsmanship of a great country in a world-class competition.
Wu Baocheng, 55 years old, is an employee of Shanhe Heavy Machinery Factory. He was originally just a worker, but now he is the manager of the maintenance department of Shanhe Heavy Machinery Factory.
He is also the equipment procurement consultant of Shanhe Heavy Machinery Factory!
Wu Baocheng, who entered Shanhe Heavy Machinery Factory at the age of 16, dedicated 40 years of his life to the workshop.
From a worker to an equipment procurement consultant, he was also a model among the "Top [-] Craftsmen" selected by the country last year.
And the most powerful thing about Wu Baocheng happens to be those hands!
Wu Baocheng's hands are definitely one of the most precious treasures of Shanhe Heavy Machinery Factory!
Outside the office at this moment.
Li Zheng, the director of Shanhe Heavy Machinery Factory, is gloomy!
"Lao Li, don't worry, these two are experts invited from Shanghai and Nanchang, there will be no problem!"
A leader on the side comforted him.
Hearing this, Li Zheng couldn't help but said:
"Hey!"
"To be honest, Lao Zhang, you really don't understand the importance of Lao Wu in our minds!"
"He has been the head of the maintenance department for 20 years. In these 20 years, it is no exaggeration to say that Lao Wu has saved us nearly billions of dollars. Similarly... he has also created 3000 for the heavy machinery factory. Multiple jobs!”
"Do you think those pianists are great? How many millions can they buy on insurance for each hand?"
"I tell you!"
"Old Wu's hands are dozens of times more powerful than those of those pianists!"
"This pair of hands broke the German heavy machinery equipment maintenance patent in the early years. The cost alone was hundreds of millions!"
At this point, everyone on the side obviously didn't believe it.
Li Zheng took a deep breath and shook his head: "At that time, I was still the workshop director!"
"At that time, we had just introduced the HFG-3300 assembly line. After several countries bid for it, we chose Germany. That 3300 was definitely industry-leading, but... we had limited funds in the factory at the time, so the equipment we chose only cost only It cost 3000 million U.S. dollars, and foreign exchange reserves were limited at the time."
"However, the equipment money was saved, and then... we ran into big trouble with the maintenance and repair of such a huge thing!"
"That's a million dollars at a time!"
"Hey, the foreign exchange reserves were limited at that time, and the cost of each repair was a huge expense!"
"It's Lao Wu, this front-line worker. He has a natural sense for machines, and his hands are even more magical."
"He could really find the place just by patting and touching it, and his hands were really dexterous. At that time, Germany made a lot of hidden and even dangerous defenses to prevent us from opening the equipment. But... they were all resolved one by one by Old Wu!"
"Start then!"
"We never invited any Krauts from outside again."
"Haha... Even during the meeting, the German guys were surprised at what happened!"
"Do you know? That 3300 is still working after 30 or [-] years!"
"This is the value of Lao Wu!"
"Moreover, he can not only find problems, but also solve them. His improved equipment was sold internationally, which actually created exports for us for the first time!"
"Lao Wu has been in the factory for so many years, but he has added more than 120 patents to the factory!"
"Tell me, can I not worry about such a person?"
"It's no exaggeration to say that the heavy machinery factory can live without me, but...it can't live without Lao Wu!"
As soon as these words came out, everyone and leaders around him were speechless.
No one thought that the man in the room with his eyebrows furrowed, holding a cigarette in one hand, wearing a gray overalls, dark skin, and dressed like a worker, could be so powerful!
Li Zheng looked at the provincial leaders with a solemn expression and said quickly:
"Lao Zhang, let me beg you!"
"Really, decide as soon as possible."
"Find us a top-notch, reliable, trustworthy hand surgeon!"
"Nowadays, in several factories under the Heavy Machinery Factory, there are cases of finger injuries occurring from time to time."
"But do you know how difficult it is to train these experienced and skilled front-line workers?"
"The treatment is good, it's true that the treatment is good, but... none of them can go to the assembly line at all."
"These workers have rich experience and sharp eyesight, and the skills in their hands have been honed over time."
"We have been cultivating it for many years, and one accident ruined it."
"We also have hand surgery in our province, but... this is not the hand surgery we want."
"What kind of surgical experts do we need, not to say that they are completely rich after surgery, but... they will not affect their life and work!"
"If you are short of money, our factory can provide it."
"We have already discussed this matter..."
Zhang Chun couldn't help but sigh: "Aren't you looking for this all the time?"
"You see, these two experts were specially invited by us."
Li Zheng waved his hand: "Okay!"
"Stop saying anything. We, Old Wu, are the treasures of the country and the wealth of the province. You must go all out!"
"If you fool people like you did before, don't blame me for turning against you."
"How many outstanding employees in our factory have had their futures ruined, and now they can only live in the factory for retirement."
"If there is anything wrong with this old Wu, I will definitely...absolutely..."
"Humph!"
Li Zheng was filled with anger and nowhere to vent his anger.
He has reported this matter to the province more than once.
It’s even been years!
But...don't pay attention at all!
I was put off every time.
Every time we promise to build an excellent security system and related supporting facilities.
The result is the same every year!
Li Zheng himself is a college student in the 90s. From the grassroots level to the factory director, he even spent much more time in the workshop than in the office.
In the words of the factory, Li Zheng is the most powerful workshop director.
Therefore, Li Zheng's biggest wish over the years has never been to get promoted and make a fortune, but to hope that the old employees in the factory will have more security in the future.
But there is no way to solve such a small problem.
It is a lie that Li Zheng is not angry!
A heavy machinery factory is not a small unit.
It turned out to be a central enterprise named North China Second Heavy Machinery Factory, and even a lot of domestic missile equipment was produced here in the early years.
After the great development period, it was renamed Shanhe Heavy Machinery Factory, but it served as an important base for domestic large-scale equipment.
Outside the office, there is gloom and bleakness, and people are panicked.
But inside, he was equally anxious.
Only Wu Baocheng, who was sitting there, was in the best mood.
I always couldn't help but ask: "Doctor...can I go out and have a cigarette?"
This is already the sixth time he has asked.
Faced with such a problem, Qin Xuehai has long been numb.
"Smoke, smoke, smoke in the office."
"Xiao Zeng, open the window!"
For this special object, Qin Xuehai could only treat him specially.
Didn't he know that after the accident, Wu Baocheng felt the most painful in his heart.
As a person whose sense of collective honor is greater than his own, he has dedicated his life to the heavy machinery factory.
"Hey, expert, don't worry."
"I'm so old, I know it all."
"As long as you can pick it up."
As he spoke, Lao Wu took out a puff of cigarette.
At this time, not only him, but also Lin Zhanhai anxiously consulted everyone before lighting a cigarette.
Never think that doctors don’t smoke.
The surgical office was filled with smoke.
Just don't smoke around the ward, it will affect everyone.
Lin Zhanhai also wanted to cure Lao Wu perfectly at this time.
However, this old Wu had three broken fingers, including his index finger, middle finger, and ring finger.
Moreover, the wound is not a regular wound, which means that it is very difficult to suture.
Because tendons, nerves, and blood vessels all have a certain degree of elasticity.
If there is too much damage to the wound, the connection will not be possible at all.
If the tension is too high, it may even break, causing secondary damage.
This is true for tendons and nerves!
The tendon suturing method also requires tension.
Especially the Towns tendon suture.
As the most advanced tendon suturing technology in the world, it does have many advantages.
For example, it can reduce the operation time and recovery period, and also reduce the risks of surgery.
Compared with traditional tendon repair methods, the Towns tendon suture method can better protect the integrity of the tendon and reduce postoperative complications.
In addition, because this method does not require tendon cutting and pinning, it can reduce surgical time and postoperative recovery period.
However, there is no perfect thing in this world.
The Town's tendon suture method also has a big problem, which is the problem of tension.
If you want to use the Towns tendon suture method, you must evaluate the wound.
Only when the length, elasticity, and tension are maintained within certain values can the surgery be performed perfectly.
In the operating room, everyone was frowning.
And Qiao Dingcai was even more at a loss.
The Town's tendon suture method that he is best at seems to have no use at this moment!
Qiao Dingcai was not a mediocre person, so he couldn't help but say:
"I think we can use the bunnell buried suture method. In this way, when we repair the ruptured tendon, we can choose a V-shaped fish mouth shape, and then use a traction wire..."
"No, the bunnell buried suture method requires the shuttle of thick and thin tendons, and the crochet needle will also cause secondary damage to the tendon. Although it can be treated, there is no possibility of cure at all!" Lin Zhanhai immediately refuted Qiao Dingcai's words.
"This won't work, that won't work either, what should I do? It's been a while."
"If the planned surgery cannot be determined as soon as possible, by then, no matter how good the method is, the tissue will be ischemic and necrotic."
...The room, with the crazy discussion between Qiao Dingcai and Lin Zhanhai, once again fell into an endless dispute.
At this moment, Chen Gong and Li Sicheng arrived in a hurry.
The two of them nodded to Zhang Chun and walked in.
The arrival of Chen Gong and Li Sicheng did not cause much reaction.
After all, at this moment, the most important thing is still Wu Baocheng.
After Chen Gong came in, he looked at the smell of smoke in the room and was a little surprised. This could actually smoke?
However, Chen Gong was quickly attracted by the heated discussion.
After Chen Gong finished listening, he had some general understanding of the patient's condition.
However, at this time, he did not say anything.
Listening to the two people arguing fiercely for a long time, there was still no answer.
Chen Gong couldn't help but find Zeng Hui.
"Xiao Chen?"
"How did you come?"
After Zeng Hui saw Chen Gong, his eyes suddenly became more friendly.
It’s been a long time since I last saw Chen Gong, and Zeng Hui honestly misses him a little.
"Teacher Zeng, can I see the patient's condition?"
Zeng Hui was stunned, glanced at the people arguing, and couldn't help but said: "Okay!"
"Be quiet."
"Let me tell you, these two people in front of you are not simple people. One is the vice president of the National Association of Hand Surgeons, and the other is an expert on Professor Tang Jinbo's team."
"You are lucky to have come today!"
"Come on, let me show you."
"This is the MRI film."
"It will be helpful to you in the future if you listen more and learn more."
While talking, Zeng Hui took Chen Gong aside and started to take a look.
Chen Gong looked at the film and his face became a little more solemn.
I have to say, this movie is really terrible.
The nerve signal can be seen that part of it is damaged. This is not a laceration, but a mixed wound.
This means that the difficulty of the operation will be much higher.
Nervous, Chen Gong does have a solution.
but……
This tendon is a bit interesting.
Chen Gong looked at the film and started thinking.
Zeng Hui couldn't help but explain to Chen Gong:
"It's very difficult to sew up the tendons after three fingers were broken to this extent."
"There are many things involved, such as nerve anastomosis, which is the first problem. If the nerves cannot be connected well, the finger's mobility will be greatly reduced!"
"Tendon suturing is the key point. If the tendon cannot be repaired perfectly, it will be useless!"
"Hey, you just need to find out more today."
"If I can get into the operating room later, I will take you to see the operation."
"This is a rare learning opportunity!"
"But if I can't get in, don't have any expectations. Of course, you won't need this kind of thing in a short time..."
After hearing this, Chen Gong nodded and walked aside.
"Do you have paper and pen? I'll use them."
Zeng Hui was stunned: "You take notes?"
While talking, he took out a pen and a notebook from his pocket.
And Chen Gong started painting directly on it.
He suddenly felt that his improved bunnell suture method seemed to be able to solve the shortcomings of Town's tendon suture method.
In this operation, the Tang's tendon suture method must be used, because the Tang-suture method still has unique advantages in the field of restoring flexor tendons.
but……
If the tang suture method is used, the biggest problem is excessive tendon tension.
But how to solve it?
This requires the use of the bunnell suture method that I improved.
Of course, even the bunnell suture method cannot completely eliminate the problem of excessive tension.
However, it can be relieved!
If it is relieved, then you can use your own improved tang method, that’s fine too!
At this moment……
Chen Gong began to draw detailed and specific plans.
In the office, it is still impossible to get accurate results because of normal conditions.
At this time, Qiao Dingcai's phone rang.
After a while, Qiao Ding was so excited that he almost jumped up.
He didn't expect that Professor Tang Jinbo was really willing to stand up for him?
He hung up the phone and said quickly to Qin Xuehai:
"Director Qin, Professor Tang said that remote video conferences can now be started. He is back from surgery!"
After getting the news, the office suddenly became excited.
You know, Tang Jinbo's status in the Chinese hand surgery circle is definitely a giant!
No, even Lin Zhanhai couldn't help but widen his eyes after hearing this.
Qin Xuehai was even more excited and quickly asked someone to turn on the remote video conferencing TV.
For a moment, the office fell silent.
While waiting, a gentle middle-aged man appeared on the TV.
This is the No. 1 tendon suture in China!
Tang Jinbo!
Tang Jinbo smiled slightly: "Hello everyone!"
"Send me the patient's wound photos and films."
"Let me see the situation first."
Hearing Tang Jinbo's words, Qin Xuehai nodded quickly and found someone to send it to.
Everyone in the room waited quietly for Professor Tang's answer.
In the picture, Tang Jinbo couldn't help but frown.
Obviously, the patient's condition is not optimistic.
It’s not that it can’t be cured, it’s that the treatment reaches a certain level.
For today's surgery, even Tang Jinbo was invited. Naturally, it couldn't be just for simple suturing.
But to find a better solution.
After a long time...
"I think it's not impossible."
"However, the surgery is more difficult and risky."
"Be more cautious."
"First of all, the advantages of the Coriolis suture can be combined to stably fix the tendon. The tendon defect is relatively high, so it must be fixed first."
"Then, use the bunnell suture fishmouth style... to increase the length and leave 3 millimeters of space for stretching."
"The final suture is done using the tang suture."
"There are several issues that need to be paid attention to during this process. I haven't thought about it yet, but... the idea is like this..."
Tang Jinbo's voice quickly echoed in the room, and everyone's thoughts settled.
Just when everyone was thinking carefully and listening.
Tang Jinbo also became quiet.
"This method is feasible! It is the most perfect solution at present..."
Qiao Dingcai said immediately.
Lin Zhanhai shook his head: "This is all too ideal!"
but!
At this moment, a person suddenly spoke.
"I think there are several problems that need to be solved!"
"First: the Coriolis suture method is completely unnecessary and will destroy the integrity of the tendon. Although the traction wire stretches the tendon to a limited extent, the tension also increases."
"Second: The traditional bunnell suture method is not good. Although it is strong, it lacks precision processing."
"Third: The biggest drawback of Town's tendon suture method is tension control. This solution cannot solve this problem!"
"So, this is not the best solution!"
As soon as these words came out, everyone immediately opened their eyes and looked for words.
They wanted to see who had the courage to directly deny Tang Jinbo's plan!
Zeng Hui was frightened!
He didn't expect that this boy Chen Gong would be so bold. He wanted to touch Professor Jinbo of Ci Tang in broad daylight? !
Tang Jinbo was slightly startled when he heard the sound.
He was not angry at all, but asked curiously:
"Then what can you do?"
Chen Gong directly picked up the paper in his hand and placed it on the projection, and soon the picture appeared on the screen.
"This is my plan!"
"The improved bunnell suture method can use double-needle cross suture method to cleverly relieve tendon pressure!"
"Although it increases the needle entry point, it lacks the damage of the crochet hook, and it can also relieve the tension!"
"This is the first step!"
"Secondly, one of the shortcomings of the Towns tendon suture method lies in the tension suture angle."
"I think assistive technology could be used to improve stability."
"That is, when suturing the cross section, use the traction wire finger method to fix it. This will greatly reduce the instability of the Townsend tendon suture method."
"Then, during the operation, the sutures at both ends of the tendon must be processed accordingly, paying attention to the axial alignment..."
Chen Gong spoke unhurriedly.
And the room fell silent again.
People who are familiar with Chen Gong and those who are not familiar with it are confused at this moment.
This scene lasted for a full 5 minutes!
After a while...
Tang Jinbo suddenly took a deep breath, turned to the staff on the side and said:
“Book me a ticket to Shanhe Province!”
"I think this plan works!"
"You can operate first and wait for me!"
"By the way...what do you call this little brother?"
Chen Gong smiled slightly: "My name is Chen Gong!"
Tang Jinbo said with a solemn expression: "I have learned a lesson!"
As soon as these words came out, the silence in the room dropped by three orders of magnitude again.
……
ps: I went out yesterday and wasted some time. Sorry.
(End of this chapter)
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