Chinese medicine: When you do things to the extreme

Chapter 201 The operation is over, waiting for the flowers to bloom (please subscribe)

After Zhou Yanqing entered the door, Yu Yue and Liu Wanqing followed in one after another.

Tan Zhongyu and Huang Xianming, who were on the operating table, slowly stepped down from the operating table after seeing several people come in.

During an extremely long operation, it is very necessary to take turns eating, which is why the importance of teamwork must be emphasized in teaching hospitals.

Tan Zhongyu and the others did not exchange pleasantries with Zhou Yanqing. After unbuttoning the collars of each other's sterile surgical gowns, they picked up the cell phones on the storage table and walked out the door!

The atmosphere in the operating room is exceptionally quiet.

Apart from the slamming of the operating room door, the only sound was the low voice of Director Xu Long of the Anesthesiology Department: "Xiaolin, give the patient more energy!"

Doctors can eat, but surgical patients cannot, so they can only rely on intravenous infusion to nourish themselves!
Zhou Yanqing and the other two arrived at the operating table and took their positions.

Yu Yue asked in a low voice: "Yanqing, can I do it for a while? Just for a while!"

For such an important operation, even if you only participate in the debridement once, the confidence it brings to you will be different.

Zhou Yanqing shook his head: "Next time, Brother Yue."

Then Zhou Yanqing lowered his head and slowly began to clean the patient's tendon!
Functional reconstruction is actually an organic integration of various transposition and suturing techniques!
The principle is actually very simple, but it is very complicated to implement, and there are many variables involved.

The essence of doing business seems to be one buying, one selling, and then making money from the difference. But in fact, doing business is not that simple and there are many more tricks!
But when you first start doing business, you will definitely take the traditional route.

Debridement is the most basic skill of surgery. No surgery can exist without debridement!
Zhou Yanqing's debridement operation was still beyond the vision of Yu Yue and Liu Wanqing, but Zhou Yanqing's other basic skills were far higher than their level.

So both of them were numbed by the shock, but they were used to it by now.

Five minutes after Zhou Yanqing started, Senior Brother Liu Wanqing finally couldn't help but say, "In fact, all surgical specialties have the same goal, and the basic skills of surgery are very important."

Yu Yue nodded but did not reply. He just tried to figure out and understand some of Zhou Yanqing's operational details bit by bit.

What you learn is what you earn!

Yu Yue also wants to follow Zhou Yanqing's path - young and promising.

This is the path that Zhou Yanqing has already taken.

Tan Zhongyu and his companions ate very quickly. There was no unnecessary wasted time, except for going to the bathroom and drinking some water.

After washing my hands, I went straight to the stage!

After Tan Zhongyu entered the room, he narrowed his eyes again when he saw Zhou Yanqing's debridement technique.

The thoughts in my mind are becoming more and more certain!
This brat Zhou Yanqing is totally inhuman. Not only has he mastered the core basic skills of manual surgery to an incredible level, he has also mastered the basic skills of debridement in trauma surgery.

If Professor Lin Yuan next door discovered this, there would probably be another "master" who doubts life in the hospital!
"Huang Xianming, Liu Qingshan, you two should take a rest first. There won't be any problem if Yu Yue and Liu Wanqing don't move too much." Tan Zhongyu said.

Huang Xianming nodded when he heard this: "Teacher Tan, let's take a look from the side."

"This opportunity is rare!~"

Although Huang Xianming does not believe that the team currently has such strength, being able to observe such operations would be extremely helpful to his own strength.

The longer you are in surgery, the more you understand the importance of strength!
The stronger you are, and the higher your status is, the more confidence it gives you, and the greater the difference between you and others will be!
It took Zhou Yanqing about an hour and a half to complete all the debridement, which was also to separate the various keloids from the patient's own anatomical tissue!

"Huh!~" Zhou Yanqing let out a breath of relief, and this breath lasted shorter than before.

"The next step is the key point."

"Anatomical reconstruction!"

"The actual situation is a little worse than we expected. There are at least five displacements, and three of them require nerve transplantation."

"Add to that the tendon transplants that need to be done everywhere, so we probably won't be able to rest before twelve o'clock today." Tan Zhongyu's face darkened and he spoke in a deep voice.

Zhou Yanqing nodded when he heard this: "Master, luckily tomorrow is the weekend, let's take our time!~"

"Teacher Xu, how is the patient's blood pressure? I'm not bleeding much." Zhou Yanqing asked.

The patient's vital signs are key during any surgical procedure.

Xu Long was very alert the whole time: "Don't worry, the blood bank has prepared blood, and the electrolytes we just drew are all normal. His basic physical condition is still good."

Zhou Yanqing and his colleagues immediately set about identifying the segments of nerve necrosis, and then tried to use nerve transplantation or transposition surgery to clear the necrotic segments.

This is not as simple as a one-for-one exchange, but requires a lot of running-in.

Zhou Yanqing first found the course of the ulnar nerve, and then determined the sensitivity of this segment of the nerve through micro-current stimulation.

From bottom to top, until you reach near the elbow joint!

Finally, the stimulating long pass was lost!

"Master. Sterile marking pen!" Zhou Yanqing did not operate it himself, but gave the order.

Tan Zhongyu immediately circled a mark on the outer membrane of the nerve with a marker pen and instructed: "Don't erase it."

This is an important marker for determining the injured and necrotic segments.

Everyone nodded and gradually moved away.

What comes next is the most critical and core part of the operation, which cannot tolerate even the slightest mistake!

Everyone on the operating table became nervous!
And this kind of tension cannot be relieved by talking or chatting.

"The length should be about four centimeters." Zhou Yanqing said to Tian Chao who was responsible for recording in the audience.

"Ulnar nerve!"

Tian Chao quickly wrote down the data in his notebook: "What is the approximate tolerance? Senior brother."

"About 0.5! It's a little shorter than what we see on the MRI plane." Zhou Yanqing replied.

Tian Chao recorded them one by one.

Then, Zhou Yanqing started to proceed to the next step.

……

After determining the damaged nerve segments and distances, Zhou Yanqing put down the operating equipment in his hand and discussed with Tan Zhongyu: "Master, should we use nerve transplantation for all of them? Or is it better to use transposition surgery?"

"Let's go with transplantation. Transposition is a substitute that we choose when there is really no other way. It is different from tendon." Tan Zhongyu made the decision based on his own experience.

"Okay!" Zhou Yanqing and Tan Zhongyu separated and took two teams to look for materials for neural transplantation.

When performing nerve transplantation, we usually use the autologous secondary cutaneous nerves to repair the finger nerves or other larger nerves, such as the sural nerve, saphenous nerve, medial forearm cutaneous nerve, lateral femoral cutaneous nerve, and superficial branch of radial nerve. We can use 20-40cm long nerves for transplantation!

The raw materials for autologous nerve transplantation are very abundant.

The radial nerve cannot move, nor can the medial forearm cutaneous nerve. The only nerves that can move are the lateral femoral cutaneous nerve and the sural nerve.

"Brother Zhu, you told the patient that he needed to undergo a lower limb surgery, right?" Zhou Yanqing asked another question.

Ning Zhu took this patient to the security office and had the conversation recorded on video and signed. Otherwise, he would not have gone on the operating table.

If no one wants to take risks, then don't do it.

Ning Zhu nodded: "Yanqing, all of this has been explained clearly. Director Ding from the Security Office was also there at the time. Our hospital's legal affairs department was also there."

Xiangya Hospital does not have its own legal department like top hospitals, but it has its own legal cooperation.

Before launching this new technique, the relevant legal affairs will usually be consulted, and they will also be called in during the conversation.

……

At 5pm, no one left the stage to eat. The operation continued.

Around nine o'clock in the afternoon...

Yu Yue and Liu Wanqing rubbed their eyes.

There were too many surgeries today, and both of them felt a little dizzy because of the huge amount of information they received.

Now, they don’t have the leisure to appreciate any exquisite operations, and have completely developed aesthetic fatigue due to short-term and large-scale repetition.

After studying for a whole day, they all felt very sleepy. One can imagine how tired Zhou Yanqing and his master Tan Zhongyu must be now!
However, the two of them still forced themselves to concentrate and carefully performed the reconstruction and transposition operations on the last two tendons.

Tan Zhongyu is an expert at tendon transfer surgery, so he performed the surgery on both sides at the same time.

Xu Long, director of the Department of Anesthesiology, did not leave work, but the graduate students following him could not bear it any longer and went back to rest.

Finally, the time rolled over to 23:57 in the evening, when the operation had lasted more than fourteen hours.

Tan Zhongyu stood up straight, and his joints made a crackling sound as they stretched: "Huh!~"

"I am getting old. It's only been a dozen hours and my feet feel like they are filled with lead!"

Zhou Yanqing had no intention of taking a break and was still carefully checking the completion of the operation!

Another half hour of careful review!

Zhou Yanqing stood up, his right hand trembling slightly unconsciously, and said with a smile: "Master, we are done!"

"The time is twenty minutes earlier than expected."

It is already 00:29 in the morning.

“Step down!”

"Huang Xianming, can you lead the team and be responsible for the final work? Yanqing and I are too tired." Tan Zhongyu didn't know whether Yanqing was tired or not, but he was almost exhausted.

However, Zhou Yanqing is also a human being, and the absolute core of the operation, so it is impossible for him not to be tired.

"Director Tan, Yanqing, you two should go down and have a rest first!~"

"Just have a midnight snack and don't worry about your health or losing weight," said Huang Xianming.

"Okay!~" Tan Zhongyu wanted to lose weight, but he couldn't do it today, and his body really needed some nourishment.

I had dinner at around six o'clock, but now I'm so hungry that I don't know when I finished digesting the little bit of food I ate last night!

Huang Xianming then looked at Zhou Yanqing and gave him a thumbs up: "I can only say, Yanqing is awesome!"

"You are worthy of being the best in our department!"

Hearing this, Liu Wanqing was about to lead the applause, but was suppressed by Ning Zhu who was quick-eyed and quick-handed.

"Brother, there is no need to cheer in this situation. Let Yanqing and Master take a rest!" Ning Zhu said.

Not all perfect operations require applause and recognition.

"You guys should go too and eat something. You'll be tired of watching!" Tan Zhongyu said as he looked at his group of students.

Although they may not be qualified for clinical operations, they have managed to survive until now, which shows that they have strong perseverance, and they will definitely achieve something in the future.

There may be differences in size relative to others, but for yourself, it is a good thing!
This is the future of hand surgery in Hunan Province.

Everyone followed Tan Zhongyu and formed a huge team of eight or nine people, going down to the operating room.

……

One o'clock.

After Zhou Yanqing and others took a taxi to the barbecue stall, Tan Zhongyu had already ordered the food and was chatting with Xie An and Peng Xuehua, whom he had brought with him.

"You have finished the first grade now, right?"

"How about it? Do you still find it interesting to be in our team?" Tan Zhongyu asked the two.

Xie An and Peng Xuehua are first-year master's students of Tan Zhongyu. It is now July, and strictly speaking, the first academic year has ended.

"Master, it's quite interesting, especially Senior Brother Zhou!" Xie An's little head was particularly smart and he gave a thumbs up.

"Master!"

"Master..."

Zhou Yanqing and everyone else shouted after they arrived.

"Find a seat for yourself."

"Yanqing, I won't say any more compliments about you. I guess you're tired of hearing them."

"I can only say that this is just the beginning, the beginning of our department, and the beginning of the Hand Surgery Department of Xiangya Hospital!" Tan Zhongyu is only now starting to get excited.

Only after leaving the unit and the operating room did he dare to express the joy in his heart!

The results of the operation are not clear yet!
Surgery is like farming. After planting a seed, all you have to do is wait for it to bloom.

However, according to his own understanding and the entire operation process, no matter how bad the operation is, it will have a certain benefit to the patient's function.

Even if it only improves a little after the operation, that would be enough!

Their hospital performs surgeries that other hospitals dare not do, and they do them well. It may not be perfect, but that in itself is a kind of perfection!
How can it be so easy to make a breakthrough and reach success overnight?

Even if you only take a small step forward, you will still reach a higher mountain.

"Master, I think we can still look forward to it."

"Although it's very tiring, I'm quite satisfied with every step." Zhou Yanqing did not modestly speak, but gave Tan Zhongyu feedback from an objective perspective.

"Why are you still standing there? Why don't you applaud and cheer for such an outstanding senior brother?"

"Then wait for the superiors from other hospitals to come and cheer for your Senior Brother Zhou, right?" Tan Zhongyu rolled his eyes at the other students.

"Snap, snap, snap, snap!"

The applause rang out in sequence like firecrackers.

After about ten seconds, Zhou Yanqing raised his hand to suppress the applause of the crowd, and then said: "Brothers, don't think about aiming too high for the time being!"

"No kind of learning is useless. This operation involved basic skills, basic surgical procedures, specialized skills, and cutting-edge operations."

"If any link is missing, the operation will be difficult to proceed smoothly! ~"

"Go to the practice room more often. You all have the priority for learning opportunities." Zhou Yanqing promised.

"Brother, when can you come to the practice room again? I haven't listened to your class for a long time, and I miss it very much." Tian Chao said with bared teeth.

Zhou Yanqing, such a monstrous senior brother, fought his way up step by step, so it was impossible for them to surpass him quickly.

Zhou Yanqing joked: "Master hasn't lifted my house arrest order yet."

"Why don't you come with me to the slaughterhouse!~"

"Shut up!" Tan Zhongyu slapped the table and then knocked Zhou Yanqing on the head.

"Stop talking about the slaughterhouse. It makes people feel uncomfortable when you talk like this in Rongcheng."

(End of this chapter)