Chinese medicine: When you do things to the extreme

Chapter 36: Fatty with a shallow knife! ~
If we must distinguish between suture, tendon suture and tang method tendon suture, we can make an analogy.

Knife, crescent-shaped knife, scalpel.

Knives are a large category, and anything that looks like a knife is a knife.

The crescent-shaped sword is a weapon used to chop people.

A scalpel can also be used to cut people, but it is more delicate and is mostly used to treat illnesses and save lives. It is dexterous but extremely sharp.

Similarly, the difficulty of operating these types of knives also gradually increases.

The smaller the knife, the easier it is to use and the more difficult it is.

Gong Yi approached the operating table and saw that Zhou Yanqing was ready, so he asked again: "Are you going to use the Tang method, the M-tang method, or the modified M-tang method?"

Zhou Yanqing suddenly felt as if he was hit by a huge stick, causing his brain to freeze for a moment and his eyes to move around irregularly.

The question is a little bit beyond the scope.

Zhou Yanqing gritted his teeth and said, "Master, I'd better use the tang method. M-tang and U-tang seem to be two improved forms of expression developed from the tang method!~"

Fortunately, Zhou Yanqing had already met the hospital's tendon suture standards and had read one or two articles on tendon suture methods. Otherwise, it would have been difficult for Zhou Yanqing to understand the content of this question.

Gong Yi shook his head: "No, no, no, if you want to use the tang method, I now suggest you use the M-tang method. Because it is easier to operate, and has the biomechanical strength of the tang method, uses fewer sutures and exposed knots, and can meet the needs of early protective active movement of the tendon."

"It is one of the preferred methods for zone II flexor tendon repair. If I were doing it, I would choose this method."

"As long as you know how to do tang suture, you can definitely do M-tang suture."

Fatty Tian Zeguang was surprised when he heard this: "Director Gong, you still have a trick up your sleeve?"

Gong Yi immediately said: "I would like to teach you, but you are more obedient than Yanqing."

As long as you know how to do the tang suture, you can definitely do the M-tang suture.

If you don’t know, then don’t talk about it.

Tian Zeguang's heart seemed to have suffered a critical hit, and his fingers trembled slightly: "Director Gong, you are too biased. I just said that Yanqing was not very obedient. Why are you holding a grudge on his behalf?"

The joke played by Tian Zeguang and Zhou Yanqing led to Gong Yi's misfortune.

"You're running around like a rabbit!" Gong Yi also symbolically cursed Zhou Yanqing.

Tian Zeguang: “…”

"But don't mention it, the rabbit's white fur, long ears, and jumping around are so adorable." Gong Yi added lovingly.

How could I bear to scold you.

Tian Zeguang turned his head and looked away, unable to bear the display of affection between the master and disciple any longer.

……

Gong Yi briefly explained the M-tang suturing techniques to Zhou Yanqing, and said: "The M-tang method is actually the suturing of 6 tendons among multiple tendons. It is easy and convenient to operate, and the suturing effect is quite good."

"You can try it. The flexor tendon in zone 2 can be sutured with this method. The postoperative effect will be better than Kessler's suture."

After listening to the teacher's words and thinking about it carefully for a while, Zhou Yanqing found that what the teacher said was indeed correct.

M-tang suture is an improvement on tang suture in theory, and the operation is actually easier!
Zhou Yanqing then tried to perform the "M-tang method" of suturing.

When Zhou Yanqing was operating, Gong Yi's upper and lower eyelids were wide apart and his eyes were immersed in the operation, afraid of missing any details.

However, after seeing that Zhou Yanqing had already sutured a bundle and reached the proximal end of the tendon, it was clear that Zhou Yanqing's level was indeed capable of performing the Kaitang method of suturing.

The tangled expression gradually relaxed, and he began to smile: "Zeguang, what do you think is better, an obedient child? Or a disobedient child?" The fat man Tian Zeguang had turned into an ostrich at this moment, his expression could no longer remain calm, and his ten fingers gently rubbed as if they had nowhere to put, imitating Zhou Yanqing's way of suturing.

Tian Zeguang can indeed suture tendons, but suturing tendons should prevent them from rupturing, maintain a certain tension after suturing, and reduce the formation of scars after suturing, which are the basis of suturing.

Not everyone has the same level of tendon suture. The different levels of suture of the same tendon can be best reflected in the patient's postoperative rehabilitation.

According to statistics, the higher the level of suturing, the more the hand function is preserved.

"Everything is fine!~" The tall and thin Li Zhong's eyes lit up instantly, and he looked at Brother Guang as if he had found a confidant again.

As a fellow man under the King, Tian Zeguang must now live with him in a corner to shelter from the rain, and understand and comfort each other.

Zhou Yanqing drew his sword too quickly.

Tian Zeguang raised his head, his eyes stabbed at Li Zhong like a knife: "What does Li Zhong have to do with you? Can you sew tendons? What's wrong with you?"

"I'm just being obedient. I..." Li Zhong's mouth was very tough. He was not inferior to Tian Zeguang.

If Tian Ze Guangxu wasn't a few years older, would this fat guy still be able to show off so much?
But he was defeated by Zhou Yanqing: "Brother Zhong, please cut the wire!~"

"You..." Li Zhong looked at Zhou Yanqing and was about to get angry, but he saw that Zhou Yanqing's eyes were calm and his expression was natural. He held the needle holder in his right hand and the straight suture in his left hand. He was not deliberately attacking him.

I can only be an assistant honestly.

"Puff! Kuku~" Tian Zeguang and Gong Yi were the first to burst out laughing, shaking with laughter.

After seeing the funny scene and the first person laughing, Fan Ziwei and Han Dongliang in the audience couldn't help but laugh "kukuku" too.

Li Zhong wanted to throw away the wire cutters in his hand on the spot, but his surgeon's qualities and instincts stopped his impulse.

Gong Yi stood on tiptoe and nodded after watching Zhou Yanqing sew the first stitch. "Not bad. It's not easy to sew the M-tang method to such a high level for the first time."

"It proves that you have put in the effort."

"And... Tian Zeguang, if I were you, I would definitely not be able to laugh." Gong Yi was originally praising Zhou Yanqing, but his words dragged the fat man who was winking at Li Zhong into purgatory.

Gong Yi didn't care about cleaning up Tian Zeguang's angry expression, and turned to walk out of the operating room. His back was casually like Mr. Tree holding a cigarette, and he said, "You guys are responsible for finishing it. I'll go out for a while."

"Call me when the next surgery starts!"

After saying this, Gong Yi stepped on the automatic sensor door of the operating room and slipped out.

As soon as Gong Yi left, Tian Zeguang immediately stood up, pressed his belly against the sterile surgical sheet on the edge of the operating table, and began to speed up: "Yanqing, what kind of needle did you use to practice this suturing technique? Did you use your own hands and your own needle?"

Zhou Yanqing thought for a moment, finished another stitch, and when Li Zhong was about to cut the thread, he raised his head slightly and said calmly: "Then I'll borrow your..."

"Needle?"

"My hands don't seem to be working well."

"Puchi, Kukuku..." Li Zhong burst into laughter upon hearing this!

Zhou Yanqing looks honest, serious and stern on weekdays, but in fact, all the cars that his superiors have driven and the people he has argued with have been ingrained in his bones.

Zhou Yanqing's sudden drift caused Tian Zeguang, who was driving too fast, to crash into the wall instantly, and his fat face suddenly widened a bit.

He looked at his own hands, and then at Zhou Yanqing's suturing technique.

The shame instantly flooded my whole body.

I can't bear it!
(End of this chapter)