This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 135 The Mature Lu Cheng!
Three emergency operating rooms were in operation. Under the bright operating lights, the muscles were red and the fat was yellow, while the residual blood was dark red.

After tying the last knot in the tendon suture, Lu Cheng asked, "Teacher Tian, ​​what's the situation with operating rooms 1 and 2?"

Anesthesiologist Tian Chao looked up and said, "These are all minor injuries; the serious ones have been taken to the operating room."

"We only have four anesthesiologists in our emergency operating room, how could they possibly eat so much?"

"One operating room is where the orthopedics team is working, two are where Zhang Tiesheng from your emergency department is cleaning and suturing the wound, and three are where Cao Yongqiang from general surgery is working."

"It seems that the fourth operating room belongs to Director Tian Hongjian of the Orthopedics Department." Tian Chao had never been to the fourth operating room, so he told Lu Cheng about the surgeon he had heard about.

As Tian Chao was speaking, Du Daihua rushed over: "Brother Lu, I've come to help."

“You’ve come at the right time, Dai Hua. You and Tian Zhuang continue with the rest of the suturing. I’ve finished the hemostasis, debridement, and tendon suturing.”

"Remember to put a polymer cast on your left forearm later. There's nothing else special. You can be transferred back to your ward after the surgery."

"Wash your hands and get on the operating table. I'll go to room 1." Lu Cheng stood up, stepped back from the operating table, then stepped forward again to carefully examine the details of the debridement.

Finally, she went to the clothing and sheet recycling bin in the operating room and began to remove her sterile surgical gown, moving quickly and efficiently.

Tian Zhuang said, "Brother Lu, call me if you need any help later."

“Okay!” Lu Cheng nodded, took off his gloves, retrieved his phone from the stainless steel shelf, and rushed to the direction of operating room 1.

There are only four operating rooms in the emergency operating room.

Because Longxian County generally doesn't have that many emergency cases, some emergency cases are taken into the surgical operating room by specialists.

Lu Cheng first went to the sink outside to disinfect and wash his hands again, then held his hands together in front of his chest and stepped on the automatic sensor-operated airtight door of the operating room.

As soon as Lu Cheng looked up, he recognized that the chief surgeon was Luo, the executive director of the first orthopedic ward, and the assistant was Ouyang Meng, a newly recruited orthopedic doctor after Lu Cheng applied for a transfer.

"Director Luo, what's going on here?" Lu Cheng asked as he walked toward the dressing table, trying to save as much time as possible.

Executive Director Luo is the deputy chief physician in the first orthopedic ward, specializing in spine surgery. He has extensive connections, but he is not eccentric: "This kid is both lucky and unlucky. Fortunately, he only injured his left hand."

"The bad thing is that there are four cuts of different sizes on my left hand."

"The cuts on my palms are quite deep."

"Fortunately, the digital artery in my finger was not injured, but the superficial arch of my palm was. I am currently cleaning the wound."

"We also asked Director Peng if we should ask Professor Tong to come and help out, since the situation could be quite serious if the suturing of the palmar superficial arch is not done well."

"But Director Peng said that Professor Tong is currently undergoing surgery to amputate his finger."

Tong Yuan'an was eventually called over by Peng Haibo, because there were some situations that were difficult for the hospital to handle.

Lu Cheng replied, "The suturing of the palmar shallow arch is not particularly difficult and does not require microsurgical suturing, so we probably don't need to call Professor Tong."

"You can do this too, Xiao Lu?" Executive Director Luo asked in surprise, his gaze sweeping over Lu Cheng.

Lu Cheng casually replied, "Brother Luo, before Professor Tong came, didn't we just routinely suture these kinds of superficial palmar arch injuries?"

"As long as there's no bleeding, it won't be too bad."

Longxian People's Hospital does perform debridement and suturing of the palm, but it cannot guarantee that patients will have a particularly good recovery after the surgery.

However, some patients do not care about the specific functional recovery after surgery and are unwilling to be transferred to another hospital because their treatment goal is the county hospital, and they are too lazy to go any further.

Some people even give up on treatment altogether when they encounter an illness that cannot be cured at the county hospital.

After thinking for a moment, Director Luo finally nodded: "This blood vessel damage seems we can't wait any longer, so let's start suturing."

Lu Cheng said, "No rush, Director Luo. We can do the vascular suturing after we've finished treating the tendons and muscles."

"The patient's injury was recent, so we can treat the vascular bed first, and then the blood vessels last. This avoids suturing the blood vessels first, and then suturing the tendons and muscles, which could cause compression of the blood vessels!"

Professor Zhong at Peking Union Medical College Hospital carefully taught Lu Cheng the sequence of limb replantation and the underlying principles of this sequence.

Knowledge should be applied flexibly; it's not that this principle only applies to limb replantation. "Then it's up to you, Xiao Lu," Peng Kun said, "he can't handle the tendons in this area."

The flexor tendons in the palmar segment belong to Zone 3. Although they are not as difficult to treat as the uninhabited Zone 2, they can still be treated using the Jinxia method and the modified Tang method.

Peng Kun is still practicing these two techniques. Currently, only under Tong Yuan'an's guidance can Peng Kun dare to sew one or two stitches.

Peng Kun wouldn't dare to perform solo if his skills weren't up to par.

Lu Cheng had already handled many cases, including the more difficult second-zone flexor tendon suture, which made Executive Director Luo see the difference between Lu Cheng and Peng Kun.

A ruthless person like Lu Cheng, once given the opportunity, cannot be suppressed; one can only befriend him.

The underlying logic of county hospitals is that they rely on their skills and abilities to make a living!

"It's alright, no rush. Let me check the other wounds first." After approaching in sterile surgical gown and gloves, Lu Cheng did not immediately begin suturing.

Instead, they carefully and cautiously examined the patient's wound.

Understanding the patient's condition before proceeding with the procedure is a must for every surgeon.

"There is a rupture at the insertion point of the biceps brachii and a rupture of the brachioradialis tendon."

"Were they chased into a corner?" Lu Cheng was greatly surprised.

These injuries are all deflections, to prevent someone from being directly chopped in the head and losing their life.

Executive Director Luo looked indifferently at the lying 'trash': 'The injury mechanism doesn't matter, just heal the wound.'

Lu Cheng remained silent for a moment before saying, "Director Luo, then I'll handle them one by one, starting with the closest and moving to the furthest..."

After Ouyang Meng yielded the throne to Lu Cheng, a glint appeared in his eyes.

Although he had never worked with Lu Cheng, after entering the department and experiencing the atmosphere there, he felt that Lu Cheng was exceptionally brave and daring.

He was transferred directly to the emergency department, and then immediately caused a huge loss to the orthopedics department.

First, they performed tendon injuries that orthopedic surgeons couldn't handle, and then they even amputated part of an emergency orthopedic fracture surgery...

The key point is that so many people in orthopedics can't even fart!

I dare not nitpick!

Lu Cheng performs the surgeries himself, takes responsibility for them, has professional titles and surgical authorization, and does them very well. So what can the orthopedics department do?
Wrongfully accusing someone? Framing and killing Lu Cheng, who worked within the system?

Lu Cheng's patients can't even get onto the operating table, so how are they going to frame him?

There's nothing we can do!

Lu Cheng had sharp features and keen eyes. His skills were so impressive that Ouyang Meng couldn't understand them but was extremely envious.

Lu Cheng noticed Ouyang Meng's gaze and attention, but he didn't care. At this moment, he didn't care about the identity of the patient lying there!
When patients come to the hospital, their identity is that of patients. What Lu Cheng sees are the traumas on their bodies, and these traumas have nothing to do with whether the patients are thugs or not.

Naturally, Lu Cheng's current tendon suturing skills are sufficient to conquer all tendon injury cases.

While not necessarily the absolute best, with every detail meticulously crafted, Lu Cheng dares to claim he is number one in the world when it comes to the toughness of the stitches.

Unfortunately, medicine is not a matter of one-sided toughness, and the effectiveness of tendon sutures is not directly related to suture tension.

Instead, it requires meticulous handling of each step to the extreme, which is a combination of theoretical knowledge, basic skills in tendon suturing, and a thorough understanding of tendon function.

Therefore, although Lu Cheng's suturing technique is good enough, it can only be said that the success rate is high, not that the recovery is the best.

In terms of tendon suturing, proficiency in tendon suturing is like internal strength, while technique is like a move.

Skills can only increase attack power to a certain extent; they do not affect the fundamental damage...

(End of this chapter)