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

Chapter 139 Is this a partial limb replantation?!
When Lu Cheng stepped open the door, he glanced at his control panel.

[Finger and Limb Replantation Surgery (Introduction 4/5)]

[Current skill point balance: 11.3 points.]

Lu Cheng gained almost no skill points from his trip to Peking Union Medical College Hospital. In the four or five days he spent there, he only brought a total of three skill points by teaching Peng Kun, Tian Zhuang, and others.

The remaining eight skill points were all earned by Lu Cheng during today's operation, and he hadn't even had a chance to use them up before they were about to be used again.

The proficiency level in finger and limb replantation surgery appeared on the panel after Lu Cheng learned nerve suturing at Peking Union Medical College Hospital and achieved a certain level of proficiency.

Only after you have completed the prerequisites for the surgery and the panel determines that you have the basic ability for a certain surgical technique will it be displayed on the panel, and only then can you add points to it.

It doesn't come from nothing and is all listed on the panel.

[Finger/Limb Replantation Surgery (Proficiency 5/10) (Skill Points -11)]

His proficiency level wasn't actually that high. Lu Cheng's original plan was to start practicing regularly after he reached the level of mastery.

But in urgent situations, one must act expediently and take immediate precautions, and in such circumstances, one cannot afford to worry about such things.

There are three operating rooms in the surgical ward, all occupied by the brothers from the second orthopedic ward: Associate Chief Physician Song Hongtu, Senior Attending Physician Zeng Hongbo, and Attending Physician Xiang Pengcheng.

Lu Cheng used to work in orthopedics and knew them all, but that was all he knew before.

"Oh, technical director Lu is here?" Song Hongtu said deliberately in a worldly manner as soon as Lu Cheng entered.

Lu Cheng didn't care about Song Hongtu's provocation. He already knew that there was a partial limb amputation here and that a partial limb replantation would definitely be needed, so he washed his hands and went in.

As he walked toward the dressing table, he said politely, "Director Song, Brother Xiang, Brother Bo, I was appointed to this task in a time of crisis. I happen to be in the emergency department."

"If I could turn it down, I would have been fast asleep in the lounge."

Lu Cheng's words were half true and half false, but in fact, everyone in the second ward knew about Lu Cheng's previous experience in the first orthopedic ward. Most departments in the county hospital were in similar situations.

Song Hongtu didn't dwell on it anymore, and said, "Xiao Lu, we've finished cleaning the wound here. The incision on the upper arm is very deep, with damage to not only tendons but also nerves and blood vessels."

"These young men are really ruthless. I bet they grabbed the knife under his arm and just pulled it out!"

"Fortunately, the blade was facing outwards; if it had been facing inwards, the person would have died on the spot."

The incision point facing outwards is the upper arm, and the incision point facing inwards is the lung!
"The vascular and nerve suturing will have to wait until Professor Tong's microsurgical instruments are off the table before they are brought over."

"The emergency room usually has a set of procedures, but Professor Tong will need them later, so let's deal with the tendons and muscles first!"

"The tendons and muscles in the upper arm are large enough that microscopic instruments are not needed."

“Walking teacher, go to room 5 later, keep an eye on the mirror, and push it over as soon as possible,” Lu Cheng said.

The hospital must have introduced more than one set of microsurgical instruments; otherwise, if there was only one operating room available, there would be a lot of back and forth between them.

In light of this, Lin Qianlong applied to the hospital for a permanent emergency operating room, since microsurgical instruments are frequently used for tendon suturing.

At present, only Professor Tong Yuan'an can perform hand surgery. Everyone else can only watch for the time being. We can't just leave the equipment that we've bought.

Song Hongtu carefully considered Lu Cheng's meaning, then asked formally, "Lu Cheng, what did you just say?"

"I'll ask the circulating nurse to push the microscope around in a bit. After Professor Tong leaves the operating room, he'll go to the emergency operating room to deal with the tendon. I'll deal with the hemi-limb replantation here first!" Lu Cheng had already put on his sterile surgical gown, but he could clearly feel the circulating nurse's fingers trembling as she helped him put on the gown, her fingertips poking into the skin outside Lu Cheng's cervical vertebrae.

"You...this?" Lu Cheng's meaning was clear, but Song Hongtu and Zeng Hongbo's eyes gradually became more and more confused.

Lu Cheng wants to get a partial limb replantation? Is he even capable of performing partial limb replantation?

So, is he really only going to do partial limb replantation? He's just making a name for himself at the county hospital's hand surgery department.

Currently, in the entire Xiangzhou, there are only two hospitals capable of performing hemiplegic replantation, limb replantation, and finger replantation: the Xiangzhou People's Hospital and the Jishi People's Hospital.

They are all in Jilin City, and apart from two hospitals, no county hospital or other hospital can perform limb replantation surgery.

This is currently the generally accepted view.

The reason Peng Haibo, from the Orthopedics Ward 1, invited hand surgeons to be stationed at Longxian People's Hospital was to make it the first county hospital in XX Prefecture capable of performing finger replantation surgery.

But Director Peng only predicted that such a level would be reached within three years, while Lu Cheng has already achieved it by a considerable margin.

Ignoring the feelings of the others, Lu Cheng put on sterile gloves and approached the operating table.

"Brother Bo, can you give me a better view?" Lu Cheng asked softly.

Originally, Song Hongtu was to be the chief surgeon, with Zeng Hongbo as the first assistant and Xiang Pengcheng as the second assistant, but they blocked the surgical field.

Zeng Hongbo quickly got up, and in his panic, he almost bumped into Lu Cheng. Fortunately, Lu Cheng was in a defensive position and immediately turned around to face him back to back, thus avoiding being contaminated.

Once everything was settled, Lu Cheng sat down to begin the surgery!

Hemiplegic replantation is generally the severing of half of a soft tissue limb, with or without fracture. Its full name is hemiplegic replantation.

Lu Cheng first examined the surgical field and confirmed that there was arterial injury, nerve injury, muscle and tendon injury.

Of course, as an associate chief physician, Zeng Hongbo couldn't possibly be incapable of handling debridement and hemostasis. It's just that Zeng Hongbo wasn't sure whether or not the muscle should be sutured, so he left the surgery unattended.

Surgical training is a very private matter. Generally, it is not passed on to even six ears. Even if you see it, you may not be able to do it. If you don't know how to do it, you dare not easily start!

For replantation of a limb without fracture, it can be considered as if internal fixation of the fracture has been completed during the replantation of the severed limb. Next, tendon and muscle suturing can be performed, and the vascular bed and nerve bed can be properly managed...

“Trainee, stitches!” Lu Cheng didn’t hesitate.

Tong Yuan'an authorized him and he will definitely come over to check later. The chief surgeon for this operation is Associate Professor Tong Yuan'an, not Lu Cheng. Lu Cheng is just the executor of the 'partial limb replantation' surgery performed by Tong Yuan'an, not the chief surgeon!

“Director Song, let’s shift our focus a little more towards you. Yes, that’s it. Let’s…” Lu Cheng’s voice was steady.

If you know it, you know it; if you don't, you don't.

It's perfectly normal for someone Lu Cheng's age not to undergo limb replantation. Even at top-tier institutions like Peking Union Medical College Hospital, it's considered 'routine' for doctors of Lu Cheng's age not to perform this type of surgery!
Lu Cheng said he didn't know how, and no one would say that Lu Cheng shouldn't be or that he was bad.

But if you can do it, you can.

If Peng Kun hadn't suddenly decided to add a tendon revision surgery, and if Tong Yuan'an hadn't needed to rush things, Lu Cheng wouldn't have created unnecessary trouble. He would have waited for Tong Yuan'an to observe his procedures several times before applying to intervene gradually.

In urgent situations, one must act expediently. In order to save time, Lu Cheng had no choice but to frankly state his abilities.

(End of this chapter)