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

Chapter 140 Watching!
"Push the retractor down a little further to expose more of the tendon's path, so I can suture it properly!"

"Yes, that's it."

"Thank you, Director Song." Lu Cheng's tone was polite but left no room for refusal.

The shadowless lamp not only eliminated shadows on the patient's wounds, but also illuminated Lu Cheng's hands, which were positioned above the wounds.

Replantation of a limb is much more difficult and time-consuming than simple tendon suturing.

There are quite a few muscles and tendons that need to be sutured, and they also need to be trimmed before suturing.

However, the tendon suturing and treatment in hemilimb replantation are also derived from tendon suturing and do not require much variation.

As Lu Cheng was nearing the end of his tendon suturing procedure, the microsurgical instruments arrived in room 3, where the circulating nurse and Xiang Pengcheng placed sterile covers around them.

Lan Yueru, the circulating nurse, knew Lu Cheng. Now that the surgery was on track, she asked in a low voice, "Dr. Xiang, when did Dr. Lu Cheng learn how to replant a severed limb?"

Xiang Pengcheng glanced at Lu Cheng, his Adam's apple bobbing: "I don't know either, he went to the emergency room in July!"

"Later, I only heard that Lu Cheng was doing tendon repair in the emergency department, but I never heard anyone say that he also did limb amputation."

"In the past two months, since Professor Tong Yuan'an from Xiangya Hospital came, the first ward has handled a few cases. Perhaps Lu Cheng also took the stage?"

Actually, Xiang Pengcheng was wrong. Lu Cheng didn't go up on stage, but whether he went up or not wasn't important. What was important was that Lu Cheng could perform such a surgery.

The fundamental logic is that it can be done.

Even if Lu Cheng can still perform surgeries after Tong Yuan'an leaves, it's impossible to know how the situation in orthopedics will change in the future.

Hospital leaders would never tolerate a doctor who can perform limb replantation having nothing to do!

100% guaranteed, and it's all-inclusive.

The county health bureau will not allow such a situation to continue.

The title of being the first county hospital in XX prefecture to perform limb replantation is something that Longxian County would definitely want to claim; it's their legitimate "achievement" and "reputation" on the surface!
At this moment, Xiang Pengcheng even thought that Lu Cheng might return to the orthopedics department to lead the team, or lead the team under someone else's name.

No one can stop you, because no one else will.

Lan Yueru glanced at Lu Cheng again, her eyes gleaming, and asked, "Is limb replantation a particularly difficult orthopedic surgery?"

"With that ability, if Lu Cheng wanted to go to Xiangzhou Central Hospital, it would be a piece of cake!" Xiang Pengcheng replied cryptically.

It's nothing more than comparison.

There are several top-tier hospitals in Jishi, Xiangzhou, all of which claim to be number one, number two, or number three. The eldest brother is Xiangzhou People's Hospital, the second brother is Jishi People's Hospital, and they all claim to be able to perform limb replantation.

Third Brother doesn't know how yet, but he definitely wants to. He probably dreams about it and has been learning all along, but he still hasn't mastered it.

About fifteen minutes later, Lu Cheng went up in front of the mirror, asked the circulating nurse for the vascular sutures, and then put the needle holder and sutures into the kidney dish.

I carefully examined the severed ends of the blood vessel once again.

When Song Hongtu saw Lu Cheng about to pick up the needle holder again, he cautiously suggested, "Little Lu, if you need to fix it after inserting the needle, it will be quite difficult."

Lu Cheng nodded: "I know, Director Song."

"This is a vascular anastomosis in the upper arm, and the required immediate vascular patency rate may not be as good as that of the digital proper artery suture."

"Even if the suture of the branch is completely interrupted, it will not affect the local activity. As long as the blood flow rate of the main branch is more than 90%, it will not affect the distal activity."

"No problem!" Lu Cheng couldn't guarantee that the current suturing would have a 99% immediate success rate, but 95% or 96% was still achievable.

Lu Cheng's tone wasn't exaggerated or arrogant, just confident. It stemmed from his confidence in his skills and his abilities.

Song Hongtu sniffed, having fulfilled his duty to remind him, but Lu Cheng was still confident. This wasn't just "showing off," but rather a genuine ability to perform the surgery.

Therefore, Song Hongtu could only watch helplessly as Lu Cheng completed the vascular suturing and branch anastomosis...

About twenty minutes later, Song Hongtu got up and gave up his seat because Professor Tong Yuan'an had returned from the emergency operating room. However, he did not take over Lu Cheng's position as the surgeon. Instead, he pushed Song Hongtu away and personally assisted Lu Cheng in completing the nerve suturing.

"The ulnar nerve originates from the medial cord of the brachial plexus. There are 11 nerve bundles inside the ulnar nerve here, mainly mixed nerve bundles."

"Continue down along the medial side of the brachial artery to the height of the deltoid muscle insertion point, pass through the medial intermuscular septum to the back of the arm. Here, the number of nerve bundles inside the ulnar nerve increases to 16, of which 13 are mixed nerve bundles mainly composed of motor nerve fibers and 3 are mixed nerve bundles mainly composed of sensory nerve fibers."

"Therefore, the functional bundles must be matched very precisely, and then the bundle membranes are sutured together."

"Of course, you can also use the peritunic-outer membrane suture technique. What I'm telling you is just the suture technique we usually use." Tong Yuan'an's voice was professional and delicate; it was just a suggestion, not an order.

Lu Cheng thought about it carefully and replied, "Teacher Tong, I think it would be better to use the combined suturing technique of the peritunic and epitunic here."

"The arm of the ulnar nerve is relatively thick, providing ample room for manipulation, but it takes longer. However, after combined suturing, the local tension will actually be less."

"The foundation of nerve suturing is tension-free suturing!" Lu Cheng explained the fundamental principles and core concepts of nerve suturing that he had learned from Peking Union Medical College Hospital.

“Yes, for nerve suturing, the most important thing is tension-free suturing. You can continue,” Tong Yuan’an said.

Lu Cheng continued his operation, while Tong Yuan'an carefully observed and meticulously assisted Lu Cheng in aligning his limbs, patiently offering occasional pointers.

People kept coming in and out of the operating room, and then the operating table was surrounded by them.

Director Liu Xia of Ward 2, and Executive Director Luo, Xiang Kuihua, Tian Shan, and others from Ward 1 of Orthopedics were all present.

However, as Lu Cheng's stitching process became smoother and smoother, everyone's expressions varied.

Director Liu hesitated for less than half a minute before turning her head and saying, "Peng Chen, send me Xiao Lu's phone number."

Peng Chen is another associate chief physician in the second ward.

Peng Chen nodded, without any particular thought, and immediately picked up his phone to search for Lu Cheng's number...

After Lu Cheng's surgery, even if Liu Xia were the ward director, he wouldn't be able to sit still. And if Liu Xia could bring Lu Cheng to the second orthopedic ward, the ward would be well-fed from then on.

This is not just a simple finger replantation; it is a comprehensive field of hand surgery.

It was obvious that Lu Cheng had run away from Ward 1, and everyone knew the reason.

A moment later, Tong Yuan'an stood up: "You guys continue, I'm going to room 2 to suture the remaining tendons so everyone can get some rest."

"How did the emergency treatment at the general surgery department go?" Tong Yuan'an asked Liu Xia.

"Professor Tong, it went smoothly, but Professor Chen had to run around to different places many times!" Liu Xia said, blushing slightly.

The reason Chen Song kept running back and forth after the stage was opened was that the doctors in the general surgery department of the county hospital were too ineffective when dealing with complex diseases.

Fortunately, everyone was rescued.

Tong Yuan'an walked straight out of the operating room, muttering to himself, "This guy (old classmate)'s got some skills..."

(End of this chapter)