This doctor is already middle-aged, and he's only just started practicing medicine.
Chapter 151 The Wind Rises on the Frontier!
Chapter 151 The Wind Rises on the Frontier!
"The reason why there are so many suturing techniques for tendons is that too many orthopedic surgeons have failed by simply suturing tendons intermittently. This reality has forced orthopedic surgeons to create their own suturing techniques."
"The suturing of the spleen, gallbladder and liver that you just mentioned works quite well with simple interrupted suturing, so there is no need to talk about any professional techniques."
Chen Song was happy that Lu Cheng shifted the topic to professional matters.
Otherwise, Chen Song wouldn't know what to talk about with Lu Cheng, such as Lu Cheng's "betrayal".
No, no, no, such thinking is too harsh. Lu Cheng has never labeled himself as Chen Song's concubine.
Lu Cheng said, "Professor Chen, please take a look at this article. This article is a paper published by the urology and hand surgery team. It talks about some suturing techniques in microsurgery."
"It is possible to sever and reimplant the corpus cavernosum..."
Chen Song picked up Lu Cheng's phone, glanced at the paper's summary, and immediately understood what was going on.
She tilted her head to look at Lu Cheng: "So? What are you trying to say?"
Lu Cheng explained to Chen Song in detail: "Teacher Chen, when I went to Peking Union Medical College Hospital to study, one of the teachers there said that the essence of suturing is to reconstruct the order of life through suturing."
"Suturing is a means, but reconstructing the order of life is the fundamental goal."
"For example, the essence of nerve suturing, blood vessel suturing, and tendon suturing is to connect the tissue ends and regenerate scars through sutures and suturing techniques."
"The same applies to many other surgical procedures."
"The basic principles of spleen preservation techniques are essentially the same as this," Lu Cheng told Chen Song.
Lu Cheng's words were concise and specific, making them easy to understand. Chen Song then asked, "You mean that some techniques can be added to the suturing during spleen preservation surgery to further expand the indications for spleen preservation?"
Lu Cheng replied, "Professor Chen, it's not about expanding the indications for spleen preservation surgery, but about expanding the application scope of suturing in spleen preservation surgery."
"Currently, spleen-preserving surgery still emphasizes partial splenectomy. If we can improve the suturing technique so that some cases that must undergo partial splenectomy can be treated with suturing, we can achieve a good prognosis."
Lu Cheng didn't dare to think about changing the indications and contraindications for surgery. He was just thinking about whether he could integrate some suturing techniques from hand surgery into spleen-preserving surgery and expand the application of suturing techniques in spleen-preserving surgery.
This is a fairly down-to-earth guess.
Lu Cheng's idea was easy to understand, but very difficult. Chen Song frowned: "Spleen tissue is completely different from tendon tissue. Such a solid organ is even more fragile!"
"Moreover, the blood supply system inside organs is intricate and complex, making it extremely difficult to treat."
“If not handled properly, local necrosis may occur, and the risks to the patient may be higher than if the tendon suture fails.”
Lu Cheng said, "But, Professor Chen, the standard emergency procedure for spleen rupture is splenectomy. Compared to spleen preservation surgery, the risks of splenectomy are relatively controllable if we expand the application of suturing."
Lu Cheng's statement was reasonable and well-founded.
What were the risks for the first surgeon to perform a spleen-preserving surgery?
Chen Song glanced at Lu Cheng: "You haven't even started your own research project yet, and you're already thinking about other projects?"
"You're the kind of person who's always looking for something better than what you have?"
Lu Cheng said calmly, "Professor Chen, the current focus of the topic of tendon suturing techniques is whether or not they have been done, rather than whether the theory of the technique is not perfect."
"This topic currently only lacks sufficient data support, but the techniques are mature enough."
"As for the technique of spleen suturing, it's still in its infancy, so we need to make some preparations in advance," Lu Cheng said.
"So you're planning to use this to curry favor with me?" Chen Song raised his arrogant chin, instantly transforming into a cat.
Lu Cheng calmly shook his head and said, "Teacher Chen, aren't you just going back to the same old topic by talking like this?"
"I just feel that the spleen-preserving surgery has made full use of hemostasis, but it has not combined all the essentials of suturing."
"So, I was thinking about whether there were any loopholes I could exploit. These are the few surgeries I know right now, and that's what I'm thinking about every day."
Chen Song's brows began to furrow, sometimes straightening and sometimes relaxing.
After an unknown amount of time, Chen Song looked at Lu Cheng and said in a low voice, "You're a restless fellow too, the kind who stirs up trouble out of nothing."
"Well said about seeking enlightenment."
……
Half a minute later, Chen Song noticed that Lu Cheng remained completely unmoved and uttered a soul-searching question: "Do you even know what you're talking about?"
A gentle breeze blows outside the window, rustling the leaves and casting dappled shadows that play with the eyes of two people, one by one, one by one.
Lu Cheng nodded, then shook his head: "Teacher Chen, to be honest, I don't really know much about this, so I would like to ask you this question."
Lu Cheng had never done scientific research and had not read much scientific literature.
Although I recently started reading, the reading volume is still very, very narrow.
Chen Song pursed his lips, then held back, but finally couldn't help but say, "A newborn calf is not afraid of a tiger. Do you think that what you, Lu Cheng, can think of, no one else can?"
"The current spleen-preserving surgery technique does indeed not fully realize the maximum advantages of suturing, but are these things simply beyond our understanding?"
Chen Song's tone and voice were slightly distorted.
His eyes burned like torches, piercing Lu Cheng's entire body, trying to see clearly whether Lu Cheng regarded everyone as idiots and morons.
Lu Cheng quickly shook his head: "Teacher Chen, I didn't mean that."
Seeing Lu Cheng's honest and unassuming expression, Chen Song said again, "I don't know what your purpose was in making these statements today."
"But I want to tell you that creating a second original work is much easier than creating a first original work."
"Don't think that just because you've made some improvements to tendon suturing techniques, you can start working on solid organs."
"The breakthrough from one hundred to one thousand is certainly difficult, as it is a tenfold increase, but the breakthrough from 0 to 1 is, in principle, an infinite multiple."
Chen Song couldn't just rely on PUA to manipulate Lu Cheng: "Of course, it's a good thing to have this idea, but we can be cautious and put it aside for now!"
"For example, let's set a small goal first, such as learning liver-preserving surgery. Once you understand the surgeries for the liver, gallbladder, spleen, and pancreas, we can come back and discuss this issue again."
"At this point, you might have new insights, and you might even find your current thoughts somewhat ridiculous..."
Chen Song not only rejected Lu Cheng's suggestion, but also gave Lu Cheng specific instructions on what to do next.
Only after you have a comprehensive understanding of all kinds of organ-preserving surgeries and have mastered them can you talk about 'originality' and 'improvement'!
After all, Chen Song genuinely treated Lu Cheng as a student, not just someone he nominally accepted. Chen Song had seriously taught Lu Cheng many things and even considered taking Lu Cheng under his wing.
Tong Yuan'an tried to stir up trouble many times, but Chen Song refused to budge an inch.
Although the current situation deviates from his original intentions, Chen Song doesn't hate Lu Cheng or get truly angry with him. If Lu Cheng chooses to reject Zhong Junyun for his own sake, Chen Song would actually think Lu Cheng is being immature.
Lu Cheng wasn't speaking without reason. After carefully listening to Professor Chen Song's words, Lu Cheng then took a very serious look at his own panel—
【专科术式:胆囊切除术(熟练10/10)、阑尾切除术(熟练10/10)、脾切除术(熟练10/10)、保脾术(专精0/20)、保胆术(专精0/20)】
[Basic skills in suturing: ...membrane suturing (proficient 9/10)]
【缝合系专科技能:改良kessler缝合术(专精0/20)、改良tang法缝合术(专精6/20)…脾实质缝合技法(入门2/5)…】
Specialized procedures, basic suturing skills, and specialized suturing techniques are different operations and skills.
After carefully reviewing the technical specifications on the panel, Lu Cheng mentally reviewed the sewing technique again, and only after confirming that everything was correct did he say:
"Teacher Chen, I have some ideas. When will you buy some pig offal? I'd like to cook it for you..."
Chen Song replied, "Of course!"
"Xiao Lu, let me tell you, failure is the mother of success. Any stitching technique you see now is actually the result of countless failures followed by a success."
"Every surgeon has their own understanding and insights into different procedures and surgical techniques."
"First you need to understand and grasp the concept, and then you can put it into practice. You may fail, or you may succeed."
"Like you did before, you immediately found the right way to improve your technique. That's called sudden enlightenment, and such moments are extremely rare."
Lu Cheng knew he couldn't explain it to Professor Chen Song now, but perhaps Professor Chen Song would understand something after they got hands-on experience:
"Teacher Chen, I would appreciate your guidance at that time."
"Okay, send it to me." Since Lu Cheng is still as fearless as a junior high school student, Chen Song won't suppress Lu Cheng in bed just to target him.
……
Pig spleen is a pig's spleen organ. It doesn't sell very well in ordinary vegetable markets and is usually quite cheap.
After receiving Lu Cheng's message, Mu Nanshu didn't know what Lu Cheng was going to do, but she was relatively free, so she went to three vegetable markets and bought a total of six.
As soon as Mu Nanshu got home, she sent Lu Cheng a screenshot, saying, "Aunt Hui just texted me saying she went to the market, but I'm home now!"
"If I had arrived twenty minutes earlier, I could have waited for her at the market."
Lu Cheng replied jokingly, "It's okay, my mom won't get lost."
Tian Hui was very quick and efficient at selling vegetables and dodging urban management officers.
Mu Nanshu rolled her eyes and then asked, "Why do you want to buy these pig spleens? Shouldn't you be buying pig trotters?"
"Practice surgical skills, pig's trotters are for practicing tendon suturing."
"This is how you should practice spleen preservation techniques." Before Professor Chen Song could confirm the effectiveness of this suturing technique, Lu Cheng didn't want to tell Mu Nanshu the truth.
After all, this kind of joke went too far and seemed a bit like showing off.
Once substantial evidence is available, Mu Nanshu will know everything.
"Oh, I'll ask again tomorrow. These should be available directly from the slaughterhouse!" Mu Nanshu had done animal experiments before and was quite experienced in this area.
“Okay, I didn’t even think of asking at the slaughterhouse,” Lu Cheng replied.
After replying to the message, Lu Cheng looked up at Professor Chen Song and found that Professor Chen Song was lying flat on his back with an expression of indifference to the whole world.
Lu Cheng actually wanted to ask Chen Song for more advice, but seeing Chen Song's expression, he hesitated and finally decided not to disturb Professor Chen Song's 'quiet'...
At 7:40 p.m., Lu Cheng, who had finished his meal, escorted Mu Nanshu to the entrance of Chengxin Square residential area.
Mu Nanshu noticed that Lu Cheng seemed a little absent-minded: "Why are you in such a hurry? You look a bit strange."
Lu Cheng thought for a moment before replying, "Go back and practice your skills. Otherwise, why would I have specifically sent you to sell pig tongues today?"
"I have my own plans! I'll tell you when things start to look clear."
Mu Nanshu nodded slightly: "Why are you being so mysterious? Then I won't ask you for now... But don't buy chocolate or anything like that, I'm on a diet..."
Mu Nanshu is a month younger than Lu Cheng. It's almost October, and Mu Nanshu thought Lu Cheng was preparing some kind of birthday present for her!
Lu Cheng was stunned for a moment, then understood what Mu Nanshu meant.
Looking at Mu Nanshu again, he was standing with his hands behind his back, taking measured steps, humming a song softly...
Lu Cheng returned home without stopping and immediately locked himself in his training room.
Lu Cheng glanced at his panel again.
This panel cannot be created out of thin air; technologies that Lu Cheng is completely unaware of will not be included.
However, it seems that this panel also has another capability: it can independently optimize, improve, and combine different skills.
For example, Lu Cheng had previously considered improving tendon suturing techniques, which resulted in an unnamed version.
In the days since returning, Lu Cheng has been thinking about whether he can incorporate suturing techniques into spleen preservation techniques, and the spleen suturing technique has come to mind.
After carefully recalling the methods Professor Chen Song had taught him for creating different AAST-score splenic rupture simulations, Lu Cheng began to make the incision.
Ten minutes later, four ruptured spleen specimens with an AAST grade IV were found.
Lu Cheng turned on the camera's recording button, and then began stitching...
"The first one failed."
"The second attempt failed."
"Third attempt, failed."
Lu Cheng could only add points to improve his proficiency in spleen suturing techniques to the proficient level.
"The fourth attempt failed again."
Lu Cheng remade the "specimen"!
The fifth and sixth attempts at the meticulous layered splenic suturing technique were finally successful, and Lu Cheng's expression instantly lit up with joy.
After sitting down, I took off my gloves and washed my hands.
After reviewing the entire video recording process again, I edited and packaged all the key parts of the video and sent it to Chen Song...
(End of this chapter)
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