When the Doctor Uses A Hack - Chapter 258
Chapter 258: Chapter 259: Sudden Change!
In the operating room, Chen Cang was no longer a stranger, and the young nurse smiled at him with squinted eyes when she saw him.
Chen Cang felt honored and quickly reciprocated with a smile.
However… why did that nurse always seem to have teardrops in her eyes?
Xing Yu’s assistants, relatives, and the company’s staff were not allowed to enter the operating room, to ensure the smooth progression of the surgery.
After the anesthesia, the surgery began promptly.
Wang Yushan’s movements were clean and decisive without any superfluous actions. Compared to himself…
There was less flashiness but more efficiency.
Chen Cang seemed to discover that he had many unnecessary movements during surgery.
It wasn’t that these movements were beneficial, but rather that eliminating them could reduce interference with the surgery and invisibly improve its stability.
And Chang Honglei was the most cooperative. Her coordination with Wang Yushan was very strong, the two of them basically achieved seamless transitions, and Director Tan Zhonglin was no exception, each displaying their brilliance!
The trio’s surgery provided a thrilling and exhilarating pleasure!
Chen Cang was extremely energized watching from his spot.
There is a big difference between watching videos and observing on-site.
It’s like watching a football game. Television might give a clearer picture, a macro perspective, commentary, and so on…
But the atmosphere and impact of being there in person are something you can never experience through a screen.
So, being brought into the operating room by Tan Zhonglin, Chen Cang was very grateful.
In the operating room, the three worked methodically. Before suturing the tendon, all surrounding damaged tissue must be completely cleared!
Because these are potential sources of future adhesions.
At this moment, Director Chang Honglei’s capabilities were evident. She was precise in handling details, micro-manipulations, and the various influencing factors, essentially considering every element that could affect adhesions!
In this respect, Wang Yong and Director Chang had some similarities.
In fact, everyone has their strengths and weaknesses. Only when we magnify our strengths and continuously improve can our true value be realized.
Having spent some time together recently, Chen Cang realized that Wang Yong had a precise grasp of details. During the initial learning of the small incision, Wang Yong was the first to master it. It was not only because he had more exposure, but also because Wang Yong was very attentive to details and adept at contemplating them!
At this time, Chen Cang felt a sense of regretful exasperation for the surgeons at the Second Provincial Hospital; after more than a month, wasn’t there a single person who had learned minimally invasive laparoscopic techniques?
The hospital’s research project was about to be approved, and this group still had not learned; who would take on the project then?
The most crucial thing was that his own reward had yet to materialize…
In the conference room outside, everyone was watching the surgery video, discussing it amongst themselves. The only advantage here was the abundance of people, which facilitated mutual consultation and discussion.
Such an atmosphere was quite nice as well.
The surgery continued normally.
Chen Cang felt confident that if they continued at this pace, they would be successful.
However, the most critical part, the tendon suturing, had not yet begun.
Chen Cang was also eager to know which suturing technique Director Wang Yushan would use.
The three tendons were respectively delineated as the radial border with the extensor pollicis longus and the extensor pollicis brevis tendons; the ulnar border with the extensor pollicis longus tendon.
These three tendons determine about sixty to seventy percent of the thumb’s functionality, and the thumb is the most, most, most important finger. Without the thumb, ninety percent of everyday tasks can’t be done. You can try it—what can you do without your thumb?
The tendon of the abductor pollicis longus is relatively thick, and the choice of suture must take into account factors such as the tension in the abductor pollicis longus.
After all, it is necessary to consider the tendon’s repair process during early movement and exercise. If a two-strand suture is used, such as the Kessler and Tsuge methods, there is a high probability of rupture, which would not meet the requirements for early postoperative active and passive exercises.
However, four-strand, six-strand, or even eight-strand sutures can be used.
Of course, more is not necessarily better. As long as it meets the requirement for early exercises, that’s enough—basically, four strands are adequate.
Selecting a simple suture method that maintains the mechanical properties of a multi-strand group suture is the optimal choice.
Wang Yushan used the Bunnell suture method for the first tendon, which is very good because it doesn’t leave foreign bodies inside the tendon, preventing adhesions within the tendon, but… this type of suture is quite complex, and it demands a high level of skill from the surgeon!
As he took the double-needled tendon suture, Wang Yushan held his breath, inserted the needle obliquely towards the far end from one side of the tendon, passing through the tendon center and emerging on the opposite side—all these actions had to be seamless.
Even he did not dare to be the slightest bit negligent!
To tell the truth, at this time, although others perceived Wang Yushan to be calm and composed, he was actually extremely uneasy on the inside. It felt like defusing a bomb!
He had to be careful and cautious, as a tiny misstep could lead to a grave error.
The breathing of the three people was very subtle, feeling the touch transmitted from the tendon, Tan Zhonglin’s eyes were meticulous.
This suture technique yielded a repaired tendon junction with high tensile strength, but a moment’s inattention could cause a narrowing at the tendon’s suture point, resulting in poor local blood supply, which would in turn be detrimental to tendon healing.
Therefore, all three of them had to be extremely cautious!
“Director Chang, pull it a bit, let me feel it,” Wang Yushan said.
Chang Honglei nodded, tugged gently with the tweezers, felt for a moment and said, “Director Tan, you cut the suture ends, pull on the right side.”
Tan Zhonglin nodded and was about to pull when he suddenly felt an empty sensation!
A tiny plop, barely audible, but all three heard it!
This faint sound, however, exploded like a thunderclap in the minds of the three surgeons.
The three, originally prepared to proceed with the operation, instantly dared not move!
The tendon had sustained a second-degree injury, and the suture had broken!
They had already seen that there was a crack in the area where the tendon was being sutured, which was not there originally. However, during suturing, the suture needle could also damage the tendon! This kind of injury might often be negligible, but at this moment… a problem had occurred.
Another reason could be tendinitis.
The tendon, after long-term excessive friction inside the tendon sheath, became swollen, causing chronic injurious inflammation of the tendon and tendon sheath.
Wang Yushan spoke gravely, “Xing Yu often plays the piano, and his thumb moves frequently. The radial styloid process has a narrowing tendinitis, and the suturing just now already had problems. Our choice wasn’t quite right!”
This acknowledgment that something wasn’t quite right sent a shiver down everyone’s spine!
Just a few simple words had reduced the success rate of the surgery to well below eleven percent!
Xing Yu, seeing the expressions on their faces, couldn’t help but be startled…
“Director, I…”
Looking at the serious faces of the three, with worry filling their eyes, Xing Yu felt like his heart had plunged into the abyss.
This was just one problem after another!
