16. Improved tendon suture technique
Hearing that Chu Liang was going to operate on the patient, Zhang Hu was the first to jump out and object.
"This is the basket that Li Mingwei poked out, why do we have to wipe his ass, Lao Chu, I tell you not to cause this trouble, let Li Mingwei find a way to solve it himself!"
This time, even Li Mengmeng, who has always been at odds with Zhang Hu, rarely helped: "Yes, Mr. Chu, the suturing of the tendon in the no-man's land itself is very complicated, this patient has failed the operation once before, the tendon must have been adhesed, and the difficulty of the second operation must be higher!" ”
Wang Tao moved his lips and wanted to say something, but seeing that the other two team members were so excited, he had a weak personality, and finally remained silent.
But Chu Liang glanced at him and said, "Say whatever comes to mind, this is the MDT treatment group, everyone can speak freely." ”
Only then did Wang Tao dare to express his opinion: "The second operation is not impossible, but the key to the problem is not adhesion, but to consider the strength of the suture." ”
"If the operation is still performed in the way of Director Li, the suture strength is not enough, no matter how many sutures are performed, the tendon will rupture under the high-intensity functional exercise, but if you don't exercise, the postoperative adhesions in the no-man's land will seriously affect the finger function."
"The fundamental problem is the surgeon's suturing technique."
Li Mengmeng clasped her hands on her chest, and looked at Wang Tao fiercely with a baby face: "You said it as if you didn't say it, the problem has been raised, what is the solution?" What suture technology can solve the problem of insufficient suture strength in uninhabited areas? ”
Wang Tao was so frightened that he shrunk his neck, the tall man who was almost 1.8 meters tall was afraid of a cute girl, which still looked a little funny.
"I don't know, I'm just expressing my opinion......" Wang Tao said weakly.
Zhang Hu snorted and said, "This kind of unconstructive opinion, don't mention it next time...... Lao Chu, I know what you think, if we do this operation well, it will indeed make Li Mingwei lose face, but to be honest, although Li Mingwei is a dog, his tendon suturing skills are really good, and we can't deny this. ”
"Even he can't handle the patient, we are more than ten percent sure, if the operation is done in our hands again, then the division of responsibility will be difficult to say, Li Mingwei fished in troubled waters, maybe he can throw all the responsibility on our heads."
Listening to the MDT members express their opinions, Chu Liang did not make a statement at the first time, but silently weighed it in his heart:
"What Zhang Hu said is very reasonable, once the MDT treatment team makes a move, the division of responsibility of the patient will be blurred, and according to Li Mingwei's character, he will definitely bite the MDT treatment group back."
"The MDT treatment group has just been established, and the hospital has already had an opinion on it, and maybe it will be banned directly for this reason, and the emergency ward will really not turn over."
"But then again, it's also a valuable opportunity."
"After waiting for a full ten days, Li Mingwei took the initiative to send the patient to the door, and the MDT treatment team had the opportunity to contact such a complex patient."
"If I miss it this time, I don't know how long it will take to have another chance to prove myself, not to mention that this patient happens to have a tendon rupture, which coincides with the A-level tendon suture awarded by the system......
This is an opportunity, but it is also a challenge.
Chu Liang had to face an old question at this time.
In the end, it should flash forward, and try to turn a bicycle into a motorcycle.
It's better to hold on to the waves and continue to wait aimlessly, hoping that the next precious opportunity will come soon.
No, as a doctor, I should have decided on the treatment plan in a more scientific way, rather than by flipping a coin...... Chu Liang reflected on himself and fell into deep thought.
The knuckles of the fingers unconsciously tapped on the tabletop, and the wooden table top sounded a dull percussion sound, which seemed to form some kind of unique rhythm at once, echoing in the minds of the other three.
Boom.
Knock knock.
Knock knock.
All three members of the MDT treatment team were silent at this point.
They put forward their own ideas and provided their own knowledge reserves, but in the end, the only one who could decide on the treatment plan was the leader of the MDT treatment group, Chu Liang.
This middle-aged man with gray temples and an elegant and calm temperament at all times is the absolute backbone of this team and has the absolute right to speak.
No one can doubt this.
Boom!
The last knock was powerful and heavy, which seemed to indicate that Chu Liang had made up his mind.
"Wang Tao, what suture method will your orthopedic department use for patients with tendon rupture?" Chu Liang asked.
Wang Tao replied without thinking: "Jinshita's double ferrule suture is the most advanced tendon suture technology in clinical practice, of course, there will be some special circumstances, which require special treatment in special circumstances." ”
Zhang Hu added: "Li Mingwei has used this technique, and he has been practicing for two and a half years, so it can be said that he is very proficient. ”
After two and a half years of practice, you're showing your feet...... Chu Liang glanced at Zhang Hu strangely, but quickly withdrew his gaze.
"Tsunoshita's double ferrule method suture...... Since Li Mingwei has a good grasp of this technique, it can only show that this technique seems to be somewhat inapplicable to tendon suturing in no man's land. ”
Chu Liang said in a deep voice: "So if you want to operate on this patient, you must change to a new tendon suturing technique, which has a higher suture strength and can meet the needs of high-intensity functional exercise in the early postoperative period." ”
Wang Tao nodded like a chicken pecking rice: "Yes, that's the truth......"
After speaking, Wang Tao glanced at Zhang Hu with a weak heart.
Zhang Hu stared at the big eyes and said viciously: "What are you looking at? ”
Wang Tao muttered in a low voice: "What Teacher Chu said, is it considered a constructive opinion?"
The Tsushita double ferrule suture is already the most advanced tendon suture technology in clinical practice, and it is necessary to change to a new technology, and it is stronger than the Tsushita's double ferrule suture...... Isn't that a lack of constructive advice?
Zhang Hu's big eyes dripped: "Of course...... No, Lao Chuti's suggestions are all built, do you understand, rookie? ”
"Ming, understood." Wang Tao nodded, the one-meter-eight hemp pole figure looked weak and pitiful and helpless at this moment.
Chu Liang said at this time: "There is a modified tendon suturing technique, which has greater tensile strength than the Jinshita double ferrule suture method, and I think it is very suitable for the current patient's surgery." ”
Modified tendon suturing technique?
New technology?
Wang Tao has worked in the Department of Orthopedics for several years, and he knows a lot about tendon suture technology, and he has heard a lot about new technologies and new advances in clinical practice, so when he heard Chu Liang mention the new technology, he immediately wondered: "Teacher Chu, I don't know what kind of improved new technology you are talking about?" ”
Chu Liang pondered for a moment and replied, "Tang Method Suturing Technique." ”
Wang Tao was stunned for a moment, looking around blankly, but saw that the other two MDT members were also full of confusion and incomprehension on their faces.
Soup suture?
What is this?