Chapter 49: Are You Teasing Me?
Chen Gong's words immediately blinded everyone around.
Especially Chen Gong's tone just now......
Apparently a little surprising to the big guys.
Dr. Chan ...... Seems confident!
The leaders of the SASAC glanced at Chen Gong with a little curiosity in their eyes.
Seeing this, Li Sicheng hurriedly said to Chen Gong:
"Dr. Chen!"
"That's right, the patient's condition, it's a bit serious."
"After all, this is the first surgery we have performed to repair brachial plexus injuries."
"Whether it's from word of mouth or from all aspects, the impact is relatively large."
"What we want to say is...... What do you think of this surgery? Or rather...... What are your expectations for this surgery? ”
Li Sicheng's words were very tactful, and at other times, he would definitely ask Chen Gong, how sure are you?
But now, everyone is on the scene, Chen Gong is a rising star in the hospital, and Li Sicheng also has some expectations for Chen Gong.
Therefore, this operation, he means: seek stability!
Do not seek merit, but seek no fault.
Li Sicheng knows very well that the province will also pay some attention to this operation.
Because every year, whether it is a major coal mine, or some industrialized industries, such as iron and steel mills, Shandong Iron and Steel Plant, and heavy machinery factories......
In these places, there is still a great need for similar nerve damage.
As the saying goes, the greater the expectation, the greater the disappointment.
Chen Gong can complete the operation, it must be better.
But...... If it doesn't achieve the desired effect, many people will be disappointed.
So Li Sicheng is actually hinting at Chen Gong.
As Li Sicheng finished speaking, the attention of everyone around him was also focused on Chen Gong at this time.
Seeing this, Chen Gong directly picked up a piece of paper in his hand.
"When you talked about it just now, I gave some thought about the patient's situation."
"By the way, I also designed the surgical plan."
"I think...... The difficulty of the operation is not too high. ”
"I don't think it's realistic to say 100% sure, but ...... There is a probability of eighty or ninety percent, and there are still not too many problems. ”
Hearing Chen Gong's words, everyone was stunned.
Eighty or ninety percent probability?
That's high, okay?
No, it's a pervert!
At this time, Zhu Tao, the mine manager, couldn't help but hurriedly asked: "Doctor Chen, take the liberty of excuse me." ”
"I don't know how to treat this situation, but I ...... I've seen too many of this. ”
"What I want to ask is...... Do you say that this probability of eight or ninety percent is a successful treatment, or is it ...... Heal! ”
"I remember that when you had surgery, there was a judgment of curative effect, recovery, significant recovery...... Heal...... Wait a minute. ”
"None of this is the same."
"What level is your eighty or ninety percent probability of recovery?"
Chen Gong laughed: "It's a cure!" ”
"At that time, it was impossible to recover immediately after surgery, and it took a period of recovery."
"After all, it's about nerve recovery technology."
Hearing Chen Gong's words, Zhu Tao's eyes suddenly lit up.
Because the employee at the beginning, in Tiantan Hospital, also said the same.
But......
The other party is not eighty or ninety percent sure!
At this time, Zhu Tao looked at Chen Gong and said lightly: "I support Dr. Chen's decision." ”
At this time, the leader of the SASAC hesitated for a moment and nodded.
"Since Xiao Chen is very confident, we have no reason to refuse him!"
"Or ...... Give it a try! ”
Now, when everyone sees the words of the leaders of the SASAC, they all know that this operation is imperative.
Although Jiao Liming on the side is Chen Gong's director, on such an occasion, he really doesn't have much right to speak.
Whether it's status, or technology.
He couldn't find a place where he should speak.
But on the other hand, Chen Gong now has the right to decide on surgery.
This is a bit ...... for the director to do Cold!
Of course, Jiao Liming was not in the mood to think about these things at this time, and the most important thing was ...... He also knew very well in his heart that Chen Gong was indeed powerful.
It's just that he, the director, feels a little transparent, which makes Jiao Liming a little crying and laughing.
That's it!
Li Sicheng took a deep breath, stood up, and said to Chen Gong:
"Good!"
"In that case!"
"Let's not hesitate."
"Chen Gong, you are now preparing for surgery immediately."
"I want you to do your best to make the surgery perfect."
Chen Gong nodded in response, got up and left the conference room.
Truth be told, what he wants to do more than stay here is to figure out the details of the operation.
After Chen Gong returned to the office, he immediately began to organize the personnel involved in the operation.
Zhao Xi must go, not only in terms of appearance, but most importantly, in his partner with Chen Gong, the other party is very adaptable and has a high degree of fit.
In addition, it is Yang Hui.
Yang Hui is an all-rounder, but ...... It's a whole dish too!
He had been in the emergency department before, but ...... I can order everything, but I am not proficient in anything.
Stitching is the best part.
However, after getting along during this time, Chen Gong also found many advantages of Yang Hui, that is...... The associative ability is very good, and the surgical perception is high.
This also made Chen Gong think more about cultivating.
This operation does not require too many people to be involved.
Because the difficulty of the operation, or the key point, is not in other people, but in the technique of nerve anastomosis.
This technique, as simple as it sounds, does not look difficult.
But it's hard to operate...... But it's very high, very high.
The first is to anastomosis according to how the other nerves are displaced after the nerve is destroyed.
This is equivalent to the "revascularization theory" in disguise.
That's right!
Nerve function also has to be rebuilt.
After all, after this brachial plexus injury, many nerves are avulsion, and this kind of injury is extremely damaging to the nerves.
What was originally broken may really not be usable anymore.
And the blood vessels, at least there are still "artificial blood vessels" instead.
Leave aside the after-effects and others.
But at least it works with stitching.
Barrier-free!
And the nerves are different!
Now science and technology don't look at the rapid development of science and technology, but ...... When have you ever seen an artificial nerve?
If only someone could make an artificial nerve.
The position of the richest man in the world will definitely change.
After all, this technology is too perverted.
The nervous system itself is the most complex system in human beings.
If someone can really accomplish this feat, what artificial intelligence will directly become a human brain.
Far from it!
Therefore, the repair of nerve damage requires the rebuilding of nerve function, which requires the search for a suitable replacement nerve to complete.
The difficulty of the operation will naturally increase a lot.
Secondly......
It's an unpretentious anastomosis.
There's really nothing to say about that.
Nerve anastomosis, like vascular anastomosis, has too many horizontal layers.
……
"Zhao Xi, Yang Hui, follow me for surgery in a while!"
Hearing Chen Gong's words, Zhao Xi and Yang Hui stood up, their faces solemn.
They all know exactly what they're going to do today!
Because since the arrival of that patient, there is only one center of gravity in the third emergency department today!
Similarly, everyone is also very clear that today is an assessment to test Chen Gong's skills.
Therefore, the eyes of everyone in the office at this time looking at him are a little complicated.
Chen Gongruo really succeeded this time!
His position in the Third Emergency Unit will undoubtedly sit firmly.
As for what bullshit Liu Fengxin?
Hehe...... It's a good thing he's not there.
Even if he comes back, it's really hard to say whether there is a place for him in this department!
And most importantly......
Everyone discovered Chen Gong's influence, and unconsciously, they were all improving.
Xu Mao, the leader of the second group, wanted to see a trace of nervousness on Chen Gong's face, but after a long time, he shook his head.
Not to mention being nervous, he didn't even see a trace of worry in Chen Gong's eyes.
What does that mean how confident he must be?
……
At this time, Chen Gong took someone to the operating room.
And Zhu Tao and Li Sicheng were not idle.
Ever since Chen Gong made up his mind to perform this operation in the future.
The number of people paying attention to this operation has suddenly increased considerably.
Li Sicheng is also a bold man.
Originally, he was still thinking about whether Chen Gong could complete the operation, but now he sees Chen Gong full of confidence.
Many experts from orthopedics and neurosurgery in the province were immediately invited to observe and identify the effect of the operation.
Li Sicheng didn't know Chen Gong, but he knew Zhao Lei.
Since Zhao Lei said that as long as Chen Gong is sure, there must be no problem.
That's it!
Jiao Liming was a little worried at this time, and he couldn't help but ask Li Sicheng:
Dean Li ...... This...... Isn't it too much of a hurry? ”
"Someone was invited to watch the first operation......
"What if Chen Gong can't be satisfied?"
Li Sicheng looked at Jiao Liming, and after staring at it for a long time, he smiled:
"Don't worry!"
"We've never had a way back."
"At the moment, the reputation of the market for us is already terrible."
"This is clearly a powerful opportunity to turn around."
"I don't know how long I'll have to wait if I miss it."
"Besides, we're already on the wrong side, and it's okay to lose, but what if we win?"
"This time, the leaders of the State-owned Assets Supervision and Administration Commission are also there, and although the valley mining area has a lot of money and has given us so much money, it is ...... They are also looking forward to a good return. ”
"The leaders of the State-owned Assets Supervision and Administration Commission want to see this operation, and Zhu Tao has also invited many mine managers, all of whom are observing."
"I think it's an opportunity!"
"Okay, you don't have to worry about this side of the matter, you can cooperate with Chen Gong to complete the operation."
Hearing Li Sicheng's words, Jiao Liming nodded and left.
It's just that......
He didn't notice that when he left, Li Sicheng kept staring at his back, not knowing what he was thinking.
Actually, this is not an accident.
The reason why Li Sicheng stared at Jiao Liming naturally had his considerations in his heart.
Is Jiao Liming capable?
Yes!
A person who can be the deputy director of the Sanjia Cardiovascular and Cerebrovascular Hospital is naturally powerful.
But......
People who have been deputy directors for a long time actually have some significant shortcomings.
Jiao Liming has more than enough to keep and not enough to develop.
In fact, such a person is difficult to entrust with important responsibilities in the current emergency center hospital.
Li Sicheng's best candidate for director in his heart is actually Chen Gong.
After these few incidents, Chen Gong never let him down.
But!
Chen Gong is too young.
Many things are not as smooth as Jiao Liming's handling.
Moreover, Chen Gong still needs a growth period, which is Zhao Lei's advice to him.
Thinking of this, Li Sicheng shook his head.
Jiao Liming is still the most suitable director at the moment, Chen Gong, and he still needs some growth.
No hurry!
What's more, Jiao Liming and Chen Gong get along quite well.
……
……
At three o'clock in the afternoon of the same day.
Shanhe Provincial Emergency Center Hospital.
In the conference room outside the operating room, there were many people.
At the front is a group of experts in the province who are good at nerve anastomosis.
Among them are Qin Xuehai, Hu Wenxun and others.
There is also Su Jianqun, an expert in neurosurgery and an expert in cardiovascular and cerebrovascular neurosurgery.
Su Jianqun is a knife in neurosurgery in the province.
He is very authoritative in this field.
At this time, Su Jianqun and Qin Xuehai were sitting on the side, talking and laughing.
After all...... Su Jianqun is also an outstanding talent cultivated by Sunward Medical University and an honorary alumnus.
Now that I see Chen Gong in surgery, I am also looking forward to it a little more, and my eyes are also very pleased.
Facing Qin Xuehai on the side, he smiled and said:
"Hehe, President Qin, this Professor Chen is really a talent!"
"I'm really happy to see the school thriving."
"I hope that the school will get better and better under your leadership!"
Qin Xuehai smiled slightly: "If there are more talents like Professor Su, I will definitely worry about it, haha......"
Having said that, Qin Xuehai was actually a little worried about today's surgery.
After all, brachial plexus injury is not easy.
There are not many people in the province who do a good job.
And behind their group of experts are mine managers from many coal mines.
In fact, they don't know anything about surgery.
But......
It's just that...... The eyes of the crowd, looking at the big screen, were a little uneasy.
"Lao Zhu, can this really work?"
Zhu Tao smiled: "I don't think it's a big problem." ”
"Look at it!"
"If they can really succeed, let alone five million, what if there is more?"
"We know our own situation."
"There are a lot of injured people every year, and this is a big trouble."
"Now that coal mine safety education is getting worse day by day, there are more and more safety requirements for miners, and if Dr. Chen can really succeed."
"That's really good news for us!"
Zhu Tao's thoughts are like this, and he said it without hesitation.
It's just that...... Everyone still doesn't trust the emergency center hospital.
However, at this time, the operation was about to begin.
……
Chen Gong looked at Zhao Xi and Yang Hui on the side and said.
"Today's surgery doesn't require you to do much."
"It's mainly for me to do some chores."
"However, I will explain to you the process of the operation."
"There are three principles for dealing with this kind of brachial plexus injury, or nerve damage in other areas!"
"First, neurolysis, this is the basic operation, you learn as much as you can!"
"The second point, nerve grafting, just understand this."
"The third point, nerve transfer, just look at this, the main thing is to rebuild nerve function."
"However, there is only one core of surgery, and that is the repair process of nerve damage."
After finishing speaking, Chen Gong directly picked up the scalpel.
He nodded at the two of them.
After the anesthesia took effect, Zhao Xi skillfully exposed the area on the side, and after disinfection, nodded.
One aspect of Chen Gong that Chen Gong admires Zhao Xi is that he never expresses himself.
Zhao Xi is a perfect assistant and partner.
Maybe her surgery didn't look so amazing.
But!
Don't doubt her level of assisting, this is a careful, caring female doctor.
If Chen Gong said that he couldn't do without Zhao Xi, this would not be a bit exaggerated.
But......
If Zhao Xi is present, Chen Gong's performance can increase a lot.
Because of Zhao Xi's assistant, he did a good job!
For example, now, Chen Gong only needs to cut it.
At this time, the patient's wound had been exposed, Zhao Xi had finished cleaning it, and Chen Gong had cut it layer by layer.
The patient suffered a fracture of the brachial plexus because of the flying stones.
At this time, Zhao Xi had fully revealed the two disconnections near the distance.
At this time, Chen Gong also clearly saw the broken tissues and nerves.
Scar tissue has been created here.
Chen Gong raised the knife and directly said that the scar tissue at the broken end was removed.
Make the severed end of the nerve have a fascicular mammary 1 head clearly visible.
Here, it's very simple, because the two broken ends don't have much pressure and can be operated simply.
As required, the two severed ends can be sutured with a hydrocele without tension.
However, most of the fascicles at the brachial plexus are mixed, so peritoneal sutures are not necessary.
All you need to do is suture the nerves together.
This nerve can only be said to be not serious.
But......
Even so, it's important to remember.
At the end of the last century, the effectiveness of brachial plexus injury repair has been disappointing.
Even at the SICOT Paris meeting, the technology was discussed for a week.
It's still prohibitive!
Even if it's a simple nerve anastomosis.
In fact......
In many cases, it is also difficult.
Why?
If the blood vessels are rough men and the tendons are goddesses, this nerve is really a hypocrisy.
As the three major stitching monsters.
Nerves have their own unique urine properties.
Even today, the success rate of neuroanastomosis is not particularly high at present, and it often produces a certain amount of discomfort.
Because nerve anastomosis will inevitably produce scarring, of course, this scar may be large or small, so it will prevent some nerve transmission and reduce some changes in nerve function.
But......
Chen Gong has some new solutions.
After he got the nerve injury repair technology, his understanding of nerves is actually very profound.
And most importantly......
Chen Gong's expert-level lv5 neural anastomosis technology has unique properties.
[Nerve repair technology: lv5, unique effects: 1. subtle; 2. Minimally invasive. 】
Nerves as hypocrisy.
It's hard for him to serve.
And the subtle operation makes the anastomosis of the nerves a little more space under the microscope.
Other than that, it's minimally invasive.
Blood vessels can be as non-invasive as possible because they grow quickly.
However, nerves are difficult to be non-invasive, and to a greater or lesser extent, they will be damaged.
So, minimally invasive is already the best effort.
At this time, the eyes of many people outside have been staring at Chen Gong tightly at this time.
And Chen Gong is not in a hurry.
After the octax mirror is adjusted.
Chen Gong said directly: "9/0 line! ”
Hearing this, Su Jianqun outside was stunned.
And not only him, but also the specialists of the first rows!
Because......
Nerve anastomosis, although it is said that the finer the better, but ...... Basically, it is used from 4-9/0 lines.
The most clinically used is still No. 7.
And Chen Gong directly chose No. 9-0, which was obviously a bit unexpected.
This thread is not even a fifth of a hair!
What is this concept?
Basically, you may not even be able to see the threads clearly when you are anastomosed.
Moreover, the finer the anastomosis, the better.
Thinner means more stitches, which is not a good thing......
Nerve sutures, although characteristic, ...... The thicker ones will be more tense.
If they need 2 stitches, 9-0 may need 4 or 5 stitches.
That's the gap!
Moreover, the more the needle is inserted, the greater the damage.
For a while, more and more people looked at Chen Gong seriously.
At this time, Chen Gong was very calm.
The suturing of the nerve requires several processes, the first of which are three types: epineurial suture, perineurial suture and epineurial perineurial suture.
Subsequently, after the nerve is anastomized, it is placed in healthy tissue and the incision is sutured layer by layer.
At this time, Chen Gong started the operation directly against the outer membrane.
His needlework is fast!
Under the microscope, Chen Gong has become as smooth as possible.
The perspective of the people outside is under a microscope, so ...... At first, they were stunned.
"What a fast stitching speed!
"Nope! No! No! That's not the point! You look at his foothold, and the needle inlet, it's unbelievable! ”
"Amazing, how could he have such a delicate operation when he advanced the needle, and directly avoided the damage to the nerve bundle."
"Not only that, you see, there are four or five stitches, right? Why is the damage so much! ”
……
For a while, the discussion of the surrounding people became louder and louder.
Everyone was really shocked by Chen Gong's operation.
Although the surgery has not yet reached the most critical stage of nerve displacement.
But!
This begins with nerve sutures.
Directly made everyone present who was proficient in this way couldn't help but give a thumbs up and exclaimed!
In fact!
This moment......
Su Jianqun and Qin Xuehai were both a little stunned.
The two of them didn't expect that Chen Gong's skills were so high!
Both of them had brachial plexus repaired.
But......
Compared with Chen Gong's elegance and technical difficulty of stitching with 9-0 lines, their technology is really ...... It's hard to put into words.
Even!
It can be said that Chen Gong is not doing surgery at all.
It's dancing.
What is the meaning of "meticulous"!
This is the superb technique of neuroanastomosis!
For a moment, Su Jianqun couldn't help but swallow his saliva and looked at Qin Xuehai:
"Old Qin ......"
"This Chen Gong, is it so powerful?"
Qin Xuehai also swallowed his saliva and said seriously:
"I ...... He ......"
"A month ago, he definitely didn't know how to anastomosis."
"Really, he definitely wouldn't!"
Su Jianqun: ???
Are you kidding me?
……
(End of chapter)