Chapter 69: Taught!
At this moment, the Department of Hand Surgery of the First Affiliated Hospital of Shanhe Medical University.
There was silence in the office.
Everyone's attention was focused on the two industry leaders in the room.
On one side is Qiao Dingcai, director of the Department of Hand Surgery from the Affiliated Hospital of Nantong Medical University and a member of Professor Tang Jinbo's team.
On one side is Lin Zhanhai, director of hand surgery from the Sixth Hospital of Magic City and vice president of the National Association of Hand Surgeons.
The two are definitely representatives of the leading figures in the industry.
Lin Zhanhai is more famous than Qiao Dingcai, and even more influential, and the vice president of the Medical Doctor Association for two consecutive terms has made him more influential in the industry.
Temporarily, Lin Zhanhai's age is also two years older than that Qiao Dingcai.
It can be said!
The evaluation of this operation depends entirely on the two people observing the patient and making a decision.
Wu Baocheng is a veteran employee of the Heavy Machinery Factory.
Similarly, it is also a model worker of the national craftsman spirit last year, who is obviously a worker from a workshop, but can show the spirit of a great craftsman in a world-class competition.
Wu Baocheng, 55 years old this year, is an employee of Sunward Heavy Machinery Factory, who was originally just a worker, and is now the manager of the maintenance department of Sunward Heavy Machinery Factory.
It is also an equipment procurement consultant of Sunward Heavy Machinery Factory!
Wu Baocheng, who entered Sunward Heavy Machinery Factory at the age of 16, dedicated his 40 years of life to the workshop.
From a worker to an equipment procurement consultant, he is also a model of "Top 100 Craftsmen" selected by the state last year.
And Wu Baocheng's most powerful thing happens to be those hands!
Wu Baocheng's hands are definitely one of the most precious treasures of Sunward Heavy Machinery Factory!
Outside the office at this moment.
Li Zheng, the director of Shanhe Heavy Machinery Factory, is bleak!
"Lao Li, don't worry, these two are experts invited from Shanghai and Nanchang, no problem!"
A leader on the side comforted.
Hearing this, Li Zheng couldn't help but say:
"Hey!"
"To tell you the truth, Lao Zhang, you really don't understand the importance of Lao Wu in our minds!"
"He has been the head of the maintenance department for 20 years, and in these 20 years, it is no exaggeration to say that Lao Wu has saved us nearly billions of dollars, and the same ...... It has also created more than 3,000 jobs for the heavy machinery factory! ”
"Do you think those pianists are amazing? Buying insurance with one pair of millions or tens of millions? ”
"I'll tell you!"
"Lao Wu's hands are dozens of times more powerful than those pianists!"
"These hands broke the maintenance patent of German heavy machinery equipment in the early years, and this expense alone is hundreds of millions!"
Speaking of which, everyone on the side obviously didn't believe it.
And Li Zheng took a deep breath and shook his head: "At that time, I was still the workshop director!" ”
"At that time, we had just introduced the HFG-3300 assembly line, and after several countries competed at that time, we chose Germany, and the 3300 was definitely the industry-leading class, but ...... At that time, we had limited funds in the factory, so the equipment we chose only cost 30 million US dollars, and the foreign exchange reserves were limited at that time. ”
"However, the equipment money was saved, and later ...... We're in big trouble, it's such a behemoth for maintenance and upkeep and repairs! ”
"One million dollars!"
"Hey, at that time, the foreign exchange reserves were already limited, and the cost of every repair was a huge expense!"
"It's Lao Wu, this front-line worker, he has a natural sense of smell for machines, and those hands are even more amazing."
"He just patted and touched it, and he could really find the place, and those hands were really dexterous, at that time, Germany did a lot of concealment and even dangerous defenses in order to prevent us from opening the equipment, but ...... They were all resolved by Lao Wu one by one! ”
"That's when it starts!"
"We never invited the Germans outside."
"Huh...... Even during the meeting, the group of Germans was surprised what the hell was going on! ”
"Do you know? That 3300, twenty or thirty years later, is still working! ”
"This is the value of Lao Wu!"
"Moreover, he will not only find problems, but also solve problems, and his improved equipment will be sold internationally, and he has created an export for us for the first time!"
"Lao Wu has been in the factory for so many years, but he has added more than 120 patents to the factory!"
"Tell me, can I not worry about such a person?"
"To put it bluntly, the heavy machinery factory can do without me, but ...... Only you can't live without Lao Wu! ”
As soon as these words came out, the surrounding people and leaders were all speechless.
No one thought that the man in the room with his eyebrows constricted, a cigarette in one hand, a gray overalls on his body, dark skin, and dressed like a worker, would be so powerful!
Li Zheng looked at the provincial leaders with a solemn face, and hurriedly said:
"Lao Zhang, I beg you!"
"Really, decide as soon as possible."
"Find us a top-notch, reliable, trustworthy hand surgeon!"
"Now there are several factories under the heavy machinery factory, and there are some cases of finger injuries from time to time."
"But do you know how difficult it is to train these experienced and skilled front-line workers?"
"It's cured, it's cured, but it'...... One by one, they can't get on the assembly line at all. ”
"These workers are experienced, have a fierce eye, and the kung fu in those hands is tempered by thousands of hammers."
"We have been cultivating for many years, and an accident is ruined."
"We also have hand surgery in the province, but ...... This is not the hand surgery we want. ”
"What we need postoperatively is not to say completely abundant, but...... It will not affect the life and work of surgical specialists! ”
"If you are short of money, we can come out of the factory."
"We've already negotiated this matter......
Zhang Chun couldn't help but sigh: "Isn't this what you've been looking for?" ”
"You see, these two experts are specially invited by us."
Li Zheng waved his hand: "Okay!" ”
"Don't say anything, our old Wu, but the treasure of the country, the wealth of the province, you must go all out!"
"If you fool people like before again, don't blame me for turning my face and not recognizing people."
"How many outstanding employees in our factory have been ruined for the future, and now they can only retire in the factory."
"If this old Wu has any three longs and two shorts, I will definitely ...... Absolutely ......"
"Humph!"
Li Zheng was angry in his heart and had nowhere to vent his anger.
He has already asked the province more than once to report this matter.
It's been many years!
But...... I don't pay attention to it at all!
Every time, I shirked it.
Every time, I say that it is good to build an excellent security system and related supporting facilities.
As a result, it's the same every year!
Li Zheng himself was a college student in the nineties, and from the grassroots all the way to the factory director, he even spent far more time in the workshop than in the office.
In the words of the factory, Li Zheng is the most powerful workshop director.
Therefore, Li Zheng's biggest wish for so many years has never been to be promoted to become rich, but to hope that those old employees in the factory will have more security in the future.
But there is no way to solve such a small problem.
It's fake that Li Zheng is not angry!
Heavy machinery factories are not small units.
It turned out to be a state-owned enterprise, and its name was North China No. 2 Heavy Machinery Factory, and even in the early years, many equipment for domestic missiles were produced here.
After the era of great development, it was renamed Sunward Heavy Machinery Factory, but it served as an important base for large-scale equipment in China.
Outside the office, there was gloom and gloom, and people were panicked.
Inside, however, there was also great anxiety.
Only Wu Baocheng, who was sitting there, had the best mentality.
I always couldn't help but ask: "Doctor...... Can I go out for a cigarette? ”
This is the sixth time he has asked a question.
Faced with such a problem, Qin Xuehai had long been numb.
"Smoke it, smoke it, smoke it in the office."
"Xiao Zeng, open the window!"
For this special object, Qin Xuehai can only be treated specially.
He didn't know that after the accident, Wu Baocheng's heart was the most painful.
As a person whose collective sense of honor trumps his own, he has dedicated his life to the heavy machinery factory.
"Hey, expert, don't worry."
"I'm so old, I know it in my heart."
"If you can pick it up."
As he spoke, Lao Wu spit out a puff of cigarette fiercely.
At this time, not only him, but even Lin Zhanhai also anxiously consulted everyone at this time, and lit a cigarette.
Don't think doctors don't smoke.
Inside the surgical office, smoke fills the air.
It's just that you can't smoke around the ward and affect everyone.
Lin Zhanhai also wanted to cure Lao Wu perfectly at this time.
However, this old Wu finger was broken three times, and the index finger, middle finger, and ring finger were all broken.
Moreover, the wound is not a regular wound, which means that it is difficult to suture.
Because tendons, nerves, and blood vessels are all elastic.
If the wound is damaged too much, it will not be well connected at all.
If the tension is too large, it may even break, causing secondary damage.
This is true for tendon nerves!
The tendon suture method also requires tension.
In particular, the Town's tendon suture method.
As the world's leading tendon suturing technology, he does have many advantages.
For example, it can reduce the time and recovery time of surgery, and it can also reduce the risk of surgery.
Compared with traditional tendon repair methods, Tong's tendon suture method can better protect the integrity of the tendon and reduce complications after surgery.
In addition, since this method does not require tendon cutting and pinning, it can reduce the operative time and postoperative recovery period.
However, this world is destined to have nothing perfect.
There is also a big problem with the Tong's tendon suturing method, which is the problem of tension.
If you want to use the Thom's tendon suture method, you must evaluate the wound.
Only when the length, elasticity, and tension are maintained within a certain value can the operation be performed perfectly.
In the operating room, everyone was frowning.
And Qiao Dingcai was even more at a loss.
The Tong tendon suture method that he is best at seems to be useless at this moment!
Qiao Dingcai is not a mediocre talent, and couldn't help but say:
"I think we can use the Bunnell burial suture method, so that when we repair the ruptured tendon, we can choose a V-shaped fish mouth and then use a traction thread to ......."
"No, Bunnell burial sutures are legal, and thick and thin tendons need to be shuttled, and crochet will also cause secondary damage to tendons, although it can be treated, but it is completely impossible to cure!" Lin Zhanhai immediately refuted Qiao Dingcai's words.
"This doesn't work, that doesn't work, what the hell is going on? It's been a while. ”
"If the plan of surgery cannot be determined as soon as possible, at that time, even if there is a good way, the tissue will die of ischemia and necrosis."
……
In the room, accompanied by the crazy discussion between Qiao Dingcai and Lin Zhanhai, they fell into endless disputes again.
And at this time, Chen Gong and Li Sicheng arrived in a hurry.
The two nodded at Zhang Chun and walked in.
The arrival of Chen Gong and Li Sicheng did not cause much reaction.
After all, at this moment, the most important thing is still Wu Baocheng.
After Chen Gong came in, he looked at the smell of smoke in the room, and was suddenly a little surprised, this can actually smoke?
However, Chen Gong was quickly attracted by the sound of heated discussions.
After Chen Gong listened, he also had some general understanding of the patient's situation.
However, at this time, he didn't say anything.
Listening to the fierce quarrel between the two for a long time, there was no answer.
Chen Gong couldn't help but find Zeng Hui.
"Xiao Chen?"
"Why are you here?"
After Zeng Hui saw Chen Gong, his eyes suddenly became a little more cordial.
I haven't seen Chen Gong for a long time, and Zeng Hui misses it a little to be honest.
"Teacher Zeng, can I take a look at the patient's condition?"
Zeng Hui was stunned for a moment, glanced at the arguing crowd, and couldn't help but say, "Okay!" ”
"Be quiet."
"Let me tell you, the two in front of me are not simple, one is the vice president of the National Association of Hand Surgeons, and the other is Professor Tang Jinbo's team of experts."
"You're here today, you're in for a treat!"
"Come, I'll show you."
"Here's an MRI film."
"If you listen more and learn more, it will be helpful for your future."
While speaking, Zeng Hui took Chen Gong aside and looked at it.
Chen Gong looked at the film, and his face became a little more solemn.
I have to say, this film is really terrible.
The signal of the nerve can be seen completely damaged in part, this is not a laceration, it is a mixed wound.
This means that the surgery will be much more difficult.
Nerves, Chen Gong has a solution.
But......
This tendon is kind of interesting
Chen Gong watched the film and thought about it.
Zeng Hui couldn't help but say to Chen Gong on the side:
"Three fingers are broken into tendon sutures to this extent, and to be honest, it's very difficult."
"There are many things involved, such as nerve anastomosis, which is the first problem, if the nerves are not connected well, the activity function of the fingers will decline a lot!"
"Tendon suture is the key, if you can't repair the tendon perfectly, it's completely useless!"
"Hey, you just need to find out today."
"In the operating room in a moment, if I can go in, I'll take you to see the operation."
"It's a great learning opportunity!"
"However, if I can't get in, don't expect anything, of course, you won't need this kind of thing anytime soon......"
After listening to this, Chen Gong nodded and stepped aside.
"Do you have pen and paper? I'll use it. ”
Zeng Hui was stunned: "You take notes?" ”
As he spoke, he took out a pen and a notebook from his pocket.
And Chen Gong drew it directly on it.
He suddenly felt that his improved bunnell suture method seemed to be able to solve the shortcomings of the Tong's tendon suture method.
In this operation, the Tang's tendon suture method must be used, because the tang-suture method still has a unique advantage in the field of restoring flexor tendons.
But......
If you use the tang suture method, the biggest problem is that the tendon is too tendon tension.
But how to solve it?
This requires the use of your own modified bunnell stitching method.
Of course, even the bunnell stitching method can't completely make this problem of excessive tension disappear.
However, it can be alleviated!
If it is relieved, then use the tang- method that you have modified yourself, and you can do it!
At this time......
Chen Gong began to draw a detailed and specific plan.
In the office, it is still impossible to get accurate results because of normalcy.
At this time, Qiao Dingcai's phone rang.
After a while, Qiao Ding almost jumped up in excitement.
He didn't expect that Professor Tang Jinbo was really willing to stand up for himself?
He hung up the phone and hurriedly said to Qin Xuehai:
"Director Qin, Professor Tang said that remote video conferencing can be started now, and he has come back from surgery!"
After getting the news, the office suddenly became excited.
You must know that Tang Jinbo's status in the Chinese hand surgery circle is definitely a giant!
No, even Lin Zhanhai couldn't help but widen his eyes after hearing it.
Qin Xuehai was even more excited, and hurriedly asked people to turn on the remote video conference TV.
For a moment, the office was instantly silent.
While waiting, a polite middle-aged man appeared on the TV.
This is the first person in China to have tendon sutures!
Tang Jinbo!
Tang Jinbo smiled slightly: "Hello everyone! ”
"Send me photos and films of the patient's wounds."
"I'll see the situation first."
Hearing Tang Jinbo's words, Qin Xuehai nodded hurriedly and found someone to send it.
Everyone in the room waited quietly for Professor Tang's answer.
And in the picture, Tang Jinbo couldn't help frowning at this time.
Obviously, the patient's situation is not optimistic.
It's not that it can't be cured, it's what status it gets.
Today's operation, even Tang Jinbo has been found, so naturally it is impossible to suture it for a simple suture.
It's about finding a better solution.
After a long time......
"I don't think it's impossible."
"However, the difficulty and risk of surgery are relatively high."
"Be cautious."
"First of all, the advantages of the Koriolis suture method can be combined to stabilize and fix the tendon, and the tendon defect is relatively high, so it must be fixed first."
Then, sew the legal fishmouth with bunnell...... Increase the length and flow out of 3 mm of space for stretching. ”
"Finally, it is sutured with the tang stitching method."
"There are a few issues to pay attention to in this process, I haven't thought about it for the time being, but ...... Here's the idea......"
Tang Jinbo's voice quickly echoed in the room, and everyone's thoughts also settled.
Just when everyone was thinking and listening.
Tang Jinbo also quieted down.
"It works! It's the perfect solution at the moment......"
Qiao Dingcai immediately said.
Lin Zhanhai shook his head: "All this is too ideal!" ”
But!
At this moment, a man suddenly spoke.
"I think there are a couple of issues that need to be solved!"
"First: the Coriolis suture method is completely redundant, it will destroy the integrity of the tendon, and although the traction line stretches the tendon to a limited extent, the tension is also increased."
"Second: the traditional bunnell stitching method is also not good, although it is strong, but it lacks precision treatment."
"Third: the biggest drawback of the Tong's tendon suture method is the control of tension, and this solution cannot solve this problem!"
"So, it's not the best option!"
As soon as these words came out, everyone's eyes immediately widened in search of prestige.
They wanted to see who it was who had the courage to directly reject Tang Jinbo's plan!
Zeng Hui was terrified!
He didn't expect that this kid Chen Gong would be so bold and want to touch Professor Tang Jinbo in broad daylight?!
Tang Jinbo was slightly stunned when he heard this.
didn't get angry at all, but asked curiously:
"And what do you have to do?"
Chen Gong directly picked up the paper in his hand and put it on the projection, and soon the picture appeared on the video.
"Here's my plan!"
"The modified bunnell suture method can be used using the double-needle cross suture method, which cleverly relieves tendon pressure!"
"Although the needle insertion point has been increased, it lacks the damage of the crochet needle, which can also relieve the tension!"
"This is the first step!"
"Secondly, one of the shortcomings of the Thom's tendon suture method lies in the tension of the suture angle."
"I feel that assistive technology can be used to improve stability."
"That is, when the section is sutured, it is fixed with traction line fingering, which greatly reduces the instability of the Tong's tendon suture method."
"Then, during the operation, the sutures at both ends of the tendon must be treated accordingly, paying attention to the axial alignment and ......"
Chen Gong said unhurriedly.
And the room was quiet again.
People who are familiar with Chen Gong and those who are not familiar with Chen Gong are confused at this moment.
This footage lasted a full five minutes!
Moments later......
Tang Jinbo suddenly took a deep breath, turned to the staff on the side and said:
"Book me a ticket to Shanhe Province!"
"I think this one plan will work!"
"You can operate first, wait for me!"
"That's right...... What do you call this little brother? ”
Chen Gong smiled slightly: "My name is Chen Gong!" ”
Tang Jinbo said with a solemn face: "I have been taught!" ”
As soon as these words came out, the quietness in the room was once again reduced by three orders of magnitude.
……
ps: I went out yesterday and delayed the time, sorry ha.
(End of chapter)