They are all experts who have been famous for many years, and the accumulation of clinical experience has already reached a certain point!

In fact, many times, it is like practicing martial arts.

Not everyone can get together and step into the congenital.

But...... Everyone's understanding of this discipline has become their own experience.

Although Chen Gong felt that Qiao Dingcai did not have the ability to become a subject leader, he did not deny that Qiao Dingcai was an excellent expert and talent from beginning to end.

Although he did not approve of the emergency center hospital, spending a lot of money to invite Qiao Dingcai to join.

But!

The most critical reason is that the emergency center hospital has insufficient background and cannot pay for a failure!

That's the key.

And what Chen Gong said just now was that Qiao Ding couldn't find a loophole, not because he looked down on people.

On the contrary, he knew that the other party's Tang's tendon suture had the strength of an expert or above.

At this point, it can even be said that Qiao Dingcai has devoted his life's work to this.

He has been seeking the pinnacle of Tong's tendon suturing law all his life!

But......

In this life, even at the age of fifty-five, he still hasn't found a chance to break through.

Therefore, instead of this, Qiao Ding should choose another way.

Is Qiao Ding the bad guy?

Not really!

If he wanted to make money, he had many options.

When a doctor loses the glory that this profession brings, and also loses the ethics that this profession should follow, he will not be short of money!

Qiao Dingcai was not angry at this time!

Even...... His eyes were solemn, he looked up at Chen Gong, and didn't say a word!

In the eyes of everyone around, Qiao Dingcai stared at Chen Gong, who seemed to be very unhappy!

Even Lin Zhanhai, who has always been bold, is the same!

Lin Zhanhai was honest, he was also frightened by Chen Gong's words!

He knew that Chen Gong would not give Qiao Dingcai face, but ...... But I didn't expect him to say it so directly in front of so many people.

You know, at this moment!

How many people out there are staring at today's surgery.

Even including provincial and municipal leaders!

and experts in the industry.

Although this remark was not a rude slap in the face, it was ...... Compared to a slap, this is at least ten times more lethal!

On the side, Zeng Hui, who entered the operating room, was also taken aback by Chen Gong's words.

Boy......

You're too tough, kid, aren't you?

actually said that, Qiao Dingcai!

Time!

And not just in the operating room.

Even in the conference room, there was silence, and even many people couldn't help but gasp!

Liu Guisheng, who was sitting next to Li Sicheng, said with an angry face:

"Speak wildly!"

"Really...... It's too much! ”

"How can you say that Director Qiao is also an expert we personally invited, and people came from thousands of miles to help with the operation, how can he say such a thing?"

"This Chen Gong is really ...... It's too much! ”

"Isn't his words destroying the relationship between Director Qiao and us?"

"Now the negotiations have reached a critical juncture...... This...... Isn't this nonsense?! ”

Liu Guisheng's words naturally attracted the attention of many people.

Many people's faces were also a little more uneasy.

Even some leaders looked at Chen Gong's eyes and were a little more displeased.

At this time, Chen Gong saw that everyone around him fell silent.

Suddenly turned to look at Qiao Dingcai, and asked, "Director Qiao, have you seriously read the things I drew for you last time?" ”

Qiao Dingcai's old face suddenly turned red, and he sighed slightly: "I've seen it all!" ”

"I watched it that night."

Chen Gong was a little surprised, and asked curiously: "Since you have seen it......"

"Then I'm curious, why didn't you contact us later?"

"It stands to reason that in the last picture, I have clearly raised the shortcomings of the Tong's tendon suture method!"

"Even the solution was mentioned."

"Why didn't you ask me?"

When Qiao Ding heard this, he felt extremely guilty in his heart.

Let's be honest!

He didn't take Chen Gong to heart at all, how could he seriously think about Chen Gong's plan?

Just when everyone was puzzled, curious, and a little complicated.

Qiao Dingcai suddenly spoke:

"Hey!"

"Director Chen, it's me who is wrong!"

"I'm too confident and too dependent on the Tong's tendon suture."

"I even think that there is no perfect operation, only a perfect operation, and only the operation is completed perfectly, so that the effect of the Tong's tendon suture can be brought into play."

"This is the highest level of surgery."

"As you said...... I can't really fault it. ”

"Because this is what I've been proud of all my life, how can I find fault with it, or say ...... Why should I find fault? ”

"Hey!"

"It's me...... It's narrow! ”

"Actually, Director Tang also talked to us, let's improve some aspects of Tang's tendon suturing method......

"I'm on the wrong track!"

"Director Chen, hey...... Thank you! ”

"If it weren't for you, I might not be able to get out of this circle for the rest of my life."

Qiao Dingcai's originally solemn and serious face was now a little relaxed in his eyes.

Oh, yes!

When you put down all your honors, you will be much easier to look at a problem objectively!

Lin Zhanhai looked at Qiao Dingcai incredulously, and stopped talking.

He knew very well what kind of person Qiao Ding was.

But now...... Was it really said by Chen Gong?

Lin Zhanhai felt that all this was too ...... Unbelievable.

Chen Gong shook his head: "Okay, this problem, let's talk about it after getting off the operating table, let's continue the operation!" ”

Hearing Chen Gong's words, Qiao Dingcai hurriedly nodded.

So far, he is still much better than Lin Zhanhai's body and energy.

At this moment, when he helped Chen Gong with the operation, it was much smoother than when Lin Zhanhai assisted.

Qiao Dingcai's condition remains good.

Although it is going downhill, it is also obvious.

However, the muscle memory that has been formed is still working.

In contrast, Lin Zhanhai did not take credit, but carefully thought about and observed Chen Gong's question just now, he hoped to ...... Can get some good answers.

And in the conference room at this time.

Everyone was stunned.

Good!

Good guys!

Liu Guisheng's thumb can be deducted from a luxurious flat layer.

Okay, you're noble, you're amazing......

I'll figure it out for you here, you're good...... Don't say that you take the initiative to join the enemy, but also "recognize the thief as your father?" ”

Liu Guisheng felt that he really fed the dog!

And the experts and leaders around them were excited.

All this calmed down so smoothly that Chen Jiazhong, who was originally worried, almost flashed his waist.

Even Li Sicheng breathed a sigh of relief at this time and laughed.

He knew that Chen Gong was not currying favor with Qiao Dingcai, but conquering the other party!

There is no doubt that this one seems to be better.

Because Li Sicheng clearly saw a trace of ambition in Qiao Dingcai's eyes!

That's not a bad thing!

It's a good thing.

For Qiao Dingcai, nothing is more important than ambition.

At his age, if his status in the academic circle can be further advanced than money, isn't it more important than money?

Born as a human being, who hasn't dreamed yet?

Especially Qiao Dingcai, who seems to be honored but still sinks for half of his life, is approaching his old age, but he suddenly found hope.

……

……

In the operating room.

Chen Gong continued the operation.

With Qiao Dingcai's serious help, Chen Gong also breathed a sigh of relief.

To be honest, Chen Gong was also worried that the other party was a glass heart.

That's bad.

It turns out that few of those who can get mixed up to this point are wasters!

It took two hours for the first surgery to be successfully completed.

With the previous experience, the middle finger surgery will be much smoother.

Sure enough, Qiao Ding was only when the K-wire needle was fixed.

It is drilled out of the bone marrow cavity of the broken end to the fingertip, and then retrograde into the medullary cavity of the proximal broken end.

And at this time......

Chen Gong asked a question again.

"Isn't that unstable?"

This time, Qiao Dingcai was suddenly stunned.

Because this is the second time Chen Gong has raised this question to him.

The first time was when Qiao Dingcai went to the emergency center hospital for surgery for the first time.

Then!

Chen Gong was also a problem, at that time he just glanced at Chen Gong contemptuously and didn't care.

And this time......

Qiao Dingcai stopped seriously.

He carefully observed the patient's organizational structure, and suddenly his eyes widened and said, "Actually...... More than one joint is more stable!

But to penetrate the joints and easy rotation are its drawbacks. ”

"Director Chen, is this what you're talking about?"

Chen Gong nodded: "That's right, I always feel that this will affect the prognosis of surgery." ”

"Even though there is fixation after surgery, it is still easy to rotate through the joint, and I feel that this is a defect."

Hearing this, Qiao Dingcai's heart also became excited.

Because he felt...... This time, his mindset changed.

Not only Qiao Dingcai, but even Lin Zhanhai on the side couldn't help but widen his eyes:

"Makes sense!"

"Makes sense!"

"Why didn't I find out before?"

"It's been more than 40 years, and it's always been like this."

"We're probably all used to it."

"Modified finger amputation replantation, we also improved neurovascular and tendon anastomosis."

"However, very little thought is given to fixing the phalanges."

Lin Zhanhai and Qiao Dingcai were both a little short of breath.

The two looked at Chen Gong in unison: "Director Chen, do you have any way?" ”

Chen Gong heard the sound and nodded calmly:

"Actually, I've been thinking about this question for a long time."

"How...... Not much. ”

"I'm not sure what works best."

Hearing this, Lin Zhanhai and Qiao Dingcai couldn't help laughing: "You can think of this, you have already surpassed many people!" ”

"Besides, the way ...... How can it be that easy? ”

Before the words fell, Chen Gong said straight to the point:

"The first one: 1 stitch on each side of the flexor finger tendon sheath to make it more stable.

The second: the finger bone is fixed with a fine K-wire cross-thread needle and does not pass through the joint.

Thirdly, it is difficult to pass diagonally through the phalange cortex with a hand-cranked drill, so I would like to use thin steel wires and screws to fix it. ”

"Of these three methods, the first one is the easiest, the second is the most convenient, and the third is the most solid!"

"All three methods were tested on animals, and it turned out that they need to be determined according to specific protocols."

"If the finger bone is significantly damaged and the fracture is severe, the third option is the best!"

"If the degree of damage around the severed finger is not high, and the phalanges are not damaged, the second option is the most convenient."

"And the first type is suitable for patients who have defects like patients at the moment, but there are not many of them."

"So, I recommend trying the first one today."

After hearing Chen Gong's words, Qiao Dingcai and Lin Zhanhai on the side were stunned!

Are you kidding us?

Originally, both of them thought that Chen Gong was not sure because it was difficult!

Now it seems...... Chen Gong did not identify the reason...... Too many ways?

Moreover, think carefully along Chen Gong's thinking.

They suddenly felt that Chen Gong was already too far ahead of everyone in this step.

He has even opted for this type of surgery for different types of finger replantation.

Speaking of which, can the two not be shocked?

At this time, Qiao Dingcai even had an idea in his mind.

Don't go!

That's right.

Qiao Dingcai suddenly felt that it seemed that he had more opportunities and was more suitable to stay.

He even felt that under the leadership of Chen Gong, he seemed to really have a chance to rejuvenate the second spring of his life!

He had never heard of anyone who could think of three solutions in a month!

This kind of strength is really ...... It's scary.

The more Qiao Dingcai thought about it, the more he felt...... It's possible!

Take a pay cut, stay!

Even if you want to be Chen Gong's assistant, it's not impossible!

Lin Zhanhai's eyes at this time were also a little more profound, and he seemed to be thinking about a question.

Chen Gong did not waste time.

Instead, he said to Qiao Dingcai: "Let's start!" ”

While speaking, Chen Gong directly took the needle and thread, and fixed it next to the tendon sheath of the flexor tendon of the middle finger!

When that's all done.

The next step of tendon suturing is about to begin.

Repair tendons.

The operation just now, Qiao Dingcai saw it clearly and clearly.

Chen Gong and this time, he still chose the No. 0 cotton thread, which he had to deal with first.

The extensor tendon method is not difficult.

It is still a double-needle bunnell stitch method.

The suture of the double figure 8 can effectively increase the tension of the tendon and ensure stability.

The key lies in the flexor tendons.

The same tendons, speaking of ...... Flexor tendons are like pretentious little princesses.

If you rub it slightly, you will be susceptible to infection.

The extensor tendon is a rough one.

A simple and rough double figure-eight stitch can fool around.

Of course, the main reason is that for the fingers, the flexor tendon moves more.

To make your fingers dexterous, flexor tendons are key.

And just when Qiao Ding was about to assist Chen Gong in surgery.

Suddenly exclaimed!

"Oh my God!"

"Director Lin, look!"

"Look, what's going on?"

In their field of view, they suddenly found that the difficulty of the operation was reduced because the flexor tendon had a high degree of axial alignment!

It is important to know that the degree of axial alignment often determines the recovery effect of the surgery.

And now, Chen Gong doesn't need assistance at all.

Lin Zhanhai also seemed to have discovered this problem, and hurriedly frowned: "What's going on?" ”

Chen Gong also looked around with some surprise.

Suddenly!

His eyes lit up, and he smiled at the two needles and threads on the side:

"I didn't expect it...... There is still such an effect! ”

"You see, 1 stitch on each side of the flexor tendon sheath, the operation when we fixed the phalanges just now, I didn't expect ...... It has such an effect! ”

Qiao Dingcai almost jumped up excitedly at this time.

Let's be honest!

It had been many years since he had felt the surprise and excitement of the surgery.

This kind of excitement is really intoxicating!

"This ...... It's unbelievable! ”

"That's amazing!"

"Who would have thought of such an idea?"

Lin Zhanhai also said to himself: "It's ...... Served! ”

"Who would have thought that finger bone fixation could lead to such an effect!"

"This can completely supplement the shortcomings of the Tong's tendon suture method!"

"Especially with the two-needle cross-stitch method of bunnell stitching."

"Awesome!"

"That's amazing!"

"Quick!"

"Let's start the operation, Director Chen."

Qiao Dingcai also nodded hurriedly: "You have to be careful!" ”

"It would be a shame if such a perfect score paper failed."

"I feel...... At this pace, this recovery effect score can reach 95 points! ”

"It's not impossible!"

Lin Zhanhai's eyes trembled slightly, and he couldn't help but swallow excitedly: "95 points, ......"

"Quick...... Let's get started. ”

Chen Gong couldn't help but shake his head.

Boy......

One operation, who would have thought that two experts would be high?

Chen Gong smiled.

In fact, why is he unhappy?

This discovery gave Chen Gong a new idea in his heart.

Surgical integrity of the operation.

What does that mean?

When a surgical problem is difficult to solve, you can try to perform the operation in the surrounding area, and there may be a special surprise.

And at this very time!

In the operating room outside, many people stood up with the same excitement.

It was also the first time they had seen such an operation.

One by one, the experts were short of breath and even trembling a little.

Did they witness a finger replantation operation with more than 95 points?

What is 95 points!

This is a postoperative evaluation of finger amputation replantation.

95 points, there is a professional term, called "perfect surgical state".

It means that in this scoring state, the patient's finger recovery is almost perfect, and there is no impact on life and work.

So far, there are very few surgical specialists who can achieve a score of 95!

Not even in the country for these two years.

Professor Tang Jinbo's real clinical reputation is that when he was on an overseas exchange, he completed a 95-point operation, and his skills were overwhelming.

And now!

Once again, they saw a 95-point operation......

How horrible is that?

Qin Xuehai's excited heart was about to jump out.

It must be a success!

It was at this time......

Qin Xuehai's phone rang.

When he heard it, he immediately became excited.

"Director, we have received Professor Tang, and we are rushing to the hospital now!"

Hearing this, Qin Xuehai suddenly became excited.

"Good!"

"Stay safe!"

After hanging up the phone, in less than half an hour, a middle-aged and elegant man walked into the conference room.

The moment all the experts saw the man walk in, they all stood up!

The person in front of me is the world-renowned leader in the field of hand surgery and the creator of the Tang tendon suture method: Tang Jinbo!

After Tang Jinbo came in, he didn't even have time to greet everyone.

Directly attracted by the operation of the screen!

This is Chen Gong's third finger surgery.

And this time!

The surgery went incredibly well.

Even Qiao Dingcai and Lin Zhanhai both felt a sense of excitement.

Stimulated by adrenaline, almost everyone is trying to see if they can break through!

Tang Jinbo looked at the TV and didn't say a word.

But!

This one finger is manipulated.

made Tang Jinbo's eyes surprised three times in a row!

For the first time, it was when Chen Gong was fixing his finger bones, and he was sutured and fixed.

What kind of operation does this have?

There is such an operation!

The second time was when Chen Gong performed tendon suturing and skillfully improved his own Tang's tendon suture method!

What a skillful Tong tendon suturing method!

Is this so impressive?

What a great mind!

What an amazing angle!

The third time was when Chen Gong performed a nerve anastomosis.

This time, Tang Jinbo was really attracted by Chen Gong's attention.

Finger amputation surgery is not just about tendons!

Nerve anastomosis repair is even more important!

The two digital nerves of each finger should be anastomosed, which is not only conducive to restoring the sensitive sensation of the finger, but also conducive to the nutrition of the finger, so that the replanted finger has a plump and ruddy appearance.

Therefore, excellent nerve anastomosis can effectively improve the postoperative recovery effect and increase the score!

The anastomosis of the digital nerve should be sutured with 9-0 or 10-0 continuous needle nylon thread under the operating microscope, and each digital nerve can be sutured with 3~4 needles.

But!

Chen Gong didn't do that.

Chen Gong's nerves are anastomosed, he has never heard of it!

Chen Gong's operation is very cumbersome, it stands to reason...... Because the finger nerve is a pure sensory fiber, there is no risk of mismatching, and the adventitia can be sutured neatly.

But Chen Gong's repair, although Tang Jinbo couldn't understand it.

But he can be sure that this way of repairing the nerves ......

Seems to have limited recovery!

This involves a recovery process in the replantation of the fingers.

If the nerve is the first to recover, it is beneficial to repeat the examination and can increase the sensitivity of the fingers.

For later recovery, the effect is even more significant!

This moment!

Three shocks!

Tang Jinbo couldn't help but gasp.

How many years?

Tang Jinbo didn't expect that one day, he would feel shocked by the operation of a 21-year-old young man!

He really ...... Never seen such a good tendon suture surgery!

Although Chen Gong's tendon suturing skills need to be improved!

However, the anastomosis of blood vessels and the repair of nerves are too good.

That's it!

Make up a lot.

And the tendon sutures of the key people have surpassed the basic skills.

Tang Jinbo couldn't help but take a deep breath.

This trip was not in vain!

At the end of the operation, before everyone came to their senses, the first applause rang out in the conference room.

Everyone is looking for prestige.

If it's not Tang Jinbo, who else could it be?

This moment!

Nothing needs to be said.

This applause is extremely convincing!

……

(End of chapter)