A car sped down the highway to the capital.

Chen Gong sat in the back row, his face solemn.

It was Qiao Dingcai who drove in front.

Lin Zhanhai was left by Chen Gong to preside over the affairs of the hospital, and now Lin Zhanhai's mentality is very stable.

To him, this throwing knife means nothing to him.

He doesn't need to get to know so many capable bigwigs.

Compared with these, Lin Zhanhai's biggest dream is to complete the project before he retires, and that's enough!

And Qiao Dingcai actually didn't really want to go.

Today's two masters are basically very stable.

Pity!

There are no suitable planes and high-speed trains to get to the capital, but the most suitable is to drive.

And Chen Gong didn't have a car......

So I can only let Qiao Dingcai do it for me.

Qiao Ding is rich, you know, at the beginning, people came to Shanhe Province to make money, and their own car was a Range Rover.

So, I became the most suitable driver.

And Chen Gong was sitting in the back row at this time, with a solemn face.

Ma Yanfu's words made him still a little worried.

According to Ma Yanfu's inference, the patient's thumb was partially hit by a bullet.

This means that there is basically no possibility of recovery.

The premise of restoration is that the fingers are at least there.

But now, the other party's fingers are gone, how can they be restored?

Moreover, there is a misconception about bullet wounds.

Don't look inside the TV, the bullet hits the person's body, and it looks like a small hole.

No kidding, okay?

When a bullet hits a human body, it will explode, forming a space for a burst cavity, and this kind of damage is very terrifying.

And at least on the fingers...... This area will have some explosive effects due to the high-velocity impact of the bullet.

Chen Gong held the tablet and drew a lot of simulated pictures on it one after another.

But......

No matter how he thinks, Chen Gong can't think of an excellent way.

This kind of finger mutilation is actually very complicated.

In general, when the fingers of the left hand have such a similar mutilation, it is medically difficult to choose to attach other tissues.

Because it is not original after all, it will definitely usher in various complications and even necrosis after surgery.

But!

The thumb is different.

It can be said that on one hand, the thumb participates in more than 50% of the activities, and the functional participation of the thumb is too high.

Therefore, as long as the thumb is mutilated, basically 50% or 60% of the functions cannot be completed normally.

It's just that......

How do I fix a broken thumb?

This is obviously very difficult!

According to Ma Yanfu, the other party was an officer in his fifties, and his rank was quite high.

Therefore, even if you want to have surgery, it is not a simple matter of suturing it casually.

It is definitely necessary to choose the best surgical method possible.

It's just that......

How to choose?

Chen Gong still doesn't have a good idea.

Along the way, it was relatively boring, and Qiao Dingcai couldn't help but say:

"Actually...... You don't have to be so nervous. ”

"This kind of surgery, to speak...... It's not an uncommon surgery. ”

"Isn't it just that your finger is gone?"

"Just rebuild."

"There are so many conventional surgical methods."

"To be honest, if it weren't for Mr. Ma Yanfu asking you to come over, I would even think ...... It's a long run. ”

"Where is 301? Experts are everywhere, and ...... That capital, but Xu Moshan's old Wang Ba's territory, hand surgery has such a big thing, he obviously can't give others a chance. ”

"We're here, and it doesn't feel pleased."

"This kind of surgery, is it possible that we can recover from the operation when we come? Unrealistic! ”

"To put it bluntly, there really aren't many good ways to do this kind of damage."

"Don't let you go up, it's the old man Xu Moshan who goes up, what can you do if your old eyes are dizzy? Anyway, this surgery has no good results, and there is nothing to do about it. ”

Hearing Qiao Dingcai's words, Chen Gong did not refute.

Because what Qiao Ding said makes a lot of sense!

This kind of surgery for thumb defect is nothing more than a few treatments.

Whether it is thumb lengthening, metacarpal finger fingerization or thumb reconstruction, the length of the thumb will be shortened, and the effect will be like that.

In addition to that, it is finger transposition and thumb reconstruction, what does this mean?

It is the thumb of the index finger, the thumb of the middle finger, the thumb of the ring finger, and the thumb of the little finger......

It doesn't really make much sense.

Chen Gong feels that this kind of surgery is not as good as the first one.

As for the distal flap transfer plus bone graft thumb reconstruction and the forearm and dorsum island flap plus bone graft thumb reconstruction, although it is autologous transplantation, it is ...... After all, it's not a finger.

It really doesn't work very well!

Therefore, in this way, there is another method, which is the first to be developed in China.

This is called microsurgery, free tissue transfer, thumb reconstruction.

In this kind of surgery, it is necessary to reconstruct the thumb with a second toe transplant, which is to cut off the second toe on the foot and transfer it to the hand.

This surgery ...... It looks very weird.

And the effect is not very good.

So.

So far, Chen Gong can't think of any particularly good way.

It can even be said that ......

This operation really can't reflect its own surgical ability and value.

After all, can anyone be different?

He Xu Moshan said that the sky was broken, could it be rebuilt?

Are you kidding!

Thinking of this, Chen Gong lay helplessly on the chair.

Qiao Dingcai smiled and said, "There is a seat massage, try it?" ”

"It's time to rest."

When Chen Gong heard this, he couldn't help but laugh and smiled: "A good car is different!" ”

Qiao Dingcai nodded: "That's natural!" ”

"I think, Director Chen, you have to get a good car."

"After all, after you, you will inevitably have meetings everywhere, flying knives, or invitations to surgery around you, and you can't push them away."

"This body is your own."

"So, how much time is in the car every day?"

"Having a good car, though doesn't give you anything...... But at least it makes you a lot more comfortable. ”

"I've always felt that I should buy a car."

"If you're just doing it for transportation, it doesn't matter."

"But, for me, I'll tell you the truth, I feel like my golden career is just a few years, if I have an early lumbar muscle strain, the lumbar disc is not good, how much loss will it be?"

"When I was in Nantong, others saw me driving such a good car and slandered me, and some people even sued the Commission for Discipline Inspection."

"Huh!"

"I'm above board, relying on my own skills to make money, what's wrong?"

"We doctors, there is no need to be like those people in the system, too pedantic, the body is our own."

"You're right?"

After hearing this, Chen Gong nodded and laughed: "Makes sense!" ”

"I think you're right!"

"When I have time to turn around, Director Qiao will accompany me to see the car, right?"

When Qiao Dingcai heard this, he was immediately happy: "Then there is naturally no problem." ”

"I'm a car guy."

After talking about the topic of cars, Qiao Dingcai's words never stopped.

Chen Gong was a little itchy when he heard this.

Recently, he does have a lot of spare money in his hands, and he is also ready to buy a car.

Qiao Dingcai smiled and said, "I suggest, one step!" ”

"At the very least, it can't be too bad."

"For example, this Range Rover, when I bought it, it cost more than three million."

"It's expensive!"

"I also thought about it for a long time, gritted my teeth and decided to buy it."

"It cost more than a million to match."

Chen Gong asked curiously: "Do you have to choose a match?" ”

Qiao Dingcai shook his head: "No, in fact, it is mainly psychological." ”

"I had already spent more than two million at the time, hehe...... I wondered, how many opportunities do I have to change cars in the future? ”

"And with so much money spent, it's better to be satisfied."

"Wheels I choose to like, right? You have to like the sound yourself, right? ”

"Actually, it's the same car, you see, the Range Rover next to it looks the same as mine, and the price may be more than one million off."

Chen Gong listened to Qiao Dingcai's words, and suddenly his eyebrows tightened.

When I was chatting with Qiao Dingcai just now, I suddenly thought of something.

That's right!

It seems that I should not judge today's surgery according to the usual guideline thinking.

After all......

Although it is also an operation.

And the kernel of oneself and the other party is not the same at all.

What is the key to influencing residual finger reconstruction?

It's nothing more than a few aspects.

Reconstruction of nerves.

Reconstruction of blood vessels.

Reconstruction of tendons.

Come to think of it!

Chen Gong suddenly became excited.

He turned on the tablet again.

According to your own thinking at this time, you should rethink the traditional method of thumb reconstruction surgery.

As the saying goes, it looks like the surgery is the same, and there is not much difference in the surgical method.

However, when the revascularization, nerve reconstruction, and tendon reconstruction have all reached the perfect level, and then the surgery is re-improved, is it still the original surgery?

Apparently not!

After all, essentially, the kernel has changed dramatically.

Can this be the same?

Come to think of it.

Chen Gong's thinking became clearer and clearer.

He even began to think, which kind of surgery is more suitable for him?

After thinking and drawing for a long time.

Chen Gong had an idea in his mind.

That's done using a transplant of the second toe.

First of all!

The biggest advantage of second toe transplantation is that the morphological differences are relatively small.

The second toe is long and close to the thumb, so there is no impact on the length.

Second, the removal of the second toe and second metatarsal head had little effect on the functional appearance of walking.

And!

The skin is cut open, the dorsalis pedis artery, saphenous vein, toe flexion, extensor tendon and phalangeal nerve are distally dissociated and cut off at a high level, the metatarsophalangeal joint or metatarsal neck is severed, the toe is completely free, and transplanted to the thumb, so that the technology is very mature and the safety factor is very high.

Chen Gong felt that this was the most suitable.

The reconstructed thumb not only has a better appearance and is more satisfactory in sensorimotor function, but it is technically demanding.

And the so-called sensory and motor reactions, the technical requirements are different, and the effect is also different!

After all, it's a toe, with an abundance of blood vessels, nerves, and tendons!

In this way, the biological functions that should be fulfilled can be satisfied.

The biggest difference is whether you can use your toes as fingers.

Actually, it's not that difficult!

Chen Gong took a deep breath and began to think about the possibilities.

The thumb is an important component of more than 50% of the functions involved in finger activities, in fact, most of the thumb activities are not very much!

And not so harsh!

Compared to the dexterity of the index finger, the thumb does not need to serve this purpose.

However, sensitivity is essential for recovery.

How can I make the thumb transplanted from the second toe have the same effect?

Chen Gong suddenly laughed.

Because he thought of the "second-stage tendon repair surgery" that he was studying, in fact, second-stage tendon repair itself is to repair the fingers that have various side effects such as adhesions.

The difficulty factor is very high!

But I have such strength.

On the other hand, thumb reconstruction plus second toe transplantation has a lot of technical overlap.

The more Chen Gong thought about it, the more he felt that these were possible!

Thinking of this, Chen Gong couldn't help but laugh.

And Qiao Ding only finished talking about the gearbox at this time......

"Well spoken!"

Chen Gong said to Qiao Dingcai with some joy.

When Qiao Dingcai heard this, he was immediately happy: "Hahaha! ”

"Director Chen, I'm not afraid of your jokes."

"Don't look at your surgery better than me."

"But if you really want to understand the field of life, you can't compare to me!"

"If I had the strength of a young and promising person like you, tsk...... What do I have to swell into? ”

"Hehe, who is not young and frivolous?"

"Hahahaha......"

……

……

And at this time in the capital, 301 Hospital, North Building Hand Surgery.

The small north building of 301 is actually a special place, and those who can come here are basically dignitaries, and rich people can't come.

In it, you can often see some leaders who haunt major TV stations.

The Hand Surgery Office, on the other hand, is just as busy.

Xie Jiangrong looked at the anxiety in the office with a grim face, looked away, got up and went to the office next to him.

Ma Yanfu followed him into the room.

"Hey......"

"Jiang Rong, don't worry, here are all the top forces in the country, don't worry, Yaochang is fine."

Xie Jiangrong picked up the teacup, took a sip of water, and shook his head: "Worried? ”

"Huh!"

"I'm not worried."

"If you don't have this awareness, what kind of soldier should you be!"

"Besides, how many soldiers retire each year because of injuries and illnesses? Not to mention that there are no fingers, even if there is no head, I Xie Jiangrong will not frown. ”

Hearing Xie Jiangrong say this, Ma Yanfu couldn't cry or laugh.

Xie Jiangrong, the child of his aunt, joined the army in his early years and later did behind-the-scenes civilian work.

In the second generation of the Xie family, all of them are public officials, but the youngest Xie Yaochang joined the army.

Now Xie Yaochang suddenly suffered such a blow......

Xie Jiangrong said that he was not distressed, which was false.

After all...... After this incident, Xie Jiangrong didn't wait for any member of the family to come over, and he was the first to come to the hospital.

Ma Yanfu listened to his cousin's stubbornness, and simply smiled and shook his head, and did not continue to speak.

After a long time......

Xie Jiangrong suddenly stood up and walked outside.

He really couldn't sit still.

At this time, Xu Moshan walked out of the office.

Xie Jiangrong hurriedly pulled Xu Moshan and asked in a low voice: "Academician Xu, how is it?" ”

"Xie Yaochang's fingers, can they return to normal?"

After listening to Xie Jiangrong's words, Xu Moshan was silent for a long time: "To what extent do you want to recover?" ”

One sentence made Xie Jiangrong's lips tremble a little.

Although fingers have little impact on Xie Yaochang, after all, he doesn't need to charge with a gun now.

But!

After all, there is a gap.

As a soldier......

"Hey......"

Xie Jiangrong couldn't help but shake his head: "What do you think is the best way to recover?" ”

Xu Moshan frowned, pondered for a moment and said, "Actually! ”

"This kind of surgery, I'll be honest, the gap is not very big."

"There are limited options for treating this type of thumb defect."

"It's not a severed finger replantation, it can have a good recovery ceiling."

"The ceiling of this surgery itself is not high."

"We have had a profound discussion just now, and you have seen it, Mr. Xie."

"Actually, we've been able to think about everything we think about and discuss it."

"The effect I really want, I can only say that, there will still be an impact in life, and there will be a great impact in work."

"After all, fingers can never be restored to their original state."

"Probably...... About 60% effect. ”

Hearing this, Xie Jiangrong felt like he was dead.

Ay......

It's not a fatal injury, but it'...... After all, children are the meat of their hearts.

Thinking of the left hand after the child...... Xie Jiangrong was uncomfortable.

Xu Moshan nodded and said, "I need to communicate with the patient." ”

Xie Jiangrong hurriedly thanked: "It's troublesome." ”

After speaking, Xie Jiangrong walked towards the office, and at this time, he felt as uncomfortable as if his legs had been filled with lead.

Seeing this, Ma Yanfu said: "What's wrong?" ”

Xie Jiangrong sighed: "Academician Xu said...... It is estimated that it is difficult to have a good recovery effect. ”

"Hey!"

"Maybe that's fate."

"I ...... I was a little tired and went back first. ”

Ma Yanfu was stunned: "You don't want to see Yaochang?" ”

Xie Jiangrong leaned his body: "Don't look at it!" ”

"Lest he see me and be troubled."

At this time, Ma Yanfu suddenly laughed: "You believe Xu Moshan's words so much?" ”

Xie Jiangrong suddenly smiled bitterly: "Is there a more powerful hand surgeon in the country than him?" ”

Ma Yanfu was suddenly happy: "Don't say that. ”

"Really!"

"And ......"

"It's almost coming."

"Can't you sit still?"

"That's right, come with me to pick up this expert."

"I managed to get you here."

Hearing Ma Yanfu's words, Xie Jiangrong's eyes suddenly widened: "Are you kidding?" ”

"How can anyone be so powerful?"

Ma Yanfu shook his head: "What am I lying to you for?" ”

"Let's go!"

"It's here."

While talking, Ma Yanfu took Xie Jiangrong directly downstairs.

At this time, Chen Gong happened to take Qiao Ding to Xiaobeilou.

After seeing Chen Gong, Ma Yanfu suddenly laughed: "Good boy! ”

"Hehe, I haven't seen you for half a year, the more imposing it is!"

"Well done."

As he spoke, Ma Yanfu patted Chen Gong on the shoulder.

At this time, after Xie Jiangrong saw Chen Gong, he was speechless.

He glanced at Ma Yanfu blankly, as if to say, you, surnamed Ma, aren't you teasing me?

What kind of expert is this?

It's clearly a doll!

Seeing this, Ma Yanfu saw Xie Jiangrong's thoughts and said, "Don't believe it! ”

"Let me introduce you, this is Chen Gong!"

"It's the expert I invited, don't look young, but he is already the president of the Shanhe Provincial Hand Surgeons Association."

"Today, if Yaochang has any turnaround, I think you can pin your trust on Xiao Chen."

While speaking, Ma Yanfu pointed at Xie Jiangrong and said to Chen Gong: "This is ...... Patient's family! ”

"Well, let's go!"

Although Xie Jiangrong was dissatisfied at this time, he still took the initiative to say hello to Chen Gong.

After all, it's not easy for people to come all the way.

Not to mention......

Is he already a president at such a young age?

Xie Jiangrong knew that although Ma Yanfu loved to joke, he ...... Definitely not playing around with this kind of thing.

Therefore, Xie Jiangrong at this time was also full of Chen Gong.

While speaking, the group went directly to the 6th floor.

"Take me straight to see the patient."

Xie Jiangrong nodded: "Well, okay." ”

As they spoke, the group walked towards the ward.

At this time, a group of people gathered in the ward.

After Qiao Dingcai saw everyone inside, his eyes widened directly.

Boy!

What kind of family is this?

You know, this room of people, he saw two or three on TV!

For a while, Qiao Ding couldn't help but swallow his saliva.

When everyone saw Xie Jiangrong and Ma Yanfu coming in, they all got up and nodded:

"Dad, uncle."

"You're here."

On the bed, Xie Yaochang's face did not change much, and he called out with a smile: "Dad, uncle." ”

"Worries you."

"I ...... It's fine. ”

Xie Yaochang does not have much of a leader's breath, but his skin is dark, his eyebrows and eyes are fierce, giving people a feeling of fierceness.

This is the majesty he has accumulated as a soldier for many years.

"Hmm!"

Xie Jiangrong didn't have a very good face.

At this time, Ma Yanfu said: "Xiao Chen, you go and see the wound and see if there is any good way." ”

Chen Gong nodded, walked over, and nodded at Xie Yaochang: "I'll take a look, it might hurt a little." ”

While speaking, Chen Gong opened the gauze, and what caught his eye was the severed end of the patient at this time.

The lesions are severe, the fractured ports are not neat, and polishing is required.

And the good thing is...... Nerves and blood vessels are intact.

Chen Gong suddenly breathed a sigh of relief: "There is a chance!" ”

At this time, suddenly a group of people in white coats came in outside.

The first person faced Xie Yaochang and said, "Mr. Xie, this is an informed consent form. ”

"Teacher Xu already told you just now, right?"

"In fact, there is really no good way to do this situation, even internationally."

Xie Yaochang's face was dull and he didn't say a word.

And his wife couldn't help but ask, "Isn't there a better option?" ”

At this time, Xu Moshan walked in: "No! ”

"The best solution is to restore the morphological possibility, the function is up to 60%, or even less!"

Xu Moshan, 79 years old, is very influential in this field, he said ...... It is equivalent to closing the coffin.

Moreover, he has such strength.

Don't underestimate these top experts.

Other people's connections don't need them to have enough respect for you.

Seeking truth from facts is respect.

And at this time......

Suddenly, a voice rang out: "Function 60%? ”

"That's too low, isn't it?"

"I think there's a 90 percent recovery at least."

As soon as these words came out, the surroundings suddenly fell silent.

(End of chapter)