The Godfather of Surgery

The main venue was crowded, and many simple stools were added to the back of the venue.

Those sitting at the back couldn't see clearly the people on the podium, and could only rely on the hanging screen to see.

Qiangzi deliberately kept himself clean and tidy, shaved his beard in the morning, and bought his clothes just a few days ago.

He was very grateful to the doctor, who helped him save an arm with superb medical skills, so he insisted on going on stage in person and demonstrated the function of replanting a severed limb to more than 2,000 doctors, which is also a kind of gratitude to the doctor.

The fire was raging, and he rushed in without even blinking his eyes. Now, on the huge podium, he could not help but have stage fright. His girlfriend stood by the steps behind the podium and gestured to him, come on!

In the conference room, a large screen was hung every dozen or so rows. At this time, the video focused on Hadron, and the camera zoomed in for a close-up.

Hadron rolled his sleeves above his elbow, revealing a few scars, and began to demonstrate limb function.

The rotation of the forearm, the flexion and extension of the wrist, the flexion and extension of the elbow, the flexion and extension of the fingers, fast motion, slow motion, and hadron are all demonstrated. Dumbbells are used to demonstrate the flexion and extension of the elbow and wrist joints, and small balls are used to demonstrate the flexion and extension of the fingers.

Half a year ago, many doctors attended the National Trauma Orthopaedic Network Conference and had a fresh memory of the five-stage replantation.

At that time, watching this operation was like watching a blockbuster movie.

Five-segment replantation, nerve anastomosis using difficult perineal suture, and emergency reconstruction of free toe for thumb defect.

Many people conclude that this is a face project, only pursuing the survival of the limbs, ignoring the functions of the limbs, and the useless limbs will eventually be amputated.

This kind of thinking is also reasonable. How can a broken limb be able to function, and the probability of surviving is very small.

But now, the patient's in-person demonstration says it all.

Live demonstrations are more convincing than words, pictures and videos.

The conclusion is right in front of you. The limbs not only survived, but also functioned very well!

This is not an eye-catching face surgery, but a perfect and extremely difficult replantation.

At present, the growth of the nerve has reached the wrist, and it will soon cross the wrist and reach the hand.

Once the nerve reaches the hand, it innervates the inner muscles of the hand, the function of the thumb to the palm is restored, and the basic function of the hand is restored.

It's a miracle, an absolute miracle!

As soon as the meeting started, the entire venue became restless. Some people thought that the screen was unreal, so they boldly left their seats and walked forward, but they were stopped in time by the receptionist at the venue.

The guests in the front row were no longer reserved and whispered to each other.

Meng Heng, Fu Shancheng, Professor Su and Director Han sat together. Meng Heng admired sincerely: Old Han, you have created a miracle and pushed the replantation of severed limbs to a new peak.

This operation, to be honest, I have always held no hope for the function, but now it seems that the function has recovered so well. Depending on the progress of the nerve growth, it should be no problem to reach the hand. Fu Shancheng said frankly.

Director Han was very happy. He and Director Tan brought out this operation to ignite the enthusiasm of the meeting. It seems that the purpose has been achieved.

My eyesight is bad now. This operation was done by a young man, and Xiao Yang is the chief surgeon. Director Han's fingers tapped the table gently and rhythmically, and laughed.

Xiao Yang? Isn't that the student Lao Han introduced last night? The afterlife is terrifying!

Last night, Director Han introduced these bigwigs to Yang Ping one by one.

These big guys didn't care much last night, they just shook hands symbolically and dealt with it. Now they all have the idea of ​​reacquainting Yang Ping.

This guy is a good seedling. If it weren't for Lao Han's student, I would have been poached long ago. Professor Su said.

Everyone knows that Professor Su loves talents, and if Professor Su appreciates him so much, he has the idea of ​​poaching, and he must be very talented.

The foreign guests were all wide-eyed. This kind of surgery was something they couldn't imagine. If they were in their hospital, they could only do stump trimming and replanting for such a bad case! Not even trying.

Oh! my God, it's incredible!

Dr. Fleming from Israel stood up and put his hands on the table, exclaiming in amazement, the Chinese are so dexterous!

As a trauma surgeon, Fleming came to China for the first time. The five-stage replantation mentioned in the invitation letter attracted him. He wanted to come and see what kind of miraculous operation this was.

Dr. Shedra from India stood up while holding on to his glasses, leaning forward, his white face glowed red, perhaps due to the dilation of blood vessels caused by excitement.

This broke his cognition. He knew that the replantation of severed limbs in China is very powerful, but he did not expect it to be so miraculous.

Singapore, South Korea, Hong Kong, Macao and Taiwan are all discussing each other, and they are all peers. The difficulty and effect of the operation are all displayed.

Fujiwara Miyuki watched the video on the tablet so that she could see it more clearly. She called up the surgery video provided by the hospital to watch.

The operation of the operation is simply superb, the perineurium suture is easier than the skin suture, and the self-confidence and boldness of the surgeon make the operation very light.

Takahashi finally got interested, watching the demonstration, the nerves have passed through the two anastomotic stoma of the forearm, and there is no loss.

He called up the patient's data on the tablet, and based on the EMG values ​​that were regularly reviewed, Takahashi drew a statistical line on the sticky note. , to determine how much room there is for nerve recovery.

The complete statistical line was drawn, and Takahashi's pen tip moved along the statistical line virtually, which was a bit unbelievable. According to this statistical line, there was no plateau in neural growth, and it could reach the fingertips.

If the EMG is true, then this patient can get excellent results, how is that possible?

Takahashi raised his hand, Director Tan invited him to speak, Takahashi stood up and picked up the wireless microphone in front of him.

In order to maintain a match with Fujiwara Miyuki, he wore a beige and white plaid suit with a dark red printed tie, which looked very fashionable.

Daniel, Takahashi!

In the venue, countless adoring eyes immediately focused, and the screen switched to a close-up shot.

Usually I can only read his papers and read the books he wrote, which are still translated. Now that the real person is standing here, how can he not be excited.

Just like Japanese fans met Hayao Miyazaki, they were somewhat excited.

What is Daniel going to do, and what unique insights do you want to come up with? We will wait and see.

Is this Fumiya Takahashi from the University of Tokyo Hospital?

Is he really here?

World-class trauma surgeon.

We'll ask him to take pictures when we have a coffee break.

It was worth the trip.

——

Takahashi, the most famous person in the whole venue, with the highest academic status.

Professor Tan, can you allow me to come on stage to check this patient's limb function? Takahashi used Japanese.

In Japanese, Director Tan can understand a little bit, but he is not proficient in English. Besides, there is an agreement in advance to communicate in English. Takahashi's English level is very high. In Europe and the United States, he always uses English.

Now he can speak Japanese every now and then. Director Tan is a little dissatisfied with his arrogance. It can be seen from the first meeting and shaking hands that he is always condescending, and even shaking hands is a touch of water.

Mr. Takahashi, I'm sorry, I didn't understand what you said. Could you please use English or Chinese?

Director Tan doesn't intend to accommodate him. Although Director Tan is not a world-famous big man, he is also arrogant and arrogant, and he is also a character who will do whatever he wants. How can he allow him to do whatever he wants, this is his own territory, and today he is the host , you have to listen to me.

Takahashi shrugged and had to repeat it in English.

Mr. Takahashi, I want to personally check the patient's limb function. Tang Fei translated to the participants.

Of course! Director Tan spoke directly in English.

Director Tan knew that Takahashi did not believe in the effect of the operation, which could be seen from his attitude and eyes.

Takahashi put down the microphone, tidied up his suit, turned to greet the delegates at the venue, and then strode to the podium.

He bowed slightly to Qiangzi: Excuse me, I'm Dr. Takahashi, please allow me to conduct a detailed examination of your limbs?

Tang Fei also came over to help translate.

Hadron nodded and stretched out the replanted limb, the right upper limb.

Takahashi smiled, unbuttoned the cuffs of his shirt in his suit, rolled up the sleeves of his hands slightly, and then rubbed his hands together to create a certain temperature in his hands, which seemed very professional.

He began to do Tinel tests to determine where the nerves reached, with skillful and delicate techniques.

The median nerve, ulnar nerve, and radial nerve actually reached the wrist at the same time, which means that the growth rate of the three nerves is very stable and linear, and at the same time reaches the expected destination, which is consistent with the tendon diagram examination.

Takahashi frowned and began to check the flexion and extension of the wrist joint. Compared with the healthy side, the range of motion was not significantly lost. Scars heal very little.

Then check the ulnar deviation and radial deviation of the wrist joint. Most people only pay attention to flexion and extension, but do not pay attention to the ulnar deviation and radial deviation.

The ulnar deviation and radial deviation of the wrist joint can be used to test the tension adjustment after tendon anastomosis. With so many tendons and so many broken segments, the tension adjustment is very difficult.

Just like the tuning of the car chassis, with cheap low-level suspension, the master will be helpless to adjust the track chassis.

The ulnar deviation and radial deviation are actually very good. The tension of the tendons, from the front and the back, has been well adjusted, and the bad chassis has really been adjusted to give the track effect.

Of the five fractures, four of which are tendon-tendon connections, it seems impossible not to produce adhesions.

Takahashi checked the movement of the finger, whether it was flexion or extension, the range of motion could reach the limit, the tendon was not glued, and the sliding was smooth.

The surface temperature of the limbs indicates the degree of patency of blood vessels, arterial supply and venous return. Poor performance of any link will cause changes in surface temperature.

If the patency is a little worse and the surface temperature of the limb is slightly lower, this difference will not affect the survival of the limb, but once it reaches the severe winter, it is easy to cause frostbite.

Takahashi stretched out two hands and touched the limbs on both sides of Hadron, from the fingertips to the palm, to the wrist, to the elbow joint, and he carefully felt the difference in temperature.

Is there a skin temperature meter? Takahashi asked.

He couldn't deny his rigor. Director Tan beckoned. Doctor Che from the Rehabilitation Department stood by the steps behind the podium. Seeing Director Tan's gesture, he ran over immediately. .

Mr. Takahashi wants a skin temperature meter! Director Tan told Doctor Che.

Dr. Che immediately sent the skin temperature measuring device, and Gao Qiao connected the skin temperature measuring device. The two sides were compared, and the skin temperature was measured point by point. The difference between the two sides was within the allowable range.

Drop your hands and relax!

Takahashi spoke in English, and Tang Fei helped translate.

He wants to observe whether the resting position of the hand is normal, the resting position indicates the size of the muscle tension and the static balance of the muscles and tendons.

Comparing left and right, the resting position of both hands is surprisingly consistent, and it is almost impossible to completely adjust the resting position to normal.

Takahashi performed this operation himself, giving priority to adjusting the dynamic balance, and giving up the tension adjustment in the resting position. Because it is impossible to have both the fish and the bear's paw, the only choice is the bear's paw, but this operation has achieved both the fish and the bear's paw. .

According to the current forecast, this limb can restore more than 90% of its functions.

It's unbelievable!

Could it be that they pretended to be a patient who was not a severed limb?

Takahashi continued to check, the patient's hand, thenar muscle, interosseous muscle, and lumbrical muscle were all atrophied, and the skin of the hand was in a state of denervation, smooth and dry, not like impersonation, it is difficult to impersonate a patient This denervated skin condition is simulated.

The entire examination process was magnified on the screen by a close-up shot, and the doctors in the audience watched a medical examination of a world-class bull.

Professional, delicate, and smooth, every inspection can achieve the expected purpose. It is worthy of being a world-class Daniel, and simple things have also made depth.

There is no flaw in magic, it is a magic that cannot be dismantled. Takahashi is a little disappointed. He gives Director Tan a thumbs up and returns to his seat.

Takahashi-kun, you don't seem to be very happy?

No, I'm in a very good mood.

Takahashi lowered his rolled up sleeves.

Last night, the second-line class was summoned by the department for surgery. Several units only stepped down this morning, so last night's one was only made up now. I'm sorry everyone! bow! Go to sleep during the day, and continue to update tonight——