godfather of surgery

Chapter 226 Magic that can't be dismantled
The main venue was crowded, and a lot of simple stools were added behind the venue.

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

Qiangzi made himself clean and tidy on purpose. He had shaved his beard in the morning and bought his clothes just a few days ago.

He is very grateful to the doctor, who helped him save an arm with his superb medical skills, so he insisted on going on stage in person to demonstrate the function of replanting the amputated limb to more than 2000 doctors, which is also a kind of gratitude to the doctor.

The fire was raging, he rushed in without even blinking his eyes, and now on the huge podium, he actually felt a little stage fright involuntarily, his girlfriend stood by the steps behind the podium, gesturing for him, come on!
In the conference room, large screens were hung every ten or so rows. At this time, the video focused on Qiangzi, and the camera zoomed in for a close-up.

Qiangzi rolled up the sleeves above the elbow joint, exposing several scars, and then began to demonstrate the functions of the limbs.

The rotation of the forearm, the flexion and extension of the wrist joint, the flexion and extension of the elbow joint, the flexion and extension of the fingers, fast motion, slow motion, and Qiangzi 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.

Six months ago, many doctors participated in the National Trauma Orthopedics Network Conference, and their memories of five-segment replantation were still fresh.

Watching this operation at that time was like watching a blockbuster movie, my heart was agitated and my blood spurted.

Five segments were replanted, nerve anastomosis was performed with difficult perineural suture, and free toe reconstruction was performed in emergency department for thumb defect.

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

This kind of thinking is also reasonable. How can a limb that is broken into five pieces be able to talk about function? Even the probability of survival is very small.

But for now, the patient's in-person demonstrations speak for themselves.

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

The conclusion is right in front of you, the limb is not only alive, but also functional, and the function is very good!

This is not a face-saving operation to win attention, 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 controls the intrinsic muscles of the hand, and the function of the thumb against the palm is restored, and the basic functions of the hand are restored. If the nerve can still reach the fingertips, the function of the entire limb can be restored by [-] to [-]%.

It was a miracle, an absolute miracle!
The meeting had just started, and the whole venue became agitated. Some people thought that the screen was unreal, so they boldly left their seats and walked forward, but were stopped in time by the hostess of 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 sincerely admired: "Old Han, you have created a miracle and pushed the replantation of amputated limbs to a new peak."

"This operation, to be honest, I have always had no hope for the function, but now it seems that the function has recovered so well. Judging by 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 talked about this operation in order to ignite the heat of the meeting. It seems that the purpose has been achieved.

"My eyesight is bad now. This operation was performed by a young man, and Xiao Yang performed it." Director Han tapped his fingers on the table lightly and rhythmically, and smiled.

Xiao Yang?Isn't it the student that Lao Han introduced last night?Young people are awesome!
Last night, Director Han introduced these big shots to Yang Ping one by one.

These bigwigs didn't pay much attention last night, they just shook hands symbolically and dealt with each other, and now they all have the idea of ​​getting to know Yang Ping again.

"This young man is a good seedling. If it wasn't for Lao Han's student, I would have poached him long ago." Professor Su said.

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

The foreign guests all stared wide-eyed. This kind of surgery is beyond their imagination. If it were in their hospital, such a bad case could only be done with stump repair and replantation!Not even trying.

"Oh! my God, it's incredible!"

Dr. Fleming from Israel stood up, propped his hands on the table, and exclaimed, Chinese people 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 see what kind of miraculous surgery it was.

Dr. Shedra from India, holding his glasses, also stood up and leaned forward. His white face was glowing red, which may be due to the dilation of blood vessels caused by excitement.

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

People from Singapore, South Korea, Hong Kong, Macao and Taiwan are all discussing with each other, and they are all in the same industry. The difficulty and effect of the operation are all on the table.

Fujiwara Miyuki watched the video on the tablet so that she could see it more clearly. She tuned out the operation video provided by the hospital to watch.

The operation of the operation is simply superb, the perineurium suturing is easier than skin suturing, and the operator's confidence and boldness make the operation very light.

Takahashi finally became interested. After watching the demonstration, the nerve had already crossed the two anastomotic openings of the forearm without any loss.

He called up the patient's data on the tablet, and based on the regularly reviewed EMG values, Takahashi drew a statistical line on the sticky note. He had done in-depth research on the prediction of nerve growth, and he could use this statistical line , to determine how much recovery space the nerve has.

The complete statistical line is drawn, and Takahashi's pen tip is virtual swimming along the statistical line, which is a bit unbelievable. According to this statistical line, there is no plateau in nerve growth, and it can go directly to the fingertips.

If the EMG is real, then this patient can get excellent results, how is it possible?
Takahashi raised his hand, and Director Tan invited him to speak. Takahashi stood up and picked up the wireless microphone in front of him.

In order to match 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 on it, and the screen switched to a close-up shot.

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

It's like Japanese manga fans are somewhat excited when they meet Hayao Miyazaki.

What is Daniel going to do, and do you want to put forward any unique insights? We will wait and see.

"Is this Fumiya Takahashi from the University of Tokyo Hospital?"

"Is he really here?"

"A world-class trauma surgeon."

"We'll ask him to take pictures during the tea break."

"It was worth the trip."
-
Takahashi, the most well-known figure in the entire venue, with the highest academic status.

"Professor Tan, can I go on stage to check the limb function of this patient?" Takahashi said in Japanese.

Director Tan can understand a little bit of Japanese, but he is not proficient in English after all. What's more, there is an agreement in advance at the meeting that all communication will be in English. Takahashi's English level is very high. He always uses English in meetings in Europe and the United States.

Now that he speaks Japanese at every turn, Director Tan is a little dissatisfied with his arrogance. From the first time we met and shook hands, it can be seen that he is always condescending, and even shaking hands is superficial.

"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-renowned bull, he is also arrogant and unyielding. How can he be allowed 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 instead.

"Mr. Takahashi, I want to go on stage to check the limb function of this patient in person." 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, as could be seen from his attitude and eyes.

Takahashi put down the microphone, adjusted his suit, turned around and bowed to the representatives at the venue, and then strode towards the podium.

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

Tang Fei also came over to help translate.

Qiangzi nodded, stretched out the replanted limb, the right upper limb.

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

He began to do Tinel experiments to judge the location of the nerve arrival, and the technique was skillful and delicate.

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

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, and the muscle strength reached the five-level standard, indicating that the quality of muscle and tendon anastomosis was very high, and the healing of muscle fibers and tendon fibers was very large. Scars rarely heal.

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 ulnar deviation and radial deviation.

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

Just like car chassis tuning, if you want to tune the track chassis with cheap low-level suspension, the masters will have no choice.

The ulnar deviation is actually very good, the tension of the tendon, from the front, the rear, and the inside, has been well adjusted, and the bad chassis has really been adjusted to the track effect.

Among the five fractures, there are four tendon-like connections, and it seems impossible not to produce adhesions.

Takahashi checked the movement of the fingers, whether it was flexion or extension, the range of motion could reach the limit, there was no adhesion of the tendon, and the sliding was smooth.

The surface temperature of the limbs indicates the degree of patency of blood vessels, the supply of arteries and the return of veins. Any link that performs poorly will cause changes in surface temperature.

If the patency is poor and the surface temperature of the limbs is slightly lower, this difference will not affect the survival of the limbs, but once it comes to the severe winter, it is easy to cause frostbite.

Takahashi stretched out two hands and touched Qiangzi's limbs on both sides, from fingertips to palms, then to wrists, until he touched the elbow joints. He carefully felt the difference in temperature.

"Is there a skin thermometer?" Takahashi asked.

Can't deny his rigor, Director Tan beckoned, Dr. Che from the rehabilitation department stood by the steps behind the podium, saw Director Tan's gesture, and immediately ran over, he had already prepared, percussion hammer, tape measure, skin temperature measuring device .

"Mr. Takahashi wants a skin thermometer!" Director Tan told Dr. Che.

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

"Put your hands down and relax!"

Takahashi spoke in English, and Tang Fei helped translate.

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

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

When Takahashi performs this kind of surgery himself, he gives priority to adjusting the dynamic balance, and directly gives up the tension adjustment of the rest position, because he can’t have both, so he can only choose the bear’s paw, but this operation has achieved both. .

According to current predictions, this limb can recover more than 90.00% of its functions.

It's unbelievable!

Are they pretending to be a patient who is not a severed limb?
Takahashi continued to check. The patient's hands, thenar muscles, interosseous muscles, and lumbrical muscles were all atrophied. The skin of the hands was in a state of denervation, smooth and dry. This denervated skin state is simulated.

The entire examination process was zoomed in on the screen by close-up shots, and all the doctors in the audience watched a world-class medical examination.

Professional, delicate, and smooth, every inspection can achieve the expected purpose. It is worthy of being a world-class master. Simple things can also make depth.

The magic has no flaws, this is an impenetrable magic, Takahashi was a little disappointed, he gave Director Tan a thumbs up, and returned to his seat.

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

"No, I'm in a very good mood."

Takahashi lowered his rolled up sleeves.

　Last night, the second-line class was called to surgery by the department. There were several sets, and they were only resigned this morning, so I just made up for last night's work. I'm sorry everyone!bow!I have to sleep during the day, and continue to update this evening——
　　
　
(End of this chapter)