There is no need to be too normal to be a doctor

Chapter 190 No refutation accepted!

Chapter 190 No refutation accepted!

At this time, Li Zhen looked at Tang Jinbo's flushed face and a little excited, and was obviously stunned for a moment.

He had more contact with Tang Jinbo.

Both are in the south, and they are in the same field, and their influence is not bad.

Even Tang Jinbo's international status and influence are not comparable to Li Zhen's.

But no matter what, Li Zhen also has a good reputation and reputation in China.

In the past, Tang Jinbo was definitely not such a person.

Regarding Chen Gong's evaluation and evaluation of the surgery, Tang Jinbo was really passionate today.

And at the same time!

It wasn't just Li Zhen who discovered Tang Jinbo's anomaly.

At this time, the British Hand Surgery Tendon Rehabilitation Research Center.

This is a research institute affiliated with the University of Oxford.

I was supposed to be preparing for an upcoming EU Hand Surgery Tendon Rehabilitation Conference tomorrow.

Tang Jinbo also has a relatively high status in the field of hand surgery in the European Union, but today he suddenly received news from Tang Jinbo that he would participate in a domestic surgery live broadcast as a guest.

The time for the preparatory meeting is not so fixed, and the time of experts from various countries must be coordinated in advance.

Tang Jinbo is usually a very punctual person, but this time, Tang Jinbo's temporary absence made many people in the association curious.

What kind of live surgery is this?

James Regan is the institute's chief professor.

At this time, he curiously joked to several experts and said, "Tang is really an interesting person."

"It was rare to hear that he would attend domestic meetings before."

At this time, the assistant soon laughed and poured James Reagan a cup of coffee.

London time is about six or seven hours behind the capital.

At this time, it was just past eight o'clock in the morning, and a group of experts were in the office. Although the preparatory meeting would not be officially held today, a group of people could still discuss something.

At this moment……

Suddenly the assistant smiled and said: "I heard that it is a live broadcast of hand surgery."

"Just on the medical forum."

"Maybe if you go in now, you can have time to take a look."

"After all, if you can invite Tang to give live commentary, the surgery shouldn't be too bad, right?"

Hearing this, many experts in the room suddenly looked curious.

There is nothing more refreshing than a classic surgery this early in the morning.

At this moment!

The operation has been going on for more than an hour.

Starting at 11:30, preparation work, preoperative preparation, anesthesia, etc...

When we started, it was already past twelve o'clock.

The toe free surgery also took a lot of time.

At this moment, Chen Gong is about to start the hand transplant work.

And just in time, James Reagan and the others entered the live broadcast room.

There is an overseas version of the medical forum. Although it is impossible to achieve completely transparent data synchronization, this live broadcast of surgery can also be seen abroad.

After all, it is China Science and Technology Press, and their influence is still very large.

quickly!

In the office of the research center.

On a huge screen, James Reagan asked his assistant to play the surgery on it.

And coincidentally, at this moment, Tang Jinbo said to everyone with an excited expression.

"This is definitely going to be a future improvement and development in hand surgery."

"It's very difficult to break through the constraints of human body structure and tissue."

"It has been difficult for artificial tendons to make substantial progress in recent years. As a functional tissue, fingers not only need to be beautiful in appearance, but also need to truly assist other fingers in completing daily work and life."

"So, neurological function is the biggest obstacle!"

"Now, when it comes to rebuilding thumb function, the most important thing for us is to focus on neurological rehabilitation."

"As you have just seen, the dissociation of the second toe perfectly preserved the function of the nerve. The most important thing is that I feel that this kind of nerve damage and reconstruction will definitely produce perfect surgical results."

"I believe that the application of translational medicine in the field of hand surgery will definitely become a prototype for the development of hand surgery in China and even the world."

Hearing Tang Jinbo's words, James Reagan was stunned.

Not only him, but many experts in the office looked at the surgery scene with wide eyes and some disbelief.

At this moment, the successfully freed second toe is about to be transplanted into the hand!

Chen Gong used silk thread to preserve and separate the nerves, blood vessels, and tendons of the second toe to perfectly present them.

Seeing this scene, everyone realized it.

This is a "thumb defect reconstruction surgery."

"God, this is a thumb defect reconstruction surgery? Isn't it a very ordinary surgery? Why is Tang being a guest?"

One expert couldn't help but say something.

After hearing what the other party said, one person quickly denied it directly.

"Do you really think this is a free second toe transplant? That's really a pity. Professor Hibbert, I think you should take a closer look at this successful second toe transplant. This model of free transplantation , it is definitely not a simple transplant, this has perfectly preserved the organizational structure and function. I think... you should reflect on why you have not made progress in so many years!"

The person who spoke showed no mercy at all, which made Hibbert turn pale.

but!

Soon, more and more people realized that this surgery, although seemingly ordinary, was anything but ordinary.

James Reagan said with a solemn expression: "Everyone, please be quiet."

"I think I want to listen carefully to Tang's analysis of this operation."

"Reconstruction of thumb defects has always been a difficult problem for our research. Including this meeting, we are also seriously discussing surgical guidelines for this disease."

"So far, this kind of thumb defect surgery has become more and more influential internationally, and it has begun to pay attention to the International Disabled Persons' Federation."

"Reconstructing the function of thumb defects is definitely a difficult problem in the future research field of hand surgery!"

"I think it's time for us to discuss it after the operation is over."

After hearing James Reagan's words, the scene fell silent.

No one disputes what Reagan said.

Because what he said is true.

Whoever can really solve this problem innovatively will definitely become famous in the academic circle of hand surgery in the world.

At this time, everyone was looking at the surgery scene curiously.

Although the surgeon in the picture is wearing a mask and a microscope,...it can be seen from his appearance and physical signs that he is very young.

China is really a mysterious and mysterious oriental country full of legends.

Such a young man actually has the opportunity to stand in the C position of such a high-end surgery and perform such a difficult surgery.

Moreover, there are experts like Tang Jinbo as guests to explain.

Everyone couldn't help but become serious at this time.

Everyone knows that the operation has reached a critical moment.

Tang Jinbo stared directly at the surgery scene.

At this time, Chen Gong needs to make an incision in the thumb area. This incision needs to be able to separate the nerves and the insertion area of the long and short extensor tendons of the thumb.

Traditional surgery doesn’t need to be so troublesome!

The choice of this incision will even directly affect the later effects of the surgery.

for example!

This surgery is like repairing a pair of defective scissors.

The craftsman needs to cut an iron piece from the tail of the scissors, and this iron piece needs to fit perfectly in the defective area.

So!

You need to find a precise place to install the iron piece.

How to choose this point is very critical!

Of course, fingers are far more precise than scissors.

This involves nerve reconstruction, blood vessel anastomosis, and tendon reconstruction.

then!

This requires a sufficient understanding of the anatomy of the finger area!

Just then...

Suddenly Chen Gong became quiet.

He looked up at the people around him, glanced at the camera again, and said:

“A lot of people don’t understand the significance of anatomy.”

"Here, I think everyone should understand everything after seeing this incision."

"The key to anatomy is to find some points where it fits."

“Especially for transplant surgeries, we must deepen our understanding of anatomy.”

At this time, everyone watching the surgery in the live broadcast room was stunned when they heard Chen Gong's words.

Is Chen Gong too arrogant?

Are you talking about anatomy?

But, right now!

Chen Gong took the scalpel directly without hesitation.

First, he made a sagittal incision on the dorsal palmar aspect of the thumb stump.

Subsequently, a transverse incision was made at the dissected snuff fossa.

It's that simple and precise.

Tang Jinbo, who was in the live broadcast room, was suddenly shaken, and he almost knocked over the water glass on the table.

Li Zhen was also startled by this scene. He couldn't help but turn around and glance at Tang Jinbo.

But I saw the other person's face said excitedly:

"it is good!"

"What a great cut!"

“That’s what anatomy is for!”

"Everyone, look at this incision."

"Cross cross cut, easy."

"But the choice in this area is great."

"If we were to talk about the turning point of surgery, what is the foundation of surgery? I would definitely say this incision!"

"Don't worry, everyone, just listen to me slowly."

“Look, experts who are familiar with hand surgery should know this very well. A sagittal incision is made on the dorsal side of the palm.

This incision is very short, but it is enough to separate the digital nerve and release the extensor pollicis longus and brevis tendons and the flexor pollicis longus tendon. "

"This transverse incision at the snuff fossa is 1 cm long, but it can free the cephalic vein and separate the radial artery deep on the ulnar side of the extensor pollicis brevis tendon."

"And the area where the two roads intersect will have an extension."

“Look at it, everyone, this is just the location for the exit of nerve circulation.” “These are the basics!”

"Everyone, take another look at the beautiful bones here."

"As we all know, this is a second-degree defect, and the free toe even wants to be bonded to the bone with K-wire."

"It's impossible to achieve an accurate fit!"

"So, what do you need?"

"Correction!"

"Very good, where should I correct it?"

"Look at this area. Here, after the neurovascular tendons are completely separated, there can be a cavity area where the muscles are denser and have a restrictive effect on the bones."

"In medicine, this area is called a restricted area!"

“A big advantage of restricted areas is that they are very orthopedic.”

"I believe that Chen Gong will definitely choose to receive orthopedic treatment here."

After the words fell, Chen Gong raised his head and glanced at Chen Xi: "Director Chen, I need your help."

When Chen Xi saw this restricted area, he was immediately confused!

"Here...why is there a restricted area here?"

Chen Gong smiled slightly: "This is actually a gap."

"This belongs to the category of interstitial medicine. Generally, there is a tissue triangle area next to the gap, which is easy to form an orthopedic area."

"I think this is the most suitable place."

Chen Xi looked excited and looked at Chen Gong with wide eyes.

You know, the discovery of this area is definitely a big discovery for orthopedics, and it is good news!

Liu Yajun also swallowed his saliva, looked at Chen Gong, and suddenly said:

"I remember... you have been studying interstitial medicine?"

"Already have results?"

Chen Gong smiled: "There are seven or eight transformations currently underway."

After Liu Yajun heard this, his heart suddenly thumped.

He suddenly had the illusion that the person in front of him was not a 21-year-old genius, but a long-established medical giant.

And this time in the live broadcast room!

It exploded directly!

All the comments in the barrage were: "Oh my God!"

"Oh, mygod!"

"God!"

"incredible!"

"Cattle!"

"Great!"

"My Cao..."

Various shocking words appeared frequently.

This is the voice of countless people.

Tang Jinbo took a deep breath: "Who would have thought that the thumb area would have a restricted area that is most suitable for orthopedics."

"It is well known that not only thumb reconstruction surgeries, but also those replantation surgeries of severed fingers, require surgical luck."

"Finding this orthopedic area on the finger is definitely good news for hand surgery!"

"I believe that everyone who has undergone the surgery today will gain a lot!"

"This is really an excellent operation!"

“It’s been a great benefit!”

Tang Jinbo spoke very quickly!

At this time, there was a comment suddenly superimposed on the barrage like crazy.

"Professor Tang, please translate +308"

It turned out that at this time, a lot of crooked nuts had already poured in.

Everyone was shocked by the surgery in front of them.

But no one understands it!

Therefore, Tang Jinbo could only translate it again.

but……

Tang Jinbo hadn't finished translating yet, and Chen Gong's surgery would soon begin again.

Chen Gong's expression was cold. At this moment, he knew that everything he had just done was just to lay a good foundation.

Along with Chen Xi, he rested the broken phalanx.

This process requires caution.

And the most important thing is that there needs to be muscle restrictions.

Fortunately, there are restricted areas, so all this can be done perfectly.

Chen Xi didn't dare to be careless.

She knew very well that this operation could not be adversely affected by her mistakes.

The proximal end is repaired first, then the distal and proximal bone ends are repaired, steel wires are used for cross internal fixation, and the periosteum is sutured.

The metatarsophalangeal joint of the second toe is sutured to the periosteum of the first metacarpal bone to correct hyperextension deformity of the metatarsophalangeal joint.

After all this is done.

Chen Gong started his own operation.

The extensor digitorum longus and brevis tendons combine with the extensor pollicis longus and brevis tendons respectively.

The flexor digitorum longus tendon is sutured to the flexor pollicis longus tendon.

The flexor pollicis brevis tendon is sutured to the tendons of the lumbrical and interosseous muscles of the second toe to reconstruct the opposable function of the thumb.

This is no longer just tendon suturing.

Rather, it is a true tendon reconstruction.

Chen Gong's operation is very delicate.

You know, the tendons in your toes are different from the tendons in your thumb.

Different specifications will cause the appearance of stumps, and all these require precise corrections.

Chen Gong's tendon suturing technique is not just suturing.

His tendon technology can be called tendon repair and reconstruction.

The same principle applies to blood vessels and nerves.

Regarding blood vessels, Chen Gong has perfect vascular reconstruction techniques and concepts.

The nerve repair is even more skillful!

Throughout the entire operation, Chen Gong's technique can be said to be extremely precise.

Everyone in the live broadcast room was stunned!

As an expert in hand surgery, Liu Yajun knows how difficult all this is.

but!

However, Chen Gong's skills perfectly demonstrated a level that a watch expert should not possess.

For example: vascular reconstruction!

He clearly saw the nondestructive vascular anastomosis.

Saw the skillful concept of vascular reconstruction.

Nerve damage repair was seen.

I saw the perfect match of nerves!

Is this a skill a hand surgeon should have?

Sometimes, real technology doesn't need too much polish.

Just like perfect ingredients don’t require high-end cooking techniques.

The ingredients alone are perfect enough to make every onlooker salivate!

same!

When Chen Gong displayed these technologies, the world suddenly became quiet.

All doubts disappeared at this moment.

All doubts were shattered at this moment!

All suspicions and slanders were eclipsed at this moment.

Surgery, not just surgery.

It can also be art!

Standing there, Liu Yajun suddenly felt his own insignificance.

He didn't know why an expert in hand surgery had more knowledge about nerves and blood vessels than those who performed vascular surgeries and nerve repair surgeries themselves!

He doesn't understand.

It’s unimaginable.

Is this kind of doctor normal? !

Do not!

Not normal at all!

But it just happened.

Even Li Zhen, who was a guest in the live broadcast room, couldn't say anything excited at this moment.

He couldn't think of any words he should use to describe this operation.

I can’t even imagine how to rate this doctor!

Just like this moment.

Tang Jinbo looked at everyone with an extremely excited expression. After he forced himself to calm down.

Suddenly he said to everyone:

"I'm so glad I explained this surgery!"