The Godfather of Surgery

Senior brother, this is the human anatomy diagram you asked me to draw!

Song Zimo spread the painting, triumphantly.

Before drawing, he reviewed many anatomy books and atlases; when drawing, he did not refer to any materials, and drew entirely from memory. He checked it several times and there was no mistake.

The painting is very good, it is more beautiful and detailed than the human anatomy wall chart, but Yang Ping just glanced at it at random, then stretched out his hand to put away the picture, rubbed his hands into a ball, and squeezed it hard to make the paper ball a little smaller. Lift it and throw it to the trash can a few meters away. The paper ball draws a beautiful parabola and falls into the bucket accurately.

You may have misunderstood, or I didn't make it clear. I didn't want you to draw it and bring it.

Yang Ping clapped his hands, walked to the whiteboard, took out a water-based pen from the pen case and threw it to Song Zimo.

On-site drawing, just now, draw on the whiteboard, I will use it in class tomorrow.

Song Zimo took the pen and was stunned. He thought that Yang Ping would praise him, but he didn't even look at it and threw it into the trash can.

I'm used to it, and it's not just one or two times that I've been hit. Then draw it on the spot, and draw the human anatomy diagram on the whiteboard.

Yang Ping seemed to ignore Song Zimo's reaction, put together several chairs, lay down on them, and covered them with a layer of cloth for training.

I'll take a break and wake me up when I finish painting.

Hurry up and don't forget your original intention.

Yang Ping closed his eyes, threw a few words over, then stopped paying attention to Song Zimo, and really went to sleep.

Song Zimo turned the pen in his hand, thought for a while, and without making any excuses, walked to the whiteboard, removed the cap of the pen, and began to draw on the whiteboard. The lines were slowly drawn, and the bones gradually formed.

Yang Ping entered the system space and has accumulated more than 100,000 points. He purchased 500 cases of multiple trauma training, and another 100 cases of single-site trauma training for the head, chest, abdomen, spine, pelvis, and limbs. There are nearly 2,000 surgeries.

After completing these surgical trainings, Yang Ping has no room to quit.

He used experimental subjects for dissection and accumulated some anatomical and pathological data of trauma patients.

The system space, the waterfall falling from the sky in the distance, is majestic and magnificent.

The tree is stronger than before, with more luxuriant branches and leaves.

Coming out of the system space, Song Zimo was still painting.

There is a set of colored pens next to the whiteboard, thick and thin, and he uses various color combinations.

Drawing arteries in red, veins in blue, nerves in orange, and skeletal muscles in black, the entire anatomy of the human body is slowly presented on a whiteboard.

Yang Ping took a nap for a while, and when he was woken up, it was past eleven o'clock in the evening, and Song Zimo had been painting for over an hour.

Yang Ping rubbed his eyes and looked at the human anatomy drawing drawn with a water pen. It was still fine, and there was not a single mistake. Song Zimo's anatomy knowledge passed the test.

The systematic anatomy has been passed. Starting tomorrow, after each day's training, you draw a partial anatomy on the whiteboard, in the order of head, chest, abdomen, pelvis, upper extremity, lower extremity--

Senior brother, I will definitely work hard. Song Zimo's hand was sore, he put down the pen and moved his wrist.

Go back and rest early.

It was too late, Yang Ping packed his things, picked up his backpack, and was ready to go back.

Senior brother, why can Masao Fujiwara repair a broken heart in three minutes and twenty-four seconds by himself?

It's almost midnight, and you're still so persistent, it's not scary to be smart alone. The scary thing is that smart people can work several times as hard as others.

Are you sure I know the answer? Yang Ping put down his bag.

Song Zimo nodded: If you don't know, I'm afraid you have to ask Fujiwara Masao himself.

He stopped the bleeding with his left hand and sutured with his right hand, and finally tied the knot. Yang Ping told him.

What kind of stitching method is this, I haven't seen it before. Song Zimo didn't know how to stitch with one hand.

As far as he knew, the repair of a ruptured heart required an assistant, using 3-0 spacer atraumatic sutures.

Use the left hand to stop the bleeding of the ruptured heart with bare hands. If the rupture is small, press it with the index finger. If the rupture is large, several fingers are needed to close the rupture.

Then, a 3-0 non-invasive suture with a spacer is used to pass through the full-thickness myocardium for mattress suture. After each stitch is sutured, the assistant immediately helps to tie the knot, so that one stitch is sutured, and one stitch is knotted, and the suture is gradually interrupted until the split is reached. fully closed.

However, Masao Fujiwara had no assistant and completed the operation with one hand. Song Zimo never understood how he did it.

He uses continuous criss-cross stitching! It's a superb one-handed stitching technique, especially for one-man operations in emergencies.

Continuous crisscross stitching? Song Zimo has never heard of this stitching method: Where does this stitching method come from? I have never seen it.

Yang Ping picked up a water-based pen: This should be created by Masao Fujiwara himself. I simulated it based on the trajectory of his hand. You see—

Wait! Song Zimo seemed to realize something, and he went over to take the pen from Yang Ping's hand.

I'll draw it for you, don't you think? After a little bit of Yang Ping's call, Song Zimo instantly understood.

He used a pen to draw figures of continuous reciprocating cross-stitching in the blank space away from the anatomy of the human body, and also explained the figures.

The first stitch is sutured from the starting point, and the direction of the needle thread is 90 degrees perpendicular to the wound. At this time, the little finger and ring finger of the left hand squeeze the end of the thread.

The right hand continues to sew, the second stitch begins, the needle thread is inclined at 60 degrees to the wound, and it is the same from now on, the suture direction is zigzag.

The last stitch is the same as the first stitch, the wound is vertical, do not stop at this time, the needle and thread are sewed back, and the mirror image is copied.

The second stitch that goes back restores the angle of 60 degrees to the wound, and sews all the way. The last stitch falls on the symmetrical position of the starting point. At this time, the wound is completely involute and knotted.

During the whole process, for each stitch, the index finger and middle finger of the left hand are responsible for tightening the thread, and the tail thread that is pinched by the little finger and the ring finger is opposed to the tension.

Although the sutured thread is not knotted in this way, it can always tighten the wound, and the effect is the same as the intermittent suture. The knot is finally tied, and the suture of each stitch is crossed back and forth.

That's right, that's how it is. Yang Ping praised him sincerely.

But the index finger and middle finger of the left hand are responsible for tightening the thread, the little finger of the ring finger is responsible for fixing the end of the thread, and only the thumb is left. How to stop the bleeding with bare hands? Song Zimo still didn't understand.

Hemostasis with bare hands, whether with one hand or two hands, is not difficult for trauma surgeons, it is only basic skills, but with one finger, if the wound is small, it can be done, but it is almost impossible for the wound to be large.

You can hold the thumb on the small wound, and use the palm of your hand and the thenar muscle to stop the bleeding for the big wound. Yang Ping cleared his doubts.

Song Zimo finally figured it out. If so, it would be very difficult.

These hands must be very flexible. The five fingers of the left hand do three different things, and the one hand of the right hand is sutured. In the pool of blood, nothing can be seen, and the operation is all based on the feel.

The effect of sewing is to achieve the effect of interrupted mattress stitching with gaskets, which requires a high level of stitching skills!

Fujiwara is really amazing! I heard that among his students, there are also several very powerful ones, Fumiya Takahashi and Jiro Sasaki, who are known as the two heroes of trauma surgery in Japan. Song Zimo said, from this stitching, you can get a glimpse of Fujiwara's level.

Fujiwara is a god-like existence in the Affiliated Hospital of the University of Tokyo, and he has many amazing innovations. Director Han told Yang Ping about this.

You start practicing one-handed suturing tomorrow, holding a needle in one hand, without the assistance of the other hand, to complete the suturing. It was getting late, and Yang Ping wanted to end this topic quickly.

Take the model of the chest and cut a five-centimeter incision in the heart to completely cut through the heart muscle. Yang Ping wanted to demonstrate continuous reciprocating cross suture with one hand.

Yang Ping took off his jacket and covered his eyes.

Is he trying to demonstrate blind operation? Song Zimo's heart was pounding.

Song Zimo knew that those who can operate blindly have extremely high requirements for hand feel.

Brother?

Hurry up and make the model!

Song Zimo took the model, cut a 5-centimeter hole in the heart, and put the needle holder with the needle thread in Yang Ping's hand.

You see clearly, I only show you once, and only you can learn this kind of blind operation. Yang Ping urged.

In the whole administrative building, only the training room is still lit, which is very quiet and empty.

Yang Ping calmed down, holding the needle in his right hand, extending his left hand, holding the heart model in his hand, and using the thenar muscle and thumb to close the wound with his bare hands, and the involution was smooth.

The right hand starts to fly the needle, and when the eyes are blindfolded, the shape and position of the suture object and the length and direction of the wound are immediately judged by the contact with the left hand.

The stitching is precise and accurate, like opening your eyes to see the stitching.

Continuous reciprocating cross stitching, the little finger and the ring finger fix the thread tail, the index finger and the middle finger tighten the thread, and the hands are like magic.

Soon, the sewing was finished, and Song Zimo forgot the time.

When the knot is finished, the wounds are neatly squeezed together, and the inversion is tightly sutured. If it is a real heart, this kind of suture quality will never leak blood.

You—will you? Song Zimo squeezed out a few words.

You can also learn the trick of carving insects. Be slow at the beginning, otherwise the needle will stab your left hand. You can practice it tomorrow. Yang Ping put down the needle holder.

I really want to know why you are so persistent. To be a surgeon, you should have a lot of options, and you should be more relaxed and chic than now, at least you don't have to draw anatomical diagrams here late at night. As far as I know, you still fainted when you were reading, A person who is stubbornly dizzy, who is stubbornly dizzy, can't be a surgeon, but you become a surgeon.

Song Zimo was silent for a while: That's right! I used to be dizzy! As soon as I saw blood, I would fall down, but there was nothing to stop me. I went to Mo Liu's trauma emergency center every day. It took a whole year for me to walk on the walls, and I threw up and down every day, and I was able to face the blood, and there was nothing stopping me from becoming a surgeon.

Song Zimo lowered his head and remained silent, holding his face in his hands.

Stubborn dizziness, you have overcome, there is no difficulty you can't overcome.

Yang Ping stretched out his hand, and Song Zimo held him tightly.