Doctor of Healing

Page 277

There was silence in the operating room, and Ji Xiang only sewed one stitch, just like when he was sewing skin, the 6-0 gut was tied with a delicate instrument knot, and then cut off with long scissors.

"Don't worry about the capillaries, just pretend." Professor Fan said disdainfully.

Suddenly, he felt someone touch his leg, and looked up to see Director Sui.

"Director Sui, what's wrong?"

"Look at the radiography." Shi Shuo didn't look at Ji Xiang's surgery screen, but at a certain frame of the radiography screen just now.

Professor Fan was puzzled and looked at it intently.

But although he is a top expert in sports medicine at the First Affiliated Hospital, and his technical level is one of the few in the province, he can't understand the angiographic images at all in his eagerness.

The branches of medicine are becoming more and more refined, and the barriers between fields are strict.

Even Professor Fan, a top expert in orthopedics and sports medicine in the province, could not accurately find the location of the peripheral blood supply to the patient's left anterior cruciate ligament.

"Teacher..." Professor Fan whispered to Shi Shuo, but he didn't know what to ask.

Shi Shuo concentrated, repeatedly comparing the frame of image reserved for radiography with the location of Ji Xiang's needle insertion, and was still at a loss when he saw it.

In the process of their repeated comparisons, Jixiang continued the operation. He did not seem to be fast or slow, but the ruptured anterior cruciate ligament had been stitched up during the speech.

Although it was not beautiful enough, and it was different from the sutures in the past, Ji Xiang "forcibly" ended the operation.

The left knee joint cavity was rinsed with warm salt water, and there was almost no bleeding. The warm salt water sucked out did not even have blood streaks.

But this point was ignored by Shi Shuo and Professor Fan.

They didn't understand Ji Xiang's operation. In their perception, the operation was relatively rough and could only preserve less than 50% of the patient's function.

After the patients undergo rehabilitation training, there may be ligament rupture and so on.

This possibility is not low, and it has completely deviated from the patient's original intention of being forcibly discharged from the First Affiliated Hospital to come to the Second Affiliated Hospital for surgery.

"The operation is over." Ji Xiang said to Zhao Dali after the skin was sewn up, "You can try to move around 3 days after the operation, and you can start to exercise slightly after 5 days."

"Doctor Ji, how much can you recover?" Zhao Dali asked anxiously.

"It shouldn't be a big problem." Ji Xiang smiled. "In 2-3 months, if there are no accidents, you can appear in the Dortmund youth team."

"!!!" Zhao Dali clenched his fists vigorously.

"But it depends on your own level."

"I'm sure!" Zhao Dali said firmly.

"That's good, I hope you can enter the Bundesliga as soon as possible." After explaining a few words, Ji Xiang and Zhao Dali greeted Zhao Zhe to pull the flat car, and they carried Zhao Dali to the flat car and sent him back to the ward.

"Director Sui, is this the new surgery you have carried out?" Shi Shuo looked a little confused, Ji Xiang's surgery had completely exceeded his expectations.

Shi Shuo once thought that which manufacturer had high-value consumables for phase 4 clinical trials, and had brand-new and more resilient ligaments, so that the Second Affiliated Hospital could have such a strong confidence.

He was angry that no one told him about such "advanced" things.

But I never expected that what I saw in the Second Affiliated Hospital turned out to be a hybrid operation, and the whole process was beyond words.

"It's not our department." Director Sui definitely didn't take the blame, he frowned and said in a low voice, "This is the first time I've seen this operation, so I don't know how it will work."

"Director Sui, the sewing is so rough, what do you think will be the effect?" Professor Fan said disdainfully.

"I can't tell." Director Sui said in a deep voice, "The surgery has been done, and we'll see if the postoperative effect improves."

Chapter 393 No effusion, no effusion!

The unexplainable operation made several people fall silent.

Before Shi Shuo came, he had prepared a bunch of excuses. The operation might not be done, but no one would pick a fault.

however!

After watching the operation, he basically had nothing to say.

This operation has exceeded his basic understanding of previous operations, and he has done hundreds of operations for incomplete rupture of the anterior cruciate ligament, which has become so unfamiliar.

It was said that it was not done well. They used hybrid surgery and looked at the capillaries in a decent way.

But if it makes sense, the surgeon's suturing movements are particularly awkward, Director Shi really can't see the good thing.

All the words in his mouth were blocked back, Shi Shuo talked to Director Sui perfunctorily, and then went downstairs with Professor Fan.

"Teacher, do you think that little doctor did a good job?"

"I don't know, but I have a very strange feeling in my heart." Shi Shuo kept thinking.

"I don't think it's good, but I deliberately made simple operations complicated." Professor Fan said firmly, "I heard that Dr. Ji Xiangji got the first place in the country in the medical practitioner examination this year, with a full score, but in the end One of the things he is famous for is that he is very brave in Shanghai.”

"Oh? What's the matter?" Director Shi Shuoshi didn't know about it.

Professor Fan told it again, and Shi Shuo was taken aback for a while.

No wonder the Second Affiliated Hospital let go so much, this person is really not an ordinary person.

"I think Dr. Ji's level is really high, but it's only limited to interventional surgery." Professor Fan said with certainty, "The level of interventional surgery is high, so he always wants to do hybrid surgery. It's getting complicated."

Shi Shuo nodded slightly, what Professor Fan said made sense.

"But this is an operation. After the operation, you only need to hand in the test paper, and you have to score. The degree of recovery of the patient after the operation is the score. The operation is so complicated that no one can understand the use of a hairball! Teacher You say yes."

This makes sense.

"I have been following these days, and my feeling is that the patient will not be able to pass the effusion of the knee joint cavity after the operation." Professor Fan said contemptuously, "It is also possible to perform rehabilitation training on the 5th day after the operation. The ligament has to snap."

"There is indeed a problem with the sewing."

"Teacher, you are too... polite." Professor Fan thought for a while before finding an adjective, "His sewing is simply random. I can find any graduate student who can sew better than him."

"You keep an eye on it."

"Okay, I have a good relationship with Deng Chaohong. After drinking a few times, I told Deng Chaohong to study and ask when the MRI of the left knee joint will be rechecked."

……

……

Director Sui returned to his office suspiciously.

After he went back, he felt dizzy, as if he was thrown into the DSA machine and lay there for three days and three nights, eating thread all the time.

It wasn't caused by X-rays, Director Sui knew very well.He leaned back on the chair, closed his eyes and concentrated on recalling the operation just now.

Seeing that there are countless flaws in the operation, Director Sui recalled the background picture of the operation in his mind. It was the day when Director Liu, Mo Chenggui, and Colonel Wang sent Ji Xiang from the Department of Urology with enthusiasm.

Director Liu also played a few haha ​​with himself.

It's all very weird.

The department director of the Second Affiliated Hospital is also a well-known figure in the provincial capital. Although the level of the Department of Urology is not as high as that of the Department of Orthopedics, he is the chief director after all.

With this background, Director Sui thought about the operation again, recalling what Ji Xiang said and substituting it in, he vaguely found out where the problem was.

But it was only vague, and Director Sui didn't know what the specific focus was.

He carefully copied the surgery video, because it was too complicated, Director Sui couldn't understand it after watching it twice.He simply threw the operation video aside and waited to see the patient's postoperative MRI.

……

……

The fifth day after surgery.

An MRI appointment was made early, and Deng Chaohong took the patient for an examination early in the morning.

Zhao Dali has recovered quite well in the past few days, and there is no pain in his left knee joint. Even Deng Chaohong has an "illusion" that the patient's knee joint does not even have the edema caused by the surgical blow.

He does drawer tests and other physical examinations for patients every day.

According to the physical examination, the effect of the operation was excellent. Ji Xiang said on the operating table that he could recover and train 5 days after the operation was not casual, and this kind of rehabilitation training will not be ordinary training.

When we came to the NMR room, Professor Fan stood there early in the morning.

"Professor Deng, I'm here." Professor Fan said with a smile, "Come and learn. The little doctor under your command is really good. Every time I think of that operation after I go back, I am astonished."

Deng Chaohong glanced at him and knew that he was talking ironically.

I listened to Jixiang's detailed explanation for two hours, and then underwent surgery, but in the end I still didn't understand.Can Fan Chengen understand?Still amazed?What a joke.

However, Deng Chaohong was simple and honest, and did not refute.

"Chao Hong, how is the patient's physical examination these days?" Professor Fan asked.

"All kinds of physical examinations are ideal, and I feel better than expected." Deng Chaohong said.

"Hahaha, don't brag, do the NMR immediately, be careful of bragging. Don't cry when you see the NMR later." Professor Fan laughed.

Deng Chaohong shook his head without explaining carefully.

Coach Feng was a little nervous, and numbly pushed the wheelchair to send Zhao Dali in.He didn't even hear the nurse's warning, and almost pushed the wheelchair into the MRI room.

After being scolded for a few words, Coach Feng regained his composure, said a few words of embarrassment, bowed again and again, and helped Zhao Dali lie on the examination bed in the NMR room.

The airtight lead door closed, and there was a buzzing sound from inside.

Several people were silent, each having their own concerns.

About 10 minutes later, the airtight lead door opened. Deng Chaohong and Fan Chengen did not visit the patient, but stood in the operating room staring at the screen.

Soon, the image appeared, and the operator glanced at it briefly and smiled, "Professor Deng, your operation is getting more and more precise. I read in the medical record that on the fifth day after the operation, there was no effusion. "

As soon as he said this, a black shadow pushed him aside.Fan Chengen's eyes widened, and he desperately lay down in front of the console, adjusting the MRI image by himself.

The doctor in the MRI room was taken aback.

"It's Professor Fan from the First Affiliated Hospital." Deng Chaohong briefly explained, and also focused on the video.

Fan Chengen's technique was proficient, and his hand speed was raised to the highest level while he was in a daze.

In the joint cavity, there is indeed no effusion at all!

how can that be!

It is understandable and inevitable that patients will have effusion after surgery.

Exudation itself is a self-protection instinct of the body. As long as there is surgery, there will inevitably be postoperative exudation.

But in the MRI image in front of him, the exudate was completely invisible!

Weird!Fan Chengen looked at the MRI image, his mouth slowly opened wide, almost dislocated.

Chapter 394

Five days after the operation, there was no effusion in the joint cavity!

This is impossible,

This unscientific!

Fan Chengen stared blankly at the MRI image, his mind went blank.

The patient was the first one he took over, and he knew all the laboratory tests clearly, even more familiar than Deng Chaohong.

The surgery was performed with his own eyes.

On the 5th day after the operation, even if it is performed by a top surgeon, there will be some effusion more or less, which is inevitable.

No matter how precise the operation is,

No matter how low the trauma,

Joint effusion is definitely there, no accident!

but!

Even a drop of effusion could not be seen in the MRI image.

why!

Deng Chaohong was also a little puzzled, but he was more joyful, excited, and amazed.And seeing Fan Chengen's stupid face, Deng Chaohong was even happier.

He is honest and honest, but that doesn't mean he can be bullied casually.

The effect of the operation was really good, so good that it made Deng Chaohong believe in Ji Xiang's judgment - he could start recovery training 5 days after the operation, and Zhao Dali could run on the football field after 2-3 months.

This operation is simply too awesome!