Chapter 366 Do you want to put down your face?! (Please subscribe)
When Zhou Cheng woke up again, it was already eleven o'clock in the evening.
Clicking on the phone screen, I found several unread messages sent by Anruo, which reported the basic situation that Anruo was facing now and was asked by a group of her own parents.
Zhou Cheng smiled back, then went to the door of the operating room again, picked up a set of hats and masks, and went straight to the operating room.
In Room 21, Zhou Cheng was at the sink outside. After washing his hands, he stepped on the sensor door and walked into the operating room.
At this moment, the atmosphere in the operating room was particularly delicate, with almost no one talking. Moreover, Zhou Cheng also saw that Cai Dongfan and Guang Yanhu had stopped operating at this moment, and almost everyone was staring at the operating table nervously.
team on.
When Zhou Cheng walked in, he was warned by the patrolman with hisses. Without Zhou Cheng opening his mouth, Zhou Cheng reopened the storage bag of the sterile surgical gown.
After Zhou Cheng put on the sterile clothes, he went to Cai Dongfan. Cai Dongfan squeezed next to Zhou Cheng and said, "Xiao Zhou."
"Thank you for your hard work. Maybe this time, you will waste your time."
"What's going on? Master." Zhou Cheng turned his head and asked strangely. He still didn't understand what was going on.
"There is damage to the abdominal aorta, which is currently being treated by Professor Dewey of the General Surgery Department. The patient has unstable blood pressure and is in shock. If this area is not treated well, other places will be useless," Cai Dongfan explained in a low voice.
Zhou Cheng heard the words and did not reply. He also knew that everyone would stop talking and give up their positions mainly to save their lives in order to save space and position.
Save life first, treat disease later, this is the consistent principle!
Zhou Cheng had not stood still for a while when suddenly there was a commotion on the operating table and waves of irritability.
"I'm the Olympics! Where are the people from the vascular surgery department? Isn't there still no one who can help me out?" The person named Professor Dewey began to complain.
"It seems that Professor Jin still has no one to share with us. Moreover, currently, many people in the vascular surgery department are sent abroad, and there are even fewer people left. Professor Du, what should we do now?" The junior doctor hurried back.
"Call Auxiliary and ask if someone can come?" Dewey's eyebrows flashed.
Although vascular surgery used to be within the scope of general surgery, he specialized in gastrointestinal surgery, so he really had no way to deal with such a complex problem.
The vascular surgery department in Attached One was not very strong to begin with, and now that many people have been divided, one person can only be used in half.
"After the fight, Annex 2 sent out more people than Annex 1. Now the manpower is even more scarce. The deputy senior officers are the ones who go to our hospital for in-hospital consultations. It is estimated that it will be difficult to come to our side."
Dewey began to glance left and right, and then when his eyes swept past Cai Dongfan, he was slightly startled. After looking at it carefully, he asked: "Professor Cai, is this your student Xiao Zhou?"
"Hello, Professor Du, my name is Zhou Cheng." Zhou Cheng greeted quickly.
Dewey squinted his eyes and thought for a moment, then asked: "Does Xiao Zhouqian have the authorization for vascular surgery now?"
To be honest, Dewey didn't know much about people other than orthopedic professors.
But Yang Yifeng is an exception. Dewey also hoped that Yang Yifeng could stay in the general surgery department, so he has always paid attention to it.
Then through Yang Yifeng, Dewey also learned about Zhou Cheng. Moreover, Dewey also knew that Zhou Cheng seemed to be able to match Yang Yifeng.
Hearing this, Zhou Cheng nodded: "Professor Du, when we were in Chang City, Yang Yifeng got it through Professor Shu."
Zhou Cheng answered honestly.
Vascular surgery is another department. To obtain authorization for surgery, it must be authorized by the vascular surgery specialist association. Of course, Yang Yifeng had already arranged this matter when he was in Changshi, so Zhou Cheng now has obtained the authorization from the vascular surgery specialist association.
General surgical procedures are authorized.
"That's good. Come over here and be my assistant. We'll try again. If we still can't handle it."
"Then there may be nothing we can do."
"The collateral circulation of the organs downstream of the abdominal aorta is not abundant, but the delay will not last long, and there is not much time left for the patient."
"Lan Lu, come on stage and continue the operation!" Dewey explained without consulting Zhou Cheng at all.
But after saying that, he still explained to Cai Dongfan: "Professor Cai, can you lend me Xiao Zhou for a while?"
Zhou Cheng also looked at Cai Dongfan first.
Now Zhou Cheng's practice location is not in Shashi, but in Changshi. When he came to the stage, he followed Cai Dongfan and was absolutely not allowed to appear on the surgeon's team unless he went through the corresponding multi-site practice procedures temporarily at the Affiliated Hospital of Hunan University.
So now Zhou Cheng needs to listen to Cai Dongfan's orders.
"Xiao Zhou, go ahead." Cai Dongfan smiled.
After hearing this, Zhou Cheng walked back to the operating table, while Dewey and Lan Lu once again untied the previous sutures.
Blood vessel suturing requires very delicate operations, otherwise the blood vessel wall will be easily torn, and the abdominal aorta is not allowed to have any leaks!
"Xiao Zhou, can you handle this situation?" Dewey also asked like a dead horse being treated as a living horse doctor. A person who can support Yang Yifeng should not be too bad.
"You should give it a try." Zhou Cheng doesn't need to be too careful now. All procedures are in compliance with the rules. Dewey is the one doing the surgery now. He doesn't need to take responsibility. He is just an assistant.
But the assistant can also do the work of the chief surgeon, but the name can be slightly changed.
Now this patient's abdominal aorta rupture is not complicated. After a little trimming of the inner and outer membranes, it can be sutured.
"That's just right, Xiao Zhou, come over and try." Dewey quickly gave up his seat.
Zhou Cheng didn't refuse, and after Dewey got out of the way, Zhou Cheng took the surgical instruments of the vascular surgery in his hands, and performed the perfect vascular suturing technique with his hands like flowers.
Trimming the tissue and closing it with scissors, suturing the needle in and out, tying knots...
Very quickly, in less than five or six minutes, Zhou Chenggong managed to the end of the time to deal with the arterial damage that Dewey and others had failed to deal with several times.
It was as if Dewey and others were joking when they were sweating profusely.
Or maybe Zhou Cheng is just joking now, just like playing house.
Is this surgery too difficult? Or is Zhou Cheng too good? It's hard for everyone to evaluate.
Everyone looked dull and complicated.
Seeing this, Cai Dongfan, Professor Ning and others quickly came closer, and then each returned to their positions, preparing to operate their respective fields.
"Professor Du, I'm almost done with it here, why don't you let go of the proximal end first and look at the permeability of the blood supply and the degree of extravasation?" Zhou Cheng suggested.
"Okay!" Dewey nodded, not daring to say no, but his tone was a little embarrassed, and he didn't quite understand whether the person he temporarily brought on stage to save the situation was to save the situation, or to kick it out.
He had obviously tried to sew it up several times but failed to sew it up properly. Zhou Cheng had to deal with it as soon as he came up. The sharp contrast between the before and after made it seem as if he did everything specifically to promote Zhou Cheng.
…
Zhou Cheng did not do anything other than orthopedics. Professor Dewey only asked him to help with the suturing of the abdominal aorta. After that, Zhou Cheng moved to Cai Dongfan's debridement and suturing of the lower limbs and the suturing of the abdominal aorta.
Limb replantation.
Oh no, this surgery is no longer a simple replantation of a severed limb.
The main field of operation is Guangyan Hu.
Cai Dongfan and Guang Yanhu were divided into two groups, each dealing with a section of the lower limb. Guang Yanhu was operating within the normal process, but Cai Dongfan seemed a little confused and couldn't find a clue, as if after the debridement was completed,
Don't know how to start.
Debridement is a basic operation for trauma, but replantation of severed limbs is not something that ordinary doctors dare to do directly.
Even junior doctors are not surprised.
However, when Zhou Cheng came over to help, he was performing surgery with Cai Dongfan. Na Zhupei, who was the assistant, looked at Zhou Cheng in surprise and quickly made room to come out.
This Zhou Cheng's strength is not just a boast. At least, he just helped Professor Dewey and easily dealt with the abdominal aorta that Professor Dewey failed to deal with, which makes people sure that he is well-deserved.
Maybe it's an exaggeration, but he definitely has the ability.
And Zhou Cheng is an orthopedic surgeon.
After Zhou Cheng stood next to Cai Dongfan, he took the surgical instruments and said, "Master, let me help you."
When Cai Dongfan heard this, he glanced at Zhou Cheng and felt relieved: "Okay, Xiao Zhou!"
While he was talking, Cai Dongfan saw that Zhou Cheng had adjusted the direction of the hook at some point to better expose the hole and obtain a better surgical field.
At the same time, Cai Dongfan also saw that Zhou Cheng had almost put the shattered fracture fragments together using his own techniques, like a ghost.
Then he said: "Master, I think the patient's current bone condition is good. Can I prescribe a titanium mesh for auxiliary fixation?"
Cai Dongfan nodded and shouted confidently: "Okay, patrol, open a titanium net."
Hearing Cai Dongfan's words, Guang Yanhu, who was in charge of doing the opposite leg, glanced at it. Then, at this glance, his whole body went numb. His eyes instantly widened like an ox. He stood on tiptoes to carefully look at Zhou Cheng's reset fracture and his own.
Fracture reduction comparison.
I can’t say that my own is not good enough, but I can only say that Zhou Cheng’s reset will be even more perfect!
After the titanium net came up, Cai Dongfan subconsciously wrapped it directly around the femur. Then he said, "Xiao Zhou, come and twist it."
This tone sounded like a command, and it was a little bit arrogant.
Zhou Cheng silently touched Cai Dongfan's hand, then folded the shape of the titanium mesh into a cylinder with a smaller diameter, and inserted it into the medullary cavity of the femur. Then, he spread the periphery of the titanium mesh and applied it to the fractured bone.
Quality pieces!
On the outside, he added a piece of cut titanium mesh, then he looked up and asked: "Master, would this be better?"
Cai Dongfan's face turned slightly red and he nodded solemnly.
"This is good, this will be better." He said shamelessly that Zhou Cheng was excellent. At the same time, Cai Dongfan seemed to realize that after Zhou Cheng returned, he should not be too arrogant.
Otherwise, the embarrassment just now will become even more embarrassing.
Opposite him, Guangyan Hu was still suturing the muscles and tendons of his lower limbs, but occasionally he couldn't help but glance at Zhou Cheng who was doing the operation.
Then every time I look at it, I will find that in Zhou Cheng's place, I find that a very strange, unexpected, and unexpectedly better surgical method than I knew was displayed in front of me.
This is an extremely large-scale damage that spans the knee joint, including the patella, lower femur and proximal tibial plateau.
At present, except for the patella, which Zhou Cheng has not been able to restore, other bones such as the femur and tibia have been restored by Zhou Cheng using various strange surgical techniques!
And this is not even the replantation of severed limbs that Zhou Cheng collaborated with Qin Tianzhu before!
This is a step further than replantation of a severed limb. It should be called reconstruction of a severed limb!
Replanting a broken limb means at least there is still a broken limb that can be used. Rebuilding a broken limb is basically making something out of nothing. Taking something that should have died and taking it out again is like recreating it!
Then, Guangyanhu saw that Zhou Cheng started to perform sexual intercourse again.
The bone surface can be reconstructed, but soft tissues such as muscles cannot be created out of nothing. Moreover, if all the soft tissues are replaced with instruments, the cost will be too high.
But Lu Cheng still reused many of the materials in his own body from the previous damage. For example, when reconstructing the transplanted muscles, Zhou Cheng rested the previously shredded muscles and took out the tendons.
After coming down, the tendon was transplanted, and the muscles were left alone. Then some areas with relatively abundant muscles were found, split horizontally, and muscle transplantation was performed.
Then came the blood vessels and nerves. Zhou Cheng found suitable blood vessel replacements either from the proximal end or from the far side!
In this way, the blood luck was finally solved.
When Zhou Cheng reached this point, Guangyan Hu unilaterally stopped his operation and left it to Guipei to continue the debridement.
Because in the follow-up of his operation, he could only improve some details at most, and what he needed to do now was to observe Zhou Cheng's surgical ideas, which was a major improvement in his own skills.
Which one is more important, Guang Yanhu still understands.
However, Guangyanhu's mood was very complicated at this time.
First, it can be seen that Zhou Cheng's strength is absolutely extraordinary, even more legendary than the legendary, this is absolutely!
Even though I already think highly of Zhou Cheng, because of Ding Changle, because of Lei Zhong, and because of Qin Tianzhu, I have enough regard for Zhou Cheng, but this attitude is still not enough. The height that Zhou Cheng has reached is even greater than this!
This is probably the reason why Professor Ding Changle and others were willing to grant Zhou Cheng permission to perform three types of surgeries a year ago!
Second, after Zhou Cheng came back, his current position was a bit embarrassing. After finally enjoying the treatment of leading the team in advance for several months, Professor Cai was very cooperative.
If Zhou Cheng comes back, won't he be back to the situation he was in before, following others and being controlled by others?
It’s hard to go from luxury to frugality!
Third, you can learn a lot, but the premise is, do you want to put down your face?