Chapter 186 Isn’t It because You Are Too Weak?

A car was driving fast on the highway heading to the capital.

Chen Gong sat in the back row with a solemn expression.

The person driving in front was Qiao Dingcai.

Lin Zhanhai was left by Chen Gong to take charge of the affairs in the hospital, and now Lin Zhanhai's mentality is very stable.

To him, this kind of flying knife was meaningless to him.

He doesn't need to meet so many capable bosses.

Compared with these, Lin Zhanhai's biggest dream is to complete the project before he retires. This is enough!

And Qiao Dingcai actually didn’t want to go.

Nowadays, the two masters are basically very stable.

pity!

There are no longer suitable planes and high-speed trains to go to the capital, but driving is the most suitable way.

And Chen Gong doesn’t have a car either…

So I could only let Qiao Dingcai do it for me.

Qiao Dingcai is rich. You know, he came to Shanhe Province in the first place just to make money, and his car is a Range Rover.

Therefore, he became the most suitable driver.

Chen Gong was sitting in the back row with a solemn expression.

Ma Yanfu's words still made him a little worried.

According to Ma Yanfu's inference, the patient's thumb was partially hit by a bullet.

This means that there is basically no possibility of recovery.

The prerequisite for recovery is that at least the finger is still there.

But now, the other party's fingers are gone, how can they recover?

Moreover, people have misunderstandings about bullet injuries.

Don't look at TV. When a bullet hits a person's body, it looks like a small hole.

Stop joking, okay?

When the bullet hits the human body, it will explode and form a blast cavity. This kind of damage is very terrifying.

And at the very least... this area will produce some explosive effects due to the high-speed impact of the bullet.

Chen Gong held the tablet computer and drew many simulation pictures one after another on it.

But……

No matter how he thought about it, Chen Gong couldn't think of a perfect solution.

This type of finger mutilation injury is actually very complicated.

Under normal circumstances, when similar mutilation occurs in the fingers of the left hand, there is no medical option to connect other tissues.

Because it is not original after all, there will definitely be various complications and even necrosis after surgery.

But!

The thumbs are different.

It can be said that on one hand, the thumb participates in more than 50% of the activities, and the functional participation of the thumb is too high.

Therefore, as long as the thumb is disabled, basically 50 to 60% of its functions cannot be completed normally.

only……

How to repair a broken thumb?

This is obviously very difficult!

According to Ma Yanfu, the other party was an officer in his fifties, with a fairly high rank.

Therefore, even if you want to have surgery, you can't just suture it casually.

It is definitely necessary to choose the best surgical method possible.

only……

how to choose?

Chen Gong still doesn't have a good idea.

It was quite boring along the way, so Qiao Ding couldn't help but say:

"Actually...you don't have to be so nervous."

"This kind of surgery, speaking of it... is not a rare surgery."

"Isn't it just that the fingers are missing?"

“It would be nice to rebuild.”

"There are so many conventional surgical methods."

"To be honest, if Mr. Ma Yanfu hadn't asked you to come here, I would have even thought that such a trip would be unnecessary."

"Where is 301? There are experts everywhere, and... the capital is the territory of that bastard Xu Moshan. Hand surgery is such a big deal, so he obviously can't give others a chance."

"We're here, and it doesn't feel good."

"With this kind of surgery, is it possible that we can recover from the surgery when we come? It's unrealistic!"

"To put it bluntly, there are really not many good solutions to this kind of injury."

"Don't tell me that I let you go in, even if Mr. Xu Moshan goes in, what will happen if his eyesight is dim? Anyway, this operation has no good effect, and there is nothing we can do if we discuss it again."

After hearing Qiao Dingcai's words, Chen Gong did not refute.

Because what Qiao Dingcai said makes sense!

This kind of surgery for thumb defect is nothing more than a few treatments.

Whether it is thumb lengthening method or metacarpal digital thumb reconstruction, the length of the thumb will be shortened, and the effect is the same.

In addition, it is just a finger transposition and thumb reconstruction. What does this mean?

That is, the index finger is thumbed, the middle finger is thumbed, the ring finger is thumbed, the little finger is thumbed...

This actually makes less sense.

Chen Gong felt that this kind of surgery was not as good as the first one.

As for distal skin flap transfer plus bone grafting for thumb reconstruction and forearm and dorsal hand island skin flap plus bone grafting for thumb reconstruction, although they are autologous transplants, they are not fingers after all.

The effect is really not that good!

Therefore, in this way, there is another method, which was the first to be developed in China.

It's called microsurgical free tissue transfer for thumb reconstruction.

This kind of surgery requires transplanting the second toe to reconstruct the thumb. To put it bluntly, it means cutting off the second toe from the foot and transferring it to the hand.

This kind of surgery... looks very weird.

And the effect is not very good.

so.

So far, Chen Gong can't think of any particularly good way.

we can even say……

This surgery really doesn't reflect my surgical ability and value.

After all, who can be different?

Is it possible that he, Xu Moshan, has broken the truth and can be rebuilt?

What a joke!

Thinking of this, Chen Gong lay helplessly on the chair.

Qiao Dingcai said with a smile: "There is a seat massage, let's try it?"

"Just consider it a rest."

When Chen Gong heard this, he couldn't help laughing and smiled: "Good cars are just different!"

Qiao Dingcai nodded: "That's natural!"

"I think, Director Chen, you need to get a good car."

"After all, from now on, you will have to attend meetings everywhere, throw knives, and you won't be able to turn away invitations for surgeries."

"This body is your own."

"So, how long do you spend in the car every day?"

"Having a good car won't buy you anything... but at least it will make you feel a lot more comfortable."

"I have always thought that I should buy something like a car."

"If you're just doing it for transportation, it doesn't matter."

"But, for me, to be honest, I feel that my golden career only lasts a few years. If I suffer from early lumbar muscle strain or lumbar intervertebral disc failure, how much will I lose?"

"When I was in Nantong, people saw me driving such a nice car and slandered me. Some people even filed a complaint with the Discipline Inspection Commission."

"hehe!"

"I am aboveboard and rely on my own skills to make money. What's wrong?"

"We doctors don't need to be too pedantic like those in the system. Our bodies are our own."

"Are you right?"

After hearing this, Chen Gong nodded and laughed: "That makes sense!"

"I think you're right!"

"When you have time later, will Director Qiao accompany me to look at the car?"

When Qiao Dingcai heard this, he immediately became happy: "Of course there is no problem."

"I quite like cars."

After the topic of cars came up, Qiao Dingcai never stopped talking.

Chen Gong felt a little itchy after hearing this.

Recently, he did have a lot of spare money and was planning to buy a car.

Qiao Dingcai said with a smile: "I suggest you do it in one step!"

"At least it can't be too bad."

"For example, this Range Rover cost more than three million when I bought it."

“It’s very expensive!”

"I thought about it for a long time and gritted my teeth before deciding to buy it."

"It cost more than one million to choose the matching one."

Chen Gong asked curiously: "Is it necessary to choose a match?"

Qiao Dingcai shook his head: "No, it's mainly psychological."

"I had already spent more than two million yuan at that time, haha... I just thought, how many opportunities will I have to change my car in the future?"

"And after spending so much money, I might as well be satisfied."

"I choose the wheels that I like, right? You have to like the speakers too, right?"

"Actually, it's the same car. Look, the Range Rover next to me looks the same as mine. The price difference may be more than one million."

Chen Gong suddenly frowned when he heard Qiao Dingcai's words.

When I was chatting with Qiao Dingcai just now, something suddenly occurred to me.

yes!

It seems that I shouldn't judge today's surgery according to the usual guideline thinking.

after all……

Although it is also an operation.

But the core of oneself and the other party are fundamentally different.

What is the key factor affecting the reconstruction of residual fingers?

It’s nothing more than a few aspects.

Reconstruction of nerves.

Reconstruction of blood vessels.

Tendon reconstruction.

Think of this!

Chen Gong suddenly became excited.

He opened the tablet again.

According to my own thinking at this time, I rethought the traditional method of thumb reconstruction surgery.

As the saying goes, it looks like the surgery is the same and there is not much difference in the technique.

However, when one's vascular reconstruction, nerve reconstruction, and tendon reconstruction have all reached perfection, and then the surgery is improved again, is it still the same surgery?

Obviously not!

After all, essentially, the core has undergone earth-shaking changes.

Can this be the same?

Think of this.

Chen Gong's thoughts became clearer and clearer.

He even began to think about which kind of surgery is more suitable for him?

After thinking and drawing carefully for a long time.

Chen Gong had an idea in his mind.

That is done using a transplant from the second toe.

first!

The biggest advantage of second toe transplantation is that the morphological difference is relatively small.

The second toe is longer and similar in shape to the thumb, so there is no impact on the length.

Secondly, resection of the second toe and second metatarsal head has little effect on walking function and appearance.

and!

The skin is incised, the dorsalis pedis artery, great saphenous vein, digital flexor and extensor tendons and digital nerves are freed distally and cut off at a high position, the metatarsophalangeal joint or metatarsal neck is separated, the toes are completely freed, and transplanted to the thumb. , the technology is very mature and the safety factor is very high.

Chen Gong felt that this was the most suitable.

The reconstructed thumb not only has a better appearance, but also has satisfactory sensory and motor functions, but the technical requirements are higher.

The so-called sensory and motor reactions have different technical requirements and different effects!

After all, they are toes, rich in blood vessels, nerves, and tendons!

In this way, all the biological functions should be satisfied.

The biggest difference is whether you can use your toes as fingers.

Actually, it’s not that difficult!

Chen Gong took a deep breath and began to think about the possibilities.

The thumb is an important component of more than 50% of the functions involved in finger activities. In fact, most activities that require the thumb are not very active!

It’s not that harsh!

Compared to the dexterity of the index finger, the thumb does not need to serve such a purpose.

However, if you want to recover, sensitivity is essential.

How can I make the thumb transplanted from the second toe have the same effect?

Chen Gong suddenly laughed.

Because he thought of the "second-stage tendon repair surgery" he was studying. In fact, the second-stage tendon repair itself is to repair fingers that have had various side effects such as adhesions.

The degree of difficulty is very high!

But I have such strength.

However, there are many technical overlaps between thumb reconstruction and second toe transplantation.

The more Chen Gong thought about it, the more he felt that this was possible!

Thinking of this, Chen Gong couldn't help but laugh.

Only then did Qiao Ding finish talking about the gearbox...

"Well said!"

Chen Gong said to Qiao Dingcai happily.

When Qiao Ding heard this, he immediately became happy: "Hahaha!"

"Director Chen, I'm not afraid of your jokes."

"Don't think your surgery is better than mine."

"But if you really want to understand this area of ​​life, you can't compare to me!"

"If I had the strength of a young and promising person like you, tsk tsk tsk...what would I have to grow into?"

"Haha, who is young and not frivolous?"

"Ha ha ha ha……"

…

…

At this time, in the capital, 301 Hospital, Hand Surgery Department, North Building.

The Xiaobei Building of 301 is actually a special place. Those who can come here are basically dignitaries, and rich people cannot come.

You can often see some leaders who appear in major TV stations.

The office of the hand surgery department was equally busy.

Xie Jiangrong looked at the anxiety in the office with a stern expression, looked away, got up and went to the office next to him.

Ma Yanfu followed closely and followed into the room.

"Why……"

"Jiang Rong, don't worry. These are the top forces in the country. Don't worry, Yaochang will be fine."

Xie Jiangrong picked up the tea cup, took a sip of water, and shook his head: "Worried?"

"hehe!"

"I'm not worried."

"If a soldier doesn't have this awareness, what kind of soldier will he be?"

"Besides, how many soldiers retire due to injuries and illnesses every year? Not to mention missing fingers, even if I lose my head, I, Xie Jiangrong, will not frown."

Hearing what Xie Jiangrong said, Ma Yanfu didn't know whether to laugh or cry.

Xie Jiangrong is the son of his aunt. He joined the army in his early years and later did civilian work behind the scenes.

Among the second generation of the Xie family, all were public servants, but Xie Yaochang, the youngest, joined the army.

Now Xie Yaochang suddenly suffered such a blow...

Xie Jiangrong was lying when he said he didn't feel bad.

After all... After this incident, Xie Jiangrong was the first to come to the hospital without waiting for any member of the family to come over.

When Ma Yanfu heard his cousin being so stubborn, he simply smiled and shook his head and did not continue talking.

After a long time...

Xie Jiangrong suddenly stood up and walked outside.

He really couldn't sit still.

At this time, Xu Moshan walked out of the office.

Xie Jiangrong quickly pulled Xu Moshan and asked in a low voice: "Academician Xu, how are you doing?"

"Can Xie Yaochang's fingers return to normal?"

After listening to Xie Jiangrong's words, Xu Moshan was silent for a long time: "How far do you want to recover?"

One sentence made Xie Jiangrong's lips tremble.

Although the fingers have little impact on Xie Yaochang, after all, he no longer needs to charge with a gun.

But!

After all, there is a gap.

As a soldier...

"Why……"

Xie Jiangrong couldn't help but shook his head: "What do you think is the best recovery point?"

Xu Moshan frowned, thought for a moment and then said: "Actually!"

"For this kind of surgery, to be honest, the difference is not very big."

"There are limited surgical options to treat this type of thumb defect."

"This is not a replantation of a severed finger. It can have a good upper limit of recovery."

"The upper limit of this kind of surgery itself is not high."

"We have just had an in-depth discussion, Mr. Xie, you have also seen it."

"Actually, we have been able to consider and discuss everything that comes to mind."

"I can only say this about the effect I really want. It will still have an impact on life, and it will also have a great impact on work."

"After all, the finger will never return to its original shape."

"Probably... about 60% effective."

Hearing this, Xie Jiangrong seemed to have given up his heart.

Why……

Although it is not a fatal injury, but...the child is a thorn in his side after all.

Xie Jiangrong felt uncomfortable thinking about the future of his left hand...

Xu Moshan nodded and said, "I need to communicate with the patient."

Xie Jiangrong quickly thanked you: "Sorry for the trouble."

After saying that, Xie Jiangrong walked towards the office. At this time, he felt as if his legs were filled with lead.

Ma Yanfu saw this: "What's wrong?"

Xie Jiangrong sighed: "Academician Xu said...it is estimated that it will be difficult to achieve a good recovery effect."

"Why!"

"Maybe this is life."

"I...I'm a little tired, so I'll go back first."

Ma Yanfu was stunned: "Aren't you going to see Yaochang?"

Xie Jiangrong hunched over: "I won't watch anymore!"

"Lest he see me uncomfortable."

At this time, Ma Yanfu suddenly laughed: "Do you really believe in Xu Moshan's words?"

Xie Jiangrong suddenly smiled bitterly: "Is there a more powerful hand surgery expert than him in the country?"

Ma Yanfu suddenly became happy: "Don't say that."

"It really does!"

"and……"

"It's almost here."

"Can't you sit still?"

"Just in time, come with me to pick up this expert."

"It took a lot of effort for me to invite you here."

Hearing Ma Yanfu's words, Xie Jiangrong's eyes suddenly widened: "Are you kidding me?"

"How can there be such a powerful person?"

Ma Yanfu shook his head: "Why did I lie to you?"

"Let's go!"

"They're here."

While talking, Ma Yanfu took Xie Jiangrong directly downstairs.

At this time, Chen Gong happened to bring Qiao Dingcai to the Xiaobei Building.

After seeing Chen Gong, Ma Yanfu suddenly laughed: "What a boy!"

"Haha, I haven't seen you for half a year, and I'm getting more and more impressive!"

"Well done."

While talking, Ma Yanfu patted Chen Gong on the shoulder.

At this time, Xie Jiangrong was speechless after seeing Chen Gong.

He rolled his eyes at Ma Yanfu, as if to say, you surnamed Ma, aren't you kidding me?

What kind of expert is this?

It’s clearly a doll!

Seeing this, Ma Yanfu saw Xie Jiangrong's thoughts and said, "Don't believe it!"

"Let me introduce you, this is Chen Gong!"

"This is the expert I invited. Although he is young, he is already the president of Shanhe Provincial Hand Surgeons Association."

"Today, if there is any improvement in Yaochang, I think you can count on Xiao Chen."

While speaking, Ma Yanfu pointed at Xie Jiangrong and said to Chen Gong: "This is... the patient's family!"

"Well, let's go!"

Although Xie Jiangrong was dissatisfied at this time, he still took the initiative to say hello to Chen Gong.

After all, it’s not easy for people to come all the way here.

not to mention……

Already the president at such a young age?

Xie Jiangrong knew that although Ma Yanfu liked to joke, he would never joke about such things.

Therefore, Xie Jiangrong was also full of Chen Gong at this time.

While talking, the group went directly to the 6th floor.

"Take me directly to see the patient."

Xie Jiangrong nodded: "Yeah, okay."

While talking, the group walked towards the ward.

At this time, a group of people gathered in the ward.

When Qiao Dingcai saw the people inside, his eyes widened.

Good guy!

What kind of family is this?

You know, he saw two or three of the people in this room on TV!

For a moment, Qiao Ding couldn't help but swallow.

When everyone saw Xie Jiangrong and Ma Yanfu coming in, they all stood up and nodded:

"Dad, uncle."

"You are here."

On the bed, Xie Yaochang's expression did not change much. He smiled and called: "Dad, uncle."

"I made you worry."

"I...it's okay."

Xie Yaochang doesn't have much leadership aura about him. Instead, he has dark skin and fierce eyebrows, giving him a sinister look.

This is the majesty he has accumulated from serving as a soldier for many years.

"Um!"

Xie Jiangrong didn't look too good.

At this time, Ma Yanfu said: "Xiao Chen, go check the wound and see if there is any good way."

Chen Gong nodded, walked over, and nodded to Xie Yaochang: "Let me take a look, it might hurt a little."

While speaking, Chen Gong opened the gauze, and what came into view was the patient's severed end.

The skin damage was severe and the fracture port was uneven and needed to be polished.

But the good thing is...the nerves and blood vessels are intact.

Chen Gong suddenly breathed a sigh of relief: "There is a chance!"

At this time, a group of people wearing white coats suddenly came in from outside.

The leader faced Xie Yaochang and said, "Mr. Xie, this is the informed consent form."

"Teacher Xu just told you, right?"

"Actually, there is really no good solution to this situation, even internationally."

Xie Yaochang looked dull and said nothing.

And his wife couldn't help but ask: "Isn't there a better choice?"

At this time, Xu Moshan walked in: "No more!"

"The best solution can restore morphological possibilities, with functions up to 60%, or even less!"

Xu Moshan is 79 years old and is very influential in this field. His words... are equivalent to sealing the coffin.

Moreover, he has such strength.

Don’t underestimate these top experts.

People's connections don't need to make them respect you enough.

Seeking truth from facts means respect.

And this time...

Suddenly a voice rang: "Function 60%?"

"Isn't this too low?"

"I think the recovery effect can be at least 90%."

As soon as these words came out, the surrounding area suddenly became quiet.