Chapter 271: Chapter 272: Establishing a School!
“`
Compared to those large vessels within the abdominal cavity, the blood vessels in the hand are truly… sensual!
The 50% increase in visual acuity was becoming increasingly important at this mont.
Chen Cang picked up the needle holder, and began to prepare for the suture carefully because the vessels were so delicate.
Vessels were one thing, but nerves required even more precise suturing.
That’s why hand surgery is also commonly referred to as microsurgery.
Generally speaking, a magnification of 6-10x is sufficient; Chen Cang was accustod to using an 8x microscope.
This level of magnification was just right for operating within the field of view.
At this mont, the feeling under the microscope beca extrely important; as Chen Cang held the needle holder, he suddenly experienced a sensation quite different from before.
This feeling was indescribable, but… magical. He felt that the ability to discern vascular walls had greatly improved!
What was… going on?
Chen Cang was montarily stunned. He had never felt like this before, but… but just after he had put on the microscope, he suddenly noticed that this sensation was becoming clearer.
Could it be…
The effect of a 50% boost in visual strength?
Upon this realization, Chen Cang suddenly understood that the original effects of the eye drops were a 5 in vision, which encompassed many things.
Benefits brought by the 50% increase in vision also included contrast, resolution, pixels… and so much more.
Chen Cang couldn’t help but feel excited!
This skill might not be very useful for others, but for doctors, it was nothing short of miraculous!
The more advanced the surgery, the more refined the operations required.
Neurosurgery, especially cranial surgeries, required precision and continuous improvent!
At this mont, Chen Cang felt that vascular suturing, which was previously challenging, had beco much easier!
Moreover, Chen Cang’s operations beca more exquisite and more sophisticated.
This gave Tan Zhonglin and An Yanjun, who were watching the surgery, a chilling sensation down their spines.
The ease with which Chen Cang worked made it seem like lifting weights was effortless!
The sensation of suturing around tiny blood vessels and suturing a large artery felt similar; this was sowhat impressive…
Having completed the radial artery suture, he moved on to the ulnar artery… as well as the surrounding small vessels, like the dorsal interosseous artery, and so on.
This left the two onlookers sowhat dumbfounded.
Were they really suturing peripheral vessels?
It wasn’t long before the vascular suture was complete.
Tan Zhonglin released the tied artery and hurriedly tested the blood flow!
Observing the condition of the blood flow in the fingers, the two exchanged a glance—perfect!
Chen Cang began the nerve suturing!
This suture was significantly more challenging.
Generally speaking, the sooner the nerve damage in the hand is repaired, the better the functional recovery.
That’s why when Tan Zhonglin was at the Provincial People’s Hospital’s hand surgery departnt, he was so eager to have Guo Zhiyong sent over; he worried that the longer the delay, the worse the nerve recovery for the patient.
The primary thod for repairing hand nerves is nerve suturing.
This includes epineural suturing and fascicular suturing.
Generally, when there is damage to the nerve trunk, epineural suturing alone is adequate.
However, when it is possible to separate the sensory and motor branches of the nerve, fascicular suturing should be used.
What does this an?
It ans that the nerve is not just a single bundle; for example, in the case of dorsal ulnar nerve damage at the wrist, the deep and superficial branches of the ulnar nerve can be separated and each fascicularly sutured.
It’s like… connecting electrical wires, with the neutral and live wires being connected separately (I realize I’m a genius, this example is so vivid).
However, since the nerve was abraded, Chen Cang felt a tension while pulling the nerve for suturing—the length wasn’t sufficient!
Seeing this, Tan Zhonglin frowned and asked, “Chen, is it too short? Do we need a nerve graft?”
Chen Cang shook his head: “Let try. The tension is quite high right now, but if we can loosen the joint a bit… it might improve sowhat.”
An Yanjun looked at the severed nerve, sowhat worried: “Even if we loosen it, I’m afraid it might not be enough…”
But if they opted for a nerve graft, it certainly wouldn’t recover as well as a direct suture, and it would also result in a sensory deficit due to nerve harvesting at the donor site.
Taking from Peter to pay Paul is only done out of necessity, and not sothing one would do if they had any money.
With nerve suturing the sa principle applies; Chen Cang was reluctant to destroy the existing nerve networks if he could connect them.
Chen Cang began ticulously freeing the ends of the nerves, changing the position of the joint, and making nerve transfers.
After a slight adjustnt, he had gained less than 1mm!
The length suddenly beca very awkward!
To graft? Unnecessary!
Not to graft? The suturing difficulty would be imnse!
Caught in a state where it might be possible to suture, but also might not.
This put Chen Cang in a difficult position!
Tan Zhonglin fell silent, not sure of the best approach to take.
Such an annoying feeling.
Stuck here, neither here nor there!
He looked up at Chen Cang, only to find… Chen Cang seed quite satisfied?
Unable to contain his curiosity, Tan Zhonglin took another look at Chen Cang: Can you really suture this?
Chen Cang didn’t look at him; his eyes were only on the nerve.
“`
He switched to a neural suture, picked up the needle holder, and began suturing.
Stitch by stitch…
Tan Zhonglin fell silent…
For a long ti.
He couldn’t help but think to himself: Tch… A grown man fussing over needlework!
anwhile, An Yanjun saw envy written all over Tan Zhonglin’s face, his eyes nearly glued to the procedure.
Neural suturing was much more difficult than vascular suturing, but for Chen Cang, it was no trouble at all.
Now it was ti for tendon suturing.
At this mont, An Yanjun perked up.
He had recently beco obsessed with the Chen thod, his eyes seeing nothing else but it.
Seeing Chen Cang preparing to suture, he subtly signaled Tan Zhonglin, then moved to a different spot to start assisting Chen Cang.
Extensor tendon injuries are sowhat easier to suture than flexor tendon injuries, especially on the back of the hand.
Because comparatively, the possibility of serious adhesions is lower.
But that doesn’t an adhesions won’t occur.
This is because the skin on the back of the hand is thin and elastic, with a layer of loose connective tissue between it and the extensor tendons, which lack tendon sheaths but have peritendinous tissue.
Even so, the difficulty is still there!
Tendon suturing was Chen Cang’s forte, a fact Tan Zhonglin knew well. He was eager to see which thod Chen Cang would choose this ti!
Chen Cang glanced at the assisting An Yanjun, nodded, and An Yanjun skillfully began to help.
Chen Cang then started the suturing.
An Yanjun’s eyes were focused, unwilling to miss any detail.
anwhile, Tan Zhonglin was curious: What suturing thod is this?
How co I’ve never heard of it?
Did Chen Cang learn so new suturing techniques?
No, that’s not right!
This… I have never seen this suturing thod before!
However, at that mont, Tan Zhonglin’s eyes narrowed as he suddenly realized that Chen Cang’s suturing was miraculous!
This spurred old Tan to pay closer attention.
Luckily, there were several extensor tendons to be sutured, and Chen Cang perford multiple repetitions. However, the more Tan Zhonglin watched, the more bewildered and flabbergasted he beca, until he was completely baffled!
Although he did not understand the suturing thod, it was genuinely impressive!
The more he watched, the more profound and subtle it seed.
Yet this feeling was indescribable.
Because… he realized that this ti the suturing was different from the last ti Chen Cang perford it on Xing Yu!
Chen Cang had changed again.
And he had beco… even more skilled.
So skilled that Tan Zhonglin was at a loss for words, even feeling unable to critique!
Last ti, at least he could understand, but now… he was utterly clueless.
Thinking of this, Tan Zhonglin furrowed his brow in thought.
If last ti, when treating Xing Yu, Chen Cang’s tendon suturing gave off a vibe of natural mastery, as though every basic move conveyed deep significance, using two thods for one tendon, four thods for three tendons—it felt like he had complete command over every suturing technique!
This ti, it was as if he had hardly used any techniques at all!
None of the thods Tan Zhonglin could think of were used, yet the feeling was as if they all were!
The key was that without using them, the suturing was still so good!
That was the most, most, most crucial realization!
It suddenly occurred to Tan Zhonglin, recalling a martial arts realm described in the wuxia novels of his youth:
No technique surpasses the technique!
At this thought, Tan Zhonglin’s expression changed, almost in disbelief.
More precisely, he had observed Chen Cang performing tendon suturing four tis!
The first ti, if it was the peerless sword drawing all challengers.
Then the second was the masterful deception of a blunt greatsword with no edge!
The last ti, saving Xing Yu felt like casually breaking off a twig to use as a sword.
And this ti, damn it, you’re not even using a sword, reaching the point where everything in the world is a sword, where the absence of a sword surpasses its presence!
At this thought, Tan Zhonglin couldn’t help but mutter to himself: Damn… How rciless!
This is too terrifying!
Others say you should revise your opinion after three days’ absence, yet how do you manage to astonish every single ti?
Improving skills isn’t supposed to happen like this; you’re simply defying the laws of nature.
With that in mind, Tan Zhonglin couldn’t help but cautiously ask, “Little Chen, your… this suturing technique…”
Portraying depth, An Yanjun solemnly let out, “Director Tan, this is called the Chen thod!”
Tan Zhonglin was startled: “The Chen thod? What Chen thod?”
With a solemn expression and taking a deep breath, An Yanjun said, “This is a tendon suturing technique that Little Chen developed himself, called the Chen thod!”
Upon hearing this, Tan Zhonglin was stunned.
His eyes wide open, breath held: You… you’ve founded your own school of thought???
Reviews
All reviews (0)