Chapter 273 Open Sect Is Excellent!

Compared to the large blood vessels in the abdominal cavity, the blood vessels in the hands are really...sexy!

The 50% vision bonus is becoming more and more important at this time.

Chen Cang picked up the needle forceps and carefully prepared to start the suture work, because the blood vessels were too small.

The blood vessels are fine, but the nerves need finer sutures.

Therefore, hand surgery is generally called microsurgery.

Generally speaking, the magnification of the microscope is 6-10 times, and Chen Cang is used to using eight times.

This multiplier works just fine with the field of view.

At this time, the feeling under the mirror seemed very important. Chen Cang was holding the needle forceps, and suddenly there was a different feeling than before.

This feeling is not clear, but...it's amazing, he feels that the recognition of the blood vessel wall has improved a lot!

How is this going?

Chen Cang was stunned for a moment. He didn't feel this way before, but... But just after he brought the microscope, he suddenly found that this feeling became more and more obvious.

Is it...

The effect of 50% vision bonus?

Thinking of this, Chen Cang suddenly realized that the effect of the eye drops at the time was +5 vision, and vision included more things.

The benefits brought by the 50% visual acuity bonus also include recognizability, resolution, pixels... and so on.

This time, Chen Cang couldn't help but get excited!

This skill may be of little use to others, but to a doctor, it is simply a magical skill!

There are many refined operations in surgery, and the more advanced the operation, the higher the degree of refinement.

Neurosurgery and intracranial surgery need to be careful and refined!

At this moment, Chen Cang felt that the laborious suturing of blood vessels was not so difficult!

Moreover, Chen Cang's operation is more delicate and subtle.

This made Tan Zhonglin and An Yanjun, who were watching the operation, suddenly felt a chill down their spines.

Because Chen Cang made them feel like they were lifting a heavy weight!

The feeling of suturing small peripheral blood vessels and suturing large arteries is somewhat similar, which is a bit powerful...

The radial artery is sutured, followed by the ulnar artery...and the surrounding small blood vessels, such as the interosseous dorsal artery and so on.

The two people on the side looked a little dumbfounded.

Is this really suturing the surrounding blood vessels?

The blood vessels were sutured shortly after.

Tan Zhonglin loosened the ligated artery and quickly tested the blood supply!

Looking at the blood on the fingertips, the two looked at each other, perfect!

Chen Cang started the nerve suture!

This sewing is more difficult.

Generally speaking, in principle, the sooner the hand nerve injury is repaired, the better the functional recovery.

That's why Tan Zhonglin was so anxious to send Guo Zhiyong when he was in the Hand Surgery Department of the Provincial People's Hospital. He was worried that the longer the delay, the worse the recovery of the patient's nerves.

The main method of hand nerve repair is nerve suture.

This includes overmold stitching and peritoneal stitching.

Generally speaking, when the nerve trunk is damaged, only epineurium suture is needed.

When the sensory and motor branches of the nerve can be separated, the perineum suture should be used.

What does that mean?

That is, the nerve is not a bundle. For example, at this time, the ulnar nerve in the back of the wrist is injured. The deep and superficial branches of the ulnar nerve can be separated and sutured separately.

It's like...connecting the wires, with the neutral and live wires separated (I find I'm a genius, this example is too graphic).

However, due to the nerve wear of the patient at this time, when Chen Cang was pulling the nerve to prepare for suture, he felt a burst of tension, and the length was not enough!

Seeing this, Tan Zhonglin frowned at Chen Cang and asked, "Xiao Chen, isn't it long enough? Do you want a nerve transplant?"

Chen Cang shook his head: "I'll try. The tension is relatively high now. If the joint position can be loosened... Maybe it can be improved a little."

An Yanjun looked at the broken nerve and was a little worried: "I'm worried that the improvement will not be enough after loosening it..."

However, if the nerve is transplanted, it will definitely not be as good as direct suture, and it will cause sensory loss after the nerve is removed from the donor area.

Demolition of the east wall to make up the west wall is only a last resort, but if the family has some money, they will not do it.

The same is true for nerve sutures. As long as they can be connected, Chen Cang is unwilling to destroy the original nerve veins.

Chen Cang began to carefully dissociate the broken ends of the two nerves, change the position of the joints, and do nerve displacement.

After a little change, less than 1mm came out!

The length now suddenly becomes embarrassing!

transplant? No need!

Don't transplant? Stitching is too difficult!

Belonging to a feeling that may or may not be sewn.

This is very difficult!

Tan Zhonglin was silent, he didn't know what to do better.

Such a sore feeling.

Stuck here, can't go up or down!

He raised his head and glanced at Chen Cang, only to find that this guy seemed very satisfied?

Tan Zhonglin couldn't help but glanced at Chen Cang curiously: Can you sew this?

Chen Cang didn't look at him, he only had nerves in his eyes.

The nerve suture was changed, the needle forceps were picked up, and the suture was started.

stitch by thread...

Tan Zhonglin was silent...

a long time.

I couldn't help but say something in my heart: Che... a big man, what kind of needlework are you playing!

And An Yanjun saw that Tan Zhonglin's face was full of envy, and his eyes were about to go in.

Nerve suture work is much more difficult than blood vessel suture, but Chen Cang is no problem.

Finally the tendon is sutured.

At this time, An Yanjun came to the spirit.

Recently, he is obsessed with the Chen method, and he only has the Chen method in his eyes.

Seeing that Chen Cang was about to be sutured, he gave Tan Zhonglin a wink, changed his position, and began to help Chen Cang.

Injuries to the extensor tendons require less effort to suture than injuries to the flexor tendons, especially on the back of the hand.

Because in comparison, the possibility of severe adhesion is lower.

However, this does not mean that sticking will not occur.

This is because the skin on the back of the hand is thin and elastic, and there is a layer of loose connective tissue between it and the extensor tendon, and the extensor tendon has no tendon sheath and has peritendinous tissue.

But even so, the difficulty is still there!

Chen Cang's tendon suture is a good thing, and Tan Zhonglin also knows that, he really wants to know what method Chen Cang decides to choose this time!

Chen Cang glanced at An Yanjun who was helping, and nodded, An Yanjun began to help skillfully.

Chen Cang started to sew.

An Yanjun focused his eyes and refused to let go of any detail.

And Tan Zhonglin is curious, what kind of stitching method is this?

How did I not hear it being said?

Could it be that Chen Cang has learned more sewing skills?

its not right!

This...I have never seen this stitching method at all?

However, at this moment, Tan Zhonglin's eyes suddenly shrank, and he suddenly realized that Chen Cang's stitching was amazing!

This time, Lao Tan came to the spirit and looked at it carefully.

Thanks to the many tendons on the back of the hand, Chen Cang sutured it several times, but the more Tan Zhonglin looked, the more confused he became, the more dumbfounded he became, until the end!

I don't know what kind of stitching method this is, but it's really awesome!

And the more you look at it, the more powerful it becomes, the more profound and exquisite you feel.

But this feeling is indescribable.

Because... he found that this time was different from the last time Chen Cang sutured Xing Yu!

Chen Cang has changed again.

And it's become... even more powerful.

He was so powerful that he couldn't speak, and even Tan Zhonglin felt that he couldn't comment anymore!

Last time I could at least understand it, but... this time I couldn't understand it at all.

Thinking of this, Tan Zhonglin frowned and thought.

If it is said that when he treated Xing Yu last time, Chen Cang felt that he had sutured the tendon at his fingertips! Any kind of basic tricks can make the fire tease. One tendon can use two suture methods, and three tendons choose four suture methods. It feels like you know any suture method like the back of your hand!

This time it was: hardly any methods were used!

Any method Tan Zhonglin can think of is useless, but it feels like it has been used again!

The key is that it is useless, and the sewing is so good!

This is the most important thing to think about here!

Tan Zhonglin suddenly thought of a martial arts realm from reading martial arts novels when he was a child:

No trick wins!

Thinking of this, Tan Zhonglin's expression suddenly changed, a little unbelievable.

To be precise, he watched Chen Cang's tendon suture four times!

For the first time, if it is said that it is the sharp-edged sword who competes with Yi Tianjian.

Then the second time is a clumsy and clumsy epee!

The last time he treated Xing Yu, it was as if he broke a branch at will and used it as a sword.

And this time, you motherfuckers don't use swords at all, to the point where everything in the world is a sword, and no sword is better than a sword!

Thinking of this, Tan Zhonglin couldn't help but mutter to himself: Lying on the grass... ruthless!

this is too scary!

Others are impressed when they don't see each other for three days, how can you be impressed once?

Leveling up is not like this, you simply don’t conform to the laws of nature.

Thinking of this, Tan Zhonglin couldn't help but asked cautiously: "Xiao Chen, you...this stitching..."

An Yanjun pretended to be lofty, and slowly spit out with a holy face: "Director Tan, this is called the Chen method!"

Tan Zhonglin was taken aback: "Chen method? What Chen method?"

An Yanjun took a deep breath and said solemnly, "This is a tendon suture method that Xiao Chen developed by himself, called Chen's method!"

Hearing this, Tan Zhonglin was taken aback for a moment.

Wide-eyed, held his breath: You... you have established a school? ? ?