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Chapter 391

~26 min read 5,029 words

The moment he heard Liu Huanglong's involuntary "Holy crap," Fang Ziye's reaction wasn't secret delight, but his right hand hurriedly retracting the knife!

His left hand instantly formed a grip, seizing little Yan Chu's ankle.

Fang Ziye withdrew the knife from the surgical field so fast that even little Yan Chu's bilateral lower limbs trembling from being startled by Liu Huanglong couldn't catch up to the edge of Fang Ziye's willow leaf knife.

"Don't move! ~"

"Yan Chu, listen, don't move." Fang Ziye spoke in a low voice to soothe, not harshly criticizing.

Eyes looking toward Liu Huanglong's direction as if looking at a dumbass, gaze filled with complexity, eyeballs sliding up and down, taking in Liu Huanglong's full appearance.

Fang Ziye swore, if this weren't Liu Huanglong, even if it were Qin Geluo, he might have to scold: "Are you a fucking dumbass?"

Right before surgery started, what were we talking about.

"Okay Doctor Brother, sorry." Little Yan Chu apologized first, voice crisp yet carrying fear.

Luo Tingzhu hurriedly sat down to soothe and explain: "Not scared, Yan Chu, it's because your surgery went very well that he's shocked."

"Just now this was shock, not fright……"

Liu Huanglong's feet returned to position, teeth alternately biting upper and lower lips to soothe his inner palpitations, cycling like this for a full six or seven seconds, squeezing out three words: "Sorry… I'll maintain decorum from now on."

Liu Huanglong is a Professor after all, a Distinguished Youth after all, and just newly arrived after all.

Things that can break Liu Huanglong's composure are not many, and Deng Yong can also understand Liu Huanglong's inner pride. So he said: "It's fine Professor Liu, it's us who didn't arrange well, we should have rotated a few more small surgeries before this surgery."

Finished speaking, Deng Yong turned his head: "Yan Chu not scared, Uncle Deng is here."

"Everything's going smoothly for now… you be good, don't move, if you feel uncomfortable, tell Grandpa Xu and your Sister Tingzhu, let them relay to us, we'll pause the surgery for a bit."

Deng Yong is only forty-nine this year, not yet fifty, but Professor Xu Long is already approaching fifty-seven, so Yan Chu calls Deng Yong Uncle, and calls Xu Long Grandpa.

"Got it, Uncle Deng, sorry…" Yan Chu apologized once again.

The circulating nurses' chatter in the OR stopped, Professor Xu Long and Professor Ceng Quanming's chat stopped, Yuan Weihong and Liu Huanglong continued the surgery taking vascular nerve graft material.

Fang Ziye and Deng Yong's debridement surgery then continued once more.

As Fang Ziye once again wielded the knife to continue the debridement and release surgery, Deng Yong said in a low voice with emotion to Fang Ziye: "Can't blame Professor Liu for just now losing a bit of control over his inner shock and suddenly speaking out to disturb."

"If it were me in my early years, if I hadn't personally watched you grow step by step to today's level, and had long anticipated you could break through this step, I'd probably also be a bit broken."

This counts as praise, and also counts as explaining a thing or two for Liu Huanglong.

Even more so, it's building Fang Ziye's psychological preparation.

Although Fang Ziye is now Lead Surgeon, has permission to stare down all who don't follow rules, but to walk the path toward superiors, merely staring down and pressing questions clearly won't work.

To lead a team, one must objectively analyze each person's different identity, his vision.

Liu Huanglong doesn't know Fang Ziye's growth rules, even in Liu Huanglong's vision, today's Fang Ziye should just be an ordinary PhD Student, even going on stage to do an internal fixation with steel plate would need a Superior's gift.

Fang Ziye lightly nodded, while continuing to slowly pry out original muscle traces from adhesed muscles, slowly dissecting the adhesed muscles, striving to the greatest extent to restore muscle tissue to its original form……

Low voice said: "Thanks Master for guidance, just now mainly was a bit worried."

"If my knife withdrawal speed weren't relatively fast, this knife might have gone into the ankle joint!"

Fang Ziye never doubts the willow leaf knife's sharpness, casually use a bit of force to poke inside, it can poke from the abdomen directly to the spine!

"Mm, knowing is enough."

"Continue surgery."

Deng Yong immediately followed with explanation to Fang Ziye: "Because of Yan Chu's nerve function deficiency, leading to restricted foot muscle activity, after activity restriction, adjacent muscles and tendons adhere together, completely becoming a whole block of scar tissue."

"Therefore, this surgery, if doing functional reconstruction in stage two, this intermuscular release must be done."

"And because preoperative was mangled extremity, many muscles originally were already residual or even disappeared, under such circumstances, still having to search for and separate these muscle and tendon tissues from the scar lumps, the difficulty will be greater than normal muscle adhesion release."

"Second, Yan Chu's partial nerves showed defects, after scar healing, also blocked the original nerve pathways, so you also have to perform release and reconstruction on nerve vessels and other pathways."

Deng Yong spoke here, muttering to himself: "This is the main reason why currently post-mangled extremity, it's either amputation or semi-paralysis."

"If stage one does nerve transplant, then maybe blood supply won't be smooth, or scar tissue hyperplasia causes local nerve compression, leading to necrosis."

"And if stage one gets infected, then everything is wasted, risk too high."

"And performing nerve transplant needs higher technical level, and carrying out debridement and release is a huge difficult problem."

"And not all anesthesiologists can complete this kind of sensory-motor separation anesthesia technique, able to interact with the surgeon……"

"Mm."

Fang Ziye nodded, then actively requested: "Master, help me retract here, foot muscles and tendons course very complex, if four hours to complete all major surgical operations, our debridement and release also need to speed up some."

"Foot has thirteen large and small muscles and tendons total, plus some support bands, we haven't started a single one yet, so far only completed tibial anterior and posterior margin muscle release."

"Later still have suturing……"

Deng Yong hearing this, worry also flashed between brows: "Right, need to add some speed. But also not anxious, even if not completed within four hours, worst case we do another nerve block anesthesia on the table."

"Slow work fine product."

"You still remember which three muscles Yan Chu is missing?" Deng Yong asked.

Deng Yong has handled too many elective surgeries, so for Yan Chu's muscles completely missing from first surgery, doesn't quite remember the names.

"Master, it's the conventional muscle group's extensor digitorum brevis, and the hallux muscle group's abductor hallucis, the lesser toe muscle group's abductor digiti minimi all lost anatomical layers, completely excised." Fang Ziye remembers clearly.

He often grinds Yan Chu's surgical approach when free, naturally remembers deeply.

"Master, actually abductor hallucis and abductor digiti minimi missing can both be left unhandled, but extensor digitorum brevis must find a way to reconstruct."

Foot muscles divided into conventional muscle group, hallux muscle group, and lesser toe muscle group.

Conventional muscle group 6 pieces: extensor digitorum brevis, flexor hallucis brevis, quadratus plantae, interosseous plantar muscle, interosseous dorsal muscle, lumbrical muscle.

Among them, extensor digitorum brevis originates from calcaneus, inserts at base of proximal phalanges of second to fifth toes. Function is extension of second to fifth toes.

Toe extension function is still a relatively important link for foot function.

"Surgery all done to here, if can handle then handle, continue surgery……" Deng Yong making a directional decision, then said: "Later when Liu Huanglong comes over to do surgery, after he completes nerve transplant suturing, I'll reconstruct the flexor support band."

"Also can't not know one operation, not do one operation." Deng Yong actively took a not-low-difficulty operation.

But Deng Yong's words drew a sidelong glance from Yuan Weihong next door, Deng Yong then said: "Yuan Weihong you still need to practice your skill more."

Yuan Weihong immediately ostrich-ed up.

……

Because Liu Huanglong had previously lost his composure and couldn't help but let out a "Holy crap," Deng Yong could perform surgery with peace of mind while praising: "This muscle relaxation is done really well, Zhiming, scar tissue is very difficult to excise."

"You may not know the difficulty of excising scar tissue; next time there's an opportunity, I'll have a patient with muscle adhesion relaxation admitted to the ward, so you can experience it for yourself."

Muscle relaxation surgery belongs to Level 2 Surgery; Yan Zhiming is a Doctor, and about to graduate as a Doctor, so he has permission to operate!

Yan Zhiming slightly lowered his head upon hearing this and smiled: "Thank you, Master."

Surgery in progress.

The automatic pressure-sensing door of the operating room was stepped open once again!

Fang Ziye continued immersed in operation, not turning his head; Liu Huanglong, because of the lesson just now, was also operating with his head down.

But Deng Yong was only an assistant, not holding a sharp instrument, so he could be slightly distracted.

At first glance, he recognized the person entering the operating room as Han Yuanxiao.

After Han Yuanxiao entered, the first thing he did was nod at Deng Yong and say with a beaming smile: "Teacher Deng, I've come over to learn a bit."

After hearing Han Yuanxiao's voice, Liu Huanglong only then slightly tilted his head.

Upon being caught by Han Yuanxiao, he hurriedly said: "Professor Liu, you operate yours, I'll just watch from the side..."

Xu Long from Xiangya Hospital turned sideways to ask Ceng Quanming who the newcomer was. Ceng Quanming then cupped his hands and explained in detail to Xu Long the relationships between Han Yuanxiao, Deng Yong, Liu Huanglong, and others.

The more Xu Long listened, the more a pitiful look emerged in his gaze.

This Ward Director Han Yuanxiao truly has it rough.

The professor with the shallowest seniority, whose technique isn't the top-tier in the ward; above him is former Director Deng Yong, and also the Old Professor, and now a fierce tiger has jumped to his side — he probably can't even sleep at night...

Han Yuanxiao quickly walked to the side of the surgical field where Fang Ziye was operating, his footsteps paused, and his two hands unconsciously began to knead and pinch.

After watching intently for a full ten-odd seconds, Han Yuanxiao couldn't hold back: "Teacher Deng, can I scrub in as an assistant?"

Fang Ziye's debridement technique, scar excision technique, muscle relaxation technique — done simply too beautifully.

No wonder Liu Huanglong, this Distinguished Youth title-holder, didn't hesitate to lower his status and come from Peking Union Medical College Hospital to Zhongnan — not to show off, not for wealth and glory returning home, specifically to slap the face of Hand Surgery.

But to seek another path for breakthrough.

"Director Han wants to scrub in and guide, then just scrub in; we're all following you anyway, perfect chance to get up there and guide a bit."

Deng Yong finished speaking and looked at Yan Zhiming: "Zhiming, you yield your position to Director Han in a bit."

Yan Zhiming rapidly nodded upon hearing this, with a feeling of being granted amnesty.

Seeing Yan Zhiming's expression, Deng Yong lightly sighed: "A mountain pig can't appreciate fine bran."

Yan Zhiming naturally retorted: "Master, it's not that I'm unwilling to learn, but the leap is too many layers; even wanting to imitate Junior Fang's difficulty is too great."

"One mouthful doesn't make a fat man; climbing step by step is the proper path."

Yan Zhiming's expression was bitter, his gaze scattered.

Deng Yong lightly nodded, acknowledging Yan Zhiming's words.

Indeed, watching Fang Ziye's operational details now, he reaped a full harvest; many operations were like a textbook, guiding what Deng Yong's next steps should be.

But for Yan Zhiming, watching Fang Ziye's operation might be like a junior high student looking at advanced mathematics.

Can't even recognize all the characters.

Soon, Professor Han Yuanxiao scurried to wash hands, disinfect, gown up, and scrub in, sitting in Yan Zhiming's original position, and immediately began his own unique rhythm.

"Teacher Deng, when did Ziye's operational skill reach this level?"

"Even though I'm still your student, you originally planned to let Ziye follow me..." Han Yuanxiao's tone was faint and lingering.

Early March, Deng Yong had sought out Han Yuanxiao to chat, hoping Fang Ziye could go to Professor Han Yuanxiao's Group to experience what it feels like to hold a Ward Director Group position, and learn the knack of leading a group and managing a department from Han Yuanxiao.

Come April, this matter still hadn't been executed, and Deng Yong stopped doing it, pretending to forget this matter.

Then mid-April, Han Yuanxiao heard that the good fellow Liu Huanglong from Peking Union Medical College Hospital's Hand Surgery was about to join Trauma Surgery, to do mangled extremity clinical projects together with Deng Yong.

Originally, in the department, Old Professor Dong Yaohui was transcendent and detached; Deng Yong this Old Professor also wasn't within Han Yuanxiao's management scope.

Han Yuanxiao may be called Ward Director, but his rank is actually just a group-leading professor; above him are two he can't manage.

And with Liu Huanglong's arrival, another one he can't manage was added.

This made Professor Han Yuanxiao have suffering he couldn't speak of.

Even the Hospital Leadership privately sought out Han Yuanxiao to talk, suggesting Han Yuanxiao yield the Ward Director position to Liu Huanglong first.

No way, Liu Huanglong is too hard.

Professor, Chief Physician, Distinguished Youth, 'Father-in-law'!

"Ziye currently has clinical tasks on him, so he'll stay with me for a while longer; sooner or later I'll send him over to you."

"What are you anxious about, Director Han?" Deng Yong continued holding his joking stance.

Han Yuanxiao has skill; his skill is much deeper than Yan Zhiming's; with one glance he could tell Fang Ziye intended to relax the dorsum of the foot's extensor digitorum brevis, and quickly placed the small surgical hook in his hand at a suitable position, saying: "If Ziye switched to the medical aesthetics industry, just this scar flattening and excision hand alone would be worth a million annual salary."

"Truly good."

"This hand is so skillful."

Hearing these words, Fang Ziye couldn't help but slightly raise his head, looking at Professor Han Yuanxiao, then at Professor Deng Yong's expression — also envy mixed with jealousy.

Fang Ziye couldn't help but think of himself two years ago; at that time, when he watched Professor Deng Yong and Associate Professor Xie Jinyuan operate, he also had the thought of chopping off their two hands and grafting them onto his own body, transforming into an eight-limbed, six-handed great monster.

Perhaps life's closed loop completes itself unknowingly like this.

Fang Ziye felt secret delight, but also no pride.

Technical improvement doesn't represent a complete leap in cognition and capability; the road he still has to walk is very far, but he's already on the road, so no need to be anxious.

Climb slowly; the treatment he currently enjoys has already far surpassed his peers.

Can then begin to consider: reaching the top, benefit all under heaven.

Patients like Yan Chu are not few; child patients like Yan Chu are also not few; if fortunate in this life, able to blaze a clear path for this category of patients, only then would this life not be in vain!

After Fang Ziye made the first incision!

He stuffed the sterile cotton pad at hand into the surgical field.

Turning his head, he said to the circulating nurse: "Circulating Teacher, loosen the tourniquet a bit. After fifteen minutes, we'll resume surgery. We can also take a halftime break."

Unknowingly, one and a half hours, ninety minutes, passed in a flash.

The tourniquet can't stay on continuously. This would cause problems with the patient's affected limb. Then it might not just be a matter of functional reconstruction.

The brain can't stay overheated all the time.

Hearing this, Deng Yong raised his head, slightly surprised: "Eighty-eight minutes, you were still keeping track of the time in your mind?"

Even his assistant hadn't deliberately paid attention to the time. The tourniquet would beep a reminder after 90 minutes.

The circulating nurse immediately stood up to release the tourniquet's air pressure.

She smiled and asked: "Professor Deng, your student has no flaws in caution, operation, or capability. Does he still lack a girlfriend?"

Hearing the voice, Deng Yong turned to look at Luo Tingzhu. Luo Tingzhu abruptly raised her head, looking left and right!

After facing the circulating nurse, she realized it was the circulating sister teasing her playfully to ease the operating room atmosphere.

"Yo, the little beauty shows herself. Looks like a girlfriend isn't lacking either." The circulating nurse seemed to have everything under control.

Luo Tingzhu lowered her head a bit shyly.

Seeing both his students get bullied, Deng Yong shook his neck: "Xiao Li, your mouth is really clever, silver-tongued. Who knows who got the bargain?"

Han Yuanxiao used to hang around with Deng Yong. They'd cooperated for years. Hearing this, he looked over: "Can't name names, just call them all Second Brother and it's fine."

The two highest-seniority veteran drivers made their move. The circulating nurse could only retreat step by step, slaughtered without a trace left.

The operating room is, after all, the main battlefield of surgeons and anesthesiologists.

Professor Xu Long heard the banter speed up. He rose from the anesthesiology department's old recliner in one motion, smiling at Ceng Quanming: "Director Ceng, your hospital's operating room ceiling lights can change color now."

During the tourniquet rest interval, everyone takes a halftime break.

We need to give Yan Chu's bilateral limbs some relaxation time.

Liu Huanglong also displayed his former status as group leader: "Professor Xu is very sensitive to color?"

Hearing this, Xu Long shot a sharp glance at Liu Huanglong.

"Professor Liu, you're wearing a hat. Let me see what color it is?"

A big shot's reaction speed isn't something ordinary people can compare to.

Although Liu Huanglong has the Distinguished Youth hat, Xu Long isn't one to not retort. Verbal advantage, he had to take it no matter what.

Mainly because Liu Huanglong is too young. He looks easy to bully.

Liu Huanglong instantly retreated.

Turning into an ostrich.

This f***ing Xu Long's output is just too strong. He even plays the hat joke... key is he can't find any fault. He himself is a Distinguished Youth originally.

Deng Yong hurried to help: "Professor Liu, you don't understand then. Anesthesiology hats are always more flowery than our surgical hats, see."

Deng Yong pointed his chin at the flower hat Ceng Quanming was wearing. Witness and material evidence both present.

Nurses in anesthesiology and the operating room like to wear their own bought flower hats to stand out. It's a habit.

Surgeons wear disposable surgical caps. One on the head, and they enter the OR.

"Yellow, green, blue, white, yo, even cyan..." Han Yuanxiao also helped present a united front.

Dare bully Trauma Surgery's Liu Huanglong?

Joke. In the OR driving banter, surgery is definitely top tier. And Orthopedics' driving speed has always sat at the very top of the surgery driving speed food chain!

Hearing this, Fang Ziye and the others, including Yuan Weihong, could only keep these jokes in their hearts. Not a single word dared they speak.

Jokes between big shots. Slight misstep, and you could sink deep into a quagmire. Completely unnecessary.

Driving banter is a big shot's privilege. Liu Huanglong barely squeezes in one foot. As for Fang Ziye, though his technique is badass, compared to driving, he's still a little brother among little brothers. Many places to learn.

'Happy', 'relaxed' time always passes in a flash!

Once the tourniquet was reapplied, operations continued. Fang Ziye then regained his 'Overlord' status, beginning to release and shape the foot's many muscles...

At the same time, Liu Huanglong finally completed harvesting the "raw material" for nerve transplantation. After taking it down, he immediately began transplanting it to the healthy side.

Meticulously starting from the nutrient vessel suture.

During this period, even Fang Ziye, who was doing the release, temporarily yielded position to Professor Liu Huanglong first.

If bone is the skeleton supporting movement, then muscle is the anatomical cornerstone of movement.

However, only nerves are the soul of movement. The sole pathway capable of receiving the brain's commands.

Missing a bone, at worst movement isn't as good. Missing a tendon, at worst one muscle's movement is impaired.

Missing a major nerve is equivalent to soul scattering. Even with body intact, the soul still returns to the ninth heaven!

When Liu Huanglong operates, his suturing speed is extremely nimble. And he completes separate suturing of epineurium and perineurium.

Just this one hand makes Han Yuanxiao sigh softly: "Professor Liu's nerve handling skill ranks at the summit in Peking Union Medical College Hospital too, right?"

"Passable. Barely counts as not disgracing the master's school name." Liu Huanglong first says confidently, then looks at Fang Ziye: "But still not at the level of bringing glory to the master's school."

"So still need to continue learning."

Liu Huanglong has the capital to be proud.

Currently, in all of Hubei Province's Hand Surgery, aside from an extremely few one or two, two or three people, Liu Huanglong really can walk sideways in Hand Surgery.

In nerve suturing, actually even Professor Zhong Junyu of Peking Union Medical College Hospital Hand Surgery would feel Liu Huanglong's operation slightly superior.

Zhong Junyu's Hand Surgery suturing technique excels more in vessels, tendon transfers, muscle plasty, etc. His development focus differs slightly from Liu Huanglong's.

Han Yuanxiao was about to respond when Liu Huanglong said again: "Professor Han, no chatting first. Wait till I finish the transplant operation, then yield to Ziye."

"This patient needs two nerves transplanted. I still have to go find another one!"

Liu Huanglong spoke while gripping the sterile microscope cover, shifting the microscope's vision to the other side of the nerve stump.

Nerve grafting is not something ordinary instruments can operate; it must rely on microsurgical instruments and a surgical microscope to complete the suture relatively perfectly.

The difficulty of suturing the nerve epineurium is even greater than the difficulty of suturing blood vessels the size of hair strands.

The more exquisite the suture, the more favorable for nerve healing — not the slightest negligence allowed!

This is an extremely complex surgery; therefore, every step of the operation is extremely critical. Only by doing every single step to an even greater extreme can quantitative change possibly lead to qualitative change!

Regarding nerve suturing technique, on the operating table, besides Liu Huanglong — this giant of hand surgery — not a single person has the right to speak, including Fang Ziye.

Therefore, during Liu Huanglong's pauses in operation, everyone can only wait!

After roughly a full half hour, once Liu Huanglong completed the proximal and distal sutures of the nerve graft, he said: "Ziye, the remaining nutrient vessel anastomosis — will you complete it, or will I?"

"Naturally Professor Liu you complete it, right? Ziye he..." Han Yuanxiao blurted out.

Vessel anastomosis is a specialty of hand surgery.

Liu Huanglong glanced at Han Yuanxiao, his gaze like he was looking at an idiot.

Han Yuanxiao shut his mouth, seeing the wariness in Liu Huanglong's eyes.

Fang Ziye took a light breath and said: "Professor Liu, you suture. I feel my wrist is a bit fatigued."

"Large-area scar tissue excision and debridement, muscle plasty — the demand on hand utilization is still quite high." Fang Ziye sat at the operating table, exercising his ten fingers' grip function while relaxing his wrist joint.

Humans aren't made of iron; they get tired.

Fang Ziye's operation doesn't require great exertion, but the precise and delicate turns, the knife moves — straight, curved, oblique, turning — every step allows no negligence; this also becomes very tiring.

This is knife control.

Knife control requires force to arrive but stop at the inch.

Just right is enough — not a fraction more, not a fraction less. Over time like this, it also makes the wrist and finger muscles sore.

This is even more tiring than doing several fracture surgeries!

"Good! ~Then I'll suture."

Liu Huanglong continued with head bowed, holding the needle holder in one hand while saying: "I truly hope there could be five, six, seven, eight more helpers."

This sentence from Liu Huanglong was originally a joke, but it seemed to have provoked the two Chief Physicians, Deng Yong and Han Yuanxiao.

"Eh..." Deng Yong and Han Yuanxiao immediately let out monosyllables.

Liu Huanglong knew his current position was no longer simply a group leader, so he fell silent in response, speaking no more.

The surgery continued; Fang Ziye once again returned to the primary operating position...

Seeing Professor Deng Yong and Professor Han Yuanxiao's expressions slightly screwed up, he comforted in a low voice: "Master, Teacher Han, Yan Chu's surgery is after all the first attempt at functional reconstruction, so everything must aim for the highest standards."

"Once there is experience, you two teachers will definitely be the main force."

"If a surgery like this can only be coordinated by me and Professor Liu, then this clinical project is a failure."

Master was dissed by Professor Liu; Fang Ziye is a subordinate, impossible to diss back. All he can do is comfort.

And with one sentence, he directly poked into both their hearts, and even threw in some sugar.

Right — if this clinical project, when summarized, turns out only Fang Ziye + Liu Huanglong can operate it, then it's a failure, merely an accidental individual case, with no promotional significance.

But the first time, it must strive for the highest standards.

Deng Yong looked at Fang Ziye and said softly: "Operate your own part; no need to do psychological building for your master. The number of blows your master has encountered is ten times more than the years you've been alive."

"Such encounters, you will also face in the future."

Deng Yong was hinting that after Fang Ziye goes for advanced study, he may suffer blows, and the 'teachers' there won't be as gentle, as amiable as he, Deng Yong.

Time flows like water.

Right when the surgery progressed to 03:44:11.

Deng Yong and Han Yuanxiao quickly completed the bone defect's bone graft reconstruction; Professor Liu Huanglong and Fang Ziye respectively completed the nerve grafting, tendon lysis, and adhesion scar removal operations.

Afterward, Fang Ziye and Liu Huanglong sat facing each other; Fang Ziye said tensely: "Master, Professor Liu, Professor Han, Professor Zeng, Professor Xu, our core operations are complete. Next is the time to test Yan Chu's individual motor functions."

"If, most of Yan Chu's foot functions have already recovered to normal, then? This surgery of ours... it... it..." Fang Ziye is ultimately a youth, a twenty-eight-year-old youth. Right now his mouth corner trembled, his tongue stuttered, his speech unsteady.

This is a world-class project, a brand-new height.

To have Fang Ziye climb to such a frontier all at once, announce such a thing — it truly makes Fang Ziye nervous beyond measure.

"It succeeded, and it's the first case! ~"

"Like the first case of finger replantation, it is the combination of mangled extremity disease type and hand surgery's nerve function reconstruction surgery." Liu Huanglong finished the words for Fang Ziye.

Then he patted Yan Chu's thigh area, reminding: "Yan Chu, later listen to me and your Brother Ziye's instructions — wherever we tell you to move, you start moving there."

"No random moving; we need to examine your local motor function."

"Amplitude cannot be too large, lest you tear the freshly sutured nerves. Heard clearly?"

"Heard clearly, Uncle Liu." Yan Chu had seen Liu Huanglong many times, so he was also especially familiar with Liu Huanglong's voice.

"Come, first move the hallux — that is, the foot's big toe. Although you can't feel the big toe, try learning to curl the big toe upward?"

"You can do it. The extensor hallucis longus is innervated by the deep peroneal nerve; this nerve of yours is normal." Liu Huanglong explained, then patted the origin of the extensor hallucis longus.

"Exert force here."

Hearing this, Yan Chu slowly curled his hallux. Although the range of motion was very, very slow, just this slight movement made the group of big men in the operating room — including middle-aged old men Deng Yong, Han Yuanxiao, etc. — excitedly clench their fists, as if watching their idol win a championship!

After clenching their fists, they kept bumping them against each other non-stop; through the sterile gloves came a faint, crisp pat-pat-pat collision sound.

"Next is flexing the hallux. The flexor hallucis longus is innervated by the nerve we grafted, originating from the lower 2/3 of the posterior fibula. Exert force to flex — imagine how you used to flex your hallux before." Liu Huanglong continued teaching carefully.

Hearing this, Yan Chu's hallux trembled lightly. It could not flex directly.

But even so.

Liu Huanglong was also pleasantly surprised beyond words.

"Yes, yes, yes! ~"

"Just like that! ~"

"Flex, press the thumb hard toward the sole, you can do all five together, move them together."

Yan Chu quickly cooperated, curling the big toe and the other four toes, the range extremely slight, but both Fang Ziye and Liu Huanglong felt the contraction of the flexor tendons!

This represents that the motor innervation of nerve function has connected once again.

The muscle adhesions have already been released.

From an anatomical angle, Yan Chu's foot muscle motor function has already been completely reconstructed! ~

An incredible miracle, in human hands, burst forth for the first time.

Among the hands participating this time, there was a pair from Fang Ziye.

"Stop stop stop, good good good! ~"

"That's enough, stop moving for now!" Liu Huanglong called a halt to Yan Chu's continued flexion, then raised his head, facing the team in the operating room, swaying left and right, staring wide-eyed like an ox as he shared his joy!

(Chapter End)

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