Chapter 431
Han Yuanxiao left silently, moving through the noisy crowd, unfamiliar people, unfamiliar sounds mixed with an inexplicable bewilderment sweeping over him.
All this unfamiliarity made even him, the Administrative Director of Zhongnan Hospital Trauma Surgery, feel the hardship.
This Director position is truly too difficult to hold!
Han Yuanxiao personally experienced Deng Yong's tenure; likewise, he never did the things Long Yuan just mentioned.
When Han Yuanxiao, Yuan Weihong, Peng Long, Xie Jinyuan and others were growing up, Deng Yong also never asked about them, and it seemed no one experienced any hardships or targeting.
Including ten years ago, when Director Dong Yaohui was in office, his attitude toward subordinates was mostly "free-range" —
How come when it got to me, not going to give Fang Ziye careful "arrangements" instead became a kind of error?
Zhongnan Hospital Trauma Surgery's consistent custom never had this kind of thing.
Is it precisely because Zhongnan Hospital's Orthopedics Department doesn't have this thing, while Tongji Hospital consistently does, that it is Tongji, and Zhongnan is Zhongnan?
Jumping out of the circle of whether this history exists or not to think about Fang Ziye this person!
"No matter what, Ziye is worthy of careful and patient treatment. The department didn't have this kind of history before because the department never produced such outstanding talent, so the department's superiors never had similar experience."
"But Tongji Hospital has it; Tongji Hospital knows how to cultivate its own people." After Han Yuanxiao muttered in a low voice, his gaze became increasingly clear.
Immediately after, Han Yuanxiao's steps became increasingly composed; he made no sound, but his heart grew increasingly open: Professor Deng Yong and Old Professor Dong Yaohui were not omniscient, and Old Professor Li Guohua and even older professors also couldn't achieve meticulousness down to a hair.
Discarding real experience to talk experience is purely acting like a hooligan.
If you don't understand, ask; if you can't do it, learn; ignorance has no way out.
……
After Fang Ziye washed his hands, he held both hands before his chest like a "pilgrimage," extended his right foot to step open the operating room's automatic sensing door, and inside Wang Yuanqi and the others' voices faintly reached him.
"Asked yet? Has Ziye already left the competition venue?"
"Brother Qi, Brother Xiong said Ziye Senior Brother left the venue about twenty minutes ago, should be back soon…"
Liu Haihua stood up at once under the surgical timer panel: "Industry Brother…"
Then turned his head to look toward Wang Yuanqi's direction: "Brother Qi, Industry Brother is here."
"Wang Shixiong." After Fang Ziye entered the operating room and called out, he immediately approached the sterile surgical gown package, picked up a gown and shook it open, and Liu Haihua hurried over to help him put it on.
The circulating nurse who wanted to stand up continued sitting steadily on the "Fishing Terrace," left hand placing her phone on the storage shelf, right hand stroking her own belly, smiling: "Director Fang, during the time you left, Director Wang called Director Fang's name a total of one hundred twenty-seven times."
"This is undoubtedly true love."
Fang Ziye saw Wang Yuanqi slightly lower his head with reddened eye corners, then turned to look at the circulating nurse: "Open the gloves for me. You know the size yourself."
The circulating nurse froze at this, her whole body twitched, long neck and bewildered eyes: "What kind of tiger-wolf words are these?"
"The kind where you can wear ten at once disposable. Don't always think about wearing just one." Fang Ziye pointed at the instrument tray.
The circulating nurse conceded defeat, face not red, breath not panting, stood up and hurriedly opened sterile gloves, properly: "What size?"
Glove size can be called model number, for example 7.5, or also called size 7.5, depends on local custom.
"Seven point five." Fang Ziye saw the circulating nurse stop making trouble, satisfied, reined in his speed.
This kind of back-and-forth finding fun, avoiding boredom, always cracking dirty jokes, would seem inappropriate.
The circulating nurse came over and opened the sterile gloves and said: "Director Fang, you'd better be civilized; I can report to Tingzhu."
Fang Ziye smiled: "You go ahead; if Tingzhu knows such an honest person as me was forced by you onto the highway, she'll definitely know how dirty you are."
Fang Ziye felt Liu Haihua had tied the collar and back straps of the gown, walked to the operating table, on one hand passing the sterile surgical gown's belt loop to Wang Yuanqi, while on the other hand examining the surgical field.
"Typical 'rider' injury, this is fully at fault again, or was it dragged in?"
"Huh? Isn't this the patient I consulted on?" Fang Ziye just took a simple look and asked.
The patient's injury site was at the thigh; after these months receiving this kind of mangled extremity patient, Fang Ziye and the others habitually called electric bike, bicycle riders knocked down and run over by cars or trucks "rider injuries."
Private car run-over lesions are much better than truck run-over lesions.
This patient should have been run over by a private car.
"Didn't ask; when sent over, family and perpetrator were both absent, 120 sent them, hospital's on-duty director authorized emergency surgery." Wang Yuanqi replied.
"That mangled extremity patient before you left, family demanded a professor do the surgery! This is another one."
Fang Ziye heard this, glanced at Wang Yuanqi, eyes narrowed, on one hand taking the scalpel Wang Yuanqi handed over: "What did that side's family say?"
"Must have Associate Professor level surgery; all departments are like this. If not an Associate Professor doing the surgery, he'll go whistleblow."
"Signed on the surgical informed consent form himself."
Fang Ziye: "……"
"Then let Associate Professor Peng Long do the surgery……"
Fang Ziye believed Wang Yuanqi should have explained to the patient's family, but the family still strongly insisted.
Patient families possess the right to informed consent and informed refusal.
Just that Fang Ziye rushed back in a hurry; had he known there was no surgery to do upon return, Fang Ziye could have strolled around the scene a bit before coming back.
This patient's mangled extremity, strictly speaking, doesn't even count as "terminal" mangled extremity, just large-area soft tissue injury and bone defect; the soft tissue injury sites haven't reached ischemic necrosis yet.
It's just that the original anatomical structure suffered destruction! ~
"Vessels damaged, nerve integrity patent, just local edema, need to do nerve decompression incision."
"Ziye, this surgery, counts as a relatively well-standardized procedure, right?" Wang Yuanqi swallowed saliva and asked.
Before Fang Ziye arrived, Wang Yuanqi hesitated to truly start the operation, only doing exploration and hemostasis; but after Fang Ziye arrived, Wang Yuanqi's heart was bursting with confidence, very much hoping to take over the scalpel.
Fang Ziye understood and said: "Wang Shixiong, how about this: you handle the internal muscle debridement, I'll handle skin and fat layer debridement, strive to restore local blood circulation."
"After debridement is done, we'll then anastomose vessels and do nerve decompression."
"Then for the fracture, at that time we'll first place an external fixation device; during second-stage surgery, treat according to bone defect."
"Right side also has injury?" Fang Ziye finished exploration and asked again.
"Ziye, right side injury is simple; patient's front wheel was run over, felt steering wheel was off, vehicle body ran over then reversed back."
"Most damage concentrated on the left side!" Wang Yuanqi actively explained the injury mechanism.
Fang Ziye listened, then lifted the sterile gauze at his right thigh, saw that the wound had already been sutured by Wang Yuanqi, and covered it with the gauze again.
He returned to the surgical field.
Wang Yuanqi opened a new scalpel, happy like a child: "Ziye, so I'm starting?"
"Go ahead. Haihua, you come up too, and debride the skin with me!" Fang Ziye waved to Liu Haihua below the stage.
"......"
The difficulty of this surgery was not high; Wang Yuanqi grew more proficient the more he did, and more confident the more he did.
The faint smile at the corner of his eye was harder to suppress than ak.
But whenever Wang Yuanqi was brimming with confidence, he only needed to glance a few times at the debridement Fang Ziye and Liu Haihua were doing, and his heart would immediately be like an ancient well, unmoved by the wind.
Unknown how long passed.
"Wah la la la!"
The automatic sensing door of the operating room was pushed open by someone; Fang Ziye had his back to the operating door and did not curiously turn around.
Wang Yuanqi slightly raised his head, looking at the newcomer, but did not recognize who the other person was.
The newcomer had a slightly plump build; after entering, he spoke with proper tone: "May I ask which one is Doctor Fang Ziye? Excuse me for a moment."
"Looking for your Ziye."
Hearing the voice, Fang Ziye lifted the scalpel away from the wound, carefully put the scalpel back into the kidney dish, then gently turned his head.
He still did not recognize who the other person was: "You are?"
"I'm from Room 13 next door; Associate Professor Peng Long said to have you come over for surgery." The newcomer's tone was calm; when mentioning Associate Professor Peng Long, his pitch inexplicably rose a few degrees.
"Room 13 is the operating room of that previous surgery patient." Wang Yuanqi, upon hearing this, frowned and explained in a low voice, very quiet, only just audible to Fang Ziye.
"Shouldn't the manpower in Room 13 be enough?"
"Who exactly are you? I'm on the operating table and can't leave." Fang Ziye squeezed the corner of his eye.
"Associate Professor Peng Long told you to come over?"
"I'll call Professor Peng." The newcomer obviously did not want to explain further.
Seeing this, Fang Ziye remained unmoved.
The other party really made a call; it connected in a short while; on the other end of the phone, Peng Long's voice indeed came through: "Is it Ziye? Are you on the table?"
"Teacher Peng, I'm on the table now; just now a teacher I don't know which department said to have me come to Room 13?"
"I just find it strange, Teacher Peng, you're already in Room 13, the assistant is definitely enough, why would they call me over?" Fang Ziye explained in a very calm tone.
Peng Long hesitated for a moment, then said: "Ziye, the situation over here is more troublesome; do you think it's convenient for you to come over and help?"
"What's the situation over there?"
"Right lower limb destruction injury; the damaged cross-section is from the upper quarter of the thigh to the lower-middle quarter; femoral artery and branch injuries, nerve edema, bone defect state, skin necrosis..."
Seeing Fang Ziye still explaining, the slightly plump person in green clothes said: "Hurry over, Doctor Fang; it's extremely urgent over there; if you don't go soon, they'll have to amputate."
Fang Ziye heard this and opened his eyes wide: "Teacher, may I ask if you are a colleague?"
"I'm on the operating table; I'm performing surgery; please don't disturb my surgery! The surgery personnel duty arrangement of our Orthopedics Department was arranged in advance."
"I know the specific situation of the emergency surgery in Room 13; he is my consultation patient."
"The patient's family strongly requested a doctor above Deputy Chief Physician level to perform surgery; I'm just a Chief Resident."
Hearing that Fang Ziye remained unmoved, the slightly plump middle-aged man finally identified himself: "Doctor Fang, I'm from Hepatobiliary Surgery; please be accommodating, come help."
"The injured person is my younger sister; my brother-in-law is unreasonable; I've already criticized him."
"Rest assured, I guarantee..."
Fang Ziye said: "Teacher, we're both doctors; in medical relationships, the husband-wife relationship is greater than the brother relationship. You can't guarantee, and you're not a direct relative. Please go out, thank you."
"I need to continue surgery."
The slightly plump middle-aged man leaned forward a few steps in a low voice: "Doctor Fang, give me some face; actually I know many teachers in Orthopedics; no need to make so many calls."
"Even if you make a hundred calls it's useless! I said, I'm not going." Fang Ziye said.
"Then what about the First-Consultation Responsibility System?" the slightly plump middle-aged man asked.
"Informed Refusal is greater than the First-Consultation Responsibility System. The First-Consultation Responsibility System in Emergency is a specialty First-Consultation Responsibility System; I transferred it to my Superior Physician to handle, which provided the patient with higher-quality medical service."
Fang Ziye's speech speed increased a bit: "Do you want me to recite the operating room regulations for you?"
"Circulating Teacher, call the Head Nurse!"
Everyone is an adult; doing things originally leaves a frontline.
But what your brother-in-law did was directly writing on the Surgical Informed Consent Form that he required an Associate Professor level or above doctor to perform surgery; I go to your der!
You guarantee; how do you guarantee; when the time comes you'll just run off and not guarantee anymore; who do I go to make a scene with? I still have to find teachers, find the Medical Affairs Department, find many layers of connections, before I can let this matter pass.
I'm a doctor, not here to learn how to avoid responsibility.
The slightly plump middle-aged man's mouth corner split open as he turned and left.
The operating room regulation is that any personnel in the operating room, from the Medical Affairs Department's inspection down to intern doctors and intern nurses, must never disturb the lead surgeon team's operation from below the stage.
If violated, it's not just a matter of hospital punishment.
The hospital's operating room has very special "public order" authority on the legal level; at worst, Fang Ziye telling this middle-aged person's disturbance of his surgery to this patient's family would ruin his career.
No one dares to make a scene in the operating room, except family members who know nothing!
After the middle-aged person left, Fang Ziye heard Wang Yuanqi opposite explain in a low voice: "Ziye, I personally saw the family member of the patient in Room 13 write that one line, so we definitely cannot go over."
"Not even supplementary signatures! We cannot rule out that the patient's family was instructed by relatives in advance and secretly took photos!"
"Thank you, Wang Shixiong." Fang Ziye nodded.
Without Wang Yuanqi's words, Fang Ziye actually wouldn't mind going over to do a surgery.
But to do a surgery, to save a patient's two legs, to do a good thing, and ruin his own career—who would compensate Fang Ziye's injustice?
However, what this middle-aged person said was correct; he indeed knew many teachers in Orthopedics.
Just two minutes after leaving, Fang Ziye's phone rang.
"Doctor Fang, it's Master Deng Yong calling, should I answer?" the circulating nurse asked.
"Help me pick it up, put it on speakerphone, thanks." How could Fang Ziye not answer.
Once connected, Deng Yong's voice spread out: "Ziye, are you at the hospital right now? I heard that before you came to the competition venue, you consulted on a mangled extremity that was sent to the OR. This is your patient. You went back but haven't scrubbed in yet. Are you on duty in the trauma center clinic?"
"No, Master. I'm in the emergency operating room."
"But the family of that previous emergency patient strongly demanded an associate professor or deputy chief physician level lead surgeon. If not, they said they'd whistleblow, and wrote it on the surgical informed consent form."
"And the patient and family do have connections. They called Professor Peng Long to be lead surgeon. I estimate Professor Peng Long doesn't know about this small matter, so he called me over." Fang Ziye explained.
"Did they sign? Who taught them?" Deng Yong's tone turned serious.
Wang Yuanqi took over: "Don't know who taught them. The patient's family wrote it themselves. I took photos too, Master."
"Alright, I know now."
"I'll go talk to him." Deng Yong proactively hung up.
Fang Ziye and Wang Yuanqi stared at each other for a moment, then continued lowering their heads to start surgery.
However, when Wang Yuanqi lowered his head he asked one more thing: "Ziye, actually you did have time to go over, right? Actually this surgery's situation isn't that urgent anymore. You could go finish that surgery and come back, and still make it in time."
"You also need them to let me go, right? Empty words without proof."
"Written in black and white."
Fang Ziye spoke no more. Picking up the scalpel again, he casually debrided a few more strokes. The soft tissue layer that originally looked like it had no blood flow — who knows which nutrient artery's embolism site Fang Ziye cut open.
After a small amount of blood seeped out, Fang Ziye was overjoyed. He carefully dabbed the bloodstains with gauze. Seeing the red dot, he beamed.
Opposite, Wang Yuanqi watched, stunned: "Ziye, while debriding, you were thinking of a way to restore blood flow?"
Finished speaking, he clicked his tongue. After retracting his scalpel, his right hand trembled lightly in the air.
A light, casual sentence. What high-end operation lay behind it — only those in the know understand.
Fang Ziye's forward speed, as always, swift. Back then, watching from above, I only felt Fang Ziye was fast. Once Fang Ziye exceeded my vision, Wang Yuanqi had little concept left. Just felt Fang Ziye was excellent.
But specifically where he excelled, how fast he improved, exceeded Wang Yuanqi's cognition.
Now, at some moment realizing it, Fang Ziye's speed all along never decreased. Current technique, increasingly mature. Can complete techniques peers find incredible.
"Hehe." Fang Ziye set down the scalpel, chuckled twice, then let fresh blood flow freely under the skin.
Hemostasis during surgery is to reduce bleeding. But rebleeding after ischemia is the scene every surgeon most loves to see.
What Fang Ziye needs to do is let it flow a while, then suture it converging into the next level artery, striving to let the necrotic soft tissue layer accept fresh blood perfusion again.
Another twenty-plus minutes passed.
The middle-aged man who left earlier once again stepped open the OR's automatic induction air pressure door.
This time entering, his bearing was much steadier. Voice slightly urgent: "Doctor Fang, I'm Zhong Yewei from Hepatobiliary Surgery."
"Can I beg a favor? Go check on my younger sister. My brother-in-law did a stupid thing out of ignorance. I already criticized him first thing."
"Doctor Fang, look. Think of a solution, okay?"
"I only have this one younger sister. Before, I was a bit frantic. That's why I wanted to cut through the mess, wanted to fight for more time!"
"Doctor Fang, look. How about this: I'll have our director step forward, personally get a new surgical informed consent form, and in front of the hospital general duty, go to the hospital security office, let my brother-in-law voluntarily void the previous surgical informed consent form under surveillance."
"Then sign a new consent form, and have your orthopedics director personally sign. Okay?"
"Doctor Fang, saving a life surpasses building a seven-story pagoda. I really... if this weren't my sister, I wouldn't have lost composure like that before..."
"Help me out, okay? She's still young..." Zhong Yewei's voice and expression both earnest, sincere.
Fang Ziye turned back.
Actually, Zhong Yewei's protective heart for his sister, Fang Ziye can understand. Just, Fang Ziye understands here, but there he gets whistleblown. Will Zhong Yewei come explain for Fang Ziye then?
Maybe yes, maybe no.
Fang Ziye never dares stake his future on a maybe.
Fang Ziye now just waits for Wang Yuanqi to finish muscle layer debridement, then turns back: "Teacher Zhong, Associate Professor Peng Long's technique is far more mature than mine. In breadth of surgical mastery..."
Zhong Yewei interrupted: "Doctor Fang, please absolutely don't mention this. It's my fault. I was too one-sided. Too ignorant. That's why I gave my brother-in-law a rotten idea."
"Making him demand associate professor or deputy chief physician level or above lead surgeon. Making him write on the surgical informed consent form. All were my instruction."
"I'll take my punishment. But please, Doctor Fang, do it for me. Don't watch my sister get amputated. I'll kneel to you."
"I can also have my nephew kneel to you. They're right outside."
"Don't delay any more time."
Fang Ziye still shook his head: "Teacher Zhong, don't say more. Principle is principle. Everyone's an adult. What you said yourself is necessarily true."
Zhong Yewei raised a fist. But he didn't smash Fang Ziye. Instead he fiercely pinched his own thigh flesh with both hands.
Pinched until half his body trembled lightly.
Fang Ziye said: "I'm not a deputy chief physician. I can't go."
"But I can suggest someone. He can go."
"You also don't need to go back for consent talks. His technique is pretty good too."
"You mean Doctor Nie?" Zhong Yewei obviously has broad connections inside the hospital. So from Associate Professor Peng Long, he also heard about Nie Mingxian.
But Nie Mingxian is even harder to manage.
Others aren't Zhongnan Hospital staff. Just an 'advanced learner' student. Nothing can pressure him to scrub in.
Peng Long called. Just said a few sentences before being hung up on.
And Nie Mingxian is a Peking Union Medical College Hospital PhD candidate. Blood connections don't work either.
"Yes! ~"
"I'll call him and ask. If he's willing to go, there might be a chance; if not, to be honest."
"Teacher Zhong, you have to understand me. You're Hepatobiliary Surgery, I'm Orthopedics—how many years of hard study did it take for us to get where we are in employment?"
"Sentiment is less than reality; eating takes priority over ideals."
"If we switched places, or say, if my younger sister came to Hepatobiliary Surgery for surgery, I'd have my brother-in-law write a request demanding a Chief Physician perform the operation! ~"
"And let me tell you this: as long as the surgery isn't performed by a Chief Physician, I'll report it. Would you do it?"
"Would you do it?" Fang Ziye said, standing up and actively removing his Sterile Surgical Gown.
After removing the Sterile Gloves, he went to the Storage Shelf and picked up his Mobile Phone.
Zhong Yewei heard this and helplessly lowered his head.
At this moment Zhong Yewei completed the 'life closed loop' of lifting a rock only to drop it on his own foot. Zhong Yewei had thought that after getting his sister into Zhongnan Hospital, with his connections, he could certainly invite a batch of Deputy Chief Physicians or even Chief Physicians to perform the surgery.
He was just afraid some Small Physician would clumsily go on stage and create an irreversible situation.
Deputy Chief Physicians must certainly be more capable than Small Physicians, that's beyond doubt, right?
But it was precisely this point that now left Zhong Yewei with unspeakable bitterness.
These Deputy Chief Physicians in Orthopedics were simply a bunch of 'soft eggs,' completely unable to withstand pressure, actually saying that in such a situation, only Fang Ziye stepping in could do it, there was no other way.
Either amputation, or invite two well-known professors from Hubei Province to share the stage, only then could there be a chance to save his sister's leg!
Zhong Yewei wanted to make a phone call, but Xie Jinyuan said that recently the Orthopedics mid-year academic conference was being held in Han City, you couldn't possibly invite them, no one could possibly invite them.
Wasn't this talking nonsense?
Zhong Yewei could only humbly beg Fang Ziye, originally thinking that with the title of Associate Professor, inviting Fang Ziye would still be manageable.
As a result, Zhong Yewei also experienced for the first time Fang Ziye's 'arrogance' within Orthopedics.
Damn it, not only was he directly refused by Teacher Deng Yong, but when he called again, that person was actually Fang Ziye's Master—the scolding he received was so full of sarcasm that Zhong Yewei still hasn't recovered to this day.
"It's fine! Doctor Nie has already agreed to go on stage."
"However, based on the situation during my consultation, this surgery is estimated to be just a single-stage surgery, and a second-stage functional reconstruction surgery will still be needed later." Fang Ziye said.
Zhong Yewei heard this, panicked inside, and asked: "Doctor Fang, if you directly go and open the stage, could it possibly avoid one cut?"
"Possibly, but I can't guarantee it."
"Teacher Zhong, let's not talk about these possibilities anymore? I hope you can understand me."
"I am now insignificant and weak, and my financial strength is not enough; I can't withstand storms and upheavals. If I lose my job, I'll just be a poor wretch, I can't afford to gamble! ~" Fang Ziye was still polite in the end.
This is human relations and worldly wisdom—always have to say some self-deprecating words to make the other party look good.
The phrase "can't afford to gamble" also dissipated most of Zhong Yewei's anger.
"Doctor Fang, I'll apologize to you in person next time! ~"
"This matter is my fault." Zhong Yewei said, then directly clasped his fists and turned to leave.
After Zhong Yewei walked away, when Fang Ziye turned around, he saw the Circulating Nurse directly slam the Storage Table, and the three Mobile Phones on the Storage Table lightly jumped.
Stars sparkled in the Circulating Nurse's eyes: "The plot from TV dramas, I've finally found a case in reality."
"Doctor Fang, how many kinds of techniques are actually stuffed in your head?"
"Surgeries that a Deputy Chief Physician can't do, a Chief Resident can! ~" There was indeed light in the Circulating Nurse's eyes, and her gaze kept fixed on Fang Ziye without leaving.
Fang Ziye stepped out the door to wash his hands, turned back and smiled: "Don't spread rumors like that; forget this sentence now, don't drag me into hatred! ~"
After Fang Ziye finished washing his hands and returned to the operating room to put on the Sterile Surgical Gown, the Circulating Nurse had already actively stood up.
Fang Ziye had just twisted the Sterile Surgical Gown and shaken it onto his hands when the Circulating Nurse walked to Fang Ziye's back: "Doctor Fang, there are rumors in our operating room that they think you're not worthy of our family's Tingzhu."
"I just say, you and Tingzhu are a talented man and beautiful woman."
Fang Ziye heard this, his neck stiffened: "Who started this rumor again?"
"Not a rumor, just gossip. Mainly many people haven't had the chance to see Doctor Fang's style; from now on, I absolutely support you as this 'son-in-law'!"
Fang Ziye's mouth corner twitched: "……"
What is all this nonsense.
"Still the same old trick?" After Fang Ziye didn't reply, the Circulating Nurse finally took the opportunity to run a large truck over Fang Ziye's face.
However, having just said she supported Fang Ziye as this 'son-in-law,' how could Fang Ziye return the favor to her.
After awkwardly staying silent, the operating room's car commotion came to a conclusion.
Fang Ziye approached the operating table, and Wang Yuanqi gave up his position: "Ziye, you handle this part; I won't be much help with the rest, so you do it."
"These blood flow reconstructions are still somewhat difficult..." Wang Yuanqi sat down knowing his limits and stood at the Assistant's position.
Fang Ziye was not polite; after approaching the operating table, he slowly continued advancing the surgery.
Naturally, every move and style of Fang Ziye's was no longer pretentiously profound, but while doing it, he explained it to Wang Yuanqi at the same time.
"Wang Shixiong, the vascular anastomosis we usually do is very simple interrupted suture, but in mangled extremity, many blood vessels appear shortened."
"In such a situation, we either do a vascular graft after surgery, or splice artificial blood vessels."
"But if conditions don't allow, how should we handle it?"
"At this time, a relatively alternative vascular tension-reducing suture can be applied, more suitable for arterial injuries with shortening displacement not exceeding 3cm."
"And if the injury is greater than 3cm, then we need to flexibly apply the 'end-to-side' suture of the blood vessel, sacrificing the vessel's direct shape, to rebuild smooth blood flow."
"Such an operation will certainly increase the probability of thrombus and increase blood turbulent flow, but if it can be handled directly in the first stage, it is actually very economically beneficial."
"You see..." Fang Ziye operated while explaining some relatively basic underlying logic to Wang Yuanqi.
After all, in the future Wang Yuanqi needs to learn this operation—not only how to operate, but also learn when such an operation is suitable, and how to create situations where he can apply vascular anastomosis for mangled extremity himself.
Time slowly passed, and suddenly it was 5:40 in the afternoon.
When Yuan Weihong arrived at the operating room doorway, wearing his scrub suit, he did not directly step through the sensing door, but watched Fang Ziye working hard and teaching hard inside; with hands behind his back, his mouth corner curled up, his face full of satisfaction.
Afterward, he still didn't enter the operating room, but turned around and went to the next room...
(Chapter End)
End of Chapter
