Chapter 80: Too Much Style! (Asking for First Subscription)

"Industry Brother, the past two days were so comfortable."

"I feel that performing suturing on a patient gives a better hand feel than in the training room." Inside Orthopedics Training Room 801, Lan Tianluo had just finished organizing the practice instruments for suturing, and at this moment he was putting on gloves while speaking.

As he spoke, he snapped the gloves, making a soft *pop-pop* sound.

"That's natural. The direct object of all operations is the patient; nothing can replace the opportunity to operate on a patient, unless you slash yourself." Fang Ziye was also organizing his operating table, and discovered that today's instrument practice pack was missing a pair of forceps.

He was about to stand up to get one, but Lan Tianluo was quick-eyed and swift-handed, neatly pushing the forceps from his own operating table onto Fang Ziye's surface: "Industry Brother, my pack has an extra one; it must have been a packing mistake by the teacher in charge of instruments after disinfection."

"What a pity, there won't be such a good opportunity today!" Lan Tianluo sighed softly as he passed the forceps.

At this moment, Luo Tingzhu entered from outside, holding the freshly collected pork in her left hand, turning the pork belly over in her hand to examine it. Her right hand carried the skin jelly box she had collected for Fang Ziye to practice suturing.

As she walked, she said: "Senior Brother, there are few people in the training room lately, so the warehouse teacher didn't prepare extra skin jelly; there's only this small box. The teacher asked me to tell you to use it sparingly."

"Thanks for the trouble, Tingzhu. I originally said I'd go get it myself." Fang Ziye took it with both hands, not touching Luo Tingzhu's hand, lifted the square box off, and flipped it upside down onto the operating table surface.

The skin jelly plopped onto the operating table like braised pork belly.

Normally, the warehouse teacher, when boiling skin jelly with gelatin powder, would prepare extra, trying to ensure students had some to practice every day.

Gelatin powder isn't expensive; you can collect it without spending your own money, but each person's quota is at most two boxes; cut up, using it sparingly you can barely get ten operations out of it.

Now with the Orthopedics Annual Conference imminent, most senior physicians have either gone to the meeting or are tied up in clinical work; almost none have come to the training room.

And practice materials like skin jelly — I heard the second practice rooms in several wards still use them — with these senior physicians absent, the daily boiled quantity is less, which is understandable.

Today Fang Ziye therefore cut the skin jelly evenly into seven slices; this way, completing sutures on both front and back simultaneously allows Fang Ziye to complete fourteen suture openings, which counts as relatively thrifty.

"Just doing it conveniently."

"Right, Senior Brother, the cells you asked me to revive for you, I've already revived them and placed them in the third compartment at the bottom right of the incubator in the cell room, labeled with your name. Remember to observe the passage when the time comes." Luo Tingzhu said this, then turned and walked next door.

The past two days, Fang Ziye and Luo Tingzhu, in the department and the emergency operating room, had almost cleared every level; the other two professors' groups' junior doctors were each practicing in the training room.

For the remaining three days, there was nothing for Fang Ziye and his group.

At most, Senior Brother Gu Yi, under Attending Qin Geluo's lead, would have some more operations in the operating room.

Therefore, at this moment the Trauma Surgery training room belonged exclusively to Luo Tingzhu, Fang Ziye, and Lan Tianluo. Shu Lang was on duty in the department.

After Fang Ziye finished cutting the skin jelly, he turned to look at Luo Tingzhu and said: "Tingzhu, tonight I want to treat Brother Jin to a meal; are you and Tianluo going to split the bill, or what?"

Lan Tianluo nodded without much thought: "I can, Senior Brother."

Luo Tingzhu hesitated slightly, her eyes blinking twice, then nodded: "I can too, Senior Brother Fang, have you already picked a place? I hadn't thought in that direction at all."

"As expected of Senior Brother, you think thoroughly." Luo Tingzhu's voice was clear, a bit embarrassed.

The annual meeting is five days.

Jin Hongzhou giving Fang Ziye and Luo Tingzhu two days of massive operation opportunities was absolutely not giving Fang Ziye and Luo Tingzhu face, but giving Ward Director Professor Deng Yong face.

By comparison, the junior doctors in Jin Hongzhou's own teacher's group and Professor Han Yuanxiao's group only got three days of operation opportunities split between the two groups; Fang Ziye and Luo Tingzhu got the advantage.

But Professor Deng Yong's face — that's a professor's, that's a ward director's.

Jin Hongzhou gave a promotion opportunity; Fang Ziye still had to show something for it — this isn't to say he must bootlick him.

Treating to a meal, deepening the impression, counts as reciprocity. Not doing it isn't a big deal, but if you do, it makes Jin Hongzhou's impression of Fang Ziye better and his memory more profound.

In this way, if Fang Ziye does things reliably, then in future collaborations Jin Hongzhou will definitely think of this smooth-talking little junior brother.

Moreover, even if Jin Hongzhou doesn't think of it, it doesn't matter.

Fang Ziye feels this arrangement is quite good: at the right time, with the right identity, doing the right thing, and doing something relatively beneficial to oneself — that's called human relations and maturity.

In other aspects, Fang Ziye feels it's not necessary yet.

For example, at a big gathering, toasting someone a few extra cups — he drinks one, you down yours; others won't necessarily remember you, nor will they feel you're giving them face.

"Brother Zhou is all of our direct supervisor; such an opportunity is still worth seizing. Besides, Brother Zhou may not have time, may not agree; I'm just thinking this on my end."

"I'll send you the location later." After Fang Ziye finished speaking, he focused his gaze on the skin jelly suturing.

Skin jelly suturing, compared to the previous tofu cross-section suturing, is more brittle; if force control is slightly off, whether the needle tip or the suture thread will tear the skin jelly.

And skin jelly is a Q-elastic substance, with much less viscosity than tofu; you need to reduce suture force while precisely controlling the angle and force of needle entry, penetration, and exit.

Fang Ziye had done it many times before and found it very tricky.

However, now Fang Ziye's suturing technique has reached Level 4; one would think Luo Tingzhu has already passed the skin jelly suturing stage, so he himself shouldn't be worse.

Fang Ziye threaded silk suture through a triangular needle, held the needle holder, first gestured a few times in the air, then picked up the forceps to assist.

Speaking of skin jelly suturing, when the forceps clamp the skin jelly, you also need to control force; a slight exertion and the skin jelly will definitely split directly.

One needle through, clean and neat, without the slightest hesitation.

Fang Ziye felt today's needle entry and exit, including the angle when pulling the thread out, were all well controlled; the skin jelly was left with just a hole corresponding to the needle's maximum diameter.

Moreover, during the thread-pulling process, he didn't let the skin jelly's edges or a "gouged-out" rupture occur; this suture looks comfortable, doesn't it.

Immediately after, came the relatively critical point.

Suture knot tying.

Suture knot tying is a basic operation, corresponding with true knot tying technique.

Of course, suture knot tying differs slightly from some special knot tying; suture knot tying doesn't need so many fancy techniques.

And some special site knot tying — for example, when the operating vision is insufficient, needing to slide a slip knot down from the body surface to complete the ligation — that falls under knot tying technique.

While the operating space for suture knot tying is very large.

But you must also control force well; otherwise, this skin jelly, more tender than Luo Tingzhu's face, this protein, can't withstand tossing.

Fang Ziye uses the instrument knot tying method.

Just right, he pulled the suture tight against the skin jelly surface, then still needed to complete the first knot's non-assisted temporary fixation; this requires pushing the suture knot toward one entry point or the exit point to achieve temporary fixation.

Before this, Fang Ziye's operation wasn't this smooth, but today his technique seemed blessed by an immortal, so it was exceptionally smooth.

Even before the second fixation knot arrived, the first temporary knot pushed to the exit point end fit tightly without loosening, giving Fang Ziye enough time and energy to properly prepare the second fixation knot.

Fang Ziye looped the needle holder in reverse, and the second knot was fixed instantly.

*Click* — the surgical scissors appeared, and the first stitch's suturing ended here.

Fang Ziye read the film, very satisfied, and even lightly tapped the surface of the skin jelly flat with the needle holder; the skin jelly bounced a bit, but the suture thread pulled the surfaces of the two cut pieces together, and the force even transmitted to the skin jelly on the other side.

This proved that Fang Ziye's previous single suture had completed the fixation between the two pieces of skin jelly, and could tolerate force and vibration transferring between the two pieces of skin jelly, adhering very tightly.

This was a high-quality suture.

With the confidence from the first stitch, Fang Ziye honestly sutured another seven or eight stitches, feeling smug.

Hunching over, the suturing operation never faltered.

Lan Tianluo at this moment happened to have torn a piece of orange peel while suturing, and sighed, stretching lazily.

At the same time, he curiously glanced at the two big shots; one look, and on Fang Ziye's side, the suturing of the first cut on the skin jelly was already about to finish, and it was all steady as a rock.

Looking closely, Lan Tianluo's pupils instantly contracted, his eyelids clamping shut.

He by now was no longer a little newbie who had just entered the training room; he had watched many senior brothers and sisters perform, so he wouldn't make such a fuss, but he also knew that Fang Ziye's suturing technique had once again made a rather significant advance!

In a low voice, awestruck: "Senior Brother? You broke through the suturing technique this fast?"

Last time was still August, when I had just entered the department; at that time, Fang Ziye had only just completed the orange peel suture, which is the suturing technique operation I just performed.

Then, Fang Ziye completed the tofu suture, and all the way poked through the first training room clearance benchmarked to the Master's stage.

Until now, only a month's time has passed, and Fang Ziye in suturing technique has truly passed the first training room in the real sense.

Even the Hand Surgery department's first training room, the final practice material, is skin jelly.

Luo Tingzhu at this moment, hearing this, was also in the middle of completing an operation cutting a piece of muscle from a pork block, paused during the interval, and looked over toward Fang Ziye's side.

The movements of both hands froze stiff in mid-air, the look revealed in her eyes was entirely one of incredulity.

When her emotions were slightly stirred, the rise and fall of her chest was slightly more pronounced than before, but she did not speak, because that would disturb Fang Ziye's operation.

Then, Luo Tingzhu temporarily put down the forceps and scalpel in her hands, and together with Lan Tianluo, each turned around, just like before, when Fang Ziye surrounded her operation to watch, now serving as audience for Fang Ziye.

Inside the training room, everyone loves watching others operate.

Those who operate better than oneself, love to watch, to see how they operate, the exquisiteness of the operation.

Those who operate worse than oneself, love to watch even more; this thinking logic is somewhat similar to just having passed the driver's license test, watching others take the driver's license test, that indescribable feeling.

Just two characters to describe it: love to watch.

【82】 Instead, people of similar level to oneself, when conducting practice operations, don't love to watch.

On the contrary, people at about the same level as himself, when conducting operation practice, do not enjoy watching.

Damn, it's like seeing one's own incompetent self……

Another five minutes later, Fang Ziye steadily finished suturing all twelve stitches.

The skin jelly's width wasn't wide, only about eight centimeters.

Fang Ziye chose a suture spacing of about 5mm, even smaller than the clearance requirement.

Because general sutures all emphasize a needle spacing of about 1cm. But this is practice; during practice, if you can get a few more suture opportunities, you suture a few more stitches; after all, when materials aren't enough, you have to conserve them.

"Senior Brother, congratulations!" Luo Tingzhu at this moment had her hands behind her back, lightly patting her own hip with the back of her hand, to show nervousness.

Because from this moment on, it is a landmark event; that is, the corresponding operations she prided herself on have all been caught up to by Fang Ziye.

And Fang Ziye, whether in professional operations, or research projects, or breadth of skills, even in number of papers, under Lan Tianluo's half-feeding, half-cooperation, have all already surpassed her.

Hmm, her manual reduction technique is now inferior to Fang Ziye's; the only suturing technique she led in has also been caught up to by Fang Ziye.

At the same time, her incision technique still cannot proficiently reach the next step; leading Fang Ziye in progress has completely no substantive significance.

So it comes to this: if Fang Ziye really competes with her in the same cohort for hospital retention opportunities or whatever, Emergency Department, Pediatrics, or Anesthesiology Department, will be her destination!

Emergency Department has low paper requirements; because it's tiring, many people are unwilling to go.

Pediatrics needs no explanation.

Anesthesiology Department has very few doctors; excellent Master's students all have a certain chance of hospital retention. And this hospital's surgery develops very fast; where would there be so many Doctors to recruit?

Most Anesthesiology doctors won't choose to read for a Doctorate; they'll choose work as soon as possible.

"Hmm, one month, constantly consulting you, Tingzhu, and Senior Brother Yuan Qi; you guys never got impatient, that's why I have today." Fang Ziye stood straight, neither arrogant nor impatient.

After the operation, first put down the needle holder and forceps. Calm the mood a bit.

If the mind isn't too calm, it's not suitable to continue the next operation.

Fang Ziye's words are right and not right.

The right part is that Luo Tingzhu and Wang Yuanqi, these two people, indeed gave Fang Ziye many tips; there was no hiding or holding back; teaching in a teaching hospital is an atmosphere, and also an inheritance.

It's just that Luo Tingzhu didn't only give pointers to Fang Ziye; she would also give pointers to Senior Brother Gu Yi, even to Li Yuanpei, and to the newly arrived Doctor senior brother, Yan Zhiming.

The significance of pointers certainly exists, but to say how great this significance ultimately is, that's still hard to put a finger on.

"Senior Brother Fang, it's that your talent is good, better than all of us by a lot." Luo Tingzhu narrowed her eyes, with a bit of envy at the same time, there was also a look of admiration.

Fang Ziye then said: "Tian Luo, calculate for me; I'm twenty-seven this year. Tingzhu is twenty-three this year; our suturing levels are about the same; how many times is her talent mine?"

Lan Tianluo almost without hesitation said: "At least 1.6 times."

"Tingzhu Senior Sister has been in contact with medicine for only five years, and not even five years; Senior Brother Fang, your contact with medicine is less than eight years."

"Of course, we must also consider these factors; Tingzhu Senior Sister reached the skin jelly suture stage before you, and Tingzhu Senior Sister reached it very early after enrollment."

"If we want to calculate the specific number of days learning suturing technique……"

Lan Tianluo really fucking went and calculated; Fang Ziye interrupted: "Alright alright! ~ Brother, we don't need to be this rigorous ha."

Fang Ziye felt a bit ball-achy; didn't expect Lan Tianluo could really come up with some basis.

Luo Tingzhu smiled gently, then returned to her own operation station.

Lan Tianluo, after being interrupted, wasn't annoyed either; just clenched his right fist, cheering himself on: "I can do it too! ~"

Because Lan Tianluo also did a calculation for himself; his time in contact with suturing technique is actually less than three months; after all, before he was just doing theoretical study……

Two hours later.

Fang Ziye gained 0.2 Knowledge Points, and also finally sutured this row of skin jelly incisions full up.

Seven knife incisions, seven cuts, front and back two sides are fourteen rows of sutures, twelve stitches per row, total one hundred sixty-eight stitches; Fang Ziye failed three stitches.

This success rate is already above ninety percent.

Such suturing skill clears the suturing technique clearance requirement — a done deal.

After finishing the suture, Fang Ziye couldn't wait to snap a photo, then flipped it over and took another.

After all, this was his own pass of the first item in the First Training Room — it held commemorative significance.

And this, although boosted by a large volume of patient cases, equally let Fang Ziye see the high difficulty of passing the First Training Room, the immense value of passing the training rooms.

His own teacher, Yuan Weihong back then, without any assistance, could pass before doctoral graduation?

And the other teachers who stayed on after Yuan Weihong's cohort — they could also pass, such talent?

In his heart Fang Ziye silently gave them all a thumbs-up.

The time reached 10:49.

Meanwhile Luo Tingzhu had long since finished the incision technique practice, and was now at the artificial joint operating table working on the manual reduction technique, click-click-click going back and forth.

Head full of cold sweat.

Actually, relatively speaking, for girls to do manual reduction is truly a huge disadvantage.

After all, compared to peers, girls' strength is fucking a whole notch below men's, special populations excluded.

Therefore, even the artificial joint manual reduction practice still made Luo Tingzhu feel quite strenuous. Yet Luo Tingzhu did not give up, continuing on.

Fang Ziye moved his shoulder joint, planning to also go claim some pork and incidentally practice the incision technique.

Right then, a head poked in through the training room doorway.

"Nobody here?" Looking around while muttering to himself.

"Oh, there is! ~"

Fang Ziye recognized this head — a Hand Surgery attending at the hospital, named Yang Wenzheng.

"Zheng Ge." Seeing Yang Wenzheng, Fang Ziye politely called out.

Fang Ziye was a Master's first-year, doing his Hand Surgery residency rotation.

Professional Master's students must parallel-track into the standardized residency training rotation plan, lasting thirty-three months; the several orthopedics specialties plus Spine Surgery, you must spend at least one month each, completing the required disease types for residency.

Naturally, there are also General Surgery's Gastrointestinal Surgery, Hepatobiliary Surgery, etc. — all departments orthopedics residents must rotate through...

Yang Wenzheng was not very familiar with Fang Ziye; Fang Ziye had only been there a month, and even though Yang was Chief Resident at the time and had contact with Fang Ziye, he still had no memory.

"Hello. Which of you three is free? Can you come over and help me as an assistant? In the other training rooms, there isn't a single person." Yang Wenzheng inquired.

Luo Tingzhu was a bit tired now; Lan Tianluo dared not speak on the operating table, still continuing his own operation — an ordinary social-type postdoc, unknown outside the current department, naturally didn't dare strike up conversation.

So it could only be Fang Ziye; Fang Ziye had even called out the other's name in advance.

"Zheng Ge, can I tidy up the operating table surface a bit and come over? Is it 807?" Fang Ziye asked.

801-805 are the five orthopedics sub-specialties' First Training Rooms; 806 and 807 are respectively the Trauma Surgery and Hand Surgery Second Training Rooms.

"Mm, okay, you come over in a bit; mainly help me clamp the rat tail and cut sutures." Yang Wenzheng finished instructing, then said: "You two don't leave either; at one o'clock we'll eat together."

Probably Yang Wenzheng also felt embarrassed calling someone to help him practice an operation, so a meal to show appreciation.

And Yang Wenzheng was quite cunning — called all three at once; whichever one refused outright would feel awkward.

Fang Ziye at that moment was stunned, cursing inwardly: these superiors are all sharp operators, including his own easygoing Master.

Learned another trick.

Ten minutes later, Fang Ziye finished tidying the operating table, cleaned and packed the instruments, sent them back to the warehouse; after an old professor carefully counted the corresponding instruments, Fang Ziye washed his hands and went to 807.

Inside was also empty; by now most people in the departments had left.

Trauma Surgery had emergency duty so quite a few stayed behind, but Hand Surgery likely had finger replantation surgeries too, so basically all were soaking in the ORs.

The Joint Surgery and Bone Disease Specialty training rooms also had no assistants.

As Fang Ziye entered, he symbolically put on a pair of examination gloves — just in the training room, no need for sterile surgical gloves, waste.

After putting on gloves, Fang Ziye sat properly opposite Yang Wenzheng.

Hand Surgery's Second Training Room was truly fucking luxurious — even microsurgical loupes, there were two sets.

While having Fang Ziye put on the loupes, Yang Wenzheng said: "You look a bit familiar, what should I call you, Little Junior Brother?"

"Zheng Ge, I'm Fang Ziye; when I rotated through Hand Surgery before, we were in the same group."

At this reminder, Yang Wenzheng immediately recalled: "Fang Ziye is you — Wei Ge's founding eldest disciple."

"Look quite handsome; today I'll trouble you a bit — I'm doing a rat tail replantation, only cut a dozen or so segments today."

"You mainly help me complete fixation, then cut sutures; and these are..."

Yang Wenzheng first roughly briefed Fang Ziye on the corresponding operating tools.

Actually, they're similar to Trauma Surgery's tools, but much smaller; and the sutures used for suture practice aren't silk thread either, but 12-0 some unknown thread — definitely not the clinical vascular or nerve specialty sutures used on patients.

Joke — those things costing dozens of yuan per needle, could the training room afford them?

"Okay, Zheng Ge." After Fang Ziye sat upright, he began the assistant's operation.

Naturally the coordination wasn't that proficient, but Yang Wenzheng wasn't that annoyed either; after patiently explaining twice, Fang Ziye's fixation clamping became quite good.

Then under the head-mounted miner-like microsurgical loupes, watching Yang Wenzheng use fine fine needles, he began suturing the rat tail's vessels and skin etc., while speaking.

"Ziye, still your Trauma Surgery is good — don't need this much precision; in our department our group, Professor Ni said, the rat tail's arterial vessels, post-suture patency rate must reach 99% or above to count as passing. After another year or two of clinical, only then possibly independently take the operating table."

Fang Ziye instantly stunned.

The rat tail's arterial vessels, finest only 0.2 millimeters, post-suture patency rate reaching 99% or above counts as passing?

Then in Hand Surgery, to become a doctor performing finger replantation surgeries? Wouldn't that mean...?

"Besides practicing suturing, must also practice blinking training — the primary surgeon must train to blink at most 3 times per minute!" Yang Wenzheng watching Fang Ziye blinking nonstop, so admonished.

Fang Ziye's first reaction: if that's really true, then eyes really go blind.

However, since Yang Wenzheng said so, Fang Ziye still respected their habit.

Just that, after a dozen seconds, Fang Ziye couldn't quite hold on — after all, under the microscope is strong light, this requires deliberate practice.

Yang Wenzheng, stitch by stitch, sutured on.

Similarly, it was failure after failure.

Either there was bleeding, or the real-time blood flow meter's flow rate wasn't enough; it might be that during suturing, the vessel developed folds, causing poor blood flow, forming turbulent flow, and the patency rate dropped slightly.

Basically, Yang Wenzheng's vascular anastomosis patency rate, under non-bleeding conditions, hovered around seventy to seventy-five percent.

When only the last two segments remained to be sutured, perhaps Yang Wenzheng himself was tired, or perhaps he didn't want to keep failing, so he threw the instruments in his hand aside.

"Alright, two segments left, you handle them. I'll book a spot first; after you casually put in two stitches, we'll go eat together." As Yang Wenzheng gave the order, he took off his gloves, then found a phone and dialed.

It was actually just reserving a dinner spot. The time was a bit late, but it didn't matter; we should be able to depart around one o'clock.

The current time was only 12:55.

These words from Yang Wenzheng were unexpected to Fang Ziye, but since the other party gave him the chance to play, Fang Ziye didn't mind and took over the microsurgical needle holder and microsurgical forceps from him.

Slender — that was Fang Ziye's first impression of these two instruments.

Of course, the suture thread was also very fine, possibly even finer than a hair strand.

The suture needle wasn't large either; if not for the twenty-times microscope, it might have pierced into human flesh and been impossible to find.

Tail vessel anastomosis isn't actually cutting off the tail, but rather pre-separating the tail vessels and starting suturing from distal to proximal, then suturing while watching the vessel patency rate.

Naturally, more skilled doctors would also check the vessel patency rate after all suturing is complete.

And the suturing angle is extremely particular.

Such fine vessels cannot tolerate many stitches; generally four stitches is the limit of stitches a vessel can accommodate.

Fang Ziye twisted the suture needle, then clamped the upstream hemostat on the vessel to cut off blood flow, and hurriedly imitated Yang Wenzheng's example to re-cut a clean, flat opening.

This operation wasn't difficult.

Seeing Fang Ziye still operating, Yang Wenzheng patiently put his gloves back on; he knew that small physicians like Fang Ziye were very curious about such high-end, cutting-edge techniques as tail artery anastomosis.

Perhaps such high-end, cutting-edge techniques were operations that small physicians like Fang Ziye might never encounter in a lifetime; curiosity and unwillingness to admit defeat are the best raw materials for taking a beating.

Yang Wenzheng politely used heparin saline to help Fang Ziye drip a few drops, washing away the blood near the vessel stumps while preventing blood inside the vessel from clotting.

The first priority in practicing microvascular anastomosis is clear vessel exposure and a clean surgical field.

Fang Ziye held the suture needle with the needle holder, and his first reaction was: Holy crap, why is it so far?

The distance between the needle holder's operating point and his grip point was very long, very far; this wasn't conducive to operation. However, after waving it in the air a few times, Fang Ziye felt it was actually okay.

He gently pulled one end of the vessel with the forceps, testing the vessel's tension.

Because after vessel rupture, it retracts to both sides; the degree of retraction relates to vessel diameter, length of anatomical dissection, and limb position. Before suturing, one should try pulling both ends together to understand the suturing tension; tension too high or too low causing twisting will affect anastomosis results.

Although Fang Ziye couldn't operate, it didn't mean he completely didn't know some tricks of microvascular anastomosis —

Theory wasn't learned for nothing.

Ensuring appropriate tension is especially important; excessive tension makes vessel eversion difficult, affecting operation, and the anastomosis site easily tears, easily forming thrombi.

Fang Ziye thus completed the needle use, piercing the vessel end operation, steadily puncturing the vessel stump.

After this, Yang Wenzheng gave a soft "hm," not surprised; completing the first stitch proved Fang Ziye's capability wasn't bad, possibly approaching PhD student level.

Yang Wenzheng spontaneously decided to help Fang Ziye fix the proximal end and lift the skin to facilitate Fang Ziye's operation, while saying:

"In the microsurgical repair process, one must emphasize achieving steady, accurate, gentle, and deft; one must make students remember: a single stitch or thread operated improperly will cause adverse consequences, even lead to surgical failure. Every stitch must be accurate, requiring even and consistent needle spacing and edge distance, avoiding repeated needle punctures that increase vessel wall damage. During vessel dissection and suturing knotting, one must emphasize agile, light, and nimble movements, not excessively pulling, clamping, or squeezing vessels, avoiding clumsy and unnecessary repetition, as well as awkward movements."

"Pull open the proximal vessel stump, and pass the suture needle through, complete the knot!" After Yang Wenzheng fixed it, he continued dripping heparin saline onto the surgical field for Fang Ziye, washing away residual blood stains.

Hearing this, Fang Ziye conveniently passed through a point of the vessel stump and completed the first stitch suture somewhat awkwardly.

By the book, at least he got a knot tied!

"Not bad, at your level, at least suturing tofu is no problem, right? The operation is quite steady." Yang Wenzheng asked.

"Zheng Ge, about the same!" Fang Ziye nodded slightly, waiting for Yang Wenzheng to cut the thread.

"Tail vessel anastomosis adopts the end-to-end anastomosis method. This method is suitable for anastomosis between vessel stumps of equivalent caliber, maintaining maximum blood flow speed and volume, and is the most commonly used method in current microsurgical vascular anastomosis."

"Generally, the common sequence for suturing vessel stumps has three points: the 3 o'clock–9 o'clock fixation method or 12 o'clock–6 o'clock two-point fixation method, and the 2 o'clock–6 o'clock–10 o'clock three-point suture method, as well as equidistant four-point fixation anterior wall method, posterior wall first method, wrapping suture method, etc."

"You're suturing the anterior wall now; you just suture the posterior wall, similar to the 12 o'clock–6 o'clock two-point positioning."

Yang Wenzheng gave a slight pointer.

Fang Ziye nodded hurriedly, then with the experience of the previous stitch, he sutured another stitch, closing the posterior wall as well.

With decent appearance, completing two stitches of suture, Fang Ziye felt more and more at ease, a bit happy, but also knew this was only the most basic suture, not representing high suture quality.

Yang Wenzheng's suturing of all segments could succeed, yet the vessel patency rate level was still only seventy-odd percent.

Immediately after, it was completing the third and fourth stitches, roughly at the 3–9 o'clock positions.

The vessel was very fine, only able to accommodate four stitches.

Pull, insert needle, withdraw needle, suture, knot, cut thread.

Yang Wenzheng continued dripping heparin saline, nodding continuously: "Ziye, you indeed have good aptitude; I remember now, you seem to be the only Master's student among our Orthopedics PhD cohort who passed the Training Room clearance?"

"Sigh, pity you're Wei Ge's student; otherwise, you'd absolutely be a very good Hand Surgery seedling."

Yang Wenzheng was a bit regretful.

Fang Ziye's first time doing tail vessel anastomosis, he could find all the suture points correctly and complete the suture; this aptitude was already quite remarkable.

Then, immediately, Fang Ziye completed the fourth stitch, the 9 o'clock position suture.

Yang Wenzheng also finished cutting the thread.

He smiled at Fang Ziye, asking with slight temptation: "How does it feel? Looking forward to your own vessel patency rate level?"

Fang Ziye was a bit nervous, shoulders shrugged slightly, heart lifted a little bit; seeing Yang Wenzheng's expression didn't look good, he said: "Zheng Ge, why don't you give it to me straight? Generally, Hand Surgery PhD Senior Brothers, first time completing suture, roughly how much?"

Yang Wenzheng's right hand was already on the hemostat; if he let go, allowing blood to flow, then the real-time blood flow detector could detect the vessel patency rate level.

He smiled and said: "Hand Surgery PhD's first time, there's a xiehouyu, called 'too much style'."

"A burst of side leakage!"

Finished speaking, Yang Wenzheng, as if to verify this reality for Fang Ziye, then opened the vascular clamp.

Letting Fang Ziye see for himself just how it leaked sideways.

But a second later, there was no movement.

Two seconds later, the severed end of the blood vessel still showed no sign of blood bursting forth.

Three seconds later, the Vascular Flowmeter rang out, and the data displayed on it was 81%, even higher than the vascular patency rate he had previously sutured!

Fang Ziye didn't know what was happening, his eyes fixed tightly on Yang Wenzheng, his gaze innocent, his expression calm, as if a curious baby waiting for an answer to his confusion.

Yang Wenzheng's eyeballs nearly popped out; he looked several times in disbelief, and wearing gloves, he tapped the Vascular Flowmeter again.

A few seconds later.

Beep beep beep beep sounded again, still eighty percent, not much different from eighty-one percent.

Fang Ziye instantly knew that if there was no accident, then an accident might have occurred, and this kind of accident precisely matched a guess he had made earlier himself.

Yang Wenzheng instantly became a bit flustered, refusing to believe it.

He clamped the Vascular Clamp shut again with a click, and personally cut a segment of blood vessel for Fang Ziye.

"Come come come, you try again?"

"Holy crap?" This time, Yang Wenzheng's gaze stared dead at Fang Ziye's operation.

And when Fang Ziye operated this time, his hands seemed even steadier than before.

He still chose the simplest vascular end-to-end anastomosis technique, the two-point positioning method from 12 o'clock to 6 o'clock, then sutured the 3 o'clock and 9 o'clock positions.

Four stitches, sutured completely in an orderly manner.

Yang Wenzheng nodded and said: "If you don't leak this time, you kid are going to make it big, you know?"

Fang Ziye didn't know too well at the time.

But when Yang Wenzheng released the clamped Vascular Clamp, after the vascular measurement device beeped a few times, a super green number popped out.

Vascular Patency Rate——92%!

This time, Yang Wenzheng's eyeballs bulged out, his body arched forward slightly, he hurriedly threw off his gloves, remembering even in his urgency that the gloves were very dirty.

Then he clenched both fists, using the soft flesh at the tiger's mouth to rub his eye sockets.

After clearing his vision, he pinched the folded part of the glove and pressed the Vascular Flowmeter again.

The vascular patency rate measured again was ninety-one percent!

Yang Wenzheng stood up right then.

"Don't move, you sit here and don't move, I'll be right back!"

Yang Wenzheng retreated while saying: "You don't move, ah."

Fang Ziye thought to himself, are you trying to take advantage of me? But seeing Yang Wenzheng's face drastically change color at this moment, and his hasty fleeing figure, he didn't dare move recklessly either.

Yang Wenzheng ran out of the Training Room and shouted loudly: "Professor Wen, Professor Wen, Master, Master..."

Fang Ziye felt a bit unsteady at the time.

Indeed it was so!

(Chapter End)