Chapter 741: with translation of the chapter title
The rising star of the Cardiothoracic Surgery stood in the assistant's position, intently watching the operating field, various instruments laid out on one side, a retractor on another, and from time to time handing over surgical instruments.
Lu Zewei was stunned for a moment; this is…… the instrument nurse's duty? Why is he doing it?
Because he knew Su Yun's sharp and sarcastic temper, Lu Zewei remained very cautious, even though he was now about to lead a team at the Provincial Hospital.
He observed the patient's position, supine, likely lumbar anesthesia plus continuous epidural anesthesia, the patient was in a semi-conscious state.
He glanced and saw it was a routine tibial fracture internal fixation.
Is this guy Su Yun getting into orthopedics? He's a perfectly good thoracic research graduate student, doctoral student, not going into that, why go into orthopedics?
Lu Zewei was drenched in sweat.
"Boss Lu, you're here?" the anesthesiologist saw Lu Zewei walk in, greeted him, and walked back from the patient's foot.
He wiped the water off his hands, his eyes shining with excitement.
Lu Zewei was very familiar with that look.
Besides the assistant, those who know the surgeon's skill best are the anesthesiologist and instrument nurse. Since there are no conflicts of interest, when evaluating the surgeon's skill, the anesthesiologist and instrument nurse are even more objective than the assistant.
Although there was no verbal exchange, the anesthesiologist's eyes had already given him away.
From his gaze one could see he was an exceptionally skilled surgeon, performing the surgery exceptionally brilliantly, to the point that the anesthesiologist was utterly impressed.
Although it was during the Emergency Rescue period, the relaxed operating room atmosphere was something Lu Zewei hadn't felt for many days.
The anesthesiologist's excitement still leaked out unconsciously from his eyes.
A tibial fracture internal fixation, is it really that impressive? Lu Zewei didn't understand, but he stayed silent, waved his hand, stood to the side and rear of Zheng Ren's body, and watched the surgery.
The surgery made a longitudinal incision from the right tibial tuberosity to the distal margin of the patella, about 5 cm long, having already cut layer by layer through skin, subcutaneous tissue, and fascia, longitudinally incising the patellar tendon and pushing aside the prepatellar fat pad. The patient was in knee flexion, with a groove made about 0.5 cm medial to the tibial tuberosity.
These are all routine surgical steps, nothing to be amazed about.
Although the operating field was very clean and the surgeon's technique was very neat, it hadn't reached the point of making the anesthesiologist's eyes light up with excitement.
After sequentially reaming the medullary canal with soft reamers of 8 mm, 9 mm, and 10 mm at the proximal fracture site, the anterior medial aspect of the fracture gap was opened and the fragments were reduced under direct vision.
The technique was not bad, but to say there was something special… anyway Lu Zewei couldn't see it.
Tibial fracture internal fixation, such a simple procedure, there's no need to do it in a hybrid operating room, right?
Lu Zewei glanced at the surgeon; there was a bruise at the corner of his eye, looking somewhat strange and disheveled. But Su Yun had said, coming down from the front lines, he looked like he had endured a lot. Even so, one could still tell the surgeon was quite young, not some old man as Lu Zewei had imagined.
Is he the boss Su Yun mentioned? No way, at that age, just anyone off the street would get blasted by Su Yun.
Even if he has a specialty, could he be as formidable as Su Yun?
No, definitely not him.
Lu Zewei watched the surgery while thinking. The more he thought, the more curious he became about where Su Yun's boss actually was.
After reduction, the surgeon inserted a 10 mm diameter, 330 mm long intramedullary nail through the groove, and under fluoroscopic guidance sequentially locked in two distal locking screws of 40 mm and 35 mm, and two proximal locking screws of 65 mm and 70 mm.
"Anesthetist, please change the warm saline gauze again." the surgeon said softly after completing the fracture fixation.
The anesthesiologist responded crisply and immediately went to replace the warm saline gauze on the patient's foot.
What's the point of giving warm compresses to the foot during a tibial fracture fixation? Lu Zewei felt some confusion.
Could this be a new orthopedic technique?
The surgeon began irrigating the incision, the instrument nurse counted the gauze and instruments correctly, and closed the anterior knee incision.
Still there was nothing remarkable; aside from being fast, Lu Zewei couldn't see what exactly had shocked the anesthesiologist.
The more this was the case, the more curious he became.
He firmly believed that the expression revealed in the anesthesiologist's eyes was not feigned.
If Su Yun weren't present, he would have already pulled the anesthesiologist aside to ask. But with Su Yun there, Lu Zewei didn't even hesitate; he directly gave up that option.
Back then, when he was still pursuing his doctorate at Huaxi, his classmates in the lab were serving as experimental subjects for the boss, doing stem cell culture; when he had free time to stroll around, he had encountered Su Yun.
Good-looking, with high technique, such a male student was popular with girls.
But as soon as they made contact, Lu Zewei discovered this guy was simply the archetype of someone who relies on talent to be arrogant.
Because of his outstanding talent, he looked down on everyone. His contempt for others came from deep within, constant and unceasing.
All kinds of sarcasm, all kinds of sharp and biting remarks.
Not resisting was still okay; just calling out 'Yun Ge'er' a couple times would let it pass. But once he resisted, it would invite even more violent retaliation.
Anyway, Lu Zewei had only seen Su Yun once before fleeing.
People like that, it's best never to see them in a lifetime.
Although he had only seen him once, he kept remembering this person; later he even heard from classmates that this guy had performed a heart transplant using autologous stem cell culture on a white mouse.
Lu Zewei's evaluation of Su Yun was —
Super scholar,
Sharp-tongued super scholar,
Handsome, sharp-tongued super scholar.
Strange, where is his boss? He hasn't shown up yet. Moreover, Su Yun is honestly acting as the assistant and instrument nurse, and throughout the surgery I haven't seen him talk back to the surgeon.
Is he taking advantage of my good temper to bully me? Lu Zewei felt somewhat resentful.
Just as Lu Zewei was lost in thought, the surgeon had already begun to continue the surgery.
He then extended the auxiliary reduction incision at the fracture ends to both sides.
As the operating field changed, Lu Zewei froze.
The patient's calf skin was dark and black; at a glance you could tell it was a patient with necrosis due to prolonged pressure.
Recently there have been far too many of such casualties; Lu Zewei has personally seen several amputation surgeries.
This is a casualty requiring amputation!
They're going to amputate, so why bother with internal fixation? Lu Zewei froze.
At this moment, there are no longer any interests involved. Anyone who can appear in the operating room does so with a heart to heal and save lives.
Because of Fatigue, leading to Shou Bing error, Lu Zewei also witnessed it. Because others stepped in to save the situation, no serious consequences occurred.
Did the surgeon faint? How could they do such a thing?
During Lu Zewei's moment of stupor, the surgeon had already opened the posterior tibial deep and superficial compartment, seeing that the compartment had high tension, muscle congestion, dark red, good elasticity, the forceps showed contraction; upon exploring between the posterior tibial muscle and gastrocnemius muscle, they saw that the posterior tibial Artery exhibited spasms throughout, accompanied by a horizontal contusion at the fracture end, no pulse, and the posterior tibial nerve was intact.
After the examination, Su Yun handed over a piece of warm saline gauze for hot compress.
Seeing the posterior tibial nerve intact amidst the congested, dark-red wound, Su Yun also let out a sigh of relief.
He raised his head, seeing Lu Zewei standing behind Zheng Ren, and smiled: 'Professor Lu, any advice?'
End of Chapter
