top student at medical school
Chapter 390 A Miracle Unfolds
Chapter 390 A Miracle Unfolds (Please Subscribe!~)
Upon hearing Liu Huanglong's involuntary "Holy crap!", Fang Ziye's immediate reaction wasn't one of smug delight, but rather a frantic attempt to retract his knife with his right hand!
His left hand immediately grasped Yan Chu's ankle.
Fang Ziye sheathed his knife and moved out of the field so fast that even the little boy Yan Chu, who was so frightened by Liu Huanglong that his lower limbs trembled involuntarily, couldn't catch up with Fang Ziye's willow-leaf blade.
"Don't move!~"
"Yan Chu, listen to me, don't move," Fang Ziye said in a low voice, soothingly, without criticizing her harshly.
His eyes were fixed on Liu Huanglong as if he were looking at an idiot, his gaze filled with complex emotions, his pupils darting up and down as he looked at Liu Huanglong's entire appearance.
Fang Ziye swore that if it wasn't Liu Huanglong, or even if it were Qin Geluo, he would probably have cursed him as an idiot.
What we were saying before the surgery started.
"Okay, doctor, I'm sorry." Little Yan Chu apologized first, her voice crisp and clear but tinged with fear.
Luo Tingzhu quickly sat down to comfort and explain, "Don't be afraid, Yan Chu. It's because your surgery was done very well that you were shocked."
"That was shock, not fright..."
Liu Huanglong put his feet back in place, biting his upper and lower lips alternately to calm his racing heart. He repeated this for a good six or seven seconds before finally managing to utter three words: "Sorry... I'll behave myself from now on."
Liu Huanglong is, after all, a professor, a recipient of the National Science Fund for Distinguished Young Scholars, and a newcomer.
There weren't many things that could break Liu Huanglong's defenses, and Deng Yong could understand Liu Huanglong's inner pride. So he said, "It's alright, Professor Liu. It's our fault for not arranging things properly. We should have arranged a few minor surgeries before this one."
After saying that, Deng Yong turned his head and said, "Yan Chu, don't be afraid, Uncle Deng is here."
"Everything is going well for now... Just be good and don't move. If you feel uncomfortable, tell Grandpa Xu and your sister Tingzhu so we can let you know and we can pause the surgery."
Deng Yong is only forty-nine years old this year, not yet fifty, but Professor Xu Long is already close to fifty-seven, so Yan Chu calls Deng Yong "Uncle" and Xu Long "Grandpa".
"I understand, Uncle Deng, I'm sorry..." Yan Chu apologized again.
The conversation between the circulating nurses in the operating room stopped, as did the chat between Xu Long and Professor Zeng Quanming, while the surgery to retrieve the vascularized nerve graft material by Yuan Weihong and Liu Huanglong continued.
Fang Ziye and Deng Yong continued their wound cleaning techniques once again.
As Fang Ziye continued the debridement and release procedure, Deng Yong whispered to Fang Ziye, "No wonder Professor Liu couldn't control his shock and suddenly interrupted us."
“If it were me in my younger years, if I hadn’t witnessed you grow step by step to where you are today, and if I had been looking forward to you taking this step for a long time, I think I would have been a little overwhelmed.”
This can be considered a compliment, and also an explanation for Liu Huanglong.
It also served as psychological preparation for Fang Ziye.
Although Fang Ziye is now the chief surgeon and has the authority to scrutinize all those who break the rules, he needs to follow the path of a superior. Simply scrutinizing and interrogating them is clearly not enough.
To lead a team, you must objectively analyze each person's different identity and perspective.
Liu Huanglong was unaware of Fang Ziye's path to advancement. In fact, in Liu Huanglong's view, Fang Ziye should just be an ordinary doctoral student who needed a reward from his superiors to even perform a plate fixation procedure.
Fang Ziye nodded slightly, continuing to slowly pry out the original muscle traces from the adhered muscles, gently peeling away the adhesions, striving to restore the muscle tissue to its original shape as much as possible...
He said in a low voice, "Thank you for your guidance, Master. I was just a little worried."
"If I hadn't withdrawn the knife relatively quickly, this cut might have gone into my ankle!"
Fang Ziye never doubted the sharpness of the lancet; with just a little force, it could pierce directly from the outside of the abdomen to the spine!
"Okay, that's good."
"Continue the surgery."
Deng Yong then explained to Fang Ziye: "Yan Chu's lack of nerve function led to limited muscle movement in his foot. After the movement was limited, the adjacent muscles and tendons would stick together and become a whole piece of scar tissue."
"Therefore, if functional reconstruction is to be performed in the second stage after this surgery, this intermuscular release procedure must be done."
"Furthermore, because the damage was already done before the surgery, many muscles were already incomplete or even gone. Under such circumstances, it is more difficult to find and separate these muscles and tendons from the scar tissue than to release normal muscle adhesions."
"Secondly, some of Yan Chu's nerves were damaged. After the scars healed, they blocked the original nerve pathways. Therefore, you will need to loosen and reconstruct the nerve and blood vessel pathways."
At this point, Deng Yong muttered to himself, "This is the main reason why, after traumatic injury surgery, patients either have to undergo amputation or are in a state of partial paralysis."
"If a nerve transplant is performed in the first stage, then the blood supply may be obstructed, or the scar tissue hyperplasia may cause local compression of the nerve, leading to necrosis."
"And if you get infected in the first stage, then all your efforts will be in vain; the risk is too high."
"Moreover, nerve transplantation requires a higher level of technical skill, and the debridement and release techniques are a major challenge."
"Furthermore, not all anesthesiologists can perform such sensorimotor dissociation anesthesia techniques and interact with the surgeon..."
"Ah."
After Fang Ziye nodded, he took the initiative to ask, "Master, could you help me pull this out? The muscles and tendons in the foot are very complex. If we have to complete all the major surgical procedures in four hours, we need to speed up the debridement and release."
"There are thirteen muscles and tendons of varying sizes in the foot, as well as some supporting ligaments. We haven't even started on any of them yet. So far, we've only completed the release of the muscles along the anterior and posterior edges of the tibia."
"There will be stitching later..."
Upon hearing this, Deng Yong's brows furrowed with worry: "Yes, we need to speed things up a bit. But there's no rush. Even if we don't finish within four hours, we can simply perform another nerve block anesthesia on stage."
"Slow and steady wins the race."
"Do you remember which three muscles Yan Chu was missing?" Deng Yong asked.
Deng Yong had performed too many elective surgeries, so he didn't quite remember the name of the muscle that Yan Chu had completely lost during her first surgery.
"Master, it was the extensor digitorum brevis muscle of the regular muscle group, the adductor hallucis muscle of the big toe muscle group, and the abductor digiti minimi muscle of the little toe muscle group that lost their anatomical layers and were completely removed." Fang Ziye remembered clearly.
He often spent his free time studying Yan Chu's surgical techniques, so he naturally remembered them vividly.
“Master, the absence of the adductor hallucis and abductor digitorum can actually be left untreated, but the extensor digitorum brevis needs to be reconstructed.”
The muscles of the foot are divided into the regular muscle group, the big toe muscle group, and the little toe muscle group.
The six common muscle groups are: extensor digitorum brevis, flexor digitorum brevis, quadratus plantaris, interosseous plantaris, interosseous dorsal lateralis, and lumbrical muscles.
The extensor digitorum brevis originates from the calcaneus and inserts into the base of the proximal phalanges of the second to fifth toes. Its function is to extend the second to fifth toes.
Toe extension function is still a relatively important aspect of foot function.
"The surgery has already gone this far, let's do what we can and continue the surgery..." After making a decision about the direction, Deng Yong said, "After Liu Huanglong comes here to perform the surgery, he will complete the nerve transplant suture, and then I will reconstruct the flexor retinaculum."
"We can't be completely clueless about any operation and not do any operation at all." Deng Yong took the initiative to ask for an operation that was not easy.
But Deng Yong's words drew a sidelong glance from Yuan Weihong next door, and Deng Yong said, "Yuan Weihong, you need to practice your skills some more."
Yuan Weihong immediately bury his head in the sand.
……
Because Liu Huanglong had previously broken down and couldn't help but exclaim "Holy crap!", Deng Yong could relax and praise him while performing the surgery: "This release was done really well, Zhiming, scar tissue is very difficult to remove."
"You may not know how difficult it is to remove scar tissue. Next time, I'll bring in a patient in the ward who has muscle adhesion release so you can experience it for yourself."
Muscle release surgery is a level two surgery. Yan Zhiming is a PhD and is about to graduate, so he is authorized to perform it!
Upon hearing this, Yan Zhiming lowered his head slightly and smiled, "Thank you, Master."
During surgery.
The automatic sensor-operated pneumatic door to the operating room was opened once again!
Fang Ziye continued to focus on his work without turning his head too far, while Liu Huanglong, having learned his lesson earlier, also kept his head down and continued the surgery.
However, Deng Yong was only an assistant and did not carry any sharp weapons, so he could be slightly distracted.
I recognized the person entering the operating room at first glance as Han Yuanxiao.
As soon as Han Yuanxiao entered, he nodded to Deng Yong and said with a smile, "Teacher Deng, I've come here to learn a bit."
Only after hearing Han Yuanxiao's voice did Liu Huanglong slightly turn his head.
After being noticed by Han Yuanxiao, he quickly said, "Professor Liu, you keep doing what you're doing, I'll just watch from the side..."
Xu Long, who came from Xiangya Hospital, turned to Zeng Quanming and asked who the visitor was. Zeng Quanming then clasped 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 pitiful his eyes became.
Han Yuanxiao, the ward director, has it really tough.
The least senior professor, whose skills aren't the best in the ward, has former director Deng Yong above him, as well as other senior professors. And then there's this tiger leaping up and lying next to him; he probably won't be able to sleep at night...
Han Yuanxiao quickly walked to the side of the surgical field where Fang Ziye was operating, paused, and began to unconsciously clench his hands.
After watching intently for a good ten seconds, Han Yuanxiao couldn't help but ask, "Teacher Deng, can I go up on stage and be an assistant?"
Fang Ziye's debridement, scar excision, and muscle release techniques were simply superb.
No wonder Liu Huanglong, a recipient of the Outstanding Young Scientist award, lowered his status to come to Zhongnan Hospital from Peking Union Medical College Hospital. He didn't come to show off or return home in glory; he deliberately slapped the hand surgery department in the face.
Instead, they sought another path to breakthrough.
"Director Han, if you want to go up on stage and give some pointers, then go up on stage. We're all following you around, so it's a good opportunity for us to go up on stage and give you some pointers."
After Deng Yong finished speaking, he looked at Yan Zhiming and said, "Zhiming, you should give up your seat to Director Han later."
Upon hearing this, Yan Zhiming nodded quickly, feeling as if he had been granted a pardon.
Seeing Yan Zhiming's expression, Deng Yong sighed softly, "Even wild boars can't appreciate fine chaff."
Yan Zhiming naturally retorted, "Master, it's not that I'm unwilling to learn, but the leap is too great. Even imitating Junior Brother Fang would be too difficult."
"You can't get fat in one bite; climbing up step by step is the right way."
Yan Zhiming's expression was bitter, and his eyes were unfocused.
Deng Yong nodded slightly, indicating his agreement with Yan Zhiming's statement.
Indeed, looking at Fang Ziye's operational details now, I am full of insights. Many of his operations are like textbook examples, guiding Deng Yong on how to proceed next.
But for Yan Zhiming, watching Fang Ziye's actions might be like a junior high school student looking at advanced mathematics.
It's difficult to recognize all the characters.
Soon, Professor Han Yuanxiao quickly washed his hands, disinfected them, put on his clothes, and went up on stage. After sitting in Yan Zhiming's original seat, he immediately began his own unique rhythm.
"Teacher Deng, when did Ziye develop such operational skills?"
"It's a shame I'm still your student. You originally planned to have Ziye with me..." Han Yuanxiao said in a low voice.
In early March, Deng Yong talked to Han Yuanxiao, hoping that Fang Ziye could join Professor Han Yuanxiao's group to experience what it's like to be a ward director and learn the secrets of leading a group and managing a department from Han Yuanxiao.
In April, before the matter was even implemented, Deng Yong quit and pretended not to remember it.
Then in mid-April, Han Yuanxiao heard that Liu Huanglong, a hand surgeon from Peking Union Medical College Hospital, was about to join the trauma surgery department to work with Deng Yong on clinical research on destructive injuries.
Originally, Professor Dong Yaohui was aloof from the department, and Professor Deng Yong was not under Han Yuanxiao's management.
Han Yuanxiao is nominally the ward director, but in reality, he is just a professor leading a group, with two people above him who are beyond his jurisdiction.
With Liu Huanglong's arrival, there was another person he couldn't control.
This left Professor Han Yuanxiao with a difficult situation he couldn't express.
Even the hospital's leaders privately spoke with Han Yuanxiao, suggesting that he give up his position as ward director to Liu Huanglong.
There's nothing we can do; Liu Huanglong is just too tough.
Professor, full professor, recipient of the National Science Fund for Distinguished Young Scholars, and 'father-in-law'!
"Ziye currently has clinical duties, so he'll stay with me for a while longer. We'll send him there sooner or later."
"What's the rush, Director Han?" Deng Yong continued, still joking.
Han Yuanxiao was skilled, far more so than Yan Zhiming. He could tell at a glance that Fang Ziye intended to loosen the extensor digitorum brevis muscle on the instep. After quickly placing the small nail hook in the right position, he said, "If Ziye switched to the medical aesthetics industry, he would probably be worth a million a year just for removing and smoothing this scar."
"so good."
"You're so skillful!"
Upon hearing this, Fang Ziye couldn't help but raise his head slightly, looking at Professor Han Yuanxiao and then at Professor Deng Yong, his expression a mixture of envy and jealousy.
Fang Ziye couldn't help but think of himself two years ago. Back then, when he was watching Professor Deng Yong and Associate Professor Xie Jinyuan's operation, he also had the idea of cutting off their hands and planting them on his own body, transforming into a monster with eight limbs and six arms.
Perhaps this is how the cycle of life is completed without us even realizing it.
Fang Ziye was secretly pleased, but not arrogant.
Technological advancements do not equate to a complete leap in cognition and ability. There is still a long way to go, but we are already on the road, so there is no need to rush.
Keep climbing slowly; the treatment I'm currently enjoying already far exceeds that of my peers.
Then you can start thinking about helping others when you're successful.
There are many patients like Yan Chu, and there are also many child patients like Yan Chu. If we are fortunate enough to be able to pave a bright path for patients with this type of disease, then we will have lived a worthwhile life!
Fang Ziye made a cut!
Place the sterile cotton pads on the surgical field.
He turned to the circulating nurse and said, "Circulating nurse, loosen the tourniquet for a bit. We'll resume the surgery in fifteen minutes, and we can take a break."
Before we knew it, an hour and a half, or ninety minutes, had passed in the blink of an eye.
A tourniquet should not be left on indefinitely, as this can cause problems with the affected limb. At that point, the issue might not be about functional reconstruction anymore.
"You can't let your mind wander like that." Upon hearing this, Deng Yong looked up, slightly taken aback: "Eighty-eight minutes, and you're still thinking about the time?"
His assistant didn't pay special attention to the time; a beeping sound would be emitted to remind him when the tourniquet was finished after 90 minutes.
The circulating nurse immediately got up to loosen the pressure of the tourniquet.
He smiled and asked, "Professor Deng, your student is flawless in terms of caution, operation, and ability. So, is he lacking a girlfriend?"
Upon hearing the sound, Deng Yong turned to look at Luo Tingzhu, who then suddenly looked up and glanced around!
Upon approaching the circulating nurse, she realized it was the circulating nurse playfully teasing her to ease the atmosphere in the operating room.
"Oh, the pretty girl has shown up on her own initiative. Looks like you're not short of girlfriends." The circulating nurse seemed to be in control of the whole situation.
Luo Tingzhu lowered her head shyly.
When Deng Yong saw that his two students had been bullied, he shook his head and said, "Xiao Li, you're really good with words. I wonder who got the benefit?"
Han Yuanxiao used to work with Deng Yong and they had cooperated for many years. Hearing this, he looked over and said, "If you can't call him by name, just call him Second Brother."
With the two most senior veterans taking action, the circulating nurses could only retreat in defeat, suffering utter annihilation.
The operating room is, after all, the main battlefield for surgeons and anesthesiologists.
Upon hearing that the car was picking up speed, Professor Xu Long sat up from the old-fashioned reclining chair in the anesthesiology department, smiled at Zeng Quanming, and said, "Director Zeng, the ceiling lights in your hospital's operating rooms could be changed to a different color."
During the tourniquet rest interval, everyone needs to take a break.
Yan Chu's limbs need some time to relax.
Liu Huanglong also displayed his former status as the top leader of his group: "Professor Xu is very sensitive to colors, isn't he?"
Upon hearing this, Xu Long glanced sharply at Liu Huanglong.
"Professor Liu, you're wearing a hat. Let me see what color it is?"
The reaction speed of a master is unmatched by ordinary people.
Although Liu Huanglong has the title of Outstanding Young Scientist, Xu Long wouldn't remain silent; he would take advantage of any verbal advantage he might have.
The main problem is that Liu Huanglong is too young and looks easy to bully.
Liu Huanglong was instantly defeated.
It transformed into an ostrich.
Xu Long's output is just too strong, he even uses the hat joke... The key is that I can't find any fault with him, he is a distinguished young scholar.
Deng Yong quickly chimed in, "Professor Liu, you don't understand. The anesthesiologist's hat is always more colorful than our surgical hat, huh?"
Deng Yong gestured towards the floral hat Zeng Quanming was wearing, saying, "The evidence is overwhelming."
Nurses in the anesthesiology department and operating room often like to wear their own floral hats to stand out; it's a habit.
Surgeons wear disposable surgical caps, which they simply put on their heads before entering the operating room.
"Yellow, green, blue, white, oh, and cyan too..." Han Yuanxiao also helped to unite against the outside world.
How dare they bully Liu Huanglong, a trauma surgeon?
Just kidding, when it comes to driving in the operating room, surgery is definitely at the top. And orthopedics has always been at the very top of the surgical speed food chain!
……
Upon hearing this, Fang Ziye and the others, including Yuan Weihong, could only keep these jokes to themselves and dared not utter a single word.
Playing jokes and engaging in strategic maneuvering between big shots can easily backfire and leave one in deep trouble, so there's absolutely no need for that.
When it comes to driving speed, that's a privilege reserved for the big shots. Liu Huanglong could barely squeeze in, while someone like Fang Ziye, despite his impressive skills, was still a complete novice when it came to driving and had a lot to learn.
Happy and relaxing times always seem to fly by!
After applying the tourniquet again, the procedure continued, and Fang Ziye regained his "dominant" status, beginning to loosen and reshape the various muscles in the foot...
At the same time, Liu Huanglong finally completed the harvesting of the "raw material" for nerve transplantation. After taking it out, he immediately began transplanting it to the healthy side.
The process begins meticulously with suturing the nutrient vessels.
During this period, even Fang Ziye, who had been relieved of his duties, temporarily gave up his position to Professor Liu Huanglong.
If the skeleton is the framework that supports movement, then muscles are the anatomical foundation of movement.
However, only the nerves are the soul of movement, the only pathway that can receive instructions from the brain.
Losing a bone at most means you can't move as well. Losing a tendon at most means you have some muscle dysfunction.
Losing a major nerve is equivalent to the soul being scattered; even if the body is intact, the soul will still return to the heavens!
When Liu Huanglong performed the procedure, he sutured very skillfully, and he completed the separate suturing of the mesentery and peritonus.
This one move alone made Han Yuanxiao sigh softly, "Professor Liu's skill in handling nerves is probably top-notch even at Peking Union Medical College Hospital, right?"
"Not bad. Barely enough, it doesn't tarnish the reputation of our sect." Liu Huanglong said confidently first, then looked at Fang Ziye: "But it's not yet at a level where it can bring fame to our sect."
"Therefore, we still need to continue learning."
Liu Huanglong has every reason to be proud.
Currently, in the entire Hubei Province's hand surgery department, apart from a very few individuals, Liu Huanglong can truly dominate the field.
In the area of nerve suturing, even Professor Zhong Junyu of the Department of Hand Surgery at Peking Union Medical College Hospital would feel that Liu Huanglong's technique is slightly superior.
Zhong Junyu's hand surgery suturing is more proficient in vascular and tendon transposition and muscle shaping, which is slightly different from Liu Huanglong's focus.
Just as Han Yuanxiao was about to speak, Liu Huanglong said, "Professor Han, let's not chat for now. I'll give Ziye his seat after I finish the transplant surgery."
"This patient needs two nerves transplanted. I need to find one more!"
As Liu Huanglong spoke, he held the sterile eyepiece cover and moved the field of view of the eyepiece to the other side of the nerve stump.
Nerve transplantation cannot be performed with ordinary instruments; it requires the use of microscopic instruments and a microscope eyepiece to achieve a relatively perfect suture.
The difficulty of suturing the nerve peritunic is even greater than that of suturing a blood vessel the size of a hair.
The more delicate the suturing, the better it is for nerve healing; no carelessness is allowed!
This is an extremely complex surgery, so every step is crucial. Only by perfecting each step can we achieve a qualitative change from a quantitative one!
In terms of nerve suturing techniques, apart from Liu Huanglong, a giant in hand surgery, no one on the stage had the right to speak, including Fang Ziye.
Therefore, during Liu Huanglong's breaks, everyone could only wait!
About half an hour later, after Liu Huanglong finished suturing the proximal and distal ends of the nerve transplant, he said, "Ziye, shall you or I do the remaining suturing of the nutrient vessels?"
“Of course, Professor Liu, you should finish it. Ziye, he…” Han Yuanxiao blurted out.
Vascular suturing is a specialty of hand surgery.
Liu Huanglong glanced at Han Yuanxiao, his eyes looking at him as if he were an idiot.
Han Yuanxiao shut up, noticing the apprehension in Liu Huanglong's eyes.
Fang Ziye took a light breath and said, "Professor Liu, you can sew it up. I feel a bit tired in my wrist."
"The excision and debridement of large areas of scar tissue and the shaping of muscles require a high level of skill in manipulating the hands." Fang Ziye sat on the operating table, exercising the gripping function of his ten fingers while relaxing his wrist joints.
Humans aren't made of iron; they get tired.
Fang Ziye's operation doesn't require much effort, but the delicate and subtle turns, the cutting, the straight lines, the curves and bends—every step must be taken seriously, which is also very tiring.
This is knife control.
The key to knife control is to apply force only to the point of stopping short of the target.
Just the right amount, not a bit more or a bit less, will eventually cause muscle soreness in the wrists and fingers.
This is even more tiring than performing several fracture surgeries!
"Okay! I'll sew it then."
Liu Huanglong continued to bury his head in his work, holding the needle in his hand, and said, "I really wish I could have five, six, seven, or eight more helpers."
Liu Huanglong's words were meant as a joke, but they seemed to have provoked Deng Yong and Han Yuanxiao, both senior professors.
“Eh…” Deng Yong and Han Yuanxiao immediately uttered a single syllable.
Once Liu Huanglong realized that his position was no longer simply that of a team leader, he remained silent and stopped speaking.
The surgery continued, and Fang Ziye returned to the main operating position once again...
Seeing that Professor Deng Yong and Professor Han Yuanxiao's expressions were slightly disappointed, he whispered to comfort them, "Master, Professor Han, Yan Chu's surgery is, after all, her first time undergoing functional reconstruction, so we're trying to maintain the highest standards in everything we do."
"Once they have gained experience, the two teachers will definitely be the main force."
“If only Professor Liu and I can work together to perform such a surgery, then this clinical project is a failure.”
Professor Liu criticized the master, and Fang Ziye, being a subordinate, couldn't retaliate; all he could do was offer comfort.
Moreover, a single sentence struck a chord with both of them, and it was a sweet moment.
Yes, if such a clinical study ultimately proves to be feasible only for Fang Ziye and Liu Huanglong, then it is a failure, merely an isolated case, and has no significance for widespread implementation.
But for the first time, the standards must be as high as possible.
Deng Yong looked at Fang Ziye and said softly, "Do your own thing. You don't need to prepare your master mentally. Your master has suffered more setbacks than you have in your entire life."
"You will encounter something like this in the future."
Deng Yong was implying that Fang Ziye might suffer setbacks after going abroad for further studies, and that the 'teachers' there would not be as gentle and kind as Deng Yong.
……
Time is like water.
The surgery was underway at 03:44:11.
Deng Yong and Han Yuanxiao quickly completed the bone graft reconstruction for the bone defect, while Professor Liu Huanglong and Fang Ziye completed the nerve transplantation, tendon release, and adhesion scar removal procedures, respectively.
Then, Fang Ziye and Liu Huanglong sat facing each other. Fang Ziye said nervously, "Master, Professor Liu, Professor Han, Professor Zeng, Professor Xu, we have completed the core operation. Next, we will test Yan Chu's single-item motor function time."
"If Yan Chu's foot function has mostly returned to normal, then... this surgery of ours... it... it..." Fang Ziye was, after all, a young man, a twenty-eight-year-old young man, and at this moment his lips trembled, his tongue quivered, and his speech was unsteady.
This is a world-class topic, representing a completely new level of expertise.
The fact that Fang Ziye had to climb to such a cutting-edge position and announce something like this made him extremely nervous.
"It succeeded, and it was the first time!"
"This is the first case of its kind, similar to finger replantation. It's a combination of destructive injury and neurological reconstruction in hand surgery," Liu Huanglong finished speaking for Fang Ziye.
Then he patted Yan Chu's thigh and reminded her, "Yan Chu, listen to what your brother Ziye and I tell you to do. Just move wherever we tell you to move."
"Don't move around. We need to check your local motor function."
"The movement can't be too large, lest it tear the newly stitched nerves, do you understand?"
"Listen carefully, Uncle Liu." Yan Chu had met Liu Huanglong many times, so she was very familiar with Liu Huanglong's voice.
"Come on, start with your big toe, that is, the big toe of your foot. Even though you can't feel your big toe, try to curl it up a little."
“You can do it! The extensor hallucis longus muscle is innervated by the deep peroneal nerve, and your nerve is normal,” Liu Huanglong explained, then patted the origin of the extensor hallucis longus muscle.
"Press hard here."
Upon hearing this, Yan Chu slowly raised her big toe. Although the movement was very slow, this slight movement made the group of men in the operating room, including middle-aged men like Deng Yong and Han Yuanxiao, clench their fists in excitement, as if they had seen their idols win the championship!
He clenched his fists and kept pounding them together, producing a soft, crisp clapping sound through the sterile gloves.
"Next is flexing the big toe. The flexor hallucis longus muscle is innervated by the nerve we transplanted. It starts from the lower two-thirds of the fibula. Flex it forcefully, and imagine how you used to flex your big toe." Liu Huanglong continued to teach carefully.
Upon hearing this, Yan Chu's big toe trembled slightly. It was unable to bend directly.
But even so.
Liu Huanglong was also pleasantly surprised.
"Yes, yes, yes, yes!~"
That's it!
"Bend down and press your big toe down into the sole of your foot. You can move all five toes together."
Yan Chu quickly cooperated by hooking her big toe and the other four toes. The movement was very slight, but both Fang Ziye and Liu Huanglong felt the contraction of the flexor tendons!
This means that the motor control of neural function has been reconnected.
The muscle adhesions have been released.
From an anatomical perspective, Yan Chu's foot muscle motor function has been completely reconstructed!
An incredible miracle, for the first time in human hands, has occurred.
Among the hands that participated this time, one pair came from Fang Ziye.
"Stop, stop, stop, okay, okay, okay!~"
"That's enough, stop for now!" Liu Huanglong stopped Yan Chu from bending over any further, then looked up at the team in the operating room, swaying back and forth, his eyes wide with delight as he shared his joy!
(End of this chapter)
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