Chapter 139: This Is Half-limb Replantation Surgery?!
When Lu Cheng stepped on the door to open it, he glanced at his panel.
【Finger and Limb Replantation Surgery（ Beginner 4/5
【Current Skill Point Balance: 11.3 points.
After going to Xiehe Hospital, Lu Cheng had almost no skill points. In four or five days, Lu Cheng only taught Peng Kun, Tian Zhuang, and others, bringing in a total of three skill points.
The remaining eight skill points were all earned by Lu Cheng today as the chief surgeon. Before he could even enjoy them, he had to use them again.
The proficiency of finger and limb replantation surgery appeared on the panel after Lu Cheng learned nerve suturing technique at Xiehe Hospital and had a certain level of proficiency.
Only after completing the prerequisite conditions for the surgery, when the panel determines you have beginner-level ability in a certain surgical procedure, will it be displayed on the panel, and then you can allocate points.
It’s not that everything is listed on the panel from scratch.
【Finger and Limb Replantation Surgery（ Proficiency 5/10 （Skill Points -11
The proficiency wasn’t actually very high. According to Lu Cheng’s original plan, he intended to perform the procedure routinely only after reaching mastery level.
But in an emergency, when faced with immediate danger, he couldn’t afford to worry about such things.
There were three surgical operating rooms, all belonging to the brothers in Orthopedics Department Two. There was Deputy Chief Physician Song Hongtu, Senior Attending Physician Zeng Hongbo, and Attending Physician Xiang Pengcheng.
Lu Cheng was in orthopedics before, and he knew them all, but it was only a superficial acquaintance.
“Yo, Technical Supervisor Teacher Lu is here?” As soon as Lu Cheng entered, Song Hongtu deliberately said sarcastically.
Lu Cheng didn’t pay attention to Big Brother Song Hongtu’s teasing. He already knew it was a half-limb amputation and they would definitely perform half-limb replantation surgery, so he went straight to wash his hands and enter.
While walking to the gowning table, he politely said, “Director Song, Brother Xiang, Brother Bo, I was also assigned this task at the last minute. I happened to be in the Emergency Department and was assigned this task.”
“If I could have declined, I would have been sleeping soundly in the lounge.”
What Lu Cheng said was half-true and half-false, but in fact, everyone in Department Two knew about Lu Cheng’s previous experiences in Orthopedics Ward One, and most departments in the county hospital were in similar situations.
Song Hongtu didn’t dwell on it anymore and said, “Xiao Lu, we’ve finished the debridement here. The incision on this upper arm is very deep. It not only involves tendon injury but also nerve and vascular injury.”
“These kids were really vicious with their attack. They probably got it clamped under their armpit and then pulled the knife out while turning it!”
“Fortunately, the cut is facing outwards. If it were facing inwards, the person would have died right there!”
An outward-facing cut on the upper arm means the lungs if it were facing inwards!
“Vascular and nerve suturing will have to wait until Professor Tong’s microsurgical instruments are done and brought over.”
“The Emergency Department had a set originally, but Professor Tong needs it later, so let’s handle the tendons and muscles first!~”
“The tendons and muscles of the upper arm are large enough that microsurgical instruments are not necessary.”
“Circulating Nurse, you go to room 5 later and keep an eye on the mirror. Bring it over as soon as possible,” Lu Cheng said.
The hospital definitely didn’t just introduce one set of microsurgical instruments, otherwise, with only one operating room being able to perform surgery, they would have to keep moving them back and forth.
Given this, Lin Qianlong applied to the hospital for one set to be permanently stationed in the Emergency Operating Room, as tendon suturing often requires microsurgical instruments.
Currently, only Professor Tong Yuan’an in hand surgery can perform surgeries, while others can only watch for now. The instruments bought cannot just be left idle.
Song Hongtu seriously understood what Lu Cheng meant and said formally, “Lu Cheng, what did you just say?”
“I asked the circulating nurse to go push the microscope over later. After Professor Tong is done, he’ll go to the Emergency Operating Room to handle the tendons. I’ll handle the half-limb replantation here first!~”
Lu Cheng had already put on his sterile surgical gown, but he clearly felt the circulating nurse assisting him with his gown tremble. The pad of her finger poked the skin outside his cervical vertebrae.
“You… this?” Lu Cheng’s meaning was clear, but Song Hongtu and Zeng Hongbo’s eyes grew increasingly confused.
Lu Cheng wants to perform half-limb replantation? He can perform half-limb replantation?
Then, is what he is going to do really just half-limb replantation? This is bringing glory to the county hospital’s hand surgery department.
Currently, in the entire Xiangzhou, only two hospitals can perform half-limb replantation, limb replantation, and finger replantation: one is Zhou People’s Hospital, and the other is Jishi People’s Hospital.
They are both in Jishi City. Besides these two hospitals, no county hospital or any other hospital can perform limb replantation surgery.
This is currently the recognized consensus.
The reason Peng Haibo from Orthopedics Ward One invited hand surgery personnel to station at Long County People’s Hospital was to become the first county hospital in XX Province to be able to perform finger replantation surgery.
But Director Peng only estimated that they would reach this level within three years. Lu Cheng was so much further ahead.
Lu Cheng ignored their emotions and approached the operating table after putting on sterile gloves.
“Brother Bo, can you give me some space?” Lu Cheng quietly asked.
Originally, Song Hongtu was the chief surgeon, Zeng Hongbo was the first assistant, and Xiang Pengcheng was the second assistant, blocking the surgical field.
Zeng Hongbo quickly got up and almost bumped into Lu Cheng in his haste. Fortunately, Lu Cheng was in a defensive stance and immediately turned around, back-to-back with him, to avoid contamination.
Once everything was settled, Lu Cheng sat down to take over the surgery!
Half-limb replantation surgery is generally the amputation of a soft tissue limb, with or without a fracture. The full name is half-limb avulsion replantation surgery.
Lu Cheng first examined the surgical field and confirmed there were arterial injuries, nerve injuries, muscle, and tendon injuries.
Of course, as a Deputy Chief Physician, Zeng Hongbo couldn’t even fail to perform debridement and hemostasis. He just wasn’t sure whether to suture the muscle or not, so he left the surgery unresolved.
Surgical learning is a very private matter. Generally, knowledge is not widely disseminated. Watching doesn’t necessarily mean you can do it, and if you can’t do it, you won’t dare to act rashly!
For half-limb replantation without a fracture, it’s equivalent to completing internal fixation of the fracture in limb replantation. The next step is to suture the tendons and muscles, and take care of the vascular and nerve beds…
“Circulating Nurse, sutures!~” Lu Cheng did not hesitate.
Tong Yuan’an had authorized him, and he would definitely come to observe later. The chief surgeon for this operation was Associate Professor Tong Yuan’an, not Lu Cheng. Lu Cheng was merely the “operator” of Tong Yuan’an’s “half-limb replantation surgery,” not the chief surgeon performing it!
“Director Song, pull the field a little more towards you, yes, just like that, we’ll start by…” Lu Cheng’s voice was steady.
If you know it, you know it. If you don’t, you don’t.
It’s very normal for Lu Cheng at his age not to know limb replantation. Even in top institutions like Xiehe Hospital, it’s “routine” for physicians his age at the hospital not to know such surgeries!
If Lu Cheng said he didn’t know, no one would say he shouldn’t or that he was bad.
But if he knows it, he knows it.
If Peng Kun hadn’t suddenly decided to add a tendon revision surgery, and Tong Yuan’an needed to save time, Lu Cheng wouldn’t have caused trouble. He would have waited until Tong Yuan’an had watched his operations a few more times before applying to slowly intervene.
In an emergency, to save time, Lu Cheng could only state his abilities directly.
