This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 75 Unconventional Techniques!
In the emergency operating room, the operating lights shone on the back of the patient's large lower limbs, illuminating the entire surgical field clearly.

Holding a needle holder and tweezers, Lu Cheng stood in the scalpel position. After Peng Kun pulled apart the skin and subcutaneous tissue layers, he patiently said, "The Pulvertaft weaving method, also known as the fish mouth suture method, is a relatively uncommon suturing technique with a very narrow range of applications."

"It is a tendon suturing technique that is only applicable to tendons of different diameters. In this patient, the tendon rupture was at the transition between the gastrocnemius and soleus muscles, which are of different thicknesses."

"Moreover, the chances of tendon rupture in this area are extremely rare, which is why Professor Tong doesn't usually spend time studying it. That's why I picked it up..."

Peng Kun lowered his head and carefully looked at the fracture site shown by Lu Cheng's tweezers, nodding repeatedly: "Professor Tong did mention that for tendons of varying thicknesses, ordinary suturing techniques are not the optimal solution."

"It turns out that the most practical technique is the fish-mouth suture method. Brother Lu, you are really amazing. After learning so many techniques, you still have time to learn this rare technique."

"I'm impressed!"

Although Lu Cheng didn't boast, his composure spoke volumes about his talent.

After learning everything else, Tong Yuan'an became "self-isolating" and cursed Lu Cheng for being inhuman. Lu Cheng's ability to find time to learn niche techniques with "narrow applicability" is truly a testament to his "unsurprising talent".

Peng Kun does not plan to learn it in the short term.

Lu Cheng thought for a moment and continued, "Young Master Kun, the Pulvertaft weaving method has a relatively low entry barrier, which is quite suitable for you to learn. If you also want to learn, I can send you the materials."

"If you encounter this in the future, you can use it immediately."

"Of course, you can also maintain your own learning pace."

Since Tong Yuan'an didn't understand the Pulvertaft weaving method, Lu Cheng could give Peng Kun some advice.

Peng Kun has been learning tendon suturing for over a month, spending most of his time honing his basic skills. Now that he has just entered the field, he is eager to perform a few surgeries to prove his abilities and get feedback.

Lu Cheng could understand this sentiment, and Peng Kun had indeed been very disciplined in learning things recently.

Lu Cheng would not confuse Xiang Kuihua with Peng Kun.

"Really?" If Lu Cheng said that, Peng Kun would be interested!

"It's true. The Pulvertaft weaving technique isn't particularly profound, and the basic sewing skills required don't need to be as delicate as those for the modified Tang technique..."

"It's just that I didn't have a teacher to teach me before, otherwise, I would have chosen to learn this technique first." Lu Cheng nodded.

Lu Cheng taught Peng Kun for two reasons: first, Peng Kun's learning attitude was honest enough; second, the process of teaching him would improve Peng Kun's abilities, and in turn, Peng Kun would provide Lu Cheng with some skill points in the process of treating and saving lives.

For example, Du Daihua and Tian Zhuang, who were with Lu Cheng, brought him a total of about 1.2 skill points over two months.

It's not much, but it's effective in the long run!
Lu Cheng believes that in the future, the skill points earned from mentoring students will likely be the main source of income.

Therefore, Lu Cheng was not stingy with his skills. Because Tong Yuan'an and Chen Song hadn't held back much when feeding him.

As for the past, if Lu Cheng wants to repay the debts, he should do so to the orthopedic surgeons and Director Peng, not to Peng Kun.

"Then thank you, Brother Lu..."

"Look, the core procedures can be categorized into these steps: puncture and opening of the thick tendon, vertical cross puncture, embedding of the tendon end, and fish-mouth-shaped trimming and wrapping..."

"We'll start by making a puncture incision in the thick tendon, which is about 2-3 cm proximal to the severed end of the thick tendon. We'll use a sharp scalpel to make the first small incision horizontally, pull the severed end of the thin tendon out of the incision, maintain appropriate tension, and then temporarily fix it with two stitches..." "The vertical cross puncture is done 0.5 cm distal to the first incision... Remember these two distances, one is 2-3 cm, and the other is 0.5 cm..."

Lu Cheng's proficiency in the Pulvertaft weaving technique is not particularly high, only at the level of (proficiency 5/10), but Lu Cheng has not invested too many skill points!

Even with such proficiency, when the procedure is performed in a specialized field, tendon suturing in the A3 area still yields better treatment results than other suturing techniques.

……

Lu Cheng completed the surgery in just under thirty minutes.

"This weaving and sewing method has two advantages over traditional sewing techniques. First, it significantly improves tensile strength: because the weaving structure is formed by multiple cross stitches, it has stronger tensile strength than traditional sewing methods." Lu Cheng said as he pulled on the tendon, and the ruptured tendon remained firmly in place.

Then Lu Cheng released the tendon: "Next is to reduce swelling at the suture site, bury the thin tendon, and wrap it with a fish-mouth-like design to avoid local bulging!"

"In this way, the patient will have good sliding resistance and tensile strength after surgery, which is especially suitable for suturing tendons of different thicknesses."

"The teacher who created this suturing technique was a genius, cleverly solving this problem. And it's not difficult to learn, it's just that the indications are too narrow..."

After reading it, Peng Kun nodded, looked up and smiled, "It seems that it doesn't require very delicate suturing skills. Thank you, Brother Lu."

"Actually, I didn't expect you would teach me something," Peng Kun said earnestly.

Xiang Kuihua, an orthopedic surgeon, had a lot of opinions about Lu Cheng and was constantly trying to sabotage him, so Peng Kun didn't expect Lu Cheng to be lenient towards him.

“Let’s keep things separate, Kun Shao. To put it bluntly, in my heart, you and Director Peng are two different people,” Lu Cheng said directly.

In the past, Lu Cheng would have said this casually, but now he has made a name for himself in the field of tendon suturing and is the first surgeon in the hospital who can perform a relatively large number of spleen-preserving and gallbladder-preserving surgeries.

They've already upheld some of the hospital's reputation, so saying this now is reasonable and justified, not just impotent rage.

Peng Kun, standing in a different position from Lu Cheng, took a deep breath and said, "Brother Lu, although what I'm saying might sound a bit sentimental, there's one thing I still have to say."

"Whether I pursue graduate studies or study tendon suturing, it's all based on the premise that it won't affect you."

“If I don’t go for the sponsored graduate program, you won’t get this spot either, Brother Lu.”

“If I hadn’t learned tendon suturing, Director Xiang Daihong from the State People’s Hospital wouldn’t have come to our hospital.”

Peng Haibo pulled a lot of strings for himself, but it didn't affect Lu Cheng.

Lu Cheng had never had a chance in orthopedics before, not only because Peng Haibo was worried that Lu Cheng would crush Peng Kun, but also because several other guys controlled the 'disease category'!
Even Peng Kun can't get in now, so he has to give up common orthopedic procedures and 'find side hustles'.

Compared to open reduction and internal fixation of fractures, and common surgeries in sports medicine and spinal surgery, tendon suturing and hand surgery techniques are, for county hospitals, rather than niche techniques.

"So, let's keep things separate," Lu Cheng said with a smile.

Peng Kun thought for a moment and said, "Brother Lu, I can assure you that the orthopedics department won't cause you any trouble."

Peng Kun could only guarantee that Peng Haibo would not pressure Lu Cheng on behalf of the orthopedics department. As for the personal choices of others, that was not something Peng Haibo was willing to do for them.

(End of this chapter)