Is there no limit to this doctor's skills?

Chapter 182 You Have to Be Incredible First!

Thanks to the shadowless lamp on the operating table, Qian Shuhang was able to see the details clearly after the operation was completed.

From a three-dimensional perspective, even when the skin and subcutaneous tissue are separated, the nourishing blood vessels remain connected!

This is a true separation of skin and flesh, not a complete severing of skin and flesh.

After doing all that, Guo Ziyuan, whether out of mischief or something else, even picked up a tiny syringe and gave the small nourishing blood vessel a little prick.

Blood was gushing out of the previously intact blood vessels.

It's bleeding again!

Then, Guo Ziyuan, as if he were a little abnormal, actually smiled with satisfaction.

Of course, surgeons all have a male instinct; they are happy to see blood!

Guo Ziyuan nodded slowly, then took a deep breath: "Continue..."

"Director Zhou, remember to order me breakfast when you have time."

After Guo Ziyuan finished speaking, everyone finally understood what Guo Ziyuan was going to do.

Guo Ziyuan wanted to perform a genuine debridement procedure.

However, Guo Ziyuan's debridement only removed the necrotic tissue just right, but left the 'necrotic' skin intact.

Wait for it to scar.

Although scarred lower limbs will look ugly, it's better than having no legs at all!

From then on, everyone finally knew what Guo Ziyuan was going to do.

Guo Ziyuan needs to reconstruct the patient's soft tissue and skin layers around both lower limbs!

To put it simply, he wants to perform surgical "leg reduction" on the patient!

It wasn't for weight loss; I simply wanted to save both of his lower limbs.

The volume that Guo Ziyuan is currently producing is only three or four square centimeters.

What is the surface area of ​​the lower limbs?

How long will the surgery take?

Nobody knows.

But just the thought of it would make many people think it's "crazy"!

So crazy it's mind-numbing.

This is not just a craftsmanship job, it's also a purely physical job!

Five hours?

Ten hours?

Even longer...

The problem is, nobody dares to help!

No one would perform such debridement on a patient.

However, Guo Ziyuan chose to do it this way.

Half an hour into the surgery, Guo Ziyuan still hadn't finished cleaning the front of one thigh.

However, there are also the back of the thigh, the inner side, the outer side, the calf... and the opposite leg.

"Dr. Guo, how did you learn your debridement technique?" Qian Shuhang was very close to Guo Ziyuan and couldn't help but ask.

"Pork, tofu," Guo Ziyuan replied briefly.

This was not the debridement of a diabetic foot ulcer in a rabbit, so Guo Ziyuan could not be distracted during the procedure.

Guo Ziyuan looked up and saw that Qian Shuhang was about to speak, so he stopped him, saying, "Teacher Qian, this operation is quite complicated, please don't ask me any more questions."

Qian Shuhang swallowed the words that were about to come out.

While Guo Ziyuan was operating, Director Zhou and others finally called the on-duty supervisor of the surgical department into the operating room.

Although Guo Ziyuan did not ask for it, Zhou Yong still did it.

After entering the operating room, Xie Tongwen, the associate chief physician of hand surgery, first put down his phone and then politely greeted his acquaintances.

"Director Zhou, I heard it's a burn patient. Would you like to call me?"

"I haven't figured it out yet," Xie Tongwen said politely.

He only didn't get along with Dr. Cai Xiongxue, the associate chief physician of the emergency surgery department, not with everyone in the emergency department.

Cai Xiongxue is such a jerk. He's clearly not a hand surgeon, but he insists on undermining his own surgical skills. He's just digging his own grave.

"Director Xie, it is indeed a burn, but the current situation is a bit special."

Zhou Yong didn't go on stage, not because he wanted to slack off, but because he wanted to focus on logistics.

Once he takes office, he becomes another Qian Shuhang.

Compared to Guo Ziyuan having to call for outside help, it's clearly much more convenient for him to call for help from inside the operating room.

Xie Tongwen then looked toward the operating table.

Because Xie Tongwen was a hand surgeon, the other people in the operating room made way for him.

Xie Tongwen followed and approached the operating table: "Let me see..."

"Holy crap!" Xie Tongwen's tongue froze on the spot.

At the same time, his legs suddenly went weak and he almost knelt down!

Then, in less than three seconds, he sprang to his feet, Xie Tongwen's voice distorted: "How large an area of ​​skin flap transplant are you planning?"

"It's not a flap transplant, it's just flap creation, preserving the nourishing artery."

"Some layers of the muscle have completely died." Although Guo Ziyuan did not see the person who came, he was still familiar with Xie Tongwen's voice.

"Director Xie, since you're here, you can lend a hand."

"Now, the patient's procedure is similar to the preparation of a nourishing arterial flap."

After he finished speaking, Guo Ziyuan raised his head, his eyes filled with kindness.

Hand surgery is a culmination of the delicate procedures in orthopedics, with particular expertise in suturing.

Guo Ziyuan is very certain of this.

"Wait a moment, wait for me to go on stage." Xie Tongwen hesitated for only two seconds before decisively turning around and going out to wash his hands.

If he wasn't mistaken, Guo Ziyuan's procedure of cleaning and nourishing the arteries was a little bit unfathomable!

This technology is so advanced that even he can't operate it.

And this doctor was someone I didn't even recognize!

……

After Xie Tongwen washed his hands, put on his clothes, and went on stage, Yao Xin and others from the general surgery department finished cutting and thrombectomizing the vein on the other side.

Furthermore, blood flow was restored within the arteries and veins.

In fact, fifty minutes had passed since they started operating.

Guo Ziyuan not only completed the arteriovenous thrombectomy on the opposite side, but also cleaned the wound all the way to the inner thigh.

Guo Ziyuan's thrombectomy is highly efficient and the incision he makes is smaller.

This difference in speed once again proves Guo Ziyuan's skillful operation!

When Yao Xin stepped down, he noticed that many people were staring at him.

He knew what their gazes meant, but he didn't care: "What the hell are you looking at? If you were on stage, you might not be able to do what I do."

"Hold."

He was well aware of the amused looks in these people's eyes.

Yao Xin's words were unpleasant, even impolite.

However, those who heard it did not dare to refute it.

They didn't even dare to provoke Yao Xin if she was provoked.

Yao Xin is a chief physician, after all. He was outdone by a younger doctor on the same stage, and you still look at him with that kind of gaze? If he didn't scold you, he would still be a chief physician.

……

After putting on his surgical gown, Xie Tongwen lowered his voice and asked, "Who are you?"

"Director Xie, my name is Guo Ziyuan. I'm currently working in the emergency department." Guo Ziyuan proactively identified himself.

Xie Tongwen had indeed heard of Guo Ziyuan before. Although he hadn't paid much attention to it before, he had a vague impression of the name.

Xie Tongwen looked down, and only then could he see the details more clearly: "What are you doing?"

"The patient doesn't need such a skin flap at all!"

Guo Ziyuan replied, "Stay where you are!"

The patient has no other skin defects, but there is a relative defect at a distance from where the skin flap was harvested!

"Moreover, these skin cells have actually lost their vitality, but they can still be salvaged."

"Even if it heals with scarring later, it's better than nothing."

In addition to Guo Ziyuan's surgery, Xie Tongwen also received the patient's actual diagnosis.

"These muscle tissues? Are they all thermally denatured?" Xie Tongwen asked.

At that moment, the anesthesiologist immediately reported the good news.

"The patient should be out of the coma and under anesthesia!" the anesthesiologist said.

The state of the human body under anesthesia and the state of being in a coma are completely different.

The patient's previous coma was due to metabolic waste entering the bloodstream from both lower limbs.

His coma was not related to hemorrhagic shock, but rather to metabolic coma.

After Guo Ziyuan cut off the circulation in his lower limbs, his metabolism gradually returned to normal.

If the surgery were to end now and the anesthesia were to be lifted, the patient could hopefully regain consciousness.

However, the surgery is far from over.

Guo Ziyuan nodded and breathed a sigh of relief: "Continuous interstitial thermal damage."

"This guy probably doesn't realize his legs are almost cooked..."

"He's a firefighter."

With the surgery completed, the patient was no longer in immediate danger, so Guo Ziyuan no longer needed to worry.

What's left is just work that takes time to finish.

Xie Tongwen did not say much about this.

What can I say?

Greatness is certainly great, but it doesn't mean that a person is great only when they die or are injured.

The moment some people shoulder their responsibilities, they are destined for greatness.

Doctors dislike it most when people "sacrifice themselves" to demonstrate their greatness!

Xie Tongwen glanced at it a few times, then suddenly gasped: "I can't operate this."

"What the hell are you?" Xie Tongwen even swore.

"Who the hell gave you permission to use such advanced skin flap preparation techniques on this kind of burn?"

"Isn't that a terrible waste?"

Xie Tongwen quickly grasped the most crucial aspect of Guo Ziyuan's operation.

Guo Ziyuan's precision in preparing pedicled flaps can be described as perfect in the industry. Even the hand surgery department of Union Hospital, the strongest hand surgery department in Hubei Province, can only achieve this level.

However, what is the purpose of such a flap?

It's basically useless.

This is like throwing golden caviar into the latrine and hiding it away—it's such a waste!

From a technical effectiveness standpoint, Guo Ziyuan's actions were not very meaningful.

For patients like this, since Guo Ziyuan didn't injure them, the amputation can be stopped.

Such a well-prepared, large skin flap, yet it's completely useless...

It happened in front of Xie Tongwen.

This is like pouring wine into a river in front of a drunkard.

You didn't drink it.

You didn't give it to anyone to drink.

You poured it out!

"To create a better skin barrier." Guo Ziyuan explained the practical significance of his procedure to his colleagues for the first time.

Xie Tongwen's double eyelids trembled slightly, and his hands trembled slightly as well.

"Does your teacher know?" Xie Tongwen couldn't help but ask.

Guo Ziyuan said with a smile, "My teacher is a trauma orthopedic surgeon, so it's okay if he finds out."

Xie Tongwen fell silent.

He then slowly nodded, continuing with the patient's lower limbs: "Right now, I don't know whether to say this guy is lucky or unlucky."

Unfortunately, he was injured.

"He's lucky to have met someone like you."

"And then I ran into you!"

"You shameless person."

Xie Tongwen was genuinely annoyed.

Guo Ziyuan has such good skills, yet he's wasting them.

And they're even willing to waste it!

However, details determine success or failure. Perhaps, without Guo Ziyuan's waste and violent crushing, the miracle we have achieved today would not have been possible.

Guo Ziyuan completely ignored Xie Tongwen and continued to do things his own way.

I watched it for about an hour and a half.

Xie Tongwen began to back away: "I have to step down. I can't stand seeing you humiliate yourself like this..."

"Of course, don't step down, just keep doing what you've been doing."

Guo Ziyuan insisted on using an exquisitely crafted phoenix coronet and wedding gown to shelter the latrine from the wind and rain... inside was a hero who was about to freeze to death.

Can you say he did something wrong?

However, from Xie Tongwen's perspective, he knows that there are too many people with skin defects who hope to meet a doctor like Guo Ziyuan, but they can't find one!

Then, Guo Ziyuan ignored the starving people and used his own money to make a golden phoenix coronet and wedding robe to shelter one person from the wind and make a toilet.

From this perspective, can you say that Guo Ziyuan did the right thing?

Xie Tongwen was a hand surgeon, so he wouldn't dare to have an affair with Guo Ziyuan!

However, after Xie Tongwen angrily threw away the gloves, he looked back at them.

He couldn't help but glance at the ceiling again: "What a waste..."

……

A silence fell over the people around them.

They naturally thought Xie Tongwen had some problems, but nobody cared that Xie Tongwen had problems.

At this moment, they were more focused on enjoying watching the surgery.

Is wound cleaning boring?

Of course it's boring.

It's like writing. If you're a calligrapher, watching an ordinary elementary school student write will make you fall asleep.

But if you have the opportunity to see a live recording of Wang Xizhi's calligraphy.

You will be completely absorbed in it, even obsessed.

You don't even need Wang Xizhi; you can be mesmerized by watching contemporary calligraphers write.

Because you believe in this, you know how to do this.

This is what the operating table looks like right now.

Guo Ziyuan's seemingly tedious wound cleaning procedure was meticulously executed, with every detail taken to an extreme.

Guo Ziyuan also pushed the presentation of the effect to the extreme.

With just the right amount of debridement, Guo Ziyuan cut off large sections of necrotic muscle tissue.

The knife goes in and the flesh is separated.

However, Guo Ziyuan preserved the nourishing blood vessels within the necrotic soft tissue, which were connected to the skin and the underlying soft tissue!

At this point, it is no longer considered surgery.

If this procedure were recorded and included in surgical video teaching materials, it would fit perfectly!

And so... art is complete!

All of this was not for the purpose of saving one's life, nor for the life-or-death situation, but simply to save one's legs!

Or rather, it's simply to preserve the patient's skin, so that the subcutaneous tissue has a "shell" to protect it from the elements!

The patient's feet did not undergo any degeneration, so Guo Ziyuan's procedure involved both thighs and both calves...

One hour, two hours, four hours.

Ten hours, then thirteen hours passed.

Guo Ziyuan ate twice during the trip.

Finally, the surgery came to an end!

Another chief physician in the hand surgery department, Qian Mosen, personally came up to apply pressure bandages to the patient's skin and soft tissues!

Seam sealing cover...

Another director of vascular surgery personally performed the connection between the patient's lower limb circulation and systemic circulation.

The head of the ICU personally transferred the patient from the operating room to the ICU!

The patient's coma has been lifted, and it is highly likely that both legs will be saved.

Now, it remains to be seen whether he can get through the post-operative period.

By the time Guo Ziyuan finished his surgery, Yao Xin had already left.

He didn't even bother to ask the questions left unanswered at the beginning of the surgery...

The surgery took too long, and he simply couldn't bring himself to think back to the beginning.

Guo Ziyuan left the operating room with the crowd.

At that moment, he overheard Qian Shuhang's conversation with someone.

"This is defying fate!"

"Absolutely defying fate."

"To defy fate, you must first possess incredible abilities to accomplish incredible things."

"We definitely can't replicate this kind of surgery," Qian Shuhang muttered softly.

Guo Ziyuan heard it, but didn't pay any attention.

It is now 1:49 PM.

I need to "go off work" and go back to sleep.

I won't be going to the emergency room today.

Guo Ziyuan did not face the patient's family and colleagues directly. After coming out of the operating room changing room, he went straight out of the hospital gate.

Outside, the sun was shining brightly.

Guo Ziyuan came out of poverty all by himself, without anyone by his side; this was something Guo Ziyuan actively requested.

Therefore, when Guo Ziyuan walked in the parking lot at the entrance of the emergency department, no one paid him much attention.

No one knew how difficult the surgery Guo Ziyuan had just performed was.

But only Guo Ziyuan knew that last night, he had helped a teenager perform limb-saving surgery on both of his lower limbs.

Without amputation, his lifeline was completely rewritten.

Guo Ziyuan picked up his phone and started calling a taxi. Although he saw that there were many unread messages on his phone, he still chose to call a taxi first.

Guo Ziyuan only began replying slowly after the order was placed.

Chi Huanlin 08:05: "Dr. Guo, aren't you at work today?"

"Why haven't I seen you?"

Chi Huanlin 10:02: "???"

An Yue 12:23: "Document 'Medical Competition Participation Guide'"

The document "Medical Basic Research Theory Procedures and Common Techniques"

"A Speculation on the Application of Circulatory Systems in Orthopedic Limb Salvage Techniques"

Compared to the information about Chi Huanlin, the information about Anyue is a bit out of touch with reality; it's all very technical.

Compared to the information from Anyue, the information from Chi Huanlin is too 'scattered'!

Guo Ziyuan did not respond.