Is there no limit to this doctor's skills?

Chapter 188 says that medicine should not be about showing off skills, right?

On the operating table, the shadowless lamp cast its light, and a number of people gathered around.

There was Xiao Hongmeng, the director of hand surgery; Cai Xiongxue and Deng Xiaokai from the emergency department; and an attending physician from hand surgery.

There seem to be plenty of manpower.

However, at this moment, the four of them did nothing but occasionally pour some saline solution on the severed ends of Chen Zhemin's hand.

Xiao Hongmeng turned and stared at the equipment table, his eyes solemn and filled with longing.

In fact, Xiao Hongmeng wanted to see Guo Ziyuan's actions firsthand.

However, as the temporary "chief surgeon," he knew he could not leave the front line for the time being.

Cai Xiongxue then looked at the timer panel in the operating room.

Cai Xiongxue had a bad relationship with Xie Tongwen, the deputy director of hand surgery, and his relationships with others were not good either.

The main problem is that Cai Xiongxue has been annoying us so much that everyone has become numb to him.

As long as Cai Xiongxue and Xie Tongwen work together, Xie Tongwen doesn't care about tendon suturing, and Cai Xiongxue hasn't learned it yet, so he can only call in outside help...

Once or twice is fine; that's just a favor.

After this happened many times, everyone would think Cai Xiongxue was a fool.

But Cai Xiongxue had no choice. His impulsive act had become a reality, and now he could only swallow his anger and suffer in silence.

Deng Xiaokai knew even less about hand surgery techniques.

However, although Deng Xiaokai did not understand the techniques of hand surgery, he did understand the chief physicians in the hospital.

At that moment, beside the instrument table, Li Changhong, the director of hand surgery, stared at the screen with a mixture of respect, surprise, and disbelief.

This is enough to illustrate one point.

Guo Ziyuan's actions were either too outrageous, so outrageous that Li Changhong completely thought he was an amateur.

Either Guo Ziyuan's actions were so ingenious that even he, the director, found it unbelievable...

Clearly, the latter is the correct answer.

But in reality, Deng Xiaokai was also full of doubts at this moment.

Isn't Guo Ziyuan a trauma orthopedic surgeon?

As a trauma orthopedic surgeon, it's one thing if he's good at reading X-rays, and another if he's good at stopping bleeding.

This is a hand surgery!!!

As the pinnacle of "tailoring" in hospitals, the hand surgery department boasts the most advanced suturing techniques in all hospitals, bar none!

Even the suturing techniques in cosmetic surgery and burn surgery are slightly inferior to those in hand surgery!

Hand surgeons can easily switch to cosmetic surgery, but cosmetic surgeons who want to switch to hand surgery have to go through a lot of hard work and experience.

Plus, he's got a screw loose...

Suddenly, Li Changhong gasped sharply and clapped his hands together, exclaiming, "Slow down!"

"Don't speak!" Guo Ziyuan suddenly looked up, his eyes glaring, his gaze intimidating.

Li Changhong was so yelled at that he took about eight centimeters back.

"Speak again, and you're out!"

Guo Ziyuan's voice was anything but polite.

Zhou Yong had already turned around, ready to absorb Director Li Changhong's anger, and stepped forward.

Unexpectedly, Li Changhong nodded without hesitation and replied, "Oh..."

"But you need to slow down a bit, okay?"

"No rush."

Guo Ziyuan lowered his head and continued processing the operation: "I'm already very slow."

Li Changhong's Adam's apple bobbed, his voice filled with astonishment, as if a bent rope had been stepped on: "You call this slow?"

Guo Ziyuan and Li Changhong couldn't explain it clearly, and they didn't have time to explain right now: "Call me whatever you want."

"Next time you suddenly call out, you'd better give me a report first. Don't let it interfere with my operations."

Guo Ziyuan also felt that it was a bit much to call a chief physician and not say anything at all.

But even if it's not excessive, you can't just suddenly shout it out.

This is the operating room.

This is a nerve decompression surgery.

If my scalpel had deviated by 0.5 millimeters, I might have scraped off a nerve!

A difference of 0.5mm is already close to the limit of human control over surgical precision.

Extreme control and a state of intense concentration both require profound skill.

When you're startled, your hands instinctively can't maintain such a slight error.

"I'm curious to know what you're doing?" Li Changhong asked, taking advantage of the fact that Guo Ziyuan hadn't fully gotten back into the zone.

Li Changhong asked a professional question, and Guo Ziyuan explained in one sentence: "Extracorporeal nerve nutrition and decompression surgery."

"Prepare the nerve segments of the amputated limb to see if decompression and clearing of the local microcirculation can enhance the nerve's regenerative capacity and potential for functional reconstruction."

Li Changhong: "What is this now?"

It's not that Li Changhong's knowledge is too shallow, but rather that the techniques Guo Ziyuan is currently using are simply beyond the comprehension of ordinary people.

The origin of this technology is somewhat unclear.

A new treatment plan was developed by integrating Chi Huanlin's thinking with Guo Ziyuan's knowledge system.

Where do you expect others to find similar "alternatives" or similar items?

In contemporary hand surgery, the core of the knowledge system lies in limb replantation, functional reconstruction, and functional reconstruction of nerves, tendons, and other transpositions.

Guo Ziyuan's limb-sparing surgery is clearly a step beyond this top-tier hand surgery.

It is an additional growth outside the existing mature knowledge system framework!

"Just think of it as me preparing a 'transplantable flap'!" Guo Ziyuan was too lazy to explain to Li Changhong in more detail.

The window for surgery is not very long.

With this analogy, Li Changhong understood instantly.

Skin flap transplantation, as the name suggests, involves creating a skin flap that can be transplanted to a skin defect site and then survive.

It is one of the most advanced techniques in hand surgery.

Especially free pedicled flaps.

Although he roughly understood the principle, Li Changhong was even more confused.

A transplantable flap is a transplantable flap, but what you have is a severed limb?

So, you can actually come up with a transplantable limb?

The more Li Changhong thought about it, the more anxious and uneasy he became!

Because such speculation seems to be closer to reality.

Yichang Central Hospital is not just an ordinary Grade III Class A hospital; it is also a teaching hospital in a prefecture-level city and a top-tier Grade III Class A hospital in a prefecture-level city.

Therefore, Li Changhong has sufficient technical expertise and knowledge reserves.

How old are you this year?

"You're over twenty-six!" Guo Ziyuan took out a scalpel: "Change to a round blade, it's a bit dull."

"One size smaller!"

The circulating nurse was called upon and immediately stood up to begin operating the instruments.

Seeing that Guo Ziyuan's surgery had finally come to a temporary halt, Li Changhong asked, "You're only twenty-six. Where did you learn all these techniques?"

"How come I've never heard of it?"

Guo Ziyuan let out a slow sigh of relief and joked, "I stole it."

"Steal? How do you steal? And with whom?" Li Changhong was completely bewildered.

Because that's what he does, he firmly believes that Guo Ziyuan's skills are extraordinary.

Zhou Yong finally approached: "Director Li, please stop asking these pointless questions."

"Learning by stealing is still learning. This Dr. Guo is a genius at the Provincial People's Hospital, and also in your orthopedics department."

Then, the dialysis machine finally arrived.

"Who needs dialysis?" a nurse specializing in dialysis called out as she walked in.

Guo Ziyuan stepped aside slightly: "This hand."

The nurse paused while pushing the dialysis machine, almost tripping and slipping a full 30 centimeters.

She pressed her waist against the machine: "I'm not joking."

"Really, I didn't ask you to come here as a joke."

"Just use sterile tubes to connect. I'll give you a rough outline of the parameters, and you can fine-tune them."

"It's this hand. Remember to prepare some blood components, not all gel," Guo Ziyuan instructed.

Seeing that everyone was just looking at her and no one was making fun of her, the nurse couldn't help but bite her own lip and touch her forehead.

"Are you really going to put it on this hand, and not on the patient?"

She had to check the doctor's orders to make sure she hadn't misunderstood them!

Guo Ziyuan was very certain of his opinion: "Yes, you can start now, just hand me the sterile tube."

The nurse's movements were a little stiff, but she still followed the doctor's instructions on the operating table.

"..."

Twenty minutes later, most of the parameters uploaded back by the dialysis machine had returned to normal.

The circulating blood volume in both hands is already low, and the circulating blood volume in a single hand, especially a severed hand, is even lower.

Therefore, the dialysis cycle is not as good as total dialysis!

"Shall we continue?" the nurse asked, looking up.

"Of course... wait a little longer, no rush." ​​Guo Ziyuan nodded.

Current dialysis only avoids reperfusion injury caused by limb reimplantation; it does not mean that the activity of the limb has been relieved.

What Guo Ziyuan is doing now is to increase the viability of severed limbs in an isolated state using dialysis equipment.

However, at that moment, someone suddenly stepped into the operating room.

"How is the patient? Is Dr. Li or Dr. Wang performing the surgery?"

After an unfamiliar voice drifted in, a middle-aged man walked straight to the changing table.

"Size 7 sterile gloves."

The people below the operating table looked at the newcomer, but did not recognize him.

Suddenly, Xiao Hongmeng asked, "Director Qin? What brings you here?"

The person who came was not from Yishi Central Hospital, but the director of the hand surgery department of Yishi First People's Hospital.

"Xiao Hongmeng, it was a friend who called me."

"They said one of his nephews broke his hand."

"Let me come and help take a look," the person called Director Qin replied hurriedly.

Director Qin quickly preemptively asked, "Isn't Director Li here?"

Li Changhong spoke up at this moment: "Qin Yu, was it the patient's family that called you? How come I didn't know?"

Qin Yu had already put on a sterile surgical gown and was putting on gloves when he said, "It's a friend of mine. I just came to check on him."

"Maybe he didn't inform you beforehand. I came over as soon as I heard the news."

"What's the situation now?"

"Why hasn't the bone been set yet?" Qin Yu frowned instantly when he saw the operating table.

"Hasn't the surgery already been going on for over forty minutes?"

Guo Ziyuan didn't recognize the person who came, but he had considered that the head of the hand surgery department of his own hospital might take the lead in the surgery, and he didn't expect that Chen Zhemin's family would call the head of another hospital to come up on stage.

Guo Ziyuan said, "There's no rush. We're dealing with the severed hand."

Upon hearing this, Qin Yu's eyebrows shot up instantly, and his tone became slightly explosive: "Li Changhong, are you kidding me? You called in this person to perform the surgery?"

"I was wondering why my friend called me."

Chen Zhemin was not asleep yet, nor was he under general anesthesia.

He quickly said, "Director Qin, right? I invited Dr. Guo to perform the surgery."

Chen Zhemin was a patient, and his voice came from a rather peculiar position, so everyone knew it was Chen Zhemin's voice.

After listening, Qin Yu remained silent for a while.

Then he silently put on his gloves without saying anything more.

Something unusual must be going on, and he didn't want to waste time on this matter.

After getting dressed and putting on sterile gloves, Qin Yu immediately approached the operating table.

Qin Yu pointed to the dialysis machine connected to the severed hand: "What's this for?"

Li Changhong: "I don't know either."

"Qin Yu, don't worry about it."

Qin Yu: "Director Li, Xiao Chen is my good friend's nephew!"

"I really want to ask you now, what exactly are you doing?"

"This needs to be explained clearly, right?"

Chen Zhemin: "Director Qin, Dr. Guo is performing a limb-saving surgery on me."

"Is this how limb salvage surgery is done? How come I didn't know that?"

Qin Yu immediately retorted, "Xiao Chen, don't worry about it, I'll handle it."

"Give me a syringe, I need to check my circulation activity."

"If there are no problems, replant it."

"What a mess!"

As Qin Yu spoke, he reached out to take the control panel.

Guo Ziyuan grabbed his right wrist: "Director Qin, please know some manners. You arrived later. This operating room has a chief surgeon!"

Qin Yu tilted his head and looked at Li Changhong: "Li Changhong?"

"Your people seem to know the rules very well?"

Li Changhong remained silent for a moment, then looked around and said, "Director Qin, this isn't one of my people, and I don't have that kind of luck."

"Right now, Dr. Guo is the chief surgeon. Whether you can go on stage depends on his decision!"

Li Changhong grabbed Qin Yu's other hand: "You're a surgeon too, so if you want to watch a surgery, then watch it."

"If you don't want to watch the surgery, you can go sit in the audience!"

Qin Yu's eyes widened immediately: "Li Changhong, can I understand that you want to oust me?"

"It wasn't me!" Li Changhong emphasized. "It was Dr. Guo who wanted you to step down."

"I am just Dr. Guo Ziyuan's assistant."

Li Changhong understood Qin Yu, and of course, he trusted what he saw with his own eyes even more.

Guo Ziyuan is skilled!

"But what are you doing?"

"Now it's a limb amputation; it needs to be reattached as soon as possible!"

"This, this..."

"This one." Qin Yu turned around and pointed to Xiao Hongmeng, who was standing motionless on the operating table.

"What are you all doing?"

Qin Yu said everything that Li Changhong had wanted to say, but Li Changhong couldn't say it that way.

Because someone called him before he went into the operating room.

Let Guo Ziyuan be the surgeon for this operation. Even if the sky falls, there's a tall guy to carry it.

Plus, Chen Zhemin himself agreed?

Li Changhong is not a relative of Chen Zhemin, and he has no right to interfere with the patient's freedom of choice.

However, Qin Yu seems to be suited to the role of intervention.

Qin Yu didn't recognize Guo Ziyuan, so he pointed at Guo Ziyuan and said, "Tell me, what exactly are you doing?"

"Who told you to do this?"

At one point, Guo Ziyuan felt an urge to storm off the stage. Qin Yu would then personally perform the remaining surgeries, which would also ensure a successful limb replantation.

Respect the fate of others.

However, Chen Zhemin did not choose his current fate.

Chen Zhemin chose to believe in himself. It was Chen Zhemin's other family members who, seeing that he was young, called another director to "save the day"!

Therefore, Guo Ziyuan cannot leave in a huff.

Guo Ziyuan really had no other options.

He then took the curved plate.

The curved plate contains the necrotic tissue that was removed from Chen Zhemin!

Guo Ziyuan used a knife to clean out the necrotic tissue...

Guo Ziyuan was operating on "inanimate objects" inside the bend!

So, no one stopped him.

About three or four minutes later, Guo Ziyuan tossed the wheel over: "Director Qin, if you can understand it, then look at it; if you can't, then take your time."

"Understand before you speak."

Qin Yu accepted the curved wheel that Guo Ziyuan handed him with some skepticism.

Then he glared at me.

It wasn't just his eyes that widened; his whole body widened!