Healing Doctor

Chapter 362 Human Awakening

After cleaning the bursa, Ji Xiang reached out.

Three seconds later, Ji Xiang's hand was still empty. It was obvious that Tang Yan was far less skilled at assisting with orthopedic surgery than she was at assisting with urological surgery.

Ji Xiang narrowed his eyes. "Probe."

"What's the reason for needing a probe?" Tang Yan asked as she handed the probe to Ji Xiang.

Ask questions when you don't understand, so you can cooperate better in the future. This is Tang Yan's philosophy, and there's nothing to be embarrassed about.

"First, determine the outer and anterior edges of the acromion."

As Ji Xiang spoke, the probe entered through the working path and began a careful and detailed investigation.

"Second, assess the acromion ridge."

"Third, identify the coracoacromial ligament."

Fourth, assess the integrity of the rotator cuff structure.

Fifth, determine the position of the acromioclavicular joint...

With each sentence Ji Xiang spoke, he completed an assessment.

The overall movements are simple, clean, and efficient, with each step having a clear direction; wasted effort equals zero.

Whether Ji Xiang is smart or not is unknown, but Director Bai and Deng Chaohong both know that Ji Xiang is incredibly clear-headed, the clearest of them all.

How many surgeries would it take to achieve this!

Moreover, it requires extremely high comprehension; an ordinary surgeon could never reach Ji Xiang's level in his entire life.

"Dr. Deng, please come here. I've finished treating the bursa, and there's scarring and thickening in the coracoacromial ligament." After Ji Xiang finished his examination, he saw Deng Chaohong when he pulled out the probe. Deng Chaohong moved to the side of his leg to make room for the surgeon.

"Dr. Xiao Ji, can you finish?" Deng Chaohong asked with a serious expression.

"able."

"Then you do it, and I'll watch."

"Teacher Deng, isn't this inappropriate?" Ji Xiang said.

"What's wrong with that? I'll take care of things if anything goes wrong." Deng Chaohong's mind was filled with the bursa enlargement and debridement surgery that Ji Xiang had just performed. Subconsciously, he had already regarded Ji Xiang as an equal, or even slightly superior, surgeon, and had forgotten his identity.

Ji Xiang didn't stand on ceremony and reached out his hand, "Radio frequency vaporization device."

"What's next?" Tang Yan asked.

"Releasing the coracoacromial ligament." Ji Xiang held Tang Yan's hand and adjusted the mirror to a different angle so that the surgical field could be positioned as needed.

Even through two layers of sterile gloves, Tang Yan's heart still fluttered.

But she quickly regained her composure and focused on the surgery.

"For ordinary patients or those with severe conditions, the coracoacromial ligament needs to be severed." Ji Xiang explained to Tang Yan while looking at the TV screen and using the radiofrequency vaporization device to loosen it. "But the patient in front of us is an athlete, so it's best to perform a release if possible."

"Will cutting it off have any impact?"

"For ordinary people, there's no particular impact. If it's a contest, there will definitely be some impact, but it's not serious."

As Ji Xiang spoke, he had already separated the acromion insertion of the coracoacromial ligament to the deltoid muscle insertion.

The release surgery was simple and pleasant, and Deng Chaohong watched with great satisfaction.

Ji Xiang's movements looked simple and decisive, but Deng Chaohong knew that if the separation was perfect, the muscle fibers of the deltoid muscle should not be damaged.

The distance between muscle fibers and ligaments is almost zero, so if you were doing it yourself, you would definitely be extremely careful. Even so, it's hard to guarantee that you won't damage the muscle fibers of the deltoid muscle.

But Ji Xiang completed the dissection with extremely fast speed, and the deltoid muscle fibers were clearly visible on the TV screen, completely undamaged.

With just this one skillful dissection, he could secure a place in the domestic surgical field. Deng Chaohong stared blankly, his face solemn.

He had hoped that Ji Xiang could demonstrate the same level of expertise in urology under his supervision, but he was also wary that Ji Xiang would treat him with the same arrogance and domineering attitude he had shown towards General Manager Wu.

During this period, Ji Xiang kept a low profile, to the point that Deng Chaohong thought Ji Xiang was only good at urology.

I never expected that their orthopedic surgery would be so good!

After the stripping was complete, Ji Xiang slapped the radiofrequency vaporizer aside, reached out and grasped Tang Yan's hand, changing the angle of his hand.

"here."

Ji Xiang said in a deep voice.

"To determine the size and extent of the subacromial spur, the camera must be aimed at the anterior outer corner of the acromion, and the long axis of the camera must be parallel to the lower edge of the acromion."

"Hold on tight, and make sure it's parallel to the ground."

After Ji Xiang finished explaining, the camera angle was changed, and the lower edge of the acromion bone was seen to be "hooked", so he was ready to perform acromionoplasty.

No one spoke in the operating room; it was completely silent.

If someone else were to casually "touch or grope" you, the circulating nurse and anesthesiologist would definitely say something.

But Ji Xiang explained his intentions first. Although no one knew why Ji Xiang had to explain so clearly to Tang Yan, no one cared about the slightest contact, especially since there were two layers of gloves between them.

Director Liu remained uninvolved; he had no interest in learning orthopedic surgery, nor did he share Director Bai's concerns.

He was called an old rogue for saying a few words, but when Ji Xiang got involved, nobody said a word. It's indescribable.

He looked at Ji Xiang with a smile. This kid learned to hide his talents very quickly, much faster than expected.

Not bad, quite good.

Unaware of the emotions of others, Ji Xiang confirmed the location through the camera and began to use the blunt tip of the radiofrequency vaporizer to clean the scar tissue near the subacromial spur, fully exposing the bony structure.

Then finally, the plane was used.

Ji Xiang worked on the bone structure little by little, starting from the outer edge and working backward and inward to remove the excess bone until the lower edge of the acromion was restored to a flat state.

Others were just watching the spectacle, even highly skilled practitioners like Director Bai and Director Liu were just watching the spectacle.

Deng Chaohong, however, saw the intricacies of the matter.

The more he looked, the more astonished he became; Ji Xiang's surgery was truly breathtaking.

When using a planer to remove bone spurs, there is a limit. If the area of ​​the acromion is not large enough, the pathological basis of impingement syndrome cannot be completely eliminated, even though the knots have been cut. If the area is too large, it may result in less remaining bone in the acromion, making the bone too thin and prone to fracture later.

The specific choice depends on the practitioner's skill level and understanding.

He stared intently at Ji Xiang's actions, his eyes wide with disbelief, harboring many questions about Ji Xiang's choice.

It wasn't that Ji Xiang made a mistake, but even though Deng Chaohong had performed hundreds of similar surgeries, he couldn't understand why he made that choice in a short time.

Not only that, Ji Xiang's acromion reconstruction surgery results in a smooth and rounded appearance, like a work of art.

The surgery ended quickly. After rinsing and repairing a few points, Ji Xiang announced the end of the surgery.

Director Bai didn't say anything, and pulled Director Liu away.

Upon entering the locker room, Director Bai said, "Old Liu, you see?"

"I see it," Director Liu said. "This is the best acromion reconstruction I've ever seen."

"What I mean is, Dr. Ji is a great candidate for surgery. Not only is he good at urological surgery, but he is also good at orthopedic surgery."

Both of them sensed the solemnity in Deng Chaohong's eyes during the surgery and deeply understood his shock and bewilderment.

A few months ago, Director Liu did the same thing.

Director Liu thought for a moment, then sighed, "I'll hurry up and get Xiao Ji's article published in the Chinese Journal of Urology and the Provincial Natural Science Foundation. Could you also give it a push?"

(End of this chapter)