Chapter 21: One-time Repair, Long-term Warranty
Translator: 549690339
Tendon suture did not need to be performed in the operating room, it could be completed just in the treatment room.
But this placed extremely high demands on the doctor!
Chen Cang did not seek help from a nurse, but wanted to ask Qin Yue for assistance.
As a surgeon, Qin Yue’s skills and techniques were fairly reliable.
At the moment, Qin Yue was writing up medical records; upon seeing Chen Cang approaching her, she couldn’t help but glance at his lower body…
Chen Cang shivered involuntarily.
It seems true that nine out of ten cute girls are fangirls!
“A police officer just came in with a serious tendon injury to the arm. I’m preparing to suture it, can you assist me?”
Qin Yue immediately stood up, “Tendon? Police officer? Somewhat serious?”
Correct, when these three words came together, it naturally formed a story.
Chen Cang nodded, “Hmm, it’s not light. Director An is in surgery and can’t come down, Director Li went out for a meeting, we’ll do it!”
Qin Yue nodded. An ordinary tendon suture wasn’t that difficult, so she didn’t think too much about it!
But…
She had seriously underestimated Chen Cang’s audacity.
The moment Qin Yue walked up to Wu Gang and lifted the gauze,
her already large eyes widened like those of a fish!
This was “somewhat” serious?
Wasn’t your “somewhat” a bit too much?
The entire inner side of the arm’s tendon was severely damaged, and you told me it was just somewhat!
Moreover, suturing so many at the same time, the probability of avoiding adhesion was basically zero!
Once adhesions occurred, the consequences were unthinkable.
What did that mean?
If these sutured tendons adhered to each other, as well as to the surrounding tissues, not to mention shooting, even eating and using chopsticks would pose a severe problem.
After all, each tendon controlled something different.
Furthermore, the biggest difference, or rather the greatest difficulty in suturing tendons compared to skin, was that the material of the tendon was not like that of skin.
To give an example, if the material of skin was like fresh tofu, then tendon would be like fish tofu.
Hmm, the example was not quite accurate!
But the principle is the same: the elasticity and tension of the tendon meant that your needle had to enter swiftly, accurately, steadily, and forcefully, without hesitation; every moment of hesitation increased the likelihood of adhesion.
The possibility of adhesion would be much higher during the later recovery period!
So… Qin Yue really couldn’t fathom why Chen Cang dared to suture such a tendon.
Seeing Qin Yue’s expression, Wu Gang couldn’t help but give a bitter smile, “Doctor, does this mean I’m beyond help?”
Qin Yue shook her head hastily, “No, Doctor Chen is very skilled at tendon suturing!”
Having said that, Qin Yue pulled Chen Cang out of the emergency room.
“Are you insane? With this condition, you still think you can suture?” Qin Yue’s eyes widened as she looked at Chen Cang.
“He’s a police officer, if you mess this up, do you understand how big a responsibility you’ll have?”
“Let me tell you, Chen Cang, if you don’t do this well and get into big trouble, do you understand? Not just about getting permanent status, you could even be fired!”
Qin Yue was somewhat anxious, “Don’t you see the situation we’re in? To speak frankly, in the entire Anyang City of Dongyang Province, there are no more than three who can do it well! Do you get what I mean? Even Director An Yanjun can’t guarantee it.”
“Send him away! Send him to the Provincial People’s Hospital, let the President Liu of the Provincial People’s try, if that doesn’t work, only Beijing is left.”
Chen Cang shook his head, “It’s no use, didn’t you see the color of his blood? The vascular damage is obvious. If the hand doesn’t get blood supply in time, those nerves will definitely be damaged, and the tendon recovery cannot be delayed much longer. Even if we send him to Beijing now, do you think the recovery will be any good?”
Qin Yue was somewhat annoyed, “But it’s none of your business, is it? You’re just a junior doctor! An intern, a temp, big brother! You think you’re the chief or what. This is not the time for you to show off your skills.”
Chen Cang shook his head, “I can’t just stand by and watch him die.”
Qin Yue, “You’re wasting your efforts even if you save him, how can you do it when it’s so difficult?”
Chen Cang, “I can!”
Qin Yue snorted coldly, “Ha! You… you’re stubborn! You’re just like your teacher. If you can do well, no, this isn’t about whether you can do it or not!”
Chen Cang, “Let’s go, to the treatment room! Stop wasting time.”
…
…
Tendon repair must be performed under painless conditions, and the material of the tendon is not as simple as flesh, which inherently increases the difficulty of the doctor’s suturing.
The anesthesia method used was brachial plexus block anesthesia. Chen Cang did not call an anesthesiologist, because he and Liu Jian had learned a lot about brachial plexus block anesthesia. This kind of anesthesia was not very difficult, and if it were lower limb anesthesia, Chen Cang definitely wouldn’t dare to do it himself.
He would have to let an anesthesiologist take charge!
After all, the risks of anesthesia were still very high.
After the anesthesia, Chen Cang took a deep breath, still somewhat nervous. Although wearing gloves, he instinctively rubbed his palms together, time to start!
Compared to Chen Cang, Qin Yue was even more worried to death. After all, this was a job that her teacher, Shi Na, couldn’t guarantee to complete, let alone him, a little rookie who hadn’t even transferred careers yet.
Looking at the confident Chen Cang, two words flashed in Qin Yue’s mind: Utterly fearless!
Picking up the irrigation tube, he began flushing with saline.
After flushing, Chen Cang’s conviction shifted, and his eyes changed.
Before his eyes were all red names.
[Abductor Pollicis Longus Tendon]
[Flexor Digitorum Superficialis Tendon]
[Flexor Carpi Tendon]
…
All of these were red. Chen Cang pinched an [Abductor Pollicis Longus Tendon], and immediately a burst of information appeared.
[Ruptured Abductor Pollicis Longus Tendon: lv17, a severely ruptured abductor pollicis longus tendon monster, a rare monster! The tendon was fiercely broken and damaged by the intense impact of iron sand, and while the tendon ruptured, the tendon itself received heavy damage. Suggest debridement, repair, and suturing.]
The abductor pollicis longus tendon was the most severe, on the back of the wrist, two conspicuously broken tendons were empty and gaping.
The difficulty was somewhat high.
At this moment, Wu Gang couldn’t help saying, “Junior doctor, you don’t need to be nervous, when I was about your age, on my first mission, seeing a murderer made me lose my nerve completely. But what’s there really, hasn’t everyone come out step by step, especially us from the village; we need to fight harder. By fighting we have a chance, without it, there’s nothing.”
“You rest assured, I’m entrusting my hand to you today. I have an idea of the risks myself; even if it were handed to a specialist, it would be the same. We had a guy in our team before, his tendon was cut by a knife, and now he can’t shoot a gun. Let alone how I am now, at that time, it was a specialist from the province who did the surgery.”
“Whatever the outcome, I don’t mind! After all, we both serve the people, right, haha…”
Although he said it casually, Wu Gang had a clear understanding of his situation.
In their line of work, there was always a high level of risk.
He had seen too many people with tendon damage. The scary part wasn’t now, but these kinds of injuries would worsen over time, especially since adhesion after tendon repair was a significant issue!
This was almost like an occupational disease in their profession.
Chen Cang smiled, “I can suture it well for you, rest assured. You have a long career ahead of you, and besides, one-time repair, long-term warranty!”