Chapter 226 The Unbreakable Magic
The main venue was so packed that a lot of simple stools were added behind the venue.
Those sitting in the back could not clearly see the people on the podium and had to rely on the hanging screen to see.
Qiangzi deliberately kept himself clean and tidy. He shaved his beard in the morning and bought clothes just a few days ago.
He was very grateful to the doctor for saving his arm with his superb medical skills, so he insisted on going on stage in person to demonstrate to more than 2,000 doctors how to replant the amputated limb, which was also a form of gratitude to the doctor.
The fire was raging, and he rushed in without even blinking. Now on the huge podium, he actually felt a little involuntarily stage fright. His girlfriend stood by the steps behind the podium, gesturing to him, come on!
In the conference room, a large screen was hung every dozen rows. At this time, the video focused on Hadron, and the camera zoomed in for a close-up.
Qiangzi rolled up his sleeves above the elbow joint, exposing a few scars, and then began to demonstrate the functions of his limbs.
The rotation of the forearm, the flexion and extension of the wrist joint, the flexion and extension of the elbow joint, the flexion and extension of the fingers, fast movements, slow movements, Hadron demonstrated them all. Dumbbells were used to demonstrate elbow and wrist flexion and extension, and small balls were used to demonstrate finger flexion and extension.
Six months ago, many doctors attended the National Orthopedic Traumatology Network Conference and still have fresh memories of five-segment reimplantation.
Watching this surgery at that time was like watching a blockbuster movie, with excitement and blood flowing.
Five-segment replantation, nerve anastomosis using difficult peritoneal suturing, and emergency free toe reconstruction for thumb defects.
Many people conclude that this is a face-saving project that only pursues the survival of the limbs and ignores the functions of the limbs. The useless limbs will eventually be amputated.
This idea is also reasonable. How can a limb broken into five parts be functional? The probability of survival is very slim.
But now, personal demonstrations from patients speak for themselves.
Live demonstrations are more convincing than words, pictures and videos.
The conclusion is right in front of us. The limb is not only alive, but also functional, and the function is very good!
This is not a face-saving eyeball surgery, but a perfect and extremely difficult replantation.
The nerve growth has now reached the wrist and will soon cross the wrist and reach the hand.
Once the nerves reach the hand, they control the intrinsic muscles of the hand, and the thumb-to-palm function is restored, and the basic functions of the hand are restored. If the nerves can still reach the fingertips, the function of the entire limb can be restored to 80 to 90%.
This is a miracle, an absolute miracle!
The meeting had just begun, and the entire venue became agitated. Some people thought that the screen was unrealistic, so they boldly left their seats and walked forward, but were stopped in time by the usher at the venue.
The guests in the front row were no longer reserved and whispered to each other.
Meng Heng, Fu Shancheng, Professor Su and Director Han sat together. Meng Heng admired him sincerely: "Old Han, you have created a miracle and pushed the replantation of severed limbs to a new peak."
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"To be honest, I never had any hope for the function of this surgery, but now it seems that the function has recovered so well. Depending on the progress of nerve growth, it should be no problem to reach the hand." Fu Shancheng said frankly.
Director Han was very happy. He and Director Tan talked about this operation in order to ignite the excitement of the meeting. It seems that the purpose was achieved.
"My eyesight is bad now. This surgery was performed by a young man, Xiao Yang." Director Han tapped his fingers gently and rhythmically on the table and said with a smile.
Xiao Yang? Isn't he the student introduced by Lao Han last night? The future life is terrible!
Last night, Director Han introduced these big guys to Yang Ping one by one.
These big guys didn't pay much attention last night. They just shook hands symbolically and dealt with it. Now they all have the idea of getting to know Yang Ping again.
"This young man is a good prospect. If he hadn't been a student of Lao Han, I would have poached him a long time ago." Professor Su said.
Everyone knows that Professor Su loves talents. If Professor Su can appreciate him so much and have the idea of poaching, he must be extremely talented.
The foreign guests' eyes widened. They could not imagine this kind of surgery. In their hospital, such a bad case could only be trimmed and replanted! Not even trying.
"Oh! myGod, it's incredible!"
Dr. Fleming from Israel stood up, put his hands on the table, and exclaimed, Chinese hands are so dexterous!
As a trauma surgeon, Fleming came to China for the first time. The five-segment replantation mentioned in the invitation attracted him. He wanted to come and see what kind of miraculous surgery it was.
Dr. Shedra from India, holding on to his glasses, also stood up and moved forward. His white face glowed red, perhaps due to the dilation of blood vessels caused by excitement.
This broke his cognition. He knew that replantation of amputated limbs in China was very powerful, but he did not expect it to be so miraculous.
People from Singapore, South Korea, Hong Kong, Macao and Taiwan are all talking to each other. They are all peers, and the difficulty and effect of the surgery are all there.
Miyuki Fujiwara watched the video on her tablet so that she could see it more clearly. She pulled up the surgery video provided by the hospital and watched it.
The operation was superb. Suturing the perineurium was easier than suturing the skin. The surgeon's confidence and boldness made the operation seem very light.
Takahashi finally became interested. After watching the demonstration, the nerve had already crossed the two anastomoses on the forearm, and there was no loss.
He called up the patient's information on the tablet. Based on the regularly reviewed electromyogram values, Takahashi drew a statistical line on a note. He had done in-depth research on the prediction of nerve growth. Based on this statistical line, , to determine how much room the nerves have for recovery.
The complete statistical line is drawn, and Takahashi's pen tip moves virtually along the statistical line. It is a bit unbelievable. According to this statistical line, there is no plateau in neural growth, and it can reach the fingertips.
If the EMG is real, then this patient can get excellent results, how is that possible?
Takahashi raised his hand and Director Tan invited him to speak. Takahashi stood up and picked up the wireless microphone in front of him.
In order to match Miyuki Fujiwara, he wore a beige and white plaid suit with a dark red printed tie, which looked very fashionable.
Daniel, Takahashi!
In the venue, countless adoring eyes immediately focused on him, and the screen also switched to a close-up shot.
Usually I can only read his papers and see the books he wrote, which are translated. Now that the real person is standing here, how can I not be excited.
Just like a Japanese comic fan meeting Hayao Miyazaki, they are somewhat excited.
What is Daniel planning to do? Is he going to put forward any unique insights? Everyone will wait and see.
"Is this Fumiya Takahashi from the University of Tokyo Hospital?"
"He's really here?"
"A world-class trauma surgeon." "We will ask him to take photos during the coffee break."
“It was worth the trip.”
——
Takahashi, the person with the highest reputation and academic status in the entire conference.
"Professor Tan, can you allow me to come on stage to check this patient's limb function?" Takahashi said in Japanese.
Director Tan can understand some Japanese, but he is not proficient in English after all. Moreover, the meeting has been agreed in advance and all communication will be in English. Takahashi's English level is very high. He always uses English in meetings in Europe and the United States.
Now he speaks Japanese frequently, and Director Tan is a little dissatisfied with his arrogance. From the first meeting and shaking hands, it can be seen that he is always condescending, and even shaking hands is just a scratch.
"Mr. Takahashi, I'm sorry, I didn't understand what you said. Could you please use English or Chinese?"
Director Tan has no intention of accommodating him. Although Director Tan is not a world-famous master, he is also arrogant and proud, and he also has the character to do whatever he wants. How can he be allowed to do whatever he wants? This is his own territory, and he is the host today. , you have to listen to me.
Takahashi shrugged and had to repeat himself in English.
"Mr. Takahashi, I would like to go on stage to check this patient's limb function in person." Tang Fei translated to the participants.
"Of course!" Director Tan spoke directly in English.
Director Tan knew that Takahashi did not believe in the effect of this surgery, which could be seen from his attitude and eyes.
Takahashi put down the microphone, adjusted his suit, turned around and bowed to greet the delegates at the venue, and then strode towards the podium.
He bowed slightly to Qiangzi: "Excuse me, I am Dr. Takahashi. Please allow me to conduct a detailed examination of your limbs?"
Tang Fei also came over to help translate.
Qiangzi nodded and stretched out the replanted limb, the right upper limb.
Takahashi smiled, unbuttoned the cuffs of his shirt in his suit, rolled up the sleeves of his hands slightly, and then rubbed his hands to generate a certain temperature in them, looking very professional.
He began to perform Tinel tests to determine where the nerves reached, with skillful and delicate techniques.
The median nerve, ulnar nerve, and radial nerve actually reached the wrist at the same time, which means that the growth rate of the three nerves is very stable and linear, and they reach the expected destination at the same time, which is consistent with the tendon diagram examination.
Takahashi frowned and began to check the flexion and extension of the wrist joint. Compared with the healthy side, there was no obvious loss of range of motion, and the muscle strength reached the fifth level standard, indicating that the quality of the muscle-tendon anastomosis was very high, and there was a lot of healing of muscle fibers and tendon fibers. Scar healing is minimal.
Then check the ulnar and radial deviations of the wrist joint. Most people only pay attention to flexion and extension, but not the ulnar and radial deviations.
The ulnar and radial deviations of the wrist joint can test the tension adjustment after tendon anastomosis. With so many tendons and so many broken sections, tension adjustment is very difficult.
Just like car chassis tuning, if you use cheap low-level suspension to adjust the chassis for the track, the master will be helpless.
The ulnar and radial deviations are actually very good. The tension of the tendons has been excellently adjusted from front to back and inside and outside. The poor chassis has been adjusted to produce a track effect.
There are five fractures, four of which are tendon-tendinous connections. It seems impossible not to produce adhesions.
Takahashi checked the movement of his fingers. Whether it was flexion or extension, the range of movement could reach the limit. There were no adhesions in the tendons and they slid smoothly.
The surface temperature of the limbs indicates the degree of blood vessel patency, arterial supply and venous return. Poor performance in any link will cause changes in surface temperature.
If the patency is poor and the surface temperature of the limb is slightly lower, this difference will not affect the survival of the limb, but it can easily cause chilblains in the severe cold winter.
Takahashi stretched out his hands and touched both sides of Hadron's limbs, from fingertips to palms, then to wrists, all the way to the elbow joints. He carefully felt the difference in temperature.
"Do you have a skin temperature measuring device?" Takahashi asked.
His rigor cannot be denied. Director Tan waved. Dr. Che from the Rehabilitation Department stood by the steps behind the podium. Seeing Director Tan's gesture, he immediately ran over. He had already prepared a percussion hammer, tape measure, and skin temperature measuring device. .
"Mr. Takahashi wants a skin temperature measuring device!" Director Tan told Dr. Che.
Dr. Che immediately sent the skin temperature measuring device up. Takahashi took the skin temperature measuring device and compared it on both sides. He measured the skin temperature point by point. The difference on both sides was within the allowable range.
"Drop your hands and relax!"
Takahashi spoke in English, and Tang Fei helped translate.
He needs to observe whether the resting position of the hand is normal. The resting position indicates the size of the muscle tension and the static balance of the muscles and tendons.
Comparing the left and right, the resting positions of the hands are surprisingly consistent. It is almost impossible to completely adjust the resting position to normal.
Takahashi performs this kind of surgery himself, giving priority to adjusting dynamic balance, and directly abandons tension adjustment in the rest position, because you can't have your cake and eat it too, so you can only choose bear's paw, but this surgery achieved both. .
According to the current situation, more than 90% of the function of this limb can be restored.
It's unbelievable!
Could it be that they are pretending to be a patient who has not lost a limb?
Takahashi continued to examine. The patient's hands, thenar muscles, interosseous muscles, and lumbrical muscles all atrophied. The skin on the hands was denervated, smooth and dry. It did not look like a fake. It is difficult for fake patients to Simulate this denervated skin state.
The entire examination process was zoomed in on the screen with close-up shots, and all the doctors in the room observed a physical examination performed by a world-class expert.
Professional, delicate and smooth, every inspection can achieve the expected purpose. He is worthy of being a world-class expert. Simple things can also create depth.
There was no flaw in the magic, it was an unbreakable magic trick. Takahashi was a little disappointed. He gave Director Tan a thumbs up and returned to his seat.
"Takahashi-kun, you don't seem very happy?"
"No, I'm in a very good mood."
Takahashi put down his rolled sleeves.
Last night, the second-line class was summoned by the department for surgery. Several surgeries were removed this morning, so I just made up for last night’s surgery. I’m sorry everyone! bow! I have to take a nap during the day and continue to update tonight——
(End of chapter)