Parkes surgery is suitable for severe cases of Volkmann’s ischemic contracture; the surgical difficulty is high and demands much from the surgeon.
If the contracture is treated within six months to a year, when muscle and nerve function begins to recover, the results will be optimal.
However, if it involves children, it might take more than a year before the procedure can be performed.
According to Wang Yushan, the child’s condition is unclear, but judging from the healing effect, the injury must have happened over a year ago.
At this thought, everyone couldn’t help feeling even more disheartened. How could the family have done nothing about an arm fracture for a year?
And Chen Cang thought about the person outside the operating room—the only one who seemed to care about the child might be that homeless person.
With that thought, he couldn’t help but sigh.
If it hadn’t been for the presence of this group of experts today, could the surgery even have been possible?
Let alone him, who in Ammon could have performed it?
But now was clearly not the time to dwell on this issue.After some discussion, everyone highly approved of the Parkes surgical method!
Gu Hongmei took a deep breath, “The child is still young; perhaps the recovery will be much better than in adults!”
After preparations, while waiting for the lab results, Wang Yushan looked towards Chen Cang, “Prepare the dynamic splint, traction, preferably the specialist ones for hand surgery.”
Chen Cang’s face turned red at the words; their operating room had only been established recently and might not be prepared.
After some consideration, he picked up the phone and dialed the number of ‘Skill Book’ Tan Zhonglin.
Luckily spending the weekend at home, Tan Zhonglin was making dumplings with his wife. When he saw the call from Chen Cang, he quickly picked up and, upon knowing Chen Cang’s needs, put down his dumpling wrapper, shook off the flour from his body, and immediately set out.
His wife despised it, thinking back then she should’ve chosen the civil servant, Old He; by now, he had become a director!
However, it was just a joke from his wife. Being a doctor’s family member was never really a happy affair.
Don’t assume that marrying a doctor means you won’t have to worry about getting sick.
Actually, the truth is: if you marry a doctor, you should be more worried because… he might not even have time to care for you when you’re sick.
But between spouses, mutual support and understanding have always been the way things are, she turned around and called out to Tan Zhonglin, “Come back soon, I’ll save some dumplings for you.”
Tan Zhonglin smiled, turned, and left with a firmer step.
…
…
Inside the operating room, on either side of the patient, stood the “fantastic four” – Wang Yushan, Tang Jinbo, Chang Honglei, and Gu Hongmei.
They exchanged glances and nodded to each other!
Their eyes were filled with passion.
For the first time in over twenty years, they met, and it was on the operating table for such an important surgery.
They all knew this was going to be a tough battle and a test.
Wang Yushan cast a glance at Tang Jinbo, his eyes ablaze with combativeness, perhaps thinking that these years should have shown you where my progress lies!
Tang Jinbo simply smiled faintly, having never fallen behind over the years.
Chang Honglei and Gu Hongmei looked at the two of them and couldn’t help but sigh.
A leopard can’t change its spots; upon meeting again, they were still the same.
Neither would concede to the other!
Yet, it was this very tenacity that made Wang Yushan the head of the Metropolitan Sixth Hospital and possibly the next candidate for academician.
And it helped Tang Jinbo to create the Tang method and Tang’s zones, becoming a master renowned both domestically and internationally.
This surgery was a test for all four of them!
After anesthesia, Wang Yushan made a longitudinal incision along the volar midline of the child’s forearm…
Gu Hongmei stood to one side, adeptly controlling bleeding, while Chang Honglei began to isolate the skin flap. Due to the reduced and less elastic tissue after ischemia and the extensive adhesions between the deep fascia and muscles, dissection was very difficult; however, Chang Honglei’s technique seemed effortless yet was full of skill.
It impressed all onlookers, who couldn’t help but applaud!
This was no longer a surgery one person could perform; it required several people to operate together, with each detail needing strict control and handling.
“Electrical stimulator!”
“Separate the tissues!”
“Separation forceps…”
…
The tightly coordinated surgery and meticulous division of labor allowed everyone to play an irreplaceable role.
Every step of the operation drew endless praise from the surrounding people!
Even as a chief physician himself, Tan Zhonglin couldn’t help shaking his head, sometimes you just have to admit, the gap is indeed very clear.
Monitor muscle contraction!
Investigate the necrotic area.
Investigate the median nerve… the ulnar nerve…
…
…
Wang Yushan was indeed a formidable general, conquering cities and passing through challenges effortlessly.
Everywhere he went was crystal clear and plainly understood!
At that moment, Wang Yushan glanced over at Tang Jinbo.
Tang Jinbo smiled slightly and took over the scalpel!
Next, it was his time.
“Functional area reconstruction”
Muscle function reconstruction!
The excision and transplantation of extensor and flexor tendons.
The suturing of the long flexor of the thumb…
Every tendon was handled just right.
Each woven suture was incredibly clever.
The excision, transplantation, and repair of tendons!
In his hands, these acts were as simple as retrieving something from a bag.
If Wang Yushan was a general expanding territories, Tang Jinbo was the civil official enriching the country and ensuring the well-being of his people!
The collaboration between the two made the entire surgery extraordinarily exciting.
Similarly, the operations performed by Gu Hongmei and Chang Honglei were also extremely meticulous!
The entire surgery was like an all-star peak performance, everyone working towards a common goal.
Twenty years apart, reuniting on the operating table as brothers.
The rapport of two decades had never been forgotten.
The skills of the four surgeons left all the onlookers utterly enchanted.
What defines a master?
What defines a great expert!
This was it!
Jiang Tao and Li Yu were trembling, wondering when they too could stand at the operating table, commanding with such precision and authority!
And how could Chen Cang not feel envious?
For a long time…
For a long time…
The surgery ended.
After the patient was safely transferred, the four looked at each other and smiled.
This outcome was their best answer in twenty years!
Wang Yushan looked up at Tang Jinbo and couldn’t help saying, “Jinbo, you’re really incredible.”
“You are the best I’ve seen in reconstructive hand surgery!”
Tang Jinbo also looked straight at Wang Yushan: “In the field of orthopedic hand systems, you’re the only one I admire!”
In their eyes, there was not competition, but a sentiment known as mutual respect.
Neither of them were content to play second fiddle.
Neither was willing to work in the same place.
But in their hearts, they both knew that the other was very strong, incredibly strong!
Just then, Chen Cang heard a notification sound:
[Ding! For resolving the old generation’s hang-ups, you have obtained a perfect skill training: Scar Excision Technique!]
Chen Cang was momentarily stunned!
He looked incredulously at the golden Skill Book.
His heart was filled with immense excitement!
…
…
ps: Today I received many rewards from friends, thank you all very much. I’m deeply grateful and it warms my heart.
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