Chapter 747 - 371: The Direct-Dialogue Surgery

"You young people's world, I can no longer understand it!"

"If it were up to me, I would have finished the surgery half an hour ago. I'm not as tenacious as you." Xie Xiao chooses to side with her colleagues in the surgery room.

After another full forty minutes, Lu Cheng completes the "reconstruction" again.

Mu Nanshu again performs a series of actions, such as finger flexion and extension.

It appears not too different from before, yet this activity level seems to be what Lu Cheng is quite satisfied with this time.

Lu Cheng then opts to suture, followed by starting the repair of the middle finger.

Mu Nanshu's middle finger was less severely impaired in mobility, so the surgery proceeded quickly, taking just one and a half hours to reach Lu Cheng's most satisfactory point.

Once everything is satisfactory, Lu Cheng lets out a long breath.

"Physiological saline, rinse, prepare for suturing, bring me the 5-0 sutures!" Lu Cheng instructs.

Xie Xiao and the others are already unfazed.

Having seen Lu Cheng complete such incredible procedures before and now choosing to use 10-0 sutures for soft tissue and skin to reduce scarring, they aren't surprised.

At this point, Xie Xiao makes a request: "Director Lu, could you let us observe the surgical details?"

"Just for a look. We won't touch anything."

Lu Cheng thinks seriously for a moment, then shakes his head: "No, I'm worried it might disrupt the nerve suture junction."

"Then just give them a glimpse, let fellow colleagues take a look."

"Is this doable?" Xie Xiao persistently winks at Lu Cheng in hopes he would give some leeway.

This is also to help Lu Cheng build connections.

"I agreed." Mu Nanshu replies before Lu Cheng.

Lu Cheng instinctively taps Mu Nanshu lightly with the tweezers in his hand, blaming her for being meddlesome.

However, she was under local anesthesia and couldn't feel the tapping.

Otherwise, the anesthesia would be considered a failure.

Only then does Lu Cheng nod, and Xie Xiao steps aside.

Xie Ziyuan and others then begin observing the surgical operation details, with Lu Cheng assisting them in opening the incision.

The manipulation outside a microscope and the subtle observation under a microscope are completely different.

The reason why hand surgery needs to rely on a microscope is due to its extremely intricate details.

Xie Ziyuan doesn't waste any time, only looking for a minute and leaving with two words: "Admire!"

After giving up his spot, Xie Ziyuan tells the people below: "If I were Professor Xie Xiao, I would probably have had a mental breakdown during the surgery."

"This entire operation, from beginning to end, could be said to be a pinnacle of individual manipulation."

"Almost no one can surpass it."

"Furthermore, since the entire operation was performed by Director Lu, no one in the country can replicate it."

Xie Xiao, having seen the surgery, asks: "Professor Xie Ziyuan, is it possible, given Director Lu's functional reconstruction skill is a new concept, that's why no team can replicate it?"

"World-class anesthesia, world-class debridement, world-class suturing, world-class reconstruction!"

"I originally thought Director Lu's proposed functional restoration was exaggerated."

"But now, on second thought, we should be more cautious in calling it functional enhancement skill."

"Yes, that's functional enhancement skill."

Although Xie Xiao isn't among the top-tier individuals in hand surgery, he is somewhat well-known.

Mutual admiration in the commercial world wouldn't make Xie Xiao say such things.

If it were mere commercial flattery, Xie Xiao saying this would actually be an act of killing with praise.

People in the audience also begin washing hands, donning gowns, and heading onstage.

At this moment, Lu Cheng is no longer so unaccommodating.

Even when Professor Liu Guocheng returns to the stage for a closer look at the details, Lu Cheng doesn't get angry; instead, he cooperatively exposes the details to the fullest extent possible, ensuring no harm.

Another half-hour passes.

Lu Cheng begins to suture.

Lu Cheng's operation remains meticulous and slow, each stitch seemingly carefully thought out.

Thus, when Lu Cheng finishes the subcutaneous sutures, Mu Nanshu's skin edges are already tightly aligned.

Ensuring thorough and effective hemostasis, Lu Cheng directly says: "Bring me a small caliber stapler."

"Isn't this problematic?" Xie Xiao, as the first assistant, initially rejects Lu Cheng's suggestion.

"Director Lu, it's really unnecessary to take such a risk just to minimize the outer scarring."

Lu Cheng seriously thinks it over and then accepts Xie Xiao's advice: "Alright, then use a 4-0 cosmetic suture."

Lu Cheng genuinely doesn't have absolute certainty about suture-less in the finger area.

However, he is confident about cosmetic suturing!

Cosmetic suturing also doesn't require removing stitches.

While suturing, Xie Xiao asks: "Director Lu, would you choose casting or aluminum plates?"

"I don't think it's necessary. What I've done is tendon repair, not a positional shift post-tendon resection."

"Tendon, nerve, and bone haven't anatomically ruptured according to principles, so there's no worry about postoperative potential rupture of these structures."

"Early functional activity training can preserve more of the patient's function."

Xie Xiao nods: "That's indeed the case. Compared to traditional tendon repositioning, such direct and fitting correction is most appropriate."

"However, for general individuals, the repositioning technique is still more suited."

As the surgery nears its end, the operating room finally erupts: "Tendon transfer involves local resection and reconnection of different tendons, replacing the original tendon contraction trigger point with another tendon function."

"This requires altering the original force and activity driving force."

"Director Lu's functional reconstruction skill has prerequisite conditions."

"Tendon function must be intact, nerve function must be near normal, only then can this functional reconstruction skill be used."

"If it's a patient with thorough tendon function damage, tendon transfer is still needed to reactivate the fundamental function of the tendon."

"Hey, observing visually, being able to directly communicate with the surgical patient, allows immediate correction of surgery."

"Isn't this local anesthesia technology the essence behind completing this surgery?"

"I still don't know how Director Lu came up with it; this anesthetic approach must not err in the slightest."

"Any slight deviation in dosage could hinder surgery completion..."

"Beyond theory, beyond operation."

"Even after witnessing the entire process, no one can easily replicate it."

"Just overcoming the anesthesia hurdle is impossible..."

"Could nerve blockage achieve the same effect?"

"Nerve blockage is a widespread blockage of the peripheral nerve root, preventing pain conduction, severing the reflex arc..."

...

Lu Cheng continues meticulously completing his suturing operation.

Sixteen minutes later, Lu Cheng completes the incision suturing of two fingers, at an excellent pace.

Nonetheless, there is a benefit to being slow.

That is, after Lu Cheng finishes the suturing and tidies up the cosmetic suture, Mu Nanshu's fingers only display two thin incision lines.

Beyond that, no other operative traces are visible.

The second characteristic is that the originally slender fingers have become swollen thick fingers.

Mu Nanshu's index and middle fingers are noticeably larger than the other fingers by several sizes...

"Gauze, bandage, ice pack." Lu Cheng commands the circulating nurse once again.

These words also announce the complete end of the surgery.

The circulating nurse follows instructions one by one.

Mu Nanshu has no other specific conditions; lying in bed, still wearing short sleeves, with local anesthesia!

So, her right hand only looks somewhat dim.

Yet Lu Cheng still arranges for her to lie flat on a gurney when leaving the operation room.

Lu Cheng and the anesthesiologist, along with the circulating nurse, personally escort her.

After Lu Cheng and Mu Nanshu leave the operation room, the operating area finally explodes with questions.

Someone asks: "Professor Xie, is that girl Director Lu's lover?"

"Yes, and with childhood companionship, childhood innocence, newlywed bliss, all those buffs." Xie Xiao replies to the inquisitor.

"No wonder, I thought Director Lu seemed well-mannered yesterday, but today it's as if he ate gunpowder."

"Even toward Professor Liang, he's shooting from hip and mouth."

Liao Fan, the professor from Xiangya Hospital, grabs his hat, squeezing bitter melon eyes: "Shooting from hip and mouth is nothing; he even wants to single me out and engage in group fights."

"Professor Xie, today's situation indeed wasn't suitable for livestreaming."

Xie Xiao says: "It's the first time I've seen the prickles on Lu Cheng this long; may all fellow colleagues understand."

"I apologize on behalf of Lu Cheng for his previous rude remarks."

As Xie Xiao finishes speaking, a tall and slender man from the Anesthesiology department chuckles, his tone carrying a Beijing accent, inquiring Xiangya Hospital's Du Doyao:

"Not listening to the chief surgeon on the operating table, well, I've broadened my horizon."

"Is it that Xiang Province and E Province have different rules, or are these individuals special competitors?"