System Came When the Doctor was Thirty Chapter 48: Commentary!~

Ergency Departnt, Operating Room.

Tong Yuan'an sat in the main operating position, eyes fixed on the surgical microscope, his hands moving swiftly yet thodically within the operating field, effortlessly smooth.

Lu Cheng sat at the assistant's position, clearly able to see the motion of Tong Yuan'an's needle holder and needle tip, steady when still, and arc-like when in motion.

His plump hands held the delicate microsurgical instrunts, moving like a nimble rabbit, operating with boldness and delicacy within the cramped field.

This was an unfamiliar suturing technique, which showed traces of the Modified Tang thod and so concepts of the Tsuge Suturing Technique.

However, Tong Yuan'an did not take the ti to explain to Lu Cheng what suturing technique this was.

Watching from the operating room, Chen Song was taken aback, silently sitting on a steel roller stool, gently shaking his head, with a complex expression.

Chen Song had understood from the ti he chose his specialty that in terms of surgical techniques and specific procedures, an ergency surgeon could never surpass a specialist.

Ergency surgeons focus only on hemostasis techniques, where the timing is extrely critical.

Hemostasis is a matter of life and death, occurring in a split second. It's not sothing that can be "perford," and often appears violent and bloody.

Chen Song never even considered the idea of comparing surgical techniques with Tong Yuan'an, only lanting the growing disparity in skills between them...

Peng Kun was also entranced, eyes filled with envy, his mouth moving under his surgical mask, causing it to rise and fall with his rapid breaths.

If he had Tong Yuan'an's skills, what would Lu Cheng amount to? And what about Xiang Dahong, the deputy director at the State People's Hospital?

He'd heard of a limb replantation surgery; could he cut off this hand and attach it to his own? In frustration, Peng Kun could only fantasize, and then pay attention to Lu Cheng's expression.

For Lu Cheng too, this was the first ti he delved deeply into understanding the intricacies of such operating levels. During basic training, Lu Cheng's fundantals were poor, so watching many professors' surgeries felt like a blur.

Lu Cheng, being in orthopedic basic training, had also visited the hand surgery departnt at Zhongnan Hospital.

Tong Yuan'an's operating techniques differed from those used by the professors at Zhongnan Hospital, yet his proficiency was not beyond them; compared to Professor Liu, it was even slightly inferior...

But after all, Tong Yuan'an was just an associate professor, while Professor Liu was a seasoned hand surgeon of many years.

After completing the tendon suturing, Tong Yuan'an lifted his round face: "Xiao Lu, please handle the remaining skin incisions."

Lu Cheng imdiately nodded: "Alright, Teacher Tong."

Once Tong Yuan'an put down the microsurgical instrunts, Lu Cheng took a deep breath, then sat upright, slightly squinting before using the microscope to begin operating.

Previously unused to operating through a microscope, Lu Cheng felt a bit awkward at first, but after handling the microsurgical instrunts a few tis, he beca familiar with the view...

Feeling sufficiently familiar, Lu Cheng used the micro-forceps to lift the skin's surface and began interrupted suturing.

Once Tong Yuan'an's face was lifted from the microscope, he imdiately focused on the microscopic view.

As a hand surgery expert, he knew very well how to evaluate soone's basic suturing skills, where the most basic skill was steady hands when lifting.

Even under magnification, no wrinkles should form. If this steadiness can't be maintained, one cannot beco a good hand surgeon.

Lu Cheng achieved this, as evidenced by his skilled operations.

If a person's hand isn't steady, handling surgical instrunts will result in many lines being folded, clearly visible under the microscope...

Then, Tong Yuan'an raised his head again, noticing Lu Cheng's frequent blinking, a clear sign of lacking formal practice.

Tong Yuan'an did not interrupt Lu Cheng, watching closely the suturing details.

The needle entry angle, choice of entry point, needle entry direction, exit angle, and the control of force during the entire process were all detailed, reflecting true suturing nuances...

The skin suturing process wasn't long, finishing in about ten minutes when Lu Cheng allowed Tong Yuan'an to complete the final stitch and cut.

After finishing, Lu Cheng moistened gauze with saline solution, wiped the wound area, and with satisfaction, spread the sutured wound edges to show Tong Yuan'an that all the stitches precisely aligned with the skin, maintaining tensile strength.

This demonstrated that the sutures were bearing force, with consistent depth, without any instances of tension slippage.

"Teacher Tong, can I apply the sterile dressing now?" Lu Cheng asked.

"Yes, go ahead," Tong Yuan'an confird after examining the details Lu Cheng presented to him, expressing no doubt.

In the departnt, even the most outstanding professional Ph.D. students don't possess such a level of suturing proficiency; anything beyond excellence is abnormal and hard to generalize.

Lu Cheng's current fundantal skills are solid, even better than mine at his age, and Tong Yuan'an could find no fault.

As Tong Yuan'an got up, removing his green sterile surgical gown, he comnted: "Xiao Lu, you have a foundation in hand surgery, but your eyes are not quite there."

"You blink too frequently; if you really want to specialize in hand surgery, you should be able to go one or two minutes without blinking."

"Practice is needed. Typically, until you shed a pound of tears, it's hard to master it."

"Especially during finger replantations, the timing for vascular suturing is fleeting. Missing it could an having to wait, so mastering the no-blink basic skill is essential."

"Moreover, with your current fundantal skills, the next step should be suturing the tail artery of athymic mice."

"The key to progress here lies not only in managing suturing details but also in knotting details, or else minor creases will arise between vessels, creating turbulence!"

"The mouse tail artery has a tiny diater, and blood flow isn't plentiful. If you knot in a way that restricts blood flow, it could significantly impact distal limb vitality."

"These are unacceptable..."

"However, with your current skill foundation, you're ready to start practicing the Tajima Suturing Technique."

"Once this surgery is over, I'll take you to your hospital's skills training room to explain the learning points of the Tajima Suturing Technique in detail."

As Tong Yuan'an spoke, his gaze turned to Peng Kun, his tone jesting: "Young Master Kun, do you want to join us?"

While Lu Cheng completed the suture dressing, he simultaneously applied an external plaster cast for stabilization.

Though tendon suturing ideally uses brace support, which is costly to custom-make and affordably available online, injuries are unforeseen, so a cheap plaster cast serves as temporary stabilization.

Peng Kun imdiately shook his head emphatically, his voice dulled: "Professor Tong, I'm afraid I'll pass, I probably can't learn it..."

"This task is best left to Brother Lu."

Peng Kun didn't even dare to compare learning speed with Lu Cheng; the thought never crossed his mind, primarily due to the vast difference in their fundantal suturing skills.

Even if Tong Yuan'an exaggerated one or two years, half a year is enough for Lu Cheng to learn, but by then, it would be too late.

Tong Yuan'an nonchalantly approached Chen Song, casually ntioning: "Old Chen, shall we discuss?"

Chen Song smiled, politely replying with a single word: "Gun!" (a playful, colloquial expression roughly aning "Go away!").