[Explanation] On July 24, at the Orthopedic Center of the First People's Hospital of Suining City, Sichuan Province, a doctor was changing the dressing of the patient. His hand movements were dexterous and natural, and he could hardly see any recent surgery. He is the "ruthless man" who used his left hand to perform manual surgery on the right, which has caused heated discussion among netizens recently-orthopedic surgeon Zeng Jianghua.
[Explanation] It is understood that in May 2020, 35-year-old Zeng Jianghua suffered continuous pain in his right hand due to tenosynovitis of radial styloid process. Initially, he chose to wear a fixed brace and conservative treatment, but his condition was not relieved, which once affected his work. After careful consideration, Zeng Jianghua decided to eradicate the root cause of the disease through surgery. Considering that traditional surgery requires a 3 cm wound on the wrist, it takes 2 weeks to recover after surgery. In order not to delay the visit, he began to think about the operability of minimally invasive surgery.
[Concurrent] Zeng Jianghua, Doctor of Orthopedics Center, First People's Hospital of Suining City, Sichuan Province
Minimally invasive surgery is now a trend in surgery, and now all surgeons are pursuing minimally invasive surgery. In fact, in the case of minimally invasive, it is beneficial to the development of patients. In fact, in the case of minimally invasive, many people understand that minimally invasive is a small wound. In fact, it is not a small wound or a minimally invasive. It is mainly because you operate finely, and the damage to the tissue is small, which is minimally invasive. Small tissue damage will help you recover, and you will have less peeling, and the scar will be lighter.
[Explanation] Zeng Jianghua said that the incidence of tenosynovitis is not high, and related minimally invasive surgery is still "unknown" to him and his colleagues. Perhaps because of the enthusiasm of young people and the curiosity for new and good treatments brought about by his career, Zeng Jianghua decided to do it himself and be his own "little mouse".
[Concurrent] Zeng Jianghua, Doctor of Orthopedics Center, First People's Hospital of Suining City, Sichuan Province
I often think about how to do (surgery) and how to make it better when nothing happens at night. In fact, all kinds of ideas have been thought of, such as nerve injury or severing of tendons. But in fact, you really grasp this degree. In fact, for the surgeon, avoiding nerves and tendons is actually a very simple problem.
[Explanation] After more than ten days of thinking, on July 7, Zeng Jianghua started the operation in his free time in the afternoon. Disinfection, anesthesia, needle insertion... In just 3 minutes, Zeng Jianghua ended the operation and resumed his normal work and life on the third day after the operation.
[Concurrent] Zeng Jianghua, Doctor of Orthopedics Center, First People's Hospital of Suining City, Sichuan Province
Disinfect first, after disinfection, give anesthetics, and then find the pain point, and then insert the needle. After the needle is inserted, I specifically look for the small sharp blade. After entering, I will go under the skin to explore the tendon sheath and cut the narrow tendon sheath. Maybe at the beginning, I was still a little scared. I didn't dare to pierce my own needle or pierce myself. But after the actual penetration, it is not so painful and terrible after treatment. Because the wound was small, the wound healed after two days of wrapping. Basically it will not affect any of your operations.
[Explanation] Because of years of practice, as far as the operation itself is concerned, Zeng Jianghua believes that the operation is not too difficult. After overcoming the psychological barriers, everything that remains is "easy." The success of the operation also proves the operability of the operation. Zeng Jianghua believes that in the future, minimally invasive surgery for tenosynovitis can be applied to the clinic, replacing traditional surgical methods, so as to save the patient's time and expense.
[Concurrent] Zeng Jianghua, Doctor of Orthopedics Center, First People's Hospital of Suining City, Sichuan Province
My own feeling is that the real thing for the patient is to reduce the patient's time and save time, and the other is to save the cost. There is no need to be hospitalized, no need to do pre-operative examinations, many things, this (operation) can be solved directly out of the clinic, and you can leave after finishing the procedure.
[Explanation] This operation really made Zeng Jianghua "fire" on the Internet, but he hopes that the public will focus on exploring new treatment methods and training professional talents.
[Concurrent] Zeng Jianghua, Doctor of Orthopedics Center, First People's Hospital of Suining City, Sichuan Province
Medicine is a developmental discipline. Doctors are constantly pursuing and exploring some new treatment methods. All hope to bring better and more perfect treatment methods to patients. What I actually want is our department. Our department has relatively few personnel in our majors. If we hope, we will train more people and strive to have a place in Suining or in this field.
Yang Yudian reports from Suining, Sichuan
Editor in charge: 【Luo Pan】