Chapter 154： 1 for 1 (1/2)

The same is debridement suture, debridement replantation of debridement suture is much higher.

Lu Wenbin handled the broken finger on one side, and Ling Ran did the other end with the help of Ma Yilin.

All three bowed their heads, wearing microscopic glasses, and dealt with the wound in the slightest.

Compared with ordinary debridement sutures, debridement replantation of debridement sutures must be done cleanly without losing too much tissue, and the latter is the most troublesome. The skin is cut more to transplant the flap, the tendon is cut more, and the blood vessels are shaved much, which is the same.

Lu Wenbin also followed Ling Ran's more than a hundred cases of tang method before he was qualified to do debridement operation of broken fingers alone. This is also the easiest step in suturing fingers.

After debridement was completed, Ling Ran fixed the bones and joints again, and then used the internal fixation steel nails provided by Changxi Pharmaceutical Company to lock the anastomotic bone joint. After some operations, the time had passed 40 minutes.

Ling Ran lifted his neck and rested for a few seconds before people pulled the high-precision microscope over.

Yun Medical's high-precision microscope is like a huge table lamp with four wheels under it. The lamp head is the main part of the microscope. The body is very heavy and the magnification is sufficient to see the small blood vessels and nerve fibers in the brain.

The operation of replantation of severed fingers can also be performed with ordinary microscopic glasses, which is a bit more laborious. In fact, in the early stage of replantation of severed fingers, there was often no microscope operation, which is the 21st century. Some small hospitals in some places will also succeed in replanting severed fingers with the naked eye. If they succeed, they will fail.

Ling Ran couldn't stand the rough of the blood vessel anastomosis.

If the conditions are not met, he can barely bear it, and under the condition, Ling Ran saw that the 24-pin pins are not aligned, and he will not be too happy.

Master-level sutures are even more uncomfortable if they are still uneven under the microscope.

Therefore, although Ling Ran started to do replantation of broken fingers, firstly, a high-precision microscope was needed. The price of a million yuan in a private hospital is regarded as the treasure of a town hospital. In Yunhua Hospital, it is just ordinary. Huo Congjun said hello and moved one over.

Of course, this is what Ling Ran needs to use, and it really does. If you change the requirements of an attendant, you won't speak so well.

Ling Ran kicked a round stool with his feet, and then sat on the round stool, operating across the lamp-type microscope, facing the patient's broken finger.

He first sutures his most familiar tendon. Compared with the tang method, the suture of the replanted tendon of the broken finger is much simpler. After all, there is no problem of the tendon sheath of the flexor tendon, and postoperative adhesion is easier to handle.

It took less than 20 minutes for Ling Ran to finish the tendon suture very slowly.

Most of this process is used to familiarize himself with the equipment. Although he has practiced many times before, he must be cautious to get started.

”Looking at the length of the blood vessels, it should be directly consistent.” Ling Ran made a decision and made a decision.

It is also a replantation of the severed limb. If the length of the blood vessels is sufficient, anastomosis can be performed. If the length is not enough, it is necessary to perform vascular reconstruction, that is, vascular transplantation. It is naturally more difficult to take a section of the blood vessel from the patient and sew it up.

This is one of the reasons why debridement and suture is very meticulous.

A blood vessel anastomosis, Ling Ran did it slowly for half an hour to complete.

On the one hand, he did not deliberately pursue speed, and also slowed it down to ensure that the needles were fine. On the other hand, the blood vessels of the broken finger were indeed small. small.

A blood vessel was sutured, and Ling Ran was a fine sweat bead full of forehead.

”Are you okay?” Huo Congjun's voice sounded from behind, scaring Ling Ran.

Looking back, he saw Cong Huo wearing a white coat and carrying his hands on his back, with a smile on his face, like an old man with a bird of prey.

”Operation is okay.” Ling Ran gave Huo Congjun a strange glance and asked, ”Is something wrong?”

”Where there are so many accidents.” Huo Congjun shook his head and said, ”What's wrong, if you are allowed to have surgery at three in the morning, will you not be allowed to come to the operating room at five?”