Chapter 156: Higher quality (1/2)
”Ling Ran, you then make the third finger of the left hand.” Wang Haiyang could not leave Ling Ran unused, waiting for others to finish the work in his hand.
Replantation of broken fingers is one of the most time-consuming operations.
This is even more the case today.
If a 5-year-old patient can use all eight fingers, he must be sutured as quickly as possible.
Good and fast surgery is the focus of postoperative recovery of severed finger replantation. Blood flow is important and restoring blood flow as early as possible is the most important.
No one knows how long the broken finger will be necrotic after blood loss. Maybe 20 hours, maybe 8 hours, maybe 12 hours. The longest case of severe finger ischemia in Chinese children is 56 hours later. The replantation of the hospital was successful, but presumably no one was willing to take the initiative to challenge the record.
Different people have different situations, and one thing is not wrong. You can let it restore blood flow as soon as possible, the better it will recover and the more functional it will be.
The replantation of broken fingers in one group, two groups and three groups was only about half, and everyone did not complete the most important vascular anastomosis. There was also an equally complex neural anastomosis waiting for everyone ...
At their current speed, it won't end in an hour and a half.
In this case, let alone Ling Ran be vacated. It doesn't make sense for other doctors to replace Ling Ran. Ling Ran is the fastest, young and energetic. It is the most correct choice for him to continue.
The replacement doctors, regardless of speed or quality, can't compare with the directors and deputy directors who entered the battle at this time. Why should they replace Ling Ran?
Wang Haiyang didn't have to measure left and right, he made a decision in an instant.
He is responsible for the entire operation, and cannot be responsible for the face of a doctor. He is polite to say that the surgeon who can't perform the operation has no face.
Especially in the provincial top three hospitals like Yunhua, most of the surgeons are on the technical line, and if the technology is not good, they will be looked down on. This is undoubtedly politically correct.
Wang Haiyang is already the chief physician, he doesn't even need to look at other people's faces.
Ling Ran would also not consider anyone's face, and refused the surgery he was good at.
Ling Ran only nodded his head slightly, said ”OK”, and then said, ”Ma Yanlin, you continue to sew the skin. Nurse Liu, show me the big MRI of the left ring finger.”
Ma Yanlin stiffened her head and continued to sew, attracting everyone's eyes.
Ma Yinglin himself was also very disturbed. When he picked up the needle holder, his fingers even shook slightly.
Ma Yanlin could not help looking at Ling Ran.
If you change to a warmer senior doctor, there will be a word of consolation at this time, so Ma Yanlin should not be too nervous.
However, Ling Ran didn't even look at Ma Yilin. It was just like the operation on weekdays. He looked at himself with a magnetic resonance image in a daze, unlike a small handle like X-rays. Big. For example, many videos taken by patients from hospitals are blurred.
Doctors who can read the film can see more information from MRI than through fluoroscopy.
Ling Ran focused on reading the film, but Ma Yanlin calmed down.
Not calm down.
As a doctor, you will always encounter all kinds of accidents. It is the surgeon's ability to deal with accidents and situations.
Ma Yilin more often recalls the previous operating room. He sutured the skin and debrided the most times. He had done several times in the operation, which gave him a better understanding of the human hand structure.
Although the fingers of 5-year-old children are small, when performing tang suture, Ling Ran also performed sutures of more than 10 children. Although the positions were different, the problems encountered were similar. Skin, muscle, fat, and so on are also the same.
Ma Yanlin was so calm that the curved needle passed gently through the skin of the young patient.
He sewed extremely carefully, and it was an incomparable standard.
It's like in the emergency department.
After a series of operations, if you don't look at Ma Yanlin's face, you can't see that it was done by Ji Peiyi.
The onlookers looked at each other and did not say a word.
Suturing is a skill that can be used in practice, but ordinary doctors do not have the opportunity to do sutures for replantation of broken fingers. The number of operations is not available, and it is impossible to talk about Qiaojin.
Ma Yanlin did more than a hundred sets of tang method. She is no less skilled than a senior attendant. When performing surgery on weekdays, suture the skin is only a routine operation.
A person's spirit and concentration are limited. The existence value of the first aid is to assist the main knife and handle trivial matters. Ma Yilin had only had no opportunity to show his face before, but was remembered by several directors and deputy directors of hand surgery.