Chapter 154： 1 for 1

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?"

"It's still your name," Ling Ran said indifferently.

"Just remember that, so, what about today's surgery?" Huo Congjun said, picking up a round stool from behind and placing it under his buttocks.

Su Jiafu's hands clasped tightly together, full of indignation: the stool of the anesthesiologist also grabbed, what about human nature?

"Another anastomosis is done, and it's almost complete." Ling Ran briefly introduced a sentence and continued the operation.

Huo Congjun said: "I heard the nurse say that the patient has a 15-year smoking age?"

"Yes."

"Do you think patients will stop smoking?"

"do not know."

"So it doesn't matter if the patient quits smoking?"

"Basically." Ling Ran both eyes fell on the eyepiece, and said: "I can't make a decision for someone because I have stitched a finger of others, UU reading ."

Huo Congjun froze for a few seconds, and laughed out.

Ling Ran glanced back and continued the operation.

Huo Congjun didn't leave, he stared at Ling Ran's operation behind, and didn't know what he was thinking.

At seven in the morning, Ling Ran announced that the operation was complete.

Huo Congjun followed and stood up, thoughtfully, but said, "There is now a child's broken finger replantation operation. Would you like to participate?"

Ling Ran looked puzzled at Huo Congjun: "What do you mean?"

"A five-year-old child, with eight fingers clipped by the automatic door of the hotel, has been sent to our hospital for hand surgery." Huo Congjun paused and said, "The hand surgery plans to open four groups at the same time and collaborate to break the fingers. Replant, if you are willing to participate, you can prepare now. "

The amount of information in Huo Congjun's words was too large, and Ling Ran responded after a while, and then asked: "Is there a crush injury of 8 fingers? Completely or incompletely? The four groups are each The group makes two fingers? "

"Yes, not completely broken, yes." Huo Congjun answered briefly.

"Will hand surgery allow me to join?" Ling Ran asked another key question.

Huo Congjun calmly said: "They are not enough."

"There are no fewer doctors in hand surgery than in our emergency department."

"There are only a few that can be replanted with children's broken fingers." Huo Congjun said here, and could not help but raise his lips: "If you go, they have no reason to refuse."

A 5-year-old child has 8 fingers replanted with broken fingers, and it is a four-group collaboration. Such a large operation is also a type of operation at Yunhua Hospital.

In the type of surgery, the department is not so important.

Ling Ran's technology is strong enough to qualify for participation.

At least, Huo Congjun thinks so, and he has the ability to make it happen.