Chapter 155： Operating room feast

Ling Ran followed Huo Congjun and went straight to hand surgery.

At this moment, hand surgery was a mess, and the rushing doctor had no time to nod with Huo Congjun and left quickly.

A 5-year-old child's eight fingers need to be replanted. The impact of this surgery on the hand can be more complicated than the eight fingers of a single child. To describe their confusion, it's like an airport that received the news that many planes are requesting a forced landing. No amount of preparation and experience before would be enough.

"Pharaoh." Huo Congjun went directly to the office and arrested Wang Haiyang.

"Oh, Ling Ran is here." Wang Haiyang first called out Ling Ran before shaking hands with Huo Congjun and smiling: "Lao Huo, you won't come to see the joke."

"What's the joke? I'm helping each other. If you don't agree, we'll go back." Huo Congjun grinned, holding Wang Haiyang's hand loose.

Wang Haiyang said helplessly: "I also said that you weren't looking at jokes. Come on. When people come, be prepared. Ling Ran, ask Xiao Liu what you want."

Xiao Liu is a nurse in hand surgery. He is young and suddenly looks at Ling Ran with big eyes.

Wang Haiyang and Ling Ran had undergone the same surgery, and also watched a video of him replanting a broken finger to the mahjong pavilion owner who had not completely broken his fingertips. Knowing that Ling Ran was able to complete the broken finger, he agreed with Huo Congjun to bring him .

However, Wang Haiyang couldn't bother to explain at this time, or, to his heart, Wang Haiyang wanted to stay away from Ling Ran.

"Dr. Ling, you probably tell me what equipment you need ..." Xiao Liu was a little excited, and it was a rare opportunity to get close to the grass.

Ling Ran took out his mobile phone and swiped a few times, but showed a list of equipment to Xiao Liu.

Xiao Liu froze for a moment, quickly got it in his hand, and read it carefully one by one.

Different doctors have different operating habits, which is the simplest debridement and suture. Everyone is used to different equipment. Naturally, the habits in the operating room are even more diverse. One of the jobs of the surgical nurse is to configure the doctors with customary equipment. Equipment with special needs is added separately.

Ling Ran has mastered the perfect replantation of severed fingers. There are quite a few instruments that can be used, and they require more than ordinary doctors.

However, these are trivial things for the operation. It is nothing more than post-disinfection. Nurse Liu only needs to write down the parts that are different from the standard equipment.

Ling Ran asked for an MRI and X-ray again, and slowly looked up.

The magnetic resonance images of the limbs are extremely simple for Ling Ran. The X-ray film itself is also very simple. With these two aids, Ling Ran can already form the basic state of broken fingers. The only thing that is not clear is the state of the nerves, but with the help of MRI, I can also get an idea.

"How long does it start?" Ling Ran got up and asked after reading the image data of his left middle finger.

"It takes 30 minutes to prepare." Nurse Liu answered accurately enough.

"Then give me the MRI of the other fingers, and X-rays," Ling Ran said.

The little nurse was a little weird. After a while, she took PAD to Ling Ran.

Ling Ran thanked and continued reading.

The preparation time before the operation was different, and Ling Ran couldn't interfere, so he did his work quietly.

The replantation of a broken finger of one finger takes about two to three hours for a professional doctor. If the operation is not smooth, there are also four hours to complete. There are no conditions in local small hospitals. Spend an hour to sew casually to see There are lives.

The hand surgery of Yunhua Hospital naturally pursues the success rate. For the replantation of the broken finger of a child's finger, it usually takes about four hours to sew one.

With superposed calculations, it takes 32 hours for 8 fingers.

Such a long time is naturally not allowed. The optimal time for replanting a severed finger cannot exceed 24 hours. In fact, when considering whether it is worth replanting a severed finger, 8 hours is a borderline. After this time, doctors often recommend amputation.

Of course, no doctor can last for 32 hours.

Microsurgery is an ultra-precision operation. Workers in the factory work for 16 hours in a row. One accidentally sends it to the hospital for broken fingers and replantation. The doctor is too tired for another fatigue operation.

In fact, eight hours of continuous work can be said to be the limit state. Director-level doctors in their 50s can hardly do it. Therefore, Yunhua Hand Surgery is also doing a relay race this time. Considering the limited position on the operating table, three or four groups of people are playing at the same time.

In this case, the actual need for the chief surgeon is eight, or at least six or seven.

In Yunhua Hand Surgery, there are less than 10 doctors who can replant amputated limbs for 5-year-old children. They also have to complete today's daily tasks. They cannot give up other patients because of one operation. .

In the operating room, eight doctors were brought together for the first time, for a total of four groups.

Ling Ran was among them.

Next to him was a confused Ma Yanlin.

Ma Yilin is a doctor of hand surgery, but Ji Pei's turn to the emergency department, but stayed in the emergency department for a short time.

This time, he performed an operation in the operating room of the hand surgery. Ma Yanlin looked at it and saw a director, two deputy directors, and three senior attendants.

In the sequence of the hospital, it takes three to five years from the resident to the attending, and five to ten years from the attending to the deputy director. From the deputy director to the director, more patience and better skills are needed. And good luck, and more than five years.

The doctor of regulation training is one level lower than the resident doctor.

It can be said that everyone present is Ma's superior doctor ... As for the intern Ling Ran, it is also his superior doctor o╯ □ ╰o.

Ma Yanlin lowered her head, and couldn't hold back her nervousness, not even Director Wang Haiyang's words were clear.

"Righting up." Ling Ran greeted, breaking Ma Jilin's wild thoughts.

Ma Yinglin said "Oh" and quickly came to grab the little **** of the young patient.

This was an incompletely severed finger, which was considered to be slightly injured among several fingers, but only a few **** were connected.

Ling Ran was careful in debridement, and tried to keep it in a small position to avoid touching other doctors.

Eight doctors were crowded on both sides of the operating table, head to head, hand to hand, performing their own operations, and occasionally glancing at other doctors, they were all silent.

There are too many people to chat at all.

In addition, the tasks in their respective hands are more focused, and everyone is unavoidable.

Ling Ran will also look at the operations of other doctors. The operation of the chief physician Wang Haiyang is familiar to him, or it is as stable and slow as ever. The other two deputy chief physicians were younger than Wang Haiyang. One dealt with a completely broken finger. The speed was about the same as Wang Haiyang, and his expression was more nervous.

Today's surgery is qualified to be on the podium of the Society, write a paper or report, and everyone wants a good performance.

In contrast, Director Wang Haiyang, the person in charge of the surgery, cares more about the success of the entire operation, but can calmly handle the work at hand.

"I'm done." Fei Zhou, the deputy chief physician standing opposite Ling Ran, said a little loudly.

"Done with debridement?" Wang Haiyang asked calmly.

"Yes." Fei Zhou, the deputy chief physician, smiled. The first debridement was completed. Although it was only a small project, the surgeon's arrogance was also perfectly released.

Wang Haiyang nodded slightly, this speed is okay, 8 hours to complete the replantation of two young children's fingers, it is a good start.

"I have 5 minutes to complete debridement, and groups 2 and 4 also report it." Wang Haiyang asked other people's progress to ensure that the progress of the entire operation was not lagging behind.

Guo Jianming, the deputy chief physician of the two groups, stared at the bottom and murmured, "I will debride immediately."

Ling Ran followed the report voluntarily: "The bones are done immediately, and I am going to do internal fixation."

The deputy chief doctor, Fei Zhou, who was preparing to start bone-bonding, froze, forcing himself not to look up.

Watching other people's operations will not increase your speed.

Fei Zhou is also the deputy chief doctor who came out of the operating room. As he continues the operation, he reminds himself that fast is not really fast, he may just be good at debridement or bone repair.

Ma Yanlin was nervous.

As a registrar, most of the time since he joined the company, he has been in different departments, so that he does not know much about the state of hand surgery.

When pulled by Ling Ran, Ma Yanlin was worried about making mistakes, for fear of dragging his hind legs.

However, the operation in front of him is almost exactly the same as that he performed in the emergency operating room. Ling Ran neither deliberately speeded up nor hesitated.

Ma Yanlin operated in the same way as before, not only was the operation performed smoothly, the progress was not slow at all.

What made Ma Yanlin unexpected was that the progress of others ~ www.novelhall.com ~ lags far behind.

As a helper of more than a hundred tang methods and several replantation of broken fingers, Ma Yilin silently observed the four simultaneous operations and found that the operation in this group was the smoothest.

Debridement is still the previous debridement method, bone connection, or the previous bone connection method, tendon suture, the previous tendon suture method, vascular anastomosis, or the previous vascular anastomosis method ...

Ma Yilin wanted to do it while waiting. When he stopped, one finger was almost finished.

"The seam is here for you." Ling Ran was exactly the same as when she was in the emergency department, and as a rule the final step was passed to Ma Yilin.

Ma Yilin also changed his position habitually. When he stood at the main knife position, he suddenly noticed the eyes around him.

It was weird, carefree, helpless, angry, upset, surprised and incredible.

In just one hour, replanting broken fingers for adults is not enough, not to mention the fingers of children as young as 5 years old.

At this time, Wang Haiyang had just started vascular anastomosis, and Fei Zhou's vascular anastomosis was done in half. The deputy director of the slowest two groups, Guo Jianming, was still struggling with tendon suture.

If you want to say, their speeds are different, faster and slower, saving less than 20 minutes.

However, they have a long way to go before the operation is completed, and they have completed at least one-half of the entire procedure ...

What can Ma Yilin say?

He didn't even dare to show an expression, but lowered his head deeply, grasped a needle holder, and sewed the skin quietly.

At this moment, Ma Yilin suddenly missed Lu Wenbin. In the emergency department, whenever an operation was completed, Lu Wenbin always brought out his braised trotters to fill the consumption of everyone.

The operating room of hand surgery was horribly silent, not even a bowl of porridge with salted fish.