Chapter 173： Good shot

"She will change the utensils in a while, and open mouth to narrow mouth." Ling Ran unexpectedly did not curse. Although Ling Ran rarely swears in the operating room, in the stereotypes of everyone, the surgeon doctor will curse of.

The itinerant nurse felt wronged and replaced it with another young surgeon. The nurse might tear it off at this time. When it comes to scolding in the operating room, young doctors can only overcome patients who are under general anesthesia.

Fortunately, Ling Ran's order didn't give much thought to the roving nurses, but she looked at Yu Yuan with less friendliness.

Yu Yuan apologized again in fright, with a look of frustration.

She had hoped to get a good start in the new group.

However, nothing seems to have changed much.

She always couldn't hide the first few days.

Ling Ran's expression didn't change much. She continued to let Yu Yuan pull her hook. After a while, she said, "Yu Yuan, change your gloves."

"Huh? Change gloves?" Yu Yuan, who was complaining about herself, didn't understand.

"Your gloves are stained with blood." Ma Yilin explained kindly.

Yu Yuan turned to look, and finally found a few blood spots at the joints on the back of the hand, so she was even more embarrassed.

The details of microsurgery are very demanding. The absence of blood on gloves and instruments is a basic requirement, because blood easily adheres to sutures.

However, Yu Yuan couldn't remember when she touched the blood. Thinking about it, she couldn't help getting nervous.

She left the operation area slightly hastily, took off her gloves, and replaced with a new one with the help of the circuit nurse, and the whole person was choked off.

"Yu Yuan, you need a Debecke." Ling Ran's order was released immediately.

"Oh ... OK, that, give me Debeck's teeth." Yu Yuan's flustered bitter words were unclear, like an intern.

The itinerant nurse had long held Debec's teeth in her hand, and when Yu Yuan said it, she patted her in the hands.

Debeck's teeth, also known as "non-invasive tweezers," fell cold, but calmed Yu Yuan a little.

In her mind, she can instantly recall the past and present of Debeck's teeth, and most importantly, its use: Debeck's teeth are specially made tweezers for holding blood vessels, and the lips' teeth are specially made of concave and convex teeth. It is small, which ensures that when the blood vessels and other fragile tissues are clamped, the crush damage is small.

Undoubtedly, Ling Ran asked Yu Yuan to pick up Debecke's teeth in order to let her clamp the blood vessels.

Yu Yuan couldn't help but take a breath and renewed her tension.

"Do you know how Debeck's teeth are used?" Ling Ran asked Yu Yuan like an intern.

And this is exactly what Yu Yuan needs most.

In order to write a thesis that year, she basically had no contact with the clinic during her postgraduate research. She came to Yunhua Hospital with a great horror of a dissertation, and there was no clinician to give her hands-on teaching.

Of course, Yu Yuan was never worried about theoretical knowledge. She turned her head slightly and said, "Never allow the inner membrane of blood vessels to be clamped with tweezers. The outer membrane should be clamped only when necessary, and the movement should be light ..."

"Well, the Debec teeth you got now have been selected after multiple surgeries. The pressure will not be too great. You don't need to force up or worry about its slack." Ling Ran is still doing his own thing, Her mouth explained to Yu Yuan.

His perfect finger replantation also included guidance to the assistant.

--0 --- 0 ---- small--say ---- this is a gorgeous dividing line--

Great doctor Ling Ran 00 novel netizens please remind: Please pay attention to the rest of your eyes for a long time reading. 00 novels recommended reading: the three wolves struck

-0--0 --- small-say --- this is a gorgeous dividing line ---

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Surgery has never been alone. The bigger the operation, the more doctors need to cooperate. Therefore, if you want to promote perfection, you must have the ability to coordinate and manage.

As far as Ling Ran's character is concerned, neither coordination nor management is good at him.

Changing to professions such as engineers or product managers, most of Ling Ran will be exhausted.

However, as the main knife of the operating room, issuing orders in a confident manner is a coordination and management method that meets surgeons' expectations.

Ling Ran did not discuss Yu Yuan's hand disabilities, nor criticized and suggested her surgical techniques, she took her as an intern and explained step by step.

After all, Yu Yuan has some background. A little familiarity has reached the standard of secondary assistance on Ling Ran's standard operating table. Usually, it can be achieved by individuals. With special attention and special instructions, the handicapped party can also Achieved.

Ling Ran sutured a blood vessel quickly and sutured the next one.

Yu Yuan grasped the tweezers and followed along.

When she was making the first vein, Yu Yuan's movement was still a little rusty. Slowly, after making many veins, her rustiness gradually disappeared.

"Rinse." Ling Ran ordered again.

Yu Yuan confidently picked up the narrow mouth bottle.

Wow ...

Splashed again.

Ling Ran said without frowning, "Next is the nerve fiber anastomosis."

Yu Yuan was relieved, and her heart raised again.

Ling Ran's pace is too fast.

A few seconds later, Yu Yuan stared fiercely and asked, "Why is the nerve bundle membrane, not the outer nerve membrane?"

"I'm better at the nerve pellicle," Ling Ran said for granted.

"But the nerve bundle membrane is much more difficult and it takes more time ..." Yu Yuan said the voice more and more quietly, because Ling Ran clearly became faster and faster.

At this time, there is nothing secondary to help.

Yu Yuan lost the tweezers in her hand, and asked the nurse to put on her microscopic glasses, trying to adapt to the surgical field of view under the lens.

I saw that Ling Ran separated the adventitia of the ulnar nerve stump gently with a microscopic instrument. After normal nerves appeared, the outer adventitia at the stump was removed 5 mm in a ring, and then the nerve bundles were distinguished.

Yu Yuan's eyes widened when she saw this.

A nerve can be seen as a bundle of nerves, like a rope, twisted by many threads.

It is obviously not easy to distinguish the different functions of different silk threads.

However, Yu Yuan did not see the slightest difficulty from Ling Ran's face.

In fact, Ling Ran's docking of the nerve bundle membrane one by one is basically like writing a word on it.

Yu Yuan couldn't help but said: "The anatomy of the nerves all look similar. How do you tell?"

Ling Ran didn't even think about it: "Anatomy experience."

"This ... how much anatomical experience is required."

Ling Ran did not answer Yu Yuan.

Gain of 3000 anatomical experience

-0--0--small--say--this is a gorgeous dividing line ---

Great doctor Ling Ran 00 novel netizens please remind: Please pay attention to the rest of your eyes for a long time reading. 00 novels recommended reading: the three wolves struck

--0--0 --- small--say --- this is a gorgeous dividing line-

Thanks to Ling Ran's skill in hand surgery.

Everyone's hands are slightly different, but if you want to grow a pair of hands, different from the random 3,000 people, the probability is extremely low, let alone, there are various theoretical articles.

Yu Yuan was stunned and murmured to himself: "Generally speaking, nerve bundle anastomosis is better than epidural anastomosis, but it takes more time, usually it is not necessary to break the finger again. Implantation ... However, it is easy to choose the wrong bundle membrane for the nerve bundle anastomosis. If you choose the wrong bundle membrane, then it is better to use the outer membrane anastomosis. Furthermore, the suture of the bundle membrane is more troublesome and takes more time. For a long time, at least half an hour is wasted than adventitia anastomosis. For replantation of severed fingers, it takes so much time for beam anastomosis, which is not cost-effective ... "

The nurse, anesthesiologist, and Ma Yilin in the operating room all looked at Yu Yuan strangely.

Yu Yuan shook her head vigorously: "PowerD has published an article about the therapeutic effects of epidural anastomosis and neurofascia anastomosis, although the result of the comparison is that nerve nerve anastomosis has a higher nerve conduction speed. The amplitude of the compound muscle action potential is significantly higher than that of the adventitia group, and the excellent rate is also high, but his comparison object is the ulnar nerve. "

Yu Yuan paused and murmured again: "The ulnar nerve is better than the nerve at the broken finger, it takes less time, and the difficulty is lower. At the same time, it is impossible to close the broken finger. Nerves, so we ca n’t simply think that nerve bundle anastomosis is better ... "

"Well, I've stitched it." Ling Ran's eyes left the microscope and he took off his gloves.

Yu Yuan, who was talking a little, was still again.

Before she asked, she saw Ling Ran holding her neck, and said, "It's okay for the pony to make the remaining sutures."

"No problem, you can rest." Ma Yilin got a little excited and stayed for so long ~ www.novelhall.com ~ Although it was only scratching the skin, it was still very happy to come.

Ling Ran took off his surgical gown, threw it into the cylinder, stepped on the operating room, and left.

He now takes a nap every time he finishes an operation, and no one thinks there is anything wrong.

Ma Yanlin waited for the door of the operating room to be closed again, and then looked up and down Yuyuan, saying, "I didn't expect it to be an honest man in appearance.

Yu Yuan was still in a state of extreme shock. When she heard Ma Yanlin's words, there was almost no response, and she asked, "What do you mean?"

"Knowing that one of Dr. Ling's most famous is the thief slipped by hand anatomy, and the nerve fiber membrane suture is very powerful. You can intentionally say it's difficult, okay." Ma Yanlin said with a smile. .

Yu Yuan then realized that he was teasing himself, and could not help but said, "I didn't know that I would be assigned to Dr. Ling."

"I will gradually become familiar in the future." Ma Yilin sewed her skin slowly, and said, "When Dr. Ling was performing the operation, that is, he didn't like to talk, and was more tense. It was easier than doing with other doctors. There was only one problem ... ... "

Yu Yuan naturally asked, "What's the problem?"

"Dr. Ling has been performing surgery."

"Always ... have surgery?" Yu Yuan suddenly felt uncomfortable thinking of his scum-like surgical skills. Suddenly, she recalled several direct orders from Ling Ran. Under Ling Ran's command, she played some roles ...

Standing blankly in the operating room for a few seconds, Yu Yuan's round face and eyes were once again burning with a raging curiosity and a strong desire for surgery ...

"Dr. Yu, Dr. Yu ..." Su Jiafu grinned before Yu Yuan and smiled enthusiastically: "Dr. Yu, you are the one who sent a district, can you help me look at this article ..."