Chapter 524： Ectopic fostering

Well, take out your Kirschner pins. Ling Ran checked the Kirschner needle in Huang Maoshi's box, nodded, and asked, "Free? "

"Yes. We have a place for vendor promotion ..." Huang Maoshi quickly introduced the situation.

Ling Ran selected the commonly used types, and then nodded to Nurse Liu, saying, "Troublesome, please let someone clean and disinfect, and reserve for a while."

"Okay." Nurse Liu beckoned familiarly and took Master Huang Mao away.

The medical staff in the hospital are already familiar with the presence of medical representatives, including in the operating room. Medical representatives are also required to come and go.

In particular, consumables with a small amount of use are often sent to the hospital or doctor by a medical representative.

In a hospital below the local top three level, a medical representative with a suitcase is like a mobile consumables library. The hospital cannot build a consumables library itself, or the consumables library is too small. Usually, the medical representative is notified on the first day or two. The next day, the medical representative sends the consumables, and the nurses clean the consumables and send them to the operating table.

However, for the Kirschner wire, as low as a hundred dollars, expensive is a thousand or eight hundred things, usually only in the hospital supplies library.

Other medical representatives are too lazy to give it away.

Of course, just like laying a towel, there are always exceptions to everything.

The medical representatives are now trying to get close to Ling but they must not, let alone bring a Kirschner wire to the operating room, just bring a needle over, only to get a face around Ling Ran, Huang Maosheng is as greedy.

The patient was pushed in about the same time.

Su Jiafu first stood up for various tests, and then performed anesthesia.

Lu Wenbin, Yu Yuan and others started to spread their towels.

Ling Ran checked and evaluated the patient's wounds.

Four-finger suturing is inherently difficult. It is also a firecracker's blasting of broken fingers. In the case of hand injuries, it is also a clear and complex injury, and it is very difficult to sew.

The most difficult part is that the small patient's finger has skin defects and arterial defects.

Ling Ran was thinking while observing, and then took the X film just taken to read.

After looking at it for a while, Ling Ran shook her head and said: "Call Director Wang Haiyang, you can't do this finger, the blood vessels are too thin. Hey ... the indication may be given up."

The index finger is the name of the index finger in medicine. It is also the most severe part of the gunshot wound. Not only the bones were smashed, but also the skin and tendons in the middle were chipped and burned a lot. To peel off.

Lu Wenbin and Ma Yilin showed disappointment. The two of them followed Ling Ran for the longest and the most replantation of severed fingers. If two surgeries are performed at the same time today, they will have the opportunity to be the main surgeon.

However, the blood vessels of the fingers were already thin, let alone the blood vessels of the children, and the artillery wound was so complicated that neither Lu Wenbin nor Ma Yilin could do it with confidence.

"Call the interns again." Ling Ran urged again, then looked back at the film again.

A huge difference between the main knife and the assistant is that the main knife determines the direction of the operation.

Before a successful operation, the main knife must be familiar with the heart, and every step must be conceived. If the level is higher, consider how to handle unexpected situations.

Of course, the same operation is done more, the same considerations are done more, and there are more experience in handling unexpected situations. The pre-operation steps can be omitted. However, watching videos is essential after all.

"No MRI?" Ling Ran asked with his back on the operating table.

Yu Yuan said: "The MRI machine is cleaning ..."

The mrsa outbreak was not immune to all departments.

Ling Ran reluctantly said, "Well, the X-rays can basically be seen clearly. How long is it for Director Wang Haiyang to arrive?"

"three minutes."

"Wait a minute, are you signed?"

"Dual signatures, the child's parents divorced, and the mother is not currently in Yunhua City. His father and aunt signed it." Yu Yuan explained carefully.

Ling Ran nodded, and continued to think about the patient's wound.

Lu Wenbin looked away at the patient's face before spreading his towel. "This bear child will be eight years old, and he will be nine years old."

"At the age of seven or eight, dogs are too suspicion, it's not unreasonable." Zuo Cidian said: "When we were in the town health center, in various emergency departments, this age of bear child is the most amazing. I have seen eating soil. Those who have diarrhea have seen their own **** ... "

"Why eat shit?" Yu Yuan couldn't believe it.

"Bear child? He said that the family shouted stinky **** every day, and he wanted to taste if the **** was really stinky?"

Everyone in the room was attracted.

Yu Yuan was even more breathless with a smile: "Of course it smells, you can smell it. It smells like smell, not taste."

"Where do other children understand this? Don't say, the nose smells different, and it ’s more direct to try it, right, like durian." Zuo Cidian suddenly felt a faint nostalgia, and he even disliked it. Yu hated the town health center, but his youth was left there after all.

Lu Wenbin said strangely: "Even if you eat shit, you don't have to go to the hospital? The health center still cares about this?"

"Oh, the bear kid was bitten by the dog while trying to heat the shit." Zuo Cidian gave a reasonable answer.

Yu Yuan asked in confusion: "Is it because his family said that it is hot to eat shit?"

Zuo Cidian froze and said, "Probably, the bear child is eating shit. Who cares why he wants to eat hot shit."

laugh.

The airtight door opened, and Director Wang Haiyang rushed over.

"It's all there." Wang Haiyang put his hands together with a smile, and asked the nurse to help him in surgical gowns.

"The firecracker was wounded. The 8-year-old child broke his four fingers ..." Zuo Cidian hurried forward and started to introduce the situation.

Wang Haiyang and Ling Ran did similar things.

"This indication is no longer valid." Wang Haiyang's judgment was similar to Ling Ran, and he was much more determined than Ling Ran.

The earthen cannon made by the bear child is quite powerful and almost exploded in his hand. Therefore, including the bones, tendons and blood vessels, the damage is very large, and the first indication finger is more serious.

Ling Ran nodded and said: "You can try to do replanting, but it is more difficult to achieve good standards."

If it doesn't meet good standards, it's just a look.

Of course, it would be nice to be able to look like that.

At least, it won't be stared at by strangers.

Wang Haiyang looked at it for a while and said, "Ling Ran, this injury is enough to meet the standard of ectopic foster care. Should we show the indication to foster care?"

His suggestion instantly attracted Ling Ran.

For ectopic fostering, the finger is first transplanted to other parts of the body, after the trauma of the finger itself is healed, and then transplanted back to the hand.

One transplant becomes two transplants, and the final result is definitely not as good as one.

However, for fingers with insufficient replanting conditions in the first stage, it is always good to have the opportunity to replant in the second stage.

Ling Ran thought for a few seconds, and said, "I won't."

"Well, wouldn't you?" Wang Haiyang was instantly interested. Looking at Ling Ran, he shouted "Let me teach" and "Let me teach" slogans.

Ling Ran nodded: "I haven't studied ectopic fostering."

His perfect replantation of severed fingers is limited to finger joints. Ectopic fostering can be regarded as another specialized skill. Not only can fingers be ectopic fostered, arms, calves, ears, nose, etc. can also be ectopic. Foster care.

"Ordinary orthopedics or hand surgery doctors do not learn ectopic foster care. The private hospitals nowadays are not able to engage in this project." Director Wang Haiyang laughed and said, "But I will, It would be better to have this indication finger ectopically fostered today. I will give you on-site teaching. After a few weeks, we will do a second phase of replanting. "

Being able to teach Ling Ran, Wang Haiyang couldn't be happier.

This is where Yunyi's hand surgery is the essence of the elite department. In other hospitals, ectopic foster care can be used as a promotional material for 10 years.

In Yunyi, ectopic fostering a finger can only be regarded as the primary stage, and the operation of ectopic fostering arm requires several operations each year.

Being able to learn something new ~ www.novelhall.com ~ makes Ling Ran a little excited.

He then looked at the indication of the young patient and said, "Then notify the patient's family and ask them if they are happy. We will replant the other three fingers first. Dr. Zuo, ask and see."

"Okay." Zuo Cidian immediately agreed to go down, and left after leaving the surgical gown.

"You can reduce or exempt them from some expenses. For 30% to 40% of them, please find Director Huo. He will definitely approve. Ling Ran will call you Director Huo." Wang Haiyang stopped Zuo Cidian, said, and said: " The medical cost of ectopic fostering is much more expensive than replanting, and the care during finger fostering is also troublesome. But you can tell them clearly that the current condition of the child's index finger, do not use ectopic fostering, my recommendation is Amputation. Forcible replanting is also highly unlikely to survive. In addition, ectopic fostering can also preserve a better shape. "

Zuo Cidian wrote it down, and then he went out less quickly.

Such a conversation is quite difficult.

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