Chapter 527： Enjoy

"The injury of the patient's index finger is still relatively serious. It is not very serious in the foster finger, but it is much more severe than the standard of replanting the broken finger. In this case, we must first consider the use of foster The skin **** will be repaired. "Wang Haiyang stood on the main knife position, and was very upset.

Ectopic foster care can be said to be the extreme operation of microsurgery.

But in this direction, ectopic fostering can also be considered as the current limit operation of human medicine.

One of the reasons why Yunyi Hand Surgery is famous for its extreme operation level in this direction.

Of course, the most extreme is the ectopic fostering of the palm and arm, and the difficulty of the fingers must wait, but in general, it still represents a very high-end level.

The difficulty of foster care and the problems during nursing are basically similar, but there is a slight difference in magnitude.

Most hospitals in China, not to mention the level of doctor's operation, must first be stuck in nursing and other aspects. Even in the hospitals in Beijing and Shanghai, if there is not a sufficient professional team in hand surgery or orthopedics, they cannot perform such operations.

Wang Haiyang, who has mastered ectopic fostering technology, is qualified to express his pride.

As early as 20 years, he was one of the main doctors of Yunyi's research on ectopic fostering.

Wang Haiyang looked at Ling Ran and talked frankly:

"Understanding this foundation, we understand that how to choose the right flap is the first key question."

"For general foster fingers, it is easier to achieve satisfactory results by designing and using radial artery flaps, dorsal foot flaps, and ulnar artery **** that are close to the foster finger or wound. We choose the dorsal foot flap today."

"The reconstruction of the broken finger's blood circulation, the repair of tissue defects, and the later functional reconstruction are the three major elements of foster replantation. Generally speaking, the first-stage operation basically determines the upper limit of the entire operation."

Wang Haiyang can be said to be over-addicted to "Dr. Ling" class.

At this time, Guan Fei had helped the patients disinfect their feet.

Looking at the patient's small feet, Guan Fei's expression was weird and he said, "Long fingers on the child's feet?"

Wang Haiyang, who had just spoken a long list of words, was brewing the next set of content and was interrupted. He suddenly glanced at Guan Fei unhappyly and asked, "Do you want to listen?"

For the pretty little girl, Wang Haiyang is still more patient. Otherwise, for another idiot male intern, he would not use interrogative sentences at all, but simply "go out" to solve the problem. Without "rolling", he is older, his ketone secretion has changed, his temper has improved.

Guan Fei, who is more casual, has also seen Director Wang Haiyang several times. He feels that he is a good-tempered chief physician and was unexpectedly trained.

Guan Fei could not help lowering her head. A year of internship was obviously not enough for her to fully adapt to the hospital environment.

Wang Haiyang turned and scolded.

He doesn't care about pretty girls now.

At this moment, Wang Haiyang is caught in the most mysterious, happiest, and most elusive emotions of the Chinese people-he is a good teacher.

I saw Wang Haiyang open his head happily and asked Ling Ran: "If you make a flap, Dr. Ling should be fine."

"Is it possible to cut open muscle tissue to form a flap? Yes."

"If you choose, which position do you want to choose?"

Ling Ran recalled: "Can be connected to the dorsal foot artery."

"Eun ... yes, you think, or have you read the book?"

"I've seen it before when I was studying." Ling Ran's answer this time came out of his own liver.

The energy potion can not only help him with the operation, but the effect of Ganshu is also very good.

As a newcomer to the hospital, Ling Ran really has quite a few books to read.

It can be said that it is very common for a mature doctor to read a stack of professional books of equivalent height for each level.

Snapped.

Wang Haiyang stomped hard: "Yes. Dr. Ling is prepared. Okay, let's continue ... The second phase of replanting is the focus and difficulty of ectopic fostering. Generally speaking, according to the needs, cut the back of the foot Skin flaps, which mainly maintain the continuity of foster blood vessels and dorsal arteriovenous ... "

Wang Haiyang was very detailed, more detailed than what he said in hand surgery.

From Ling Ran. Lu Wenbin went to the interns, everyone listened very carefully.

However, it is only Ling Ran who is truly qualified to perform ectopic foster care.

Among several others, Lu Wenbin, who had the best finger replantation, had not performed the operation independently. Higher-specific ectopic fostering had a farther distance for him.

Wang Haiyang kept talking for half an hour before he started.

Of course, he hadn't heard his mouth during the operation, so that the nurse had to fill him with water to moisten his throat.

Wang Haiyang's excitement couldn't stop.

After making the flaps, Wang Haiyang couldn't wait to take off his clothes and jump.

"Yes, this ectopic fostering can be done today." Wang Haiyang is the master in charge today. Under the influence of Ling Ran's impassioned large-scale feeding technique, he was almost astonished by the results.

After all, technology is interoperable. Of course, Ling Ran will not adopt ectopic foster care, but he has 100 anatomy experiences of his feet and 3,000 anatomy experiences of his upper limbs. This kind of anatomical experience can be said that when you see a blood vessel, you know the surrounding tissue shape, and even look at the state of other muscle tissues and tendons, you can know the geometry of the force of the tissue that you are pulling.

With this foundation, coupled with Wang Haiyang's detailed explanation, Ling Ran is not clear about the specific steps of the operation. The general direction is determined. He is an assistant, and Wang Haiyang, who was fed, still flies.

In theory, unless Wang Haiyang has 80% of Ling Ran's skill, and then concentrates on doing fast, and then throws a lot of auxiliary work to the assistant, at this time, Ling Ran may not be able to use a large feeding technique. However, if Ling Ran is given a few more chances to familiarize himself with the technique, then Wang Haiyang has Ling Ranjiu's success and has to be inflated.

The assistant's intraoperative pressure is much less than the main knife.

The main knife needs to consider a variety of issues, the patient's condition, the current tissue tolerance, the sequence of operations, etc. The assistant only needs to cooperate with the main knife.

Changing to ordinary low-level attending or resident doctors, there may be cases of poor cooperation, and a few more years of high-level attending for surgery, this situation rarely occurs again.

Wang Haiyang did it for a while, and it was really cool to fly. He looked at the two sides and ordered a way of knowing: "Dr. Zuo, go to hand surgery and call my group of doctors to see the operation."

Zuo Cidian was idle after finishing a debridement with one finger, and agreed quickly, saying, "Notify your doctor?"

"Other groups can see it if you want to see it. By the way, junior college students and interns have also shouted, ectopic fostering is still relatively rare." Wang Haiyang decided to upgrade his refreshment.

The best thing about being a surgeon is that when the surgery is done well, let other doctors visit.

Correspondingly, if the surgery is not done well and there are still many people watching, the surgeon should swear.

Zuo Cidian reluctantly retreated out of the operating room.

He is also very eager to finish this operation. As Wang Haiyang said, ectopic foster care is quite rare. Another time, other doctors, such as Wang Haiyang, will not give you a detailed explanation.

Most surgeons come to the operating table and prefer to chat.

Lectures like this depend on mood.

Today, if Ling Ran was not listening, Wang Haiyang would be much lazy.

After a while, the doctors of hand surgery came in one after another.

Itinerant nurses scratched their heads and controlled the number of people. At the end, interns like Xiang Xueming were kicked out.

As long as some people come to worship themselves, Wang Haiyang will feel better when he keeps changing people, and his voice is raised:

"Children's blood vessels are not easy to be sutured. This little patient is only 10 years old. It is rare for ectopic foster care to be so young."

"The youngest ectopic foster care we have done in our hospital should be 7 years old. What is the effect? ​​It's more general. The original surgical conditions can't be compared with now, and the current microscope is better than before. My eyes are old. ... "

"This operation is expected to take 3 hours. You should urinate and urinate. Do not pee into my operating room. Jokingly, urinating into a diaper is allowed. Do n’t overdo it. Drop it on the floor and lick it yourself.

Ling Ran listened to Wang Haiyang's words, thinking while doing.

As the operation progressed, he became more familiar with the operation and became more capable.

The reduction in the pressure of surgery brings about increased thinking.

Ling Ran also does not expect the system to send himself an ectopic fostering skill, so he must study it himself-in fact, most doctors who do ectopic fostering are driving ducks to the shelves.

The amount of this operation is too small. If you do three or five cases, you can call yourself an expert nationwide.

Of course, there are too many. But ectopic foster care is after all a hand surgery operation, which is more suitable for emergency department. Even if it is a mature hand, the empty window period without similar operation may be long.

At Ling Ran's current level, it is better than most doctors who have undergone this type of surgery, but it lacks some experience than those skilled.

"The blood vessels in the foster care section must match the blood vessels in the fingers. It is easy to reveal and is conducive to later surgery."

"The thickness and color of the flap ~ www.novelhall.com ~ also try to take into account."

"The supply area doesn't have to think too much, we cut such a small piece, and the impact on the supply area is very small."

Wang Haiyang was extremely excited, and the movements in his hands increased.

The doctors around were also Ling Ran staring at the operation and the operation.

A few small interns hiding behind, not seeing the operation area clearly, looked at Ling Ran, and bit his ears quietly:

"Dr. Ling is really handsome for the operation."

"Look at how Dr. Ling is holding the tweezers, hey, look, I feel so good."

"If you look at the standing position of others, you want me to say that it is time to let Dr. Ling do the surgery. No doctor-patient disputes are gone."

"There will only be more disputes between doctors and patients. Certainly, there will be green tea cursing her husband, and then suing Dr. Ling for marriage. I think about the plot ..."