Chapter 155 Feast in the Operating Room
Ling Ran followed Huo Congjun and went straight to the surgery department.
At this moment, the hand surgery department was in chaos. The doctors who passed by in a hurry only had time to nod to Huo Congjun and left quickly.
A 5-year-old child's eight broken fingers needed to be replanted. The impact of this incident on hand surgery was much more complicated than the replantation of a single finger of eight young children. To describe their panic, it was like an airport checking in.
No matter how much preparation and experience we had before, when we heard the news that multiple planes were requesting emergency landings, they would not be enough.
"Old Wang." Huo Congjun went directly to the office and arrested Wang Haiyang.
"Oh, Ling Ran is here." Wang Haiyang called out Ling Ran first, then shook hands with Huo Congjun and said with a smile: "Old Huo, you're not here to see a joke, are you?"
"Are you kidding me? I'm here to help each other. If you don't recognize me, we'll go back." Huo Congjun chuckled and squeezed Wang Haiyang's hand.
Wang Haiyang said helplessly: "You said you weren't just kidding me. Come on, just prepare when people come. Ling Ran, if you want anything, just ask Xiao Liu."
Xiao Liu is a nurse in the hand surgery department. He is young and looks at Ling Ran with big eyes.
Wang Haiyang had performed surgeries on the same stage as Ling Ran, and had also seen a video of him replanting a severed finger of a mahjong parlor owner whose fingertip was not completely severed. He knew that Ling Ran had the ability to complete the amputated finger, so he agreed to Huo Congjun to bring him here.
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However, Wang Haiyang couldn't care less about the explanation at this time, or in other words, in his heart, Wang Haiyang had some urge to stay away from Ling Ran.
"Doctor Ling, you can tell me what kind of equipment you need..." Xiao Liu was a little excited. The opportunity to have such close contact with the hospital grass is really rare.
Ling Ran took out his mobile phone, swiped it a few times, and showed a list of equipment to Xiao Liu.
Xiao Liu was stunned for a moment, then quickly took it into his hand and read it carefully one by one.
Different doctors have different operating habits, including the simplest debridement and suturing, and everyone is accustomed to using different equipment. Naturally, the habits in the operating room are even more varied. One of the jobs of the surgical nurse is to provide
Doctors configure the equipment they are accustomed to. Equipment with special needs is added separately.
Ling Ran mastered the perfect level of replantation of severed fingers. There were quite a lot of instruments that could be used, and the requirements were a bit more than those of ordinary doctors.
However, these are trivial matters for surgery. They are nothing more than more disinfection work afterwards. Nurse Liu only needs to write down the parts that are different from the standard instruments.
Ling Ran asked for MRI and X-ray films again, and slowly began to read them.
The MRI of the limbs was extremely simple for Ling Ran, and the X-ray itself was also very simple. With these two aids, Ling Ran was able to form the basic state of the severed finger in his mind. The only thing that was not clear was
The state of the nerves is unknown, but with the help of MRI images, we can also get a rough idea.
"How long does it take to start?" Ling Ran stood up and asked after reading the image data assigned to his left middle finger.
"It takes 30 minutes to prepare." Nurse Liu answered accurately enough.
"Then give me the MRI images and X-rays of the other fingers." Ling Ran said.
The little nurse was a little strange. After a while, she brought the pad over to Ling Ran.
Ling Ran thanked him and continued reading the film.
The preparation time before surgery varied, so Ling Ran had no way to interfere and just quietly did his own thing.
It takes about two to three hours for a professional doctor to replant a severed finger. If the operation does not go well, it may take more than four hours. Small local hospitals do not have the conditions, so they can spend an hour doing random stitches and then look at it.
There is also life.
The hand surgery department at Yunhua Hospital naturally pursues a success rate. For the replantation of a child's severed finger, it usually takes them about four hours to sew one suture.
In superposition calculation, 8 fingers would take 32 hours.
Such a long time is naturally not allowed. The best time for replantation of a severed finger cannot exceed 24 hours. In fact, when considering whether it is worth replanting a severed finger, 8 hours is a boundary line. Beyond this time,
Doctors often recommend amputation.
Of course, no doctor can last 32 hours.
Microsurgery is an ultra-precise operation. Workers in the factory, who work continuously for 16 hours, will be sent to the hospital to have their fingers amputated and replanted if they are not careful. It would be too difficult for the doctor to do the fatigue operation again.
In fact, working for 8 hours continuously can be said to be the ultimate state. Director-level doctors in their 50s are basically unable to do it. Therefore, what Yunhua Hand Surgery Department is doing this time is also a relay race. Considering the number of people on the operating table,
The positions are limited, so three to four groups of people can join the battle at the same time. After one group is finished, another group will join.
As a result, the actual number of surgeons needed is preferably eight, but at least six or seven.
In Yunhua Hand Surgery Department, there are less than 10 doctors in total who can replant amputated limbs on 5-year-old children. They still have to complete today's daily tasks. They cannot give up on other patients just because of one operation.
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In the operating room, eight doctors gathered immediately, totaling four groups.
Ling Ran was among them.
Next to him was Ma Yanlin, who was at a loss.
Ma Yanlin is a hand surgeon himself, but his training was in the emergency department, and he stayed in the emergency department for a short time.
This time, he was undergoing an operation in the operating room of the hand surgery department. When Ma Yanlin looked around, he saw a director, two deputy directors, and three senior attending surgeons.
In the hospital's sequence, it takes three to five years to go from resident to attending, and five to 10 years to go from attending to deputy director. It takes more patience and better technology to go from deputy director to director.
And good luck, and more than five years.
Regularly trained doctors are one level lower than resident doctors.
It can be said that everyone present is Ma Yanlin's superior doctor... As for the intern Ling Ran, he is also his superior doctor o(╯□╰)o.
Ma Yanlin lowered his head, unable to suppress his nervousness, and even failed to hear Director Wang Haiyang's words clearly.
"Straightened up." Ling Ran greeted, dispelling Ma Yanlin's random thoughts.
Ma Yanlin said "Oh" and quickly came over to grab the little patient's left middle finger.
This was an incompletely severed finger, and the injury was relatively minor among the fingers, but only a small amount of skin flaps were connected.
Ling Ran carefully debrided and tried to keep it in a small position to avoid touching other doctors.
Eight doctors crowded on both sides of the operating table, heads to heads and hands to hands, each performing their own operations. Occasionally they glanced at what other doctors were doing, but they all looked taciturn.
There were too many people and chatting was not fun at all.
Furthermore, the tasks in each hand are more important than others, so everyone can't help but feel a bit of comparison.
Ling Ran would also look at the operations of other doctors. Chief physician Wang Haiyang's operations were familiar to him, and they were as steady and slow as ever. The other two deputy chief physicians were younger than Wang Haiyang, and each of them was dealing with a completely severed finger.
, the speed is the same as Wang Haiyang, and the expression is more nervous.
Today's surgery is eligible to appear on the podium of the society, write a paper or publish a report. Everyone wants to have a good performance.
In contrast, the person in charge of the operation, Director Wang Haiyang, was more concerned about the success of the entire operation and could calmly handle the work at hand.
"I'm done." Fei Zhou, the deputy chief physician standing opposite Ling Ran, said a little louder.
"Is the debridement finished?" Wang Haiyang asked calmly.
"Yes." Deputy Chief Physician Fei Zhou smiled and was the first to complete the debridement. Although it was only a small project, the surgeon's pride was perfectly released.
Wang Haiyang nodded slightly. This speed is enough. He completed the replantation of two amputated fingers of two young children in 8 hours, which was a good start.
"I still have 5 minutes to complete the debridement. Groups 2 and 4 will also report." Wang Haiyang asked about the progress of others to ensure that the progress of the entire operation would not fall behind.
Guo Jianming, the deputy chief physician of Group 2, stared downward and murmured: "I will complete the debridement soon."
Ling Ran followed up and reported automatically: "The bones will be finished soon, and I'm going to do internal fixation."
Fei Zhou, the deputy chief doctor who was about to start setting the bones, was stunned for a moment and tried not to raise his head.
Watching others do things will not improve your own speed.
Fei Zhou is also the deputy chief doctor who survived the operation. As he continued to operate, he reminded himself: being fast is not really fast. He may just be good at debridement or bone setting.
Ma Yanlin was all nervous.
As a trained doctor, he has spent most of his time in different departments since he joined the job, so he does not know the status of hand surgery very well.
When Ling Ran pulled him over, Ma Yanlin was worried about making mistakes and being held back.
However, the operation before him was almost exactly the same as what he had done in the emergency operating room. Ling Ran neither speeded up the operation deliberately nor hesitated.
Ma Yanlin operated as before. Not only did the operation go smoothly, but the progress was not slow at all.
What made Ma Yanlin even more unexpected was that the progress of others actually lagged far behind.
Ma Yanlin, as a first assistant who had performed more than a hundred procedures and replanted severed fingers several times, silently observed the four surgeries being performed at the same time, and suddenly discovered that the surgeries in this group were the smoothest.
Debridement is still the previous debridement method, bone setting is still the previous bone setting method, tendon suturing is still the previous tendon suturing method, vascular anastomosis is still the previous vascular anastomosis method...
Ma Yanlin was thinking about it while doing it. When he stopped, he was almost done with one finger.
"I'll leave the sutures to you." Ling Ran passed the final steps to Ma Yanlin exactly as he did in the emergency department.
Ma Yanlin also changed his position out of habit. When he stood at the surgeon's position, he suddenly noticed the gazes around him.
It was a look of weirdness, calculation, helplessness, indignation, displeasure, surprise and disbelief.
Just one hour is not enough to replant the severed finger of an adult, let alone the finger of a child as young as 5 years old.
At this time, Wang Haiyang had just started the vascular anastomosis, Fei Zhou was halfway through the vascular anastomosis, and the slowest deputy director of the second team, Guo Jianming, was still struggling with the tendon suturing step.
To be honest, their speeds are almost the same, the faster one is slower than the slower one, which saves less than 20 minutes.
However, they still have a long way to go before the operation is completed, and they have completed at least one-half of the entire process...
What can Ma Yanlin say?
He didn't even dare to show an expression, he just lowered his head deeply, grabbed a needle holder, and quietly sewed the skin.
At this moment, Ma Yanlin suddenly missed Lu Wenbin. In the emergency department, whenever an operation was completed, Lu Wenbin would always bring out his braised pig's trotters to make up for everyone's consumption.
Chapter completed!