"It's a blood vessel."

"Let's sew the artery first."

"You pulled it out...oh, it's already been pulled out."

"Okay, let's get to the most complicated part of the blood vessels..." Wang Haiyang performed the operation for two hours. The time for the operation he talked about was limited, and he spent most of his time chatting, and he seemed to get happier the more he talked.

Finally, when it was time to suture the blood vessels, Wang Haiyang pulled himself back a little and began to talk about several key points of blood vessel suturing.

Kong Xiangming and others looked at the screen and listened carefully.

A group of doctors in the Department of Orthopedics are also newcomers to replantation of severed fingers. The difference between these newcomers and pure newcomer interns or residents is that they already have the basic surgical operations and concepts. Therefore, if you want to learn

It's easy to get started, but it's not even easier to master it.

The process from beginner to proficient as a surgeon is difficult to improve simply through reading, nor simply repeated practice. The most effective way is to have someone teach you step by step.

This is true for non-mass production skills in human society. When they reach a high-end level, they can only be honed like a master leading an apprentice.

Of course, nowadays people no longer need to learn skills from a master, but whether or not the master teaches and how to teach is beyond the control of the apprentice. Without enough knowledge, the apprentice does not know what the master should teach, and how can he control it.

This is what Kong Xiangming and others are encountering now. They want to follow Wang Haiyang to hear the essence of replanting a severed finger, but Wang Haiyang wants to talk about other things, so they can only stay with him and chat until they are happy.

The pain of learning a skill has never changed in the thousands of years of human history. It's just that the skill itself is constantly changing.

"If you practice the suturing of blood vessels under a microscope for a few months, you can basically do it well. Our Yun Doctor's training room is specially designed for the doctors to practice. If you want to say it, it is quite useful...

"Wang Haiyang boasted about his own department.

Kong Xiangming immediately cooperated and said: "We have been famous for Yun Yi's practice room for a long time. I really want to give it a try if I have the opportunity."

"Director Jin wanted to expand before, but now I don't know what's going on." Wang Haiyang said casually again, and then brought the topic back: "Let's talk about blood vessel suturing. It was practiced in the training room. The biggest problem is

, in fact it’s still not stable enough…”

Wang Haiyang didn't need to interrupt himself. He waited for Ling Ran to pull out the blood vessel for him, and then said: "It's not that difficult to sew this blood vessel with 24 stitches, but if you can't sew it,

Steady, when the blood vessels spasm, it will really be impossible to save..."

Kong Xiangming and others nodded after hearing this.

The replanted finger has spasm and the probability of necrosis is very high, which is the most important postoperative complication to avoid.

"Many people don't know how to make the sutured blood vessels stable. You can't do this by sewing a rat's tail, because we saw that the blood circulation in the rat's tail was blocked. That was what happened at that time, and the spasm occurred several days later.

"It's something..." Wang Haiyang gave another trick and said: "There are many ways to stabilize blood vessels, let me tell you the most useful one."

Wang Haiyang's eyes were looking at the microscope, and no one could see his face, but from his voice, it could be heard that Wang Haiyang was talking happily when he was talking. This kind of time was naturally the time for his disciples to make profits.

Everyone was almost listening to the secret book with their ears perked up.

Wang Haiyang said with a smile: "The most commonly used and best method we use, to put it bluntly, is worthless, is to pass it in one go."

"Once through?"

"If the blood vessels are properly aligned, one stitch is one stitch, 24 stitches is 24 stitches, no more stitches, no less stitches, don't pinch too much, the shorter the suturing time, the better." Wang Haiyang raised his head at this time,

Then he looked at the faces of the others and said with a smile: "It's actually just a layer of window paper. It's no longer interesting if you pierce it. Ling Ran, you can sew the artery, are you sure?"

"No problem." Ling Ran's expression was very calm.

Wang Haiyang smiled happily and said, "Let's change places."

Ling Ran then changed places with Wang Haiyang.

Although the chief surgeon and the first assistant are face to face, they see different surgical areas. Just like when a person looks at his own palm from the front, he feels the same as looking at someone else's palm. The chief surgeon should face the surgical area that he is more familiar with in order to perform his best.

Kong Xiangming and others had just listened to the secrets taught by Wang Haiyang, and they all looked like they were suddenly enlightened.

When Ling Ran took the surgeon's seat, Wang Haiyang spoke more smoothly.

To a certain extent, Wang Haiyang is more like a commentator...

The other doctors were very happy to hear this, but Kong Xiangming's many years of medical experience made him smell something unusual.

He wanted to ask, but in the end he didn't ask.

Kong Xiangming is relatively reassured about Chief Physician Wang Haiyang who came to Feidao.

In the current medical environment, apart from the patient, the person who cannot bear the most unbearable failure of the flying knife is the doctor who presides over the flying knife. The hospital itself that performs the specific operation bears the responsibility in the name of the unit, and at most it loses money in the name of the unit.

Kong Xiangming believed that Wang Haiyang did not dare to let Ling Ran practice during the flying knife period. However, if he thought more deeply, what was the purpose of Wang Haiyang giving up the position of chief swordsman if he did not let Ling Ran practice?

Ling Ran and Wang Haiyang both lowered their heads, showing no expressions.

Kong Xiangming no longer asked the old and mature Wang Haiyang, but simply asked for advice, found a gap when Wang Haiyang was talking, and said: "Doctor Ling, what is your strategy for suturing blood vessels?"

Ling Ran didn't say anything for a long time. When asked, he told the truth: "I don't have a specific strategy."

"Shall we just target this patient?"

"Now, the patient's blood vessels are a little hard. Let's sew them according to the blood vessels of the elderly." Ling Ran then asked the nurse to pour saline containing heparin, wet the blood vessels, and then started to use the needle without saying a word.

Kong Xiangming suddenly realized that Wang Haiyang must have felt that hardened blood vessels were difficult to sew, so he acted that strangely, and specifically asked Ling Ran if he was sure.

Kong Xiangming thought, this shows that Wang Haiyang is not completely sure.

Kong Xiangming then came to an inference: Wang Haiyang gave up the vascular suturing that he was not sure about to Ling Ran...

This idea shocked Kong Xiangming himself.

No matter what Kong Xiangming was thinking, on the screen above the operating table, Ling Ran was suturing blood vessels with one stitch, two stitches, five or six stitches.

If Ling Ran was running the marathon while holding Wang Haiyang in his arms just now, he is now being pushed by Wang Haiyang to run the marathon. His rhythm was slightly disturbed, but after he got used to it, he could still run fast and easily.

No one spoke for a while in the operating room. By the time Kong Xiangming thought of a new topic, Ling Ran had already sutured an artery.

"Two more stitches?" Ling Ran raised his head and asked Wang Haiyang.

"Okay, let's sew four stitches today." Wang Haiyang didn't ask to return to the position of the surgeon, and he didn't feel embarrassed at all.

He brought Ling Ran here because he took a fancy to Ling Ran's abilities.

If he had to suture the blood vessels just now, he would be 70% to 80% sure. Among hand surgeons, he would definitely be ranked among the top. But why must he sew the blood vessels himself?

Wouldn't it be better to leave this kind of delicate and "trivial" work to young doctors?

Wang Haiyang was familiar with Ling Ran's habits and knew that he was sure when he was sure, so he let go of the sutures of the blood vessels with confidence. As the saying goes, people don't rely on their muscles and bones for strength, and Wang Haiyang had no interest in lowering his head to fight for this.

Old blood vessels.

Who would have thought that Boss Cha, who is in his forties, would have a 70-year-old vein.

If Wang Haiyang wants to deal with this blood vessel, he will probably have to spend a lot of effort, and the operation time may be extended by an hour or two.

Ling Ran was in a "hard-on" stance. Wang Haiyang was a little frightened at first, but after watching for a while, he felt relaxed and happy.

Kong Xiangming lost interest in talking for a short time, and just watched Ling Ran's operations, with more thoughts spinning in his mind.

He is a senior orthopedic surgeon. He was appointed as the director in the past two years and has been leading the team alone for seven or eight years. He has also done replantation of severed fingers when he had to.

Yiyuan County is a remote county with a certain industrial base. From time to time, patients who accidentally amputate their fingers come to seek medical treatment. Some patients cannot afford the round-trip ambulance cost of several thousand yuan, nor can they afford to fly.

Some doctors who perform surgery require replantation of severed fingers locally.

In fact, many patients are not aware of the technical content of replantation of severed fingers at all, and only think that it is like ordinary bone grafting. As an elite in orthopedics, Kong Xiangming has done several cases half-heartedly, but none of them were very successful.

But it was only with this foundation that Kong Xiangming gained the confidence to develop a severed finger replantation project.

However, looking at Ling Ran's operations, Kong Xiangming's rare confidence gradually disappeared.

"Doctor Yun is indeed a Dr. Yun." Kong Xiangming suddenly sighed, which attracted the approval of all the doctors.

Wang Haiyang raised his head proudly and accepted the order.

Ling Ran also raised his head: "It's sewn."

"Eh? Are you okay?" Kong Xiangming was a little absent-minded just now. At this time, he subconsciously looked at his watch and was shocked: It couldn't be a blind sewing, right? I'm so panicked...

"I also sewed up the nerve." Ling Ran asked proactively. For patients who don't occupy a hospital bed, they are definitely more comfortable when the surgeon is in charge.

Wang Haiyang said calmly: "Then I'll leave it to you."
Chapter completed!