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Chapter 195

The system prompts did not affect Ling Ran. He still opened the order and notified Lu Wenbin and others to prepare for the surgery.

Before the patient is delivered, any expectations are meaningless.

And after the patient is delivered...

Ling Ran looked at the MRI film and still had no clue.

How can replantation of a severed finger be considered a perfect suture?

No scar? That’s impossible. Not to mention that you can’t worry about this problem when replanting the severed finger. If you worry about it, you can’t deal with it. It’s better to have plastic surgery afterwards.

Shouldn't the phalanges be shortened? A broken finger will basically have to be shortened by one length. When the huge impact force breaks the finger, damage to the cross section is inevitable, and if the alignment must be accurate, we cannot expect the original shape to remain intact.

The docking is not Transformers.

Ling Ran thought about this and realized that from an aesthetic point of view, it would be difficult for him to achieve perfection.

Thinking about it this way, perfection must be considered from the aspect of functionality.

Allow patients to restore their original hand function?

Ling Ran thought for a while, there was precedent for replanting amputated fingers to this extent, but it couldn't be guaranteed.

However, if you think about it from another perspective, the task is probably not guaranteed to be completed 100%.

I can only think of ways to get closer to success.

The first thing Ling Ran thought of was the blue potion with skill +1, but after just a second, he rejected this idea. Not to mention that there is still a lot of space for the use of blue potion. According to the task description, it also requires full performance.

Perfect finger replantation technology.

Ling Ran smacked his lips, but what he was thinking about was the legendary level after +1...

I don’t know what the blue bottle tastes like.

"Doctor Ling, the patient is here." Yu Yuan ran back and forth to report.

As the eldest member of Ling Ran's team, Yu Yuan, who is 1.48 meters tall, knew that her surgical skills were lacking, so she rushed to do chores to help everyone. Ling Ran was the doctor who taught her the most surgical skills. The rare thing was that surgery

His skills were so good that Ling Ran was actually the most suitable doctor for Yu Yuan in the emergency department.

Su Jiafu also rushed over and asked: "Dr. Ling, do you have relatives coming to see you?"

He was called by Ling Ran and had to change shifts to make the trip.

Ling Ran glanced at him and said: "The patient is a decoration worker and has high functional requirements for his fingers. I want to do it as well as possible, so I came to see you."

Su Jiafu was so happy to hear this that he almost laughed out loud: "Doctor Ling's vision is still good, so I won't complain about your other words."

Ling Ran looked at Su Jiafu strangely but said nothing.

Lu Wenbin, who came next, deliberately laughed twice and said, "Dr. Ling just wants a familiar anesthesiologist."

Ling Ran nodded subconsciously.

If you want to perform a perfect operation, it is necessary to have a familiar anesthesiologist. Of course, they may not be able to play a role anytime and anywhere, but when they play a role, it will be very worthwhile.

In this regard, the value of an anesthesiologist can probably be seen as: 10% chance of eliminating abnormal conditions.

Su Jiafu was very unhappy: "What do you mean by just? Dr. Ling must still value my strength."

"Do you dare to say that you are the best in the Department of Anesthesiology?" Lu Wenbin easily put on the condom.

Su Jiafu hummed without saying anything.

There are many deputy directors and directors above him. Even if he talks like this, even if it is a joke, what if he is taken seriously?

"Let's do a small pre-operative consultation." Ling Ran doesn't dwell on this. He requires team members to be the best. This idea disappeared when Ling Ran was in junior high school. Each member of the choir does not need to have a singer.

level, sometimes a smile from the lead singer can cover up countless omissions.

Lu Wenbin was slightly surprised: "Is today's surgery complicated?"

Before this, they rarely conducted preoperative consultations. This is true for all surgeons. It is common for surgeons to switch from one operating room to another, especially for a department's main surgery. A chief surgeon has been doing it since he was young.

When they are old, some people can perform the same operation for twenty years. Even at a low frequency of one to two hundred cases per year, a surgeon will perform 2,000 such operations.

Then, facing the 2001st case of the same surgery, as long as the person lying on the bed is a human with normal anatomy, or even a human with not particularly strange anatomy, then there is no need for preoperative consultation.

The only exception is that the surgery itself is very complex, especially those types of surgery that have not been fully studied by humans, which often require more consultations and examinations. In the final analysis, the ability to forcefully push is not enough, and you cannot do it blindly, so you have to choose the right one.

Hole.

Ling Ran said directly: "I want to do as well as possible."

Lu Wenbin said "oh" in agreement.

Su Jiafu, who was preparing the anesthetic, said "Hey" and said, "Lao Lu, don't you think it's strange?"

"What's weird? People always want to make more delicious pig's trotters." Lu Wenbin looked at Su Jiafu with contempt and said: "You have no experience of getting up at two o'clock in the morning to go to the vegetable market, right?

Think it’s too boring?”

"I spend two o'clock in the morning doing medicine, which is more boring than making condiments." Su Jiafu calmly looked down on Lu Wenbin.

"Anyway, let's take a look at the MRI image first." Ling Ran interrupted the comparison between the two, pointed at the image, and said, "Dr. Lu, what can you see from it?"

"I..." Lu Wenbin was recently asked to learn MRI, and he was really trying to learn it. However, Ling Ran's question still made him a little confused.

"Remember to read when you go back." Ling Ran said first, with a tone very similar to that of a senior doctor.

Lu Wenbin nodded obediently. If the superior doctor had the ability to read MRI scans, he would definitely have to learn it desperately. Considering the domestic environment, it would be very lucky to have such learning conditions as him.

Yu Yuan stood on tiptoe and stretched out her hand behind Lu Wenbin.

"Yu Yuan?"

"It can be seen that the cuts are very neat, the bones should not be displaced, the bone density is relatively high, and the nerve contusion is severe..." Yu Yuan chose to speak out knowingly.

"The key is our surgery." Ling Ran interrupted Yu Yuan's endless nonsense with one sentence, and then said: "Lu Wenbin, you first look at the patient's anatomy, and we first select a few that can be used for anastomosis.

Blood vessel……"

Lu Wenbin nodded repeatedly and was fed directly into his mouth, making him chew easily.

Ling Ran didn't expect Lu Wenbin to figure it out on his own, so he explained the situation of several blood vessels on the spot, mainly the location of arteries and veins, and their current status.

When replanting a severed finger, the arteries must be anastomosed. If there is no artery suitable for anastomosis, the replantation will not be successful. The exception is that the palmar artery is OK, and the distal artery is in bad condition, and it can be

Connect arteries to veins to reach a compromise.

Apart from arteries, veins do not play a decisive role, but if they are sutured well and quickly, it will be very beneficial to postoperative recovery. Especially in vascular crises, veins can delay a little longer.

, somewhat similar to the existence of a spillway.

Ling Ran first pointed out the positions of several blood vessels in the MRI images, then asked for the CT images, and explained them to Lu Wenbin again, and finally started to discuss the strategy. That is, which one to sew first and which one to sew.

What to do if you fail.

Usually, these things were kept in Ling Ran's mind and he was too lazy to speak out. Lu Wenbin could just watch and ponder, but did not listen to Ling Ran's detailed explanation.

When Ling Ran talked about it now, Lu Wenbin combined it with the surgeries he had seen on weekdays, and he suddenly felt it.

"I think I'm ready to go into battle." Lu Wenbin couldn't help but make innuendo.

"Let's take a look after today's work is done." Ling Ran didn't mean to refuse. Lu Wenbin has done so many cases of replantation of severed fingers, so it's normal for him to want to try.

After explaining the blood vessel problem clearly to his first assistant, Ling Ran briefly explained the other parts before starting the operation in a hurry.

He still has to perform the surgery in the end. Even if he pursues perfection, he cannot ignore the basic operation.

As the shadowless lights came on, the operating room became quiet again.
Chapter completed!
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