Tension-reducing suturing is much slower than ordinary suturing.

First, use No. 0 thread to make the tension reduction part. Not only is it divided into multiple segments for suturing, but also the needle entry and exit of each segment must be paid attention to. The specific entrance and exit must be determined by considering the skin tension and stitch length.

The needle must fall between the skin and the dermis...

In addition, it is also very difficult to align the skin edges. The injured skin is not always smooth, and sometimes there are skin defects, which makes alignment even more difficult.

However, if they are not aligned, tension reduction sutures are meaningless. If you end up with wrinkled skin sutures, it is better to use ordinary interrupted or continuous sutures.

The young doctor in the emergency room can use ordinary techniques to suture a wound of several centimeters long. If the debridement is not complicated, it can be completed in more than ten minutes, which includes all the tedious steps.

Ling Ran performed hidden tension-reducing sutures. The pure suturing time took more than 30 minutes. He stayed there for two hours and only performed 3 cases.

The interns in the treatment room quickly turned their attention away.

For an emergency department as big as Yunyi Hospital, three cases of debridement and suturing in two hours would still be a huge loss for everyone.

However, Dr. Zhou looked around and after a while, arranged for a little girl to come over.

The little girl was injured on the tibia, which is the front of the calf. The wound was torn into an S shape and was almost 5 centimeters long. It was considered a big gash.

Her parents were thinking about her. Her father looked anxious and dusty, probably because he had just arrived. Her mother's bright manicure was dancing in the air: "I told you to be careful, be careful.

Why are you so careless... Look, because of you, your dad and I can't go to class and have to go to the hospital... Today's hospitals are still asking for money and only provide cosmetic surgery? You guys

Wouldn’t it be enough to just say that you’re robbing money?”

During Ling Ran's examination, the little girl's mother was constantly cursing people. She scolded the little girl the most, then the hospital and her husband, and she also didn't forget to scold his boss and colleagues...

Ling Ran seemed unaware.

Ling Ran would often turn a deaf ear to what others said, unless they were specifically directed at him.

Ever since he was a child, there have always been people around Ling Ran who would deliberately speak loudly, discuss certain things, and spread certain gossip. If Ling Ran paid attention to it, Ling Ran would be in trouble for a long time.

Quiet.

Ling Ran's experience is that you always have to decide as quickly as possible whether you want to ignore certain people.

Just like the mother in front of me. Although she is a direct relative of the patient, and she is very emotional. There is fear hidden in anger, worry hidden in fear, and sadness hidden in worry... But what she said is meaningless, it is just emotion.

Venting is invalid or even wrong information.

Ling Ran first made a judgment on the injury based on reality.

No bones were injured, which was good news. However, in order to strengthen his judgment, Ling Ran still raised his head and asked, "Have any X-rays been taken?"

"Take an X-ray of your fart." The little girl's mother raised her head as soon as she entered the door. At this time, she looked at the top of Ling Ran's head and angrily said: "The doctor in the past could tell whether it was good or bad with just one stroke. If I hadn't been Doctor Li Yun

Recently, I was stupid and sent people to Yunyi Hospital. Why can't you find someone reliable? Where is your director? Can't I register as an expert? "

Dr. Zhou looked embarrassed and faced Ling Ran and whispered: "The patient's family objects to X-rays. Take a look..."

"Then let's just do debridement and suturing." Ling Ran was not a newbie, he had seen similar situations more than once in the emergency room.

The hospital is a small world that faces reality. Some people here will go to the special outpatient clinic for 500 yuan a time in order to avoid waiting in line, and some people will not take X-rays in order to save 100 yuan.

Taking X-rays is for safety. In other words, if you don’t take X-rays, you have to bear the risk.

Fortunately, the risk is not too great... Ling Ran twisted on the chair twice, stood up again, took a deep breath, and then sat down again to check.

The little girl's mother stared at Ling Ran for a few seconds before looking away. Her tone was less harsh, but she still said: "You have no hair on your lips, and you are not good at work. The current hospital is really terrible. The clinic before was so good...

…”

"I'll debridement, you do the anesthesia." Ling Ran said to Lu Wenbin, then lowered his head and started operating.

Lu Wenbin coughed twice and said, "Family members, please go out."

"I'm not going out. If I go out, what should I do if you mess it up?" The mother's neck stiffened, and she had already grabbed the power-assisted handrail next to her, ready to fight with force.

No doctor or nurse wanted to play this trick with her, they all lowered their heads and pretended not to notice.

The father said a little embarrassedly: "I'll go out and wait."

"Hey, you loser, are you a good person now? What have you been doing?" The woman's voice suddenly became sharp.

The little girl started to cry.

Ling Ran had no choice but to stop and wait for the girl's trembling body to stabilize a little before debriding again.

The woman was also a little tired. She stopped waving her bright nails and asked, "Will there be scars?"

Dr. Zhou glanced at Ling Ran apologetically, and then said to the woman: "If you go to the medical aesthetics department..."

The woman raised her voice again: "I told you, I won't go to that place where you cheat money..."

"I mean!" Dr. Zhou also raised his voice slightly and said, "I mean, even if you go to a medical aesthetics department and they sew one centimeter for two to three thousand yuan, there is no guarantee that there won't be any scars.

."

"Look, look, then you still asked me to go to that place..."

"Sewing you in the emergency room may...leave scars." Dr. Zhou glanced at the little girl lying on the treatment bed, lowered his voice and said, "However, Dr. Ling's skills are very good. He

What I just performed on the patient is called tension-reducing hidden suture, which is a suture method that can reduce scars and is the same method used in medical aesthetics."

The little girl felt a glimmer of hope and looked at Ling Ran.

The injury was on the front of her calf. If it left a scar, she would not look good wearing skirts in the future.

At the very least, don't leave ugly big black scars.

Ling Ran looked at Dr. Zhou and said, "Absorbable sutures should be used under the skin."

According to the hospital's charging standards, absorbable threads are much more expensive than ordinary silk threads, and imported goods cannot be reimbursed.

Dr. Zhou nodded and said, "We'll talk about it later."

All sutures are subject to wear and tear. He is the attending physician and can perform operations such as substituting the stitches and substituting them, as long as the nurse in charge agrees.

The nurse at the side immediately went to get the thread without saying a word.

Ling Ran then lowered his head and continued to debridement, and explained to the little girl: "After the anesthesia is applied, I will first align your wounds and use tension-reducing hidden sutures on both sides. Hidden means that it cannot be seen on the surface.

Bring out your needle and thread."

The little girl held her breath and asked, "If you can't see the stitches, there will be no scars, right?"

She spoke faster at this time, and it could be heard that she was originally a lively girl, but she acted extremely depressed in front of her mother.

Ling Ran pondered for a moment, then told the truth, "The scars are not caused by the needles and threads, but the tension-reducing suture method can indeed reduce the scars."

"Still want to leave a scar?" The little girl responded quickly.

Ling Ran nodded: "With good recovery, there will be fewer scars, but there may still be scars."

"Go...to the aesthetics department?" The girl glanced at her mother carefully.

Ling Ran said without pause: "It is still possible to leave scars."

The girl said "Oh" in disappointment and relief.

"After the tension-reducing invisible suture method, I will use intradermal sutures. The needle goes on the inside of the skin and there will be no needle holes. However, the pulling force of intradermal sutures is relatively weak. You must pay more attention and follow the doctor's instructions completely.

Reduce scar growth.”

"Then if I follow all the doctor's orders, how big will the scar be?" The little girl timidly stretched out her finger, made a gesture, then shrunk it a little, and asked again: "Will it be this big?"

"Maybe smaller."

"so small?"

"Probably smaller."

"so small?"

"It's possible, it's possible. Do you understand what it means?"

"I know, you are afraid that my mother will scold you, so you dare not say anything to death." The little girl also has life experience.
Chapter completed!