Ling Ran gently connected the patient's little fingers together under the familiar microscope.

If you don't consider the importance of the finger, in the eyes of outsiders, replanting a severed finger is probably a very small operation, which is just to sew the fingers together. After a little treatment of the blood stains on the outside, and then connecting the broken fingers together, it looks normal.

No one will feel scared.

But in the world of microscopes, replanting a severed finger is as difficult as sewing a broken building back together.

It is even more complicated if it can be used flexibly.

Fortunately, the blood vessels in the human body have the ability to repair themselves. As long as the fingers are kept from necrosis, the broken blood vessels, especially the capillaries, will still grow back tenaciously. It can be said that the human body's self-healing ability is the best when a broken limb is regenerated.

The foundation for planting.

But even so, the estimated time of a replantation surgery for a severed limb with four severed fingers is more than 20 hours.

Implementing the hospital's operating room management, the operating room occupied by Ling Ran will not be scheduled for operations in the next 20 hours. Unless he ends the operation early, the operating room will be used for temporary maneuvers.

Lu Wenbin, Ma Yanlin, Yu Yuan and others came in and out. When the operation time was up to 6 hours, they ran out to rest when they had the opportunity.

All the doctors who were watching had naturally disappeared long ago.

Although the doctors at the Yunyi Emergency Department envied Ling Ran's surgical operations, if they had not had the opportunity to improve in hand surgery, they would not have spent several hours watching the surgery.

Ling Ran and Director Wang Haiyang spent a total of almost 8 hours to sew all four fingers together.

The gray-haired Wang Haiyang, whose back ached from exhaustion, muttered: "The sewing is finally done."

Ling Ran stretched out happily and took off the mask.

Lu Wenbin and Ma Yanlin each stood on one side and quickly sutured the skin flap.

In some small hospitals, suturing skin flaps is a very difficult task. If the suturing is not done well, the patient's skin will look like a suture monster, one color in one color and one color in the other, wrinkled and knotted like a robe.

If it's good enough, it won't be invisible, it can only make people not feel disgusted.

After more than half a year of practice, Lu Wenbin and Ma Yanlin are now as good at suturing skin flaps as the junior surgeons in hand surgery. The latter may not have as many opportunities to practice as they do.

Wang Haiyang looked at several assistants, rubbed his waist, and said with a smile: "It's good to be young. Unlike my old bones, if I have to do such an operation again, I should retire."

"Are you going to make flying knives when you retire?" Ling Ran asked.

Wang Haiyang laughed "haha", and then looking at Ling Ran's serious face, he doubted whether he was really joking.

"Let me press it for you." Ling Ran said, taking Wang Haiyang's arm and pushing with his fingers to slightly relax the muscles around Wang Haiyang's spine.

Wang Haiyang took in a hissing breath from the corner of his mouth, and his face really relaxed.

"You can do this." Wang Haiyang nodded cheerfully, and then said: "This trick of yours is good and useful... By the way, you are now very good at Achilles tendon repair. Do you want me to help you contact a few people?"

Throwing knives?”

"Is that okay?" Ling Ran was slightly moved.

"Of course, you are the one who performed Liu Weichen's Achilles tendon repair. I heard that there are patients from abroad coming to your door. I will help you publicize it. After we sit together and have a few meals, we will become familiar with it."

Ling Ran said "Yes" and said, "I'm not going to eat."

"You still need to socialize." Wang Haiyang laughed and said, "If you don't socialize, how will people get to know you."

Ling Ran said with great experience: "Sometimes you will get more opportunities if you don't participate in social activities than if you participate in social activities."

This is indeed a summary of Ling Ran's experience.

Wang Haiyang was stunned, but was unable to refute.

With a personality like Ling Ran's, if he were to forcefully drag him out, he wouldn't necessarily offend anyone.

After hesitating for a while, Wang Haiyang decided to skip the topic and said: "Anyway, let me help you arrange the flying knife first. As long as you are willing to do it, it should be no problem. By the way, what are your requirements? Expert fees, venue or number of people

What."

Ling Ran had made flying knives with Wang Haiyang before, and was not interested in the income that flying knives could provide, so he blurted out: "As long as it can increase the turnover rate."

Wang Haiyang was silent for a few seconds and said, "You mean the bed turnover rate?"

"Well. Save the word." Ling Ran explained perfectly.

"That means arranging a few more surgeries at one time, but not asking for the price, right?" Wang Haiyang took off his surgical clothes as he spoke, and said: "This is actually not right. You should pay for the expert fees first.

Then we’ll talk about the number of operating tables.”

Ling Ran thought for a while and said, "The number of operations is more important."

"Okay." What could Wang Haiyang say?

The two of them went out while talking, leaving the operating room to others.

The doctors and nurses in the department are used to it. Some junior attendings will help with some finishing work. When they reach the senior attending level, even if they want to help, they are unable to do so. Not to mention, most of them are not in the mood.

Doing menial chores.

"I can also perform knee arthroscopy and meniscusplasty." Ling Ran took a few steps and reminded Wang Haiyang again.

Wang Haiyang's eyes lit up: "Did you learn it from Academician Zhu?"

Ling Ran was too lazy to explain and only said: "I have done about 50 cases at the Bone, Joint and Sports Medicine Center, and the results have been very good. When the time comes, I will ask Yu Yuan to write a follow-up report and show it to you."

"Well, menisplasty is very suitable for flying knife, but... you have to give the patient and the patient's family a little more confidence." Wang Haiyang said it more euphemistically, which meant that he felt that Ling Ran's reputation in this field had not yet risen.

Ling Ran, who mastered the perfect meniscus plasty technique, nodded and did not refute.

If you are not famous, you are not famous. No special explanation is needed. As the number of surgeries increases, what you should have will come naturally.

Wang Haiyang was worried that Ling Ran would be unhappy, so he said with a smile: "You are right to practice meniscoplasty. This is an elective surgery, and it is more convenient to raise flying knives. When you become famous, you can go out and do four or five at a time."

Can……"

Among the four surgical techniques that Ling Ran currently masters, replantation of severed fingers and suturing using the Tang method are basically within the emergency scope. If the suturing cannot be performed within 24 hours, suturing is basically unnecessary.

Achilles tendon repair can be delayed for a few days, but if you want to pursue good results, fresh Achilles tendon repair cannot be delayed too much. It is always calculated in days. Old Achilles tendon repair can wait, but

The effect is definitely not as good as fresh.

Only arthroscopic menisplasty of the knee can be postponed for many days, including by athletes.

Wang Haiyang considers heroes based on whether they can fly a knife or not, so he naturally feels that meniscusplasty is the best.

Ling Ran didn't explain much. He returned to the office and sent a WeChat message to Huo Congjun. Three hours later, two meniscaloplasty patients were finalized.

In terms of patient absorption capacity, Yunhua Hospital is stronger than 100 bone joint and sports medicine centers. In Changxi Province, Yunhua Hospital, the Army General Hospital and the Provincial Hospital are three pillars, each with its own focus, radiating throughout the province and even beyond.

In theory, other hospitals in the surrounding provinces are subordinate hospitals to the three hospitals and have business guidance relationships. Unless the patients in the whole province cannot feed the top three hospitals, there will be no shortage of patients.

In fact, if all patients in the province could be treated by three top tertiary hospitals, the average life expectancy in Changxi Province would increase by at least five or six years.

Therefore, none of the patients who were referred to Yunhua Hospital were unhappy.

…

The next day.

Ling Ran didn't start his ward rounds until 8 o'clock.

He had just returned to Yunyi Hospital, and there were actually few patients available for ward rounds. The main purpose was to see how the patient with four severed fingers was doing.

When I arrived at the ward, I saw that the patient had woken up and was happily watching a TV series with his mobile phone.

The sound of the doctor entering woke up the accompanying mother. She raised her head and combed her hair twice, then frowned and looked at her daughter: "They say looking at the screen hurts your eyes after the surgery. Why do you look like this again?"

"I don't have time to catch up on dramas at work. I finally rested. It'll be fine if I watch the drama." The girl couldn't move one hand, so she used the other hand to click pause, smiled at the doctors, and said, "I

I feel like I recovered pretty quickly, and I don’t feel much at all anymore. Can I go home?”

"You haven't worn out the anesthesia yet." Ling Ran looked at the anesthesia pump hanging on her body and said, "You need to be prepared to be hospitalized for a long time. Although the survival rate of replantation of severed fingers is relatively high, the perioperative period

care is essential.”

"Oh." The girl was not stubborn, but she smiled and said, "My fingers should be alive."

"Not sure yet." Lu Wenbin rushed to say.

"I understand, I understand." The girl waved her hand and turned around and said, "Mom, look, doctors have said that the survival rate of replantation of severed fingers is very high now, so don't worry about it all day long."

"Am I worrying blindly? You just don't worry, that's why you made your hands look like this."

"It's just that you care too much, so I don't worry about it..."

"Um... patients and their families should not quarrel. Patients should try to keep their mood as calm as possible. Being too excited may cause blood pressure fluctuations, which may easily lead to dangers such as blood clots. You must be careful." Yu Yuan stood up and reminded her, Xiao Xiao

He's tall and has a big voice.

The patient and family members were a little embarrassed and pretended to regain their composure.

The doctors continued their rounds without being surprised.

Weird things can happen in the hospital, and quarrels between patients and their families can only be considered routine.
Chapter completed!