"Ling Ran, did you have a perineural suture done today?" Dr. Zhou asked in a low voice when he saw Ling Ran enter the office.
There are no secrets in the hospital. Especially medical skills and men's and women's affairs.
"Yes." Ling Ran, who had just finished the operation, drank all the water on the table in one go, and finally quenched his thirst.
"How is the suture effect? You really dare." Dr. Zhou waited for a few seconds before continuing to ask. Doctors are used to starving before performing operations, especially for ordinary operations that last several hours. They basically rely on holding back their urine. The more they drink, the worse the result will be.
Adult diapers can solve most of the troubles. However, considering the image on the one hand and the price on the other, doctors don't wear them if they can.
Ling Ran thought about it seriously, and said, "If the nerves recover well, the effect should be very good."
Dr. Zhou seemed to be choked, and said, "Are you really sure?"
"Yes." Ling Ran's answer was so simple that Dr. Zhou couldn't figure out the depth of it.
"Then prepare yourself, Director Huo will definitely ask you later." Doctor Zhou reminded Ling Ran again, and went back to his seat to drink tea.
Among the three nerve anastomoses, the perineurial suture is the hardest.
Generally speaking, if a doctor has good suturing skills, he can try to perform epineurium anastomosis. For example, Ling Ran has a master-level interrupted suture technique. With more practice, he also has a foundation for gentle epineurium. However, it needs to be done under a microscope. It is more particular about perineurial suture.
As for the third type of adventitia and perineuria anastomosis, since it is a combination of the former two, the difficulty is also placed on the perineuria anastomosis.
But no matter what kind of anastomosis, the range of surgery that can be performed has instantly increased by a level.
In the past, when Ling Ran sutured the flexor tendon in the second area of the hand, Huo Congjun directly refused when he encountered nerve damage or fracture.
The patients with flexor tendon injuries admitted by the Yunhua Emergency Department are those with simple flexor tendon injuries, at most just like Li Huamin, with a broken nerve that can be sewn or not.
Patients who are out of range, either find a way to go to other provinces for treatment, or go to hand surgery to receive tendon suture such as the Kessler method, and then ask for a consultation with a neurologist to suture. It can only be amputated.
However, if the success rate of Ling Ran's perineurial anastomosis increases, it will be much easier for Huo Congjun to find patients.
Many patients with hand injuries have combined nerve damage.
The most important thing is that the combination of tendon anastomosis in no man's land and nerve anastomosis is a level higher than that of simple tendon anastomosis in no man's land.
It is slightly inferior to replantation of severed limbs.
In the field of hand and foot surgery, there are not many hospitals that can do this. Especially considering the success rate, Ling Ran's surgery is even more worth looking forward to.
After a while, Huo Congjun rushed in wrapped in a puff of heat.
"Ling Ran!" Huo Congjun called as soon as he entered the door, he looked like a marshal looking for knights, his hair fluttered like an old cat with shaggy hair.
Ling Ran turned his head and looked over.
"Did you perform a perineural anastomosis?" Huo Congjun's question was similar to Dr. Zhou's.
The latter flicked his eyebrows at Ling Ran proudly.
He was never lazy when trying to figure out people.
Ling Ran still answered "Yes", after thinking about it, he followed what he had just answered to Dr. Zhou, and then said, "The suturing is in good condition, we will see how it recovers later."
"Let's go see the patient." Of course Huo Congjun wouldn't just listen.
Seeing Ling Ran stand up, Doctor Zhou put on his white coat and followed without hesitation. Several other doctors who were fine in the office did the same.
In the ward.
Li Huamin had already regained consciousness. Although her hands were bandaged and fixed, she struggled to get up and shouted, "I want to change wards. This ward is not good for my recovery."
Huo Congjun frowned, thinking to himself: The first case of nerve anastomosis performed in the department, what if the recovery is not good
His gaze immediately turned to the nurses around him.
Under the pressure of Boss Huo, the nurse who didn't want to pay attention at first could only step forward and ask in a good voice, "What's wrong with you?"
"I want to change the ward?" Li Huamin said.
The nurse asked: "Why do you need to change the ward?"
"The ward is green, and I can't touch green." Li Huamin's voice was still a little hoarse, but what he said was very clear.
The nurse was persuasive: "Why can't you be green?"
"I have a lot of five elements, and I don't wear green, so I can't live in a green room. You can change me to a ward." Li Huamin twisted uncomfortably, and said: "I can't recover well in the green room. If you don’t change the house for me, my illness will definitely not get better.”
The nurse felt satisfied when she heard this, put her hands on her hips, and looked at Huo Congjun.
Huo Congjun was very helpless. He originally thought that there was a problem with the facilities in the ward, and he was thinking about whether to adjust it. Now that he heard that there were too many five-element trees, he immediately became confused.
Ling Ran was also a little bit regretful, he stitched up the patient from the beginning to the end, and he originally wanted to say a heartfelt thank you, but now it seems that if you want to thank this Li Huamin, what you have done is still not enough.
"I don't care. If you don't change my room, I will be discharged from the hospital. I don't want to stay in the green ward." Li Huamin yelled again and wanted to jump off the bed. Although it was just pretending, the family members still stood by to help out.
"The wards are all green." Huo Congjun said patiently and calmly.
"Green is not good for people with a lot of wood. You can repaint a few wards." Li Huamin suggested.
Huo Congjun asked calmly, "What color is the paint?"
Li Huamin immediately said: "Pink, I want pink."
"Why paint it pink?"
"Pink belongs to money, and I'm short of money in the five elements."
Huo Congjun stared blankly for a few seconds, and realized that the other party was really not joking with him, so he turned around angrily and left.
After leaving the ward, Huo Congjun said, "I don't know, I thought the ulnar nerve was connected to the skull?"
Doctor Zhou laughed twice and said, "Perhaps the anesthetic has not passed its strength yet."
On the contrary, Ling Ran found it a bit novel. What he saw was a patient under anesthesia. At that time, he still had a sense of accomplishment in saving lives and healing the wounded.
"Give her a nerve electromyogram." Huo Congjun added, "Analyze her nerve recovery, and don't show it to me."
"Okay." Ling Ran accepted the order.
"Your nerve anastomosis must have a certain success rate. When the success rate has risen, there will be plenty of patients." Huo Congjun gave Ling Ran additional advice because of his expectation.
Yunhua Hospital currently performs nerve anastomosis, mainly on the main nerve, such as the median nerve. Because it is thick, it is not difficult to repair it if it is damaged. The difficulty is small-scale trauma, combined with nerve damage, which is very difficult. It is difficult to deal with, and there are very few techniques that can be developed.
However, according to Huo Congjun's thinking, Ling Ran has practiced in private for a period of time at most, and it will definitely take time and cases to grind. He just let go of a small mouth just now. As long as a certain success rate is guaranteed, he will support Ling Ran. Then get on with it.
Doctor Zhou turned to look at Ling Ran, wondering if he understood or not.
"The nerve EMG is ready, I'll bring it to you." Ling Ran still answered simply.
Huo Congjun said indifferently: "This is probably hopeless, and if there are cases in the future, remember to sort them out." 8)