"Okay, the debridement is over here, there is no problem." Wang Haiyang did the debridement of the section himself, and it was the first time to cooperate. Otherwise, he would be willing to hand over this simplest step to Ling Ran do it.
Ling Ran nodded slightly.
"Well, how many times have you done debridement?" Wang Haiyang was ready to ask.
Ling Ran thought for a while and said, "Hundreds of times."
"Huh? Hundreds of times?"
"If you don't count the tang method of suturing, there should be hundreds of times." Ling Ran didn't remember too clearly. When he first arrived in the emergency department, he had done debridement and suture for a while.
In the operating room, debridement is also the basis. Most of the patients sutured by the Tang method also need debridement, which is the same as the current patients with severed finger replantation.
Wang Haiyang nodded calmly: "If you count the debridement of tang suture, have you done thousands of cases of debridement?"
"Should." Ling Ran would not be modest about such numbers.
Wang Haiyang paused for a moment, quickly changed the question, and said, "Then what do you think is the most important part of debridement?"
Ling Ran seldom served as an assistant to superior doctors in the past, but now he couldn't help feeling a little uncomfortable with the environment and hesitated.
Wang Haiyang chuckled and said, "It's okay, don't worry, speak boldly."
It is a popular scene on the operating table for superior doctors to ask questions to lower-level doctors, especially when there are young nurses in the operating room. The higher-level doctors who have stronger skills will always receive a few hypocrisy when they cover the lower-level doctors. laughter.
The technical crushing of superior doctors and subordinate doctors is a characteristic of the doctor group.
For technicians in other industries, their technical peak may be concentrated around the age of 30 to 40, and few of them remain at the peak of their technology until they are 50 years old.
Physicians are different.
Lifelong learning for doctors means that medical students who graduate from a bachelor’s degree have only studied for five years, and doctors who have graduated from a doctor’s degree have studied for seven or eight years, or a little longer, while doctors at the attending level have studied medicine for about 15 years, and deputy directors have 20 years of study. years or more of experience.
After studying for so long, the scope of questions is determined by the superior doctor, and technical crushing is almost doomed.
Most of the time, senior doctors ask questions to junior doctors like high school students ask elementary school students.
Naturally, Wang Haiyang would not regard Ling Ran as a primary school student. A young man who knows how to do tango has reached the level of a "junior high school". Thinking about this, he just subconsciously teased the young assistant.
Seeing Ling Ran's thinking, Wang Haiyang urged more interestingly: "Don't worry, think more."
The nurses in the operating room also looked at Ling Ran.
The young Yisuke Ling Ran didn't have much thought about debridement and sutures. He said disappointingly: "If I have to say it, the most important thing about debridement is to clean it up so as not to cause secondary damage."
"That's what it means..." Wang Haiyang was about to explain with a smile, when the door slammed open.
"No... not good... I'm sorry, I'm late." Lu Wenbin regretted it very much. Having a director perform surgery, even though he is not the director of his own department, it can only be said to be an even rarer experience.
Wang Haiyang in the operating room was a more talkative elder. He smiled slightly and said, "As long as you didn't rush in after shouting that it's not good, I will forgive you."
"Ah... that, I'm sorry." Lu Wenbin didn't know how to answer the question at all.
"It's okay, we just did it... Well, the bone setting is almost done." Wang Haiyang couldn't help but looked up at Ling Ran.
The help of the first assistant to the main surgeon is usually hidden, and it is passively helped under the operation of the main surgeon.
A good help can effectively increase the speed of the operation.
Like in the process of bone setting, Ling Ran did all the work of tidying up, and Wang Haiyang, who is the chief surgeon, just needs to easily connect...
Wang Haiyang coughed twice, and said, "Well, Ling Ran, you actually know how to set bones, right?"
"Bones from severed fingers will join together," Ling Ran said.
The "replantation of amputated finger" technique he obtained actually included multiple items, including bone grafting, vascular anastomosis, nerve anastomosis, tendon suture, and skin suture in addition to the simplest debridement.
Among them, only bone setting is something Ling Ran doesn't know at all, and he has already learned the rest.
Of course, the replantation of amputated fingers is "perfect", probably because of its comprehensive abilities.
Wang Haiyang nodded subconsciously and said, "The technology is very good."
He could make this judgment just by looking at Ling Ran's cooperation.
Ling Ran only smiled slightly.
"The next step is to suture the tendon. Oh, this is your old job." Wang Haiyang smiled and said, "However, I will do it myself for this round, and I will give it to you later."
As Wang Haiyang said, he began to trim the section of the tendon.
Ling Ran turned his head around and kept using scissors and scalpels to help.
As for Lu Wenbin, he could only look on stupidly.
It's useless to ask him now, not to mention that the itinerant nurse and others are busy, and no one can help him put on the surgical gown.
Ling Ran concentrated his energy and operated with quick thinking.
He has sewed too many tendons, and he usually thinks about problems from the position of the chief surgeon. Now that he is standing in the opposite position as the first assistant, he feels that it is a new experience and he can use his own experience.
This feeling is like the pilot of a two-man fighter who switched from the front to the rear as a weapon officer, or the elite shooter of Glory of Kings who switched to an assistant.
The importance of position has become weaker, but if the ability is strong enough, it can still arry the audience.
At this moment, Wang Haiyang clearly felt Ling Ran's coercion.
Especially when it came to the stitching stage, Wang Haiyang poked it down for a while, and the rest of the knotting and threading were contracted out by Ling Ran, the first assistant, and he did it well and quickly.
It is equivalent to saying that within the time it takes for Wang Haiyang to thread a needle, Ling Ran can complete threading, knotting, adjusting the position and so on.
Regarding this, Wang Haiyang, who was thinking of asking another question, immediately became vigilant.
"It's great that the young people are making moves." Wang Haiyang praised first, and then said to Lu Wenbin: "Well, play some music for us, some pop music, let's play the Little Tigers."
Director Wang Haiyang dispatched Lu Wenbin at will, without the slightest psychological burden.
Lu Wenbin was very happy that he still had the value of being ordered, so that when the melody of "Ho, Ho Ho Ho, Ho Ho, Ho Ho" sounded, he felt like he wanted to dance to it.
"Director Wang, shall we continue sewing?" Yizhu Ling Ran asked the chief surgeon.
"Oh, of course." Wang Haiyang smiled and lowered his head to work.
He didn't expect how many times he would hear this sentence today.
He heard it twice as the tendon was being stitched up.
He heard it three times as the nerves were stitched together.
The most complicated vascular anastomosis was originally where Director Wang was going to give a special lecture, but Ling Ran still urged him to do so.
"Director Wang, shall we continue sewing?"
"Director Wang, shall we continue sewing?"
Now, whenever Wang Haiyang heard these words, the movements of his hands would unnaturally become faster.
Ling Ran's cooperation was naturally faster.
He has the skill of replanting severed fingers at the perfect level, that is to say, he is a bit guilty of stitching for the first time.
It's different to have a director-level doctor at the head, Ling Ran can provide perfect cooperation.
To put it simply, except for Ling Ran himself who was a little urgent, all his cooperation made Wang Haiyang extremely comfortable and efficient.
Wang Haiyang originally planned to let Ling Ran manipulate it when his nerves were matched, but after that, he was reluctant to let go.
For doctors, being able to perform surgery very smoothly is a very comfortable thing in itself.
After one operation was completed, Wang Haiyang licked his lips eagerly, but he took the initiative to say, "Why don't we do another case of severed finger replantation?"