Ling Ran followed Huo Congjun and went straight to the hand surgery department.
At this moment, the hand surgery department was in turmoil, and the doctors passing by only had time to nod with Huo Congjun before leaving quickly.
The eight fingers of a 5-year-old child need to be replanted. The impact on hand surgery is much more complicated than the single finger replantation of eight young children. If you want to describe their panic, it is like an airport that receives news that many planes are requesting to make an emergency landing. No matter how much preparation and experience they have before, they will not feel that it is enough.
"Old Wang." Huo Congjun went directly to the office and arrested Wang Haiyang.
"Oh, Ling Ran is here." Wang Haiyang called out Ling Ran first, then shook hands with Huo Congjun, and said with a smile, "Old Huo, you didn't come here to see a joke, did you?"
"What joke are you looking at? I'm helping each other. If you don't admit it, we'll go back." Huo Congjun smiled, holding Wang Haiyang's hand tightly.
Wang Haiyang said helplessly: "You said you were not joking, come on, get ready when people come, Ling Ran, just ask Xiao Liu for anything you want."
Xiao Liu is a nurse in hand surgery. She is young and looks at Ling Ran with big eyes.
Wang Haiyang and Ling Ran had surgery on the same stage, and he also watched the video of him replanting the severed finger of the owner of the mahjong parlor whose fingertips were not completely severed. He knew that Ling Ran had the ability to complete the severed finger, so he agreed with Huo Congjun to bring him here. .
However, Wang Haiyang didn't bother to explain at this time, or in other words, in his heart, Wang Haiyang had some urges to stay away from Ling Ran.
"Doctor Ling, you can tell me about any equipment you need..." Xiao Liu was a little excited. The opportunity to get in touch with the grass at such a close distance is really rare.
Ling Ran took out his mobile phone, swiped it a few times, and showed Xiao Liu a list of equipment.
Xiao Liu was stunned for a moment, then quickly took it in his hand, and began to pay attention to each stroke.
Different doctors have different operating habits, that is, the simplest debridement and suture, and the equipment used by each person is different. The habits in the operating room are naturally even more varied. One of the tasks of the surgical nurse is to equip the doctors with the usual equipment. Equipment with special needs will be added separately.
What Ling Ran mastered was the perfect level of finger replantation. There are quite a lot of instruments that can be used, and the requirements are more than ordinary doctors.
However, these are trivial matters for the operation, and it is nothing more than more work for disinfection afterwards. Nurse Xiao Liu only needs to write down the parts that are different from the standard equipment.
Ling Ran ordered the MRI film and X-ray film again, and began to look at them slowly.
The MRI images of the limbs were extremely simple to Ling Ran, and the X-ray film itself was also very simple. With these two aids, Ling Ran was able to form the basic state of a severed finger in his mind. The only thing that is not clear is the state of the nerves, but with the help of MRI, I can get a general idea.
"How long did it start?" Ling Ran got up and asked after reading the video data assigned to him on his left middle finger.
"There is still 30 minutes of preparation time." Nurse Liu answered accurately enough.
"Then give me the MRI and X-rays of the other fingers." Ling Ran said.
The little nurse was slightly surprised, and after a while, she brought the pad to Ling Ran.
Ling Ran thanked him and continued to read the film.
The time for preoperative preparations varies, and Ling Ran has no way to interfere, so he quietly does his own thing.
It takes about two to three hours for a professional doctor to replant a severed finger. If the operation is not successful, it may not be completed in four hours. Small local hospitals have no conditions, and it takes an hour to sew casually. There are also fatalities.
The hand surgery at Yunhua Hospital naturally seeks success rate. For the replantation of severed fingers of children, they usually need about four hours to suture one finger.
In terms of superposition calculation, 8 fingers need 32 hours.
Such a long time is naturally not allowed. The optimal time for replanting a severed finger cannot exceed 24 hours. In fact, when considering whether it is worth replanting a severed finger, it is a boundary line. If this time is exceeded, doctors will often recommend amputation.
Of course, no doctor can last 32 hours.
No matter how microsurgery is considered, it is an ultra-precise operation. Workers in the factory work for 16 hours in a row. If they are not careful, they will be sent to the hospital to have their fingers replanted. It would be too embarrassing for the doctor to perform another fatigue operation.
In fact, working continuously for 8 hours can be said to be the limit state, and chief doctors in their 50s are basically unable to do it. Therefore, what Yunhua Hand Surgery is doing this time is also a relay race. Considering the limited space on the operating table, three to four groups of people will be on the battlefield at the same time.
In this way, the number of surgeons actually needed is preferably eight, at least six or seven.
In Yunhua Hand Surgery, there are less than 10 doctors who can replant severed limbs for 5-year-old children. They still have to complete today's daily tasks, and they cannot give up other patients just because of one operation. .
In the operating room, eight doctors gathered at the first time, a total of four groups.
Ling Ran was among them.
Next to him was Ma Yanlin who was at a loss.
Ma Yanlin himself is a hand surgeon, but it's the emergency department's turn for regular training, and he stayed in the emergency department for a short time.
This time, when Ma Yanlin was performing an operation in the operating room of the hand surgery department, he looked around and saw a director, two deputy directors, and three senior attending surgeons.
In the sequence of a hospital, it takes three to five years to go from resident doctor to attending doctor, five to 10 years to go from attending doctor to deputy director, and more patience and better technology to go from deputy director to director. And good luck, and five plus years.
The regular training doctor is one level lower than the resident doctor.
It can be said that everyone present is Ma Yanlin's superior doctor... As for the intern Ling Ran, he is also his superior doctor o(╯□╰)o.
Ma Yanlin lowered his head, unable to suppress his nervousness, he couldn't even hear Director Wang Haiyang's words clearly.
"It's straightened." Ling Ran greeted, dispelling Ma Yanlin's wild thoughts.
With an "oh", Ma Yanlin hurried over and grabbed the little patient's left middle finger.
This is an incompletely severed finger, which is considered to be the least injured among several fingers, but only a small amount of skin flaps are connected.
Ling Ran debrided the wound carefully, and tried to keep it in a narrow position so as not to touch other doctors.
Eight doctors crowded on both sides of the operating table, head to head, hand to hand, each performing their own operation, and occasionally glanced at what other doctors were doing, all of them were taciturn.
Too many people, chatting is not fun at all.
What's more, the tasks in their hands are too heavy, and everyone can't help but have a little bit of comparison.
Ling Ran will also look at the operations of other doctors. The chief physician Wang Haiyang's operations are familiar to him, and they are still steady and slow as always. The other two deputy chief physicians were younger than Wang Haiyang, and each of them dealt with a completely severed finger with the same speed as Wang Haiyang, and their expressions were more nervous.
Today's surgery is eligible to be on the podium of the society, write a paper or publish a report. Everyone wants to have a good performance.
In contrast, Director Wang Haiyang, the person in charge of the operation, cared more about the success of the entire operation, but could calmly handle the work at hand.
"I'm done." Fei Zhou, the deputy chief physician standing opposite Ling Ran, said a little louder.
"Did you finish clearing?" Wang Haiyang asked calmly.
"Yes." Deputy Chief Physician Fei Zhou smiled, and was the first to complete the debridement. Although it was only a small project, the surgeon's conceit was perfectly released.
Wang Haiyang nodded slightly. This speed is good. The replantation of two severed fingers of young children was completed in 8 hours, which is a good start.
"I still need 5 minutes to complete the debridement, and the 2nd and 4th groups will also report." Wang Haiyang asked about the progress of others to ensure that the progress of the entire operation would not fall behind.
Guo Jianming, the deputy chief physician of Group 2, stared down and murmured, "I'll finish the debridement soon."
Ling Ran reported automatically and self-consciously: "The bone will be finished soon, and I'm going to do internal fixation."
Fei Zhou, the deputy chief doctor who was about to start the bone grafting, was stunned for a moment, and tried not to raise his head.
Watching what other people do will not increase your speed.
Fei Zhou is also the deputy chief doctor who came out of the operating room. While continuing to operate, he reminded himself: fast is not really fast, he may just be good at debridement or bone setting.
Ma Yanlin was nervous.
As a regular training doctor, he has spent most of his time in different departments since he joined the job, so that he doesn't know much about the status of hand surgery.
When Ling Ran pulled him over, Ma Yanlin was full of worries about making mistakes, for fear of being delayed.
However, the operation in front of him was almost exactly the same as what he had performed in the emergency operating room. Ling Ran didn't deliberately speed up, nor did he hesitate.
Ma Yanlin operated according to the previous method, not only the operation went smoothly, but the progress was not slow at all.
What surprised Ma Yanlin even more was that the progress of the others fell far behind.
Ma Yanlin, as the first assistant who performed more than 100 tang methods and replanted severed fingers several times, silently observed the four operations performed at the same time, and found out that the operations in this group were the smoothest.
Debridement, still the previous way of debridement, bone setting, still the old way of bone setting, tendon suture, or the old way of tendon suture, vascular anastomosis, or the old way of vascular anastomosis...
Ma Yanlin was doing it while thinking, but when he stopped, one finger was almost finished.
"I'll leave the sewing to you." Ling Ran was exactly the same as when he was in the emergency department, as usual, he handed over the final steps to Ma Yanlin.
Ma Yanlin also changed positions habitually, and when he stood at the main knife position, he suddenly noticed the eyes around him.
It was weird, calculating, helpless, indignant, unhappy, surprised and unbelievable eyes.
Just one hour is not enough to replant a severed finger for an adult, let alone a finger of a 5-year-old child.
At this time, Wang Haiyang had just started the vascular anastomosis, Fei Zhou was halfway through the vascular anastomosis, and Guo Jianming, the slowest deputy director of the second group, was still struggling with the tendon suturing step.
In other words, their speeds are almost the same, the faster one is faster than the slower one, which saves less than 20 minutes of time.
However, they still have a long way to go before the operation is completed, and they have completed at most half of the entire process...
What can Ma Yanlin say
He didn't even dare to show an expression, he just lowered his head deeply, grabbed a needle holder, and quietly sewed the skin.
At this moment, Ma Yanlin suddenly missed Lu Wenbin a little bit. In the emergency department, whenever an operation was completed, Lu Wenbin would always bring out his braised pig's trotters to fill the consumption of everyone.
The operating room of hand surgery was eerily quiet, not even a bowl of porridge with salted fish.