When Ling Ran's third finger was half done, Fei Zhou finally completed the replantation of the first finger.
The remaining two fingers were on the right palm, even if Fei Zhou wanted to squeeze, he couldn't squeeze in, so he could only hold his breath and left the operating room.
Ling Ran was doing his own thing silently, without even raising his head.
After 4 hours of fine manipulation, even if Ling Ran had experience, he was still mentally exhausted and felt that he was almost reaching his limit.
This kind of feeling is like a triathlon athlete, even if he practices regularly, he is still tired enough to run three-quarters or even half of the time.
In comparison, Chief Physician Wang Haiyang worked even harder.
At his age, he was the oldest doctor among the four groups, and he had to control the progress of the entire operation, coupled with heavy pressure, and waited until the finger assigned to him was completed, which was even more exhausting.
Wang Haiyang couldn't help recalling the last time he was so exhausted, and then looked at Ling Ran.
Not long ago, Ling Ran worked as his assistant and replanted his amputated finger, which Wang Haiyang will never forget. On that day, Wang Haiyang set a speed record for replanting his severed finger.
Of course, that is a speed record that is meaningful to Wang Haiyang himself, but meaningless to others.
"Director Wang, how about I do it for the middle finger of the right hand?" Fei Zhou has been waiting, he has already seen the X-ray of the middle finger, and is waiting to see when the position becomes vacant, so he can do it again.
As the deputy director of Yun Doctor who has done the most severed finger replants, Fei Zhou is very confident that if he does another round, the speed will be faster and the quality will be stable.
"I'll do it myself." Wang Haiyang didn't give Fei Zhou a chance.
He is the person in charge of the entire operation and has no reason to leave the operating table.
Fei Zhou couldn't do anything about it. To him, chief physician Wang Haiyang was considered a half-superior doctor, and the communication between surgeons was always frank and uncomfortable.
Fei Zhou stood aside in dismay, and then looked at Wang Haiyang's operations, Guo Jianming's operations, and Ling Ran's operations...
Most people were watching Ling Ran's actions.
Master butt stitching.
Master perineurial anastomosis.
Perfect level severed finger replantation.
3000 cases of hand anatomy experience.
Master Class Magnetic Resonance (Extremities).
When all the techniques were mixed together, what Ling Ran displayed was not explosive skills, but a continuous output of strong skills.
Tendon anastomosis, high strength, high stability.
Vascular anastomosis is sutured with ultra-thin thread, which is successful once, just like a large blood vessel.
Nerve anastomosis is accurate and fast.
Every step seems to be very easy, and there is no strange difficulty, as if it is taken for granted.
The doctors on the side have been watching for a long time, and even feel like they are watching the debridement and sutures in the treatment room.
After all, Ling Ran's expression was relaxed, and the process of the operation was advancing steadily.
This kind of situation usually happens in weak chicken surgery.
However, why did other people have to face all kinds of difficulties when replanting amputated fingers, but Ling Ran did not
Once doctors think about this problem, they will start to fidget.
Technology itself, of course, is important.
Ling Ran's clinical decision made the doctors even more silent.
Every decision made by everyone has consequences.
This is especially straightforward for surgeons.
During debridement, if too many blood vessels are cut, you may have to face the consequences of transplantation due to insufficient length of blood vessels. If fewer cuts are made to avoid vascular grafts, you may face the consequences of vascular infection or vascular anastomosis failure...
Making the right decision is easier said than done.
If a person can go back in time infinitely, can he perform perfect surgery
Of course it is impossible.
First of all, a surgeon is really a minute on stage and ten years off stage. A decision may affect 2 seconds later, or 2 years later, the regret medicine on the operating table is useless until the person is full.
Second, perfect surgery does not exist.
It's just that in the eyes of everyone, what Ling Ran did seemed to be perfect.
Ling Ran also tried his best to do it perfectly.
"Lingran..." Wang Haiyang suddenly called out, "Are you almost done?"
Ling Ran hesitated for two seconds, and seemed to wake up from the state of desperately suturing, and then said: "Nerve anastomosis is being done, and besides, a skin flap may need to be transplanted here."
The transplanted skin flap is skin grafting. It is necessary to cut a flap from the patient and fill in the missing part, so that both sides can grow, which is more conducive to recovery.
However, compared with ordinary skin suturing, the workload and difficulty have increased after the addition of skin flaps. Such an operation is not suitable for Ma Yanlin to do.
Wang Haiyang nodded and said, "After the nerve anastomosis is completed, the skin flap will be handed over to Dr. Kang, and you will help me."
Kang Jiuliang, who was helping Wang Haiyang, glanced at Ling Ran with a puzzled expression, bowed his head and said nothing.
After a while, Ling Ran completed the nerve anastomosis, and exchanged places with the attending doctor, Kang Jiuliang.
In normal times, Kang Jiuliang, who has an outstanding technical level, can perform a slightly weaker operation. It is a bit wronged to be an assistant, but he would be disgusted by Wang Haiyang.
And it was to change places to the younger, more handsome and taller Ling Ran.
However, he had nothing to resist.
Not to mention that he has done hundreds of cases of tang method, the replantation of severed fingers is obviously terribly proficient. Wang Haiyang wants Ling Ran to help, and Kang Jiuliang is too embarrassed to say anything more.
In the operating room, it was as quiet as a conference hall.
There is only the sound of the drill bit, like a leader's speech, "woo woo woo", "buzz buzz"...
Ling Ran changed from being the main surgeon to being Wang Haiyang's first assistant, from holding a needle holder to being a little prince, and there was nothing unsuitable or excessive.
For Ling Ran, this change of position is just a change of spatial position. Ling Ran has never given much thought to things like the status of a doctor, or even refused to think about it.
For example, when he joined the choir when he was young, the teacher would naturally arrange him in the middle of the front row. Even after he made it clear that he did not want to sing, the teacher would rather let him stand in the middle to lip-sync than Ling Ran to leave the choir . From that time on, Ling Ran knew that the importance of spatial location is not as important as the person himself.
Ling Ran, who stood in the first assistant position, was not just threading needles.
He has cooperated with Director Wang Haiyang, is familiar with his operation, and is even more able to check and fill in vacancies.
During the time when Wang Haiyang was terribly tired, Ling Ran's operation frequency and intensity also increased greatly.
In Chinese history, the first case of replantation of amputated fingers in children occurred in the 401 Hospital on October 24, 1979. It was operated by Daniel Cheng Guoliang, but because of the continuous operation for 42 hours, a total of four fingers were amputated. Replantation, the last show (index) finger failed.
Not to mention that Wang Haiyang didn't have the energy to do the 42-hour operation, he was exhausted after the 4-hour operation.
Calling Ling Ran over, Wang Haiyang had the intention of letting him escort him.
Another half an hour later.
Wang Haiyang was completely paralyzed from exhaustion, so he instructed Ling Ran, "Come and sew an artery."
They have already done the last part, there is no need to simply increase the speed, the sutured fingers can also suture as many blood vessels as possible.
Ling Ran replied "Yes" and asked for a needle holder.
A blood vessel, only took a few minutes.
"Another vein?" Ling Ran glanced at the child's right middle finger. Compared with patients who lost only one or two fingers, the future recovery will be more difficult after losing eight fingers in one breath, because there are no fingers to provide compensation.
It is conceivable that the rehabilitation work in the future will also be several times more difficult and difficult.
At this time, suturing more blood vessels can improve the patient's recovery ability as much as possible, and can better ensure the functionality of the hand.
Naturally, Wang Haiyang would not object, and let Ling Ran perform the anastomosis of the four blood vessels and the more difficult perineurium anastomosis.
At this point in the operation, it had been more than 5 hours. Ling Ran had completed the suture of the middle finger, ring finger and little finger of his left hand, and assisted Wang Haiyang in suturing half of the middle finger of his right hand.
The whole process can be said to be extremely dull.
However, more and more doctors gathered in the operating room and watched the live broadcast in the lounge.
Finger replantation was originally one of the most high-end operations in hand surgery, and it was performed very frequently. For the doctors of Yunhua Hand Surgery, watching finger replantation was more frequent than watching movies.
Some people dare to write movie reviews and criticize Fang Qiu after watching movies for several years. Clinicians who have studied medicine for many years and have practiced have more feelings about the replantation of severed fingers. Contagious, straight to the heart, a high-level view, a burst of bloody concise insights:
"handsome!"
"It's so handsome!"
"So handsome!"
"Awesome!"
"The thief is awesome!"
"The thief is so fucking awesome!"