"I'll change the utensils for her later, and replace the open ones with narrow ones." Surprisingly, Ling Ran didn't swear. Although Ling Ran seldom swears in the operating room, in everyone's stereotype, the chief surgeon can swear. of.
The itinerant nurse agreed aggrievedly, and if it was replaced by another young surgeon, the nurse might tear it apart at this time. When it comes to scolding in the operating room, young doctors can only defeat patients under general anesthesia.
Fortunately, it was Ling Ran's order, so the itinerant nurse didn't think too much about it, but the look she gave Yu Yuan was not so friendly.
Terrified, Yu Yuan apologized again, looking a little frustrated.
She originally hoped that she would have a good start in the new group.
However, nothing seems to have changed much.
She can't even hide the first few days.
Ling Ran's expression didn't change much, he continued to ask Yu Yuan to pull the hook, and after a while, he said again: "Yu Yuan, change your gloves."
"Huh? Change gloves?" Yu Yuan, who was in the grip of self-pity, was a little confused.
"Your gloves are stained with blood." Ma Yanlin kindly explained.
Yu Yuan turned her hands to look, and finally found a few blood spots on the joints on the back of her hands, so she felt even more embarrassed.
The details of microsurgery are very demanding, and bloodless gloves and instruments are the basic requirements, because blood is easy to stick to sutures.
But Yu Yuan couldn't remember when she touched the blood, thinking about it, she couldn't help feeling extremely nervous.
She hurriedly left the operating area, took off her gloves, and with the help of the itinerant nurse, she put on new ones and came back, her whole body wilted.
"Yu Yuan, you want a pair of Debek teeth." Ling Ran's order was released immediately.
"Oh... ok, um, give me Debek teeth." Yu Yuan blurted out her words in a panic, like an intern.
The itinerant nurse had already held Debeker's tooth in her hand, and when Yu Yuan said it, she immediately slapped it heavily into her hand.
The "Debeker teeth", also known as "non-injury tweezers", had a cold hand, but it made Yu Yuan calm down a little.
In her mind, she could instantly recall the past and present of Debeck's tooth, and most importantly, its use: Debeck's tooth is a special tweezer for clamping blood vessels, and the labial tooth is a special concave-convex tooth, round and smooth. Small, so as to ensure that when blood vessels and other fragile tissues are clamped, they will suffer little crush damage.
There is no doubt that Ling Ran asked Yu Yuan to pick up the Debeker teeth in order for her to clamp the blood vessels.
Yu Yuan couldn't help taking a light breath, feeling nervous again.
"Do you know how to use Debek's teeth?" Ling Ran asked Yu Yuan as if asking an intern.
And this is exactly what Yu Yuan needs most.
In order to write a thesis, she basically had no contact with clinics during her postgraduate study. She came to Yunhua Hospital with the fear of dissertations in the first district, and there were no clinicians to give her hands-on teaching.
Of course, Yu Yuan never worried about theoretical knowledge. She turned around in her mind for a while, and then said: "It is never allowed to clamp the intima of the blood vessel with forceps, and the adventitia is only clamped when necessary, and the movement should be gentle..."
"Well, the Debeck tooth you are getting now is selected after many surgeries, and the pressure will not be too great. You don't need to apply force, and you don't have to worry about it loosening." Ling Ran was still doing his own thing, In his mouth, he explained to Yu Yuan.
His perfect finger replantation also included guidance to his assistants.
Surgery is never done by one person. The bigger the surgery, the more doctors need to cooperate. Therefore, if you want to strive for perfection, you must have the ability to coordinate and manage.
As far as Ling Ran's personality is concerned, neither coordination nor management is what he is good at.
If you were an engineer or a product manager, most people like Ling Ran would be exhausted.
However, as the chief surgeon in the operating room, issuing orders with a confident posture is a means of coordination and management that meets the expectations of surgeons.
Ling Ran neither discussed Yu Yuan's handicap, nor criticized or suggested her surgical techniques, but treated her like an intern, explaining her step by step.
After all, Yu Yuan has some basic knowledge. After a little familiarization, she has reached Ling Ran's standard as a second assistant on the operating table. Usually, it can be achieved by an individual. With special attention and special instructions, the handicapped party can also do it. achieved.
Ling Ran sewed up one blood vessel incomparably quickly, and then sewed up the next one.
Yu Yuan grabbed the tweezers and followed all the way.
When the first vein was done, Yu Yuan's movements were still a little rusty, but after more veins were done, her strangeness gradually disappeared.
"Shower." Ling Ran ordered again.
Yu Yuan picked up the narrow mouth bottle confidently.
Wow...
Splashed again.
Ling Ran said without frowning: "Then we will perform perineurial anastomosis."
Yu Yuan breathed a sigh of relief, and her heart lifted again.
Ling Ran's pace was too fast.
A few seconds later, Yu Yuan stared sharply and asked, "Why is it the perineurium, not the epineurium?"
"My perineurium is better." Ling Ran said as a matter of course.
"But the perineurium is much more difficult, and it takes more time..." Yu Yuan's voice became smaller and smaller, because Ling Ran clearly seemed to be doing it faster and faster.
At this time, there is no second assistant.
Yu Yuan lost the tweezers in her hand, and asked the nurse to put on the microscope glasses for herself, and tried her best to adapt to the surgical field of view under the lens.
I saw that Ling Ran used microscopic instruments to gently separate the epineurium at the stump of the ulnar nerve. After normal neurons appeared, he then cut off the epineurium at the stump by 5mm circularly, and then began to distinguish the nerve bundles. .
Seeing this, Yu Yuan's eyes widened.
A nerve can be regarded as a bundle of nerves gathered together, like a rope twisted by many silk threads.
It is obviously not an easy task to distinguish the different functions of different silk threads.
However, Yu Yuan did not see the slightest difficulty from Ling Ran's face.
In fact, Ling Ran connected the perineurium one by one, as if writing was written on it.
Yu Yuan couldn't help but said, "The anatomical structures of the nerves all look similar, how do you tell them apart?"
Without even thinking about it, Ling Ran said, "Anatomy experience."
"This... how much experience in anatomy is required."
Ling Ran did not answer Yu Yuan.
With 3,000 dissection experiences, Ling Ran can handle hand surgery with ease.
Everyone's hands are slightly different, but if you want to grow a pair of hands that are different from 3,000 random people, the probability is extremely low, not to mention, there are still various theoretical articles.
Yu Yuan was stunned, and muttered to herself: "Generally speaking, the perineurial anastomosis is better than the epineurium anastomosis, but it also takes more time. Implantation... However, it is easy to choose the wrong perineurium for perineural anastomosis. If you choose the wrong perineurium, it is better to use epithelial anastomosis. Moreover, perineurial anastomosis is more troublesome and takes a long time , At least half an hour more time is wasted than epithelial anastomosis. For the replantation of severed fingers, it is not cost-effective to spend so much time on perimerial anastomosis... "
The nurses, anesthetist and Ma Yanlin in the operating room all looked at Yu Yuan strangely.
Yu Yuan shook her head vigorously: "Poerd has published an article about the therapeutic effect of epineurium anastomosis and perineurial anastomosis, although the comparison result shows that the nerve conduction velocity of perineurial anastomosis is higher, The compound muscle action potential amplitude was significantly higher than that of the adventitia group, and the excellent and good rate was also high, but his comparison object was the ulnar nerve."
Yu Yuan paused for a moment, and muttered to herself again: "The ulnar nerve is better to suture than the nerve at the severed finger. It takes less time and is less difficult. In the same amount of time, it is impossible to suture the severed finger." nerves, so we cannot simply think that perineurial anastomosis is better... "
"En, I've finished sewing." Ling Ran took his eyes off the microscope and took off his gloves.
Yu Yuan, who was a little excited while talking, was stunned again.
Before she could ask, Ling Ran grabbed his neck and said, "It's okay for Xiao Ma to make the rest of the skin."
"It's okay, you can rest." Ma Yanlin was a little excited. After so long, even though he had barely scratched the skin, he was still very happy.
Ling Ran took off the surgical gown on himself, threw it into the cylinder, stepped on the operating room and left.
He now takes a short nap after each operation, and no one thinks there is anything wrong.
Ma Yanlin waited for the door of the operating room to close again, then looked Yu Yuan up and down, and said, "I never expected that he looks like an honest person, and he flatters so hard."
Yu Yuan was still in extreme shock. Hearing Ma Yanlin's words, she hardly reacted, and asked, "What do you mean?"
"You know that Dr. Ling is most famous for his hand anatomy and perineurial suture, so you deliberately say it's difficult, it's okay." Ma Yanlin laughed out loud. .
Only then did Yu Yuan realize that he was teasing her, and she couldn't help lowering her head and said, "I didn't know that I would be assigned to Dr. Ling."
"I'll get to know you gradually in the future." Ma Yanlin sewed the skin slowly, and said, "When Dr. Ling performed surgery, he didn't like to talk, and the rhythm was a bit tense. It was easier than following other doctors. There is only one problem... "
Yu Yuan asked naturally: "What's the problem?"
"Doctor Ling has been operating."
"Have you been...doing surgery?" Yu Yuan thought of her scumbag surgical skills, and suddenly felt bad. Suddenly, she recalled Ling Ran's several direct orders. Under Ling Ran's command, she played some role...
Standing blankly in the operating room for a few seconds, Yu Yuan's round face and round eyes once again ignited a raging thirst for knowledge and a strong desire for surgery...
"Doctor Yu, Doctor Yu..." Su Jiafu lingered in front of Yu Yuan, and said with a warm smile, "Doctor Yu, you are from the first district, can you read this article for me..."