Tang suture, also known as multi-group suture within the tendon, as the name suggests, uses multiple sets, usually three sets of full sets of nylon threads to suture the tendon. The tensile strength of the tendon sutured in this way is far higher than that of the Kessler method and the Shuangjin lower suture method, and it will not damage the blood circulation on the dorsal side of the tendon.
However, compared with other tendon suture methods, a small tendon is sutured with three sets of full sets of nylon threads, which is obviously difficult.
This is also the reason why Ling Ran said that he couldn't stop. He had already done a third of the work. If he stopped at this time, it would be even more difficult to set up another two groups later. Other suture methods may not be suitable. up.
Similarly, this is also the reason why Zhao Lexi couldn't take over.
Barely speaking, he can sew tendons, but he has never been exposed to tang sutures before.
Unlike interrupted suture, which is a common method, tang suture is not only a suture method, but also a surgical method. It is only used for the suture of the flexor tendons in the II zone of the hand. The scope of application is extremely narrow, and it only affects one hand One-fifth of the area, it is extremely difficult and the effect is extremely outstanding.
The training strategy of the emergency department is more inclined to general practitioners, and the attending doctor Zhao Leyi has never even had contact with Tang law, but has only heard of it.
At this time, Ling Ran said that he couldn't stop halfway through, and he really couldn't refute it.
What do you say? Forced order to stop
Zhao Lexi looked around. The operating room is not a place outside the law. Although the chief surgeon has the highest power in the operating room, he has to bear the responsibility when making a decision.
He can force Ling Ran to stop, then what
What if the patient cannot restore hand function in the future and file a lawsuit.
Even if external lawsuits were not considered, the internal review of the hospital would not make it easy for him. If it doesn’t work out, one complains about several operations, and don’t even think about being promoted to the deputy director within three to five years. If you are unlucky, you may be transferred to the medical examination center...
Or... just go to the hand surgeon and ask the boss to come to the rescue.
In the operating room, it was very quiet.
Everyone lost interest in talking nonsense.
"Skin hooks."
"Glasses."
"pliers."
Ling Ran put on his microscope glasses again, and still called out everything in an accurate and unconventional way.
Zhao Le couldn't hold back anymore, turned his head and said, "Director Huo, please come to the operating room."
He decided to find the boss to save the scene.
However, first of all, I still need to find the boss of the department, this can be regarded as the basic method of saving the situation.
At the same time, the cheerful general surgeon who was watching the operation took two steps back, stepped on the unlocking frame on the lower right side of the door, and slipped out before the airtight door was fully opened.
"Hou Kang, do you know how to suture?" The senior resident sent from the general surgery department to the emergency department winked.
General surgery is originally a family, but the classification of watches is more detailed, and the residents are quite familiar with each other.
Hou Kang raised his head strangely, and said, "Why do you ask this?"
The emergency department may have an application for emergency consultation every day, sometimes two or three times a day, if the attending or better deputy chief physician is dispatched each time, other departments will not have to do other things, just wait for the notification from the emergency department every day up.
Most of the time, when receiving a consultation application from the emergency department, each department will first send a resident doctor to check the situation. If it can be dealt with on the spot, it will be dealt with on the spot. The number of instruments and equipment in the emergency room is not enough.
As far as today's surgery is concerned, general surgery is an emergency surgery that needs to be performed soon, while hand surgery is a limited-term surgery that can wait for a while. Therefore, one of the two waited inside the door, and the other waited outside the door.
The general resident doctor smiled and said, "It's being sutured with the tang method."
"Impossible, Director Pan has gone to R for further training." Hou Kang immediately shook his head.
The resident doctor in general surgery immediately grasped the point and asked, "Only Director Pan can do the tang method among you?"
Hou Kang corrected: "Only Director Pan can do Tang method."
With the development of surgical medicine to this day, there are already countless plans for the same goal. No man's land was initially breached by Tang law, but in the past 20 years after it was breached, other technologies have been developed. As for which solution is more advantageous, it depends on the patient's condition.
According to ordinary people's thinking, doctors should learn from others' strengths and learn a variety of solutions. However, the reality is that doctors usually know a variety of solutions, but they will only focus on one solution.
It's like students reading and doing questions. There are many solutions to the problem of chicken and rabbit in the same cage. Students only know a few things, and then they will continue to use their own habitual solutions for many years. question.
For doctors, the cost of practicing a new technique is higher, and few people will learn several parallel techniques.
And when a patient really needs some kind of operation to be treated, they usually ask for a "flying knife", or simply introduce the patient.
In the Hand Surgery Department of Yunhua Hospital, Deputy Director Pan is good at and often uses the Tang method for suturing.
The general resident doctor chuckled twice, and said, "Go in and have a look. From now on, Director Pan won't be the only one who can perform Tang method in Yunyi."
After Hou Kang put away his things, he stepped on the airtight door of the operating room suspiciously.
laugh…
As a resident doctor in the surgery room, Hou Kang obediently stood in the corner, looking in with his head stretched out.
The surgical field illuminated by the shadowless lamp is very clear, and it can be seen that the patient's hand area II is undergoing surgery.
Hou Kang naturally recalled the details of the "tang method" stitching in his mind, and then a series of thoughts flooded up:
who I am
where am I
what am i doing
laugh…
Huo Congjun, dressed in green wash clothes, walked into the operating room.
"What's the situation?" Huo Congjun had already received the news, his voice was low.
"Ling Ran performed the operation beyond the scope without permission." Zhao Le immediately sued.
"Is that so?" Huo Congjun looked at Ling Ran.
Ling Ran lowered his head and said while operating, "Yes."
Zhao Le raised his eyebrows, he didn't expect Ling Ran to admit it immediately.
Huo Congjun was also a little surprised, and asked: "Since you know the violation, why do you need to perform the operation?"
"Before I sutured the tendon, I didn't know it was against the rules." Ling Ran thought about it for a few seconds. This is indeed not written in the intern handbook.
Huo Congjun and Zhao Lele were also taken aback for a moment, before they remembered that Ling Ran is still a medical student!
Is this guy still an intern? !
The melon-eating doctors in the operating room roared in their hearts.
The big drama that I thought was so cool, felt a little dull. There was a kind of Lai Ai walking with his gun Tonglun, and everyone laughed at his hard-to-pronounce name.
"In the operating room, the chief surgeon is the absolute authority." Huo Congjun said very seriously: "Not only do you have to follow the instructions of the chief surgeon, but you also have to inform the chief surgeon of your operations, especially unconventional operations. And with permission, understand?"
"Understood." Ling Ran agreed with the procedure.
No matter how good the technology is, it also needs certain program guarantees.
It's like when he was a child, several people jointly bought Transformers models, and whoever assembles them must have certain qualifications and technical guarantees. At least they must have successfully assembled small models many times before they can get started. Otherwise, it would be too distressing to leave a flaw in the extraordinary value of the Transformers model that was bought with great difficulty.
From Ling Ran's understanding, patients lying on the operating bed should of course be guaranteed technical and procedural guarantees.
"When you come to the operating room later, do you know what to do?" Huo Congjun stared at Ling Ran with his hands behind his back, and asked stiffly.
Ling Ran thought seriously for a few seconds, and said, "Be the chief surgeon?"
"Let the hand surgeon take over." Zhao Lele felt that he was going to explode on the spot. He glanced at the melon-eating doctors and asked, "Is the hand surgeon here?"
"I'm here." Hou Kang stood up and whispered again: "But our Director Pan is not here."