Chapter 176： size

In the operating room of hand surgery, senior hospital resident Hou Kang whispered to Ling Ran and his party: "The patient is an assembly line technical worker. When repairing the equipment, the thumb of his right hand was crushed. The patient was originally sent to the local county. After the transfer to our hospital, the consultation in the department believed that thumb reconstruction was the most suitable condition for the patient, and it was also recognized by patients and their families. "

Hou Kang introduced here, and then looked at Ling Ran, seeing that he did not have an opinion, and then continued: "I think that the first toe of the right foot is the most suitable for thumb reconstruction surgery. Now the patient is being debrided in the operating room. Dr. Ling, your task is to take the first toe of your right foot ... "

Ling Ran nodded. Such a major operation often required two or three groups of people, and it was normal to assign him debridement or amputation.

For Ling Ran, who has never had thumb reconstruction surgery, as long as he can enter the operating table, it is very satisfying.

Wang Haiyang's thoughts are somewhat unpredictable.

I want to say that thumb reconstruction surgery is quite rare for Yunhua Hand Surgery. It may be encountered only once every few months. Many doctors should be willing to come to the stage.

However, things in the hospital have always been complicated, and it is not uncommon to have a fragrant smell.

After Wang Haiyang entered the operating room, he even ordered: "Ling Ran, check the operating room to see if there are any omissions, or what instruments and equipment you want, and let them make up."

This recognition is relatively high, several hand surgery doctors came over.

Ling Ran didn't care. He asked, "I usually do thumb reconstruction, and I want to take the second toe. How about this patient?"

"Small feet." Wang Haiyang, who was standing in the operating room waiting for the towel, answered very simply and honestly.

Ling Ran stood there for half a minute. When the nurses finished laying the towels and exposed the surgical surface, she really saw the patients' little feet. Maybe it's less than 37, maybe less than 36.

Comparing his hands again, they are the hands of a common pair of rough blue-collar workers.

Lu Wenbin, who also performed this operation for the first time, took advantage of the younger generation to resolutely stretch out his thumb, compared with the patient's toe, then the second toe, and then the patient's hand. "Small feet, very rare."

"Maybe wearing shoes tight from an early age." Wang Haiyang saw so much that he didn't bother to laugh.

The visiting nurse took the opportunity to jokingly said, "I have worn more small shoes since childhood."

"The height is okay. The bare feet are one meter seven five, and the stability is a bit poor." The doctor in debridement hurriedly said a few words when he had the opportunity.

Hou Kang heard the interest and immediately said to the nurse, "Don't you all say big hands and feet? What should you do if you encounter this?"

Even vulgar words, from the doctor's mouth, have become very professional.

The tears that Lu Wenbin listened to were coming down, Nima, this was the operating room he knew well. In contrast, Ling Ran's operating room was also lonely, and the main knife did not chat, how could the assistants talk well, and the patients were all anesthesia with a laryngeal mask. They would not say a word, and they did not know the meat What is the difference between the shop?

Let's look at the operating room of other people's surgery. This cheerful atmosphere is full of funny language ... If the doctor can go to heaven, heaven must be an operating room with a few cute little nurses.

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Judges, a few knowledgeable doctors, and a patient under general anesthesia.

"What is Xiao Lu thinking?" Hou Kang's voice interrupted Lu Wenbin's imagination.

Lu Wenbin's conditioned reflection revealed an informed and interesting smile: "I think we should focus on the tightness of underwear."

Hou Kang stunned and laughed.

The atmosphere in the operating room was even happier.

Keke.

Wang Haiyang stood up, as if suddenly pressing the pause button.

Wang Haiyang looked around for a week, and then smiled a little. Everyone said, "It is necessary to sum up experience as a doctor, not others. I will first say that the big fish (the thumb to the raised part of the palm) is big, B Types of blood last long. "

The little nurses were instantly deterred.

After a few seconds, they whispered:

"Does the blood type care about this?"

"The big fish and the size of the hand are very relevant."

"There is no way to test it now."

"Is there a way to test it later?"

"Isn't it the same size that you can't see, aren't you happy to guess?"

"Stupid, the size can at least be quantified, we can't see it, you can go to the urology department to ask. How long do you find samples? Do you make statistics yourself?"

"Oh, disgusting."

"But ... how did Director Wang conclude?"

...

Ling Ran has always ignored the chat in the operating room.

According to Wang Haiyang's requirements, Ling Ran swept the surgical instruments and medicaments in the same way. This was originally a help job to check if the stuff in the operating room was sufficient and suitable.

His current status is equivalent to freshman help.

Ling Ran was very serious. Before the major surgery had officially started, after checking the conventional instruments and medicines, he checked the microscopic instruments, and then looked at the electric drill and electric knife. The suture, and finally the electric tourniquet and the sterile microscope cover just prepared.

For such a meticulous investigation of individual doctors, a grumpy nurse would be scolded. Ling Ran, who has never encountered a grumpy nurse, would have no corresponding consciousness.

"Heparin saline can be prepared a little bit more." Ling Ran narrowed his eyes and waited in the corner of Yu Yuan, and specifically told him.

He needs help today, and between Yu Yuan and Ma Yilin, Ling Ran chose Yu Yuan without accident. Ma Yilin is still a regular practitioner of hand surgery. When brought to the operating room of hand surgery, there is always a risk of loss. Before, there was no choice. Yu Yuan came and he could be tied to his home first.

"After a while, after the debridement of the thumb stump is completed, I will make an S-shaped incision to free the radial artery, radial nerve and cephalic vein. Ling Ran you make a V-shaped incision to free the arteriovenous and nerves to be used and osteotomy , And then stitched. "Wang Haiyang paused, saying

-0--0--small--say--this is a gorgeous dividing line ---

Great doctor Ling Ran 00 novel netizens please remind: Please pay attention to the rest of your eyes for a long time reading. 00 novels to read: Rose of President Leng Jun

--0--0 --- small--say --- this is a gorgeous dividing line-

"This is the first stage, which is operated by two groups of people separately to complete the work."

"it is good."

"Yes."

The doctors were a little more serious.

"In the second stage, the anastomosis of the first toe is performed. The anastomosis of the cephalic vein and the vein of the first toe, and the anastomosis of the dorsal carpal branch of the radial artery and the dorsal foot artery ..." Wang Haiyang introduced the scheme carefully. There is also a variety of paths for thumb reconstruction. While another group was doing debridement, he introduced his plan in detail.

At the end, Wang Haiyang replied: "In the second stage, I will be the main knife, Ling Ran will be a helper ... Hou Kang will be a helper. Is there a problem?"

"Okay." Hou Kang answered a little bit harder. He has been a hospital doctor for several years and is considered a senior. He ranks next to Ling and is slightly embarrassed. Just looking up, nobody seemed to be paying attention to this issue, and Hou Kang was relieved.

Ling Ran said: "I want to see the original MRI film."

"I'm ready for you." Wang Haiyang answered sharply. Everyone now knows that Ling Ran understands NMR. Understanding and seeing nature are two concepts, and in the hospital, ordinary imaging resident doctors are afraid to say how much they understand nuclear magnetic resonance.

This advantage is also one of the reasons for Ling Ran's good reputation in hand surgery. It can take months of practice and reading hundreds or thousands of films to see MRI. UU 看书 www. uukanshu.com understands the requirements are higher.

Occasionally when encountering problems in MRI, Ling Ran, who is well versed in hand surgery, obviously can provide more information, many of which cannot be provided by the imaging department. The display of human tissues such as blood vessels and tendons under MRI is often not intuitive, and it also involves various choices when filming. It is extremely demanding to dig deeper.

With 3,000 hand anatomy experiences, master-level imaging (limbs) and perfect-level re-plantation of Ling Ran, the judgments that can be made are often not understood by professionals in the imaging department.

Perhaps it is also with the preconditions of the first two that Ling Ran can obtain the latter technology.

"Open." Wang Haiyang turned his fingers and saw the side of the operation, which slowly lifted up, then exposed the large screen behind him.

Under the operation of the nurse, the patient's MRI was quickly shown on the big screen.

Ling Ran was a little surprised that watching such a large screen would naturally be better.

Wang Haiyang smiled and said, "How about? This is a new outfit from our hands ... how do you say ..."

"Reading artifact." Hou Kang stepped forward, his voice aggravated.

Wang Haiyang nodded with satisfaction, and said, "Our hand surgery is the core department of Yunyi. You have equipment like this, one million yuan. You just need to speak and you can install it immediately. This is not the same as the emergency department. It ’s the same. If the emergency department wants to buy a 100,000 piece of equipment, you have to report it. To be honest, if you really want it and the timing is right, it is not impossible for us to buy an MRI instrument outside our hands. "

Ling Ran nodded while watching the movie, and asked a little curiously: "How did you tell Director Huo?"

Speaking of Huo Congjun, Wang Haiyang's face turned green, and he hummed again, saying, "I borrowed another rehabilitation room for him for two months."

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