Chapter 192： Hard on

"It's blood vessels."

"Sew the artery first."

"You pull it out ... oh, it's already pulled out."

"Okay, it's the most complicated part of the blood vessel ..." Wang Haiyang had a two-hour operation. The time of the operation was limited. More often, he talked blindly, and the more he talked, the happier he became.

Finally, when the blood vessel was sutured, Wang Haiyang pulled himself back a bit and started talking about several key points of blood vessel suture.

Kong Xiangming and others looked at the screen and listened carefully.

A group of orthopedics doctors are also new in the replantation of broken fingers. The difference between these newcomers and pure new interns or residents is that basic surgical operations and concepts are already available, so I want to learn It's easy to get started, and it won't be easier to learn to master it.

The process of surgeons from entry to mastery is difficult to improve simply by reading books. It is not possible to simply repeat the practice. The most effective way is to teach someone by hand.

This is the case of non-mass production skills in human society. At the high end, it can only be hone by masters with apprentices.

Of course, nowadays people don't need to worship the teacher to learn arts, but the master does n’t teach. How to teach is not what the apprentice can control. Without sufficient knowledge, the apprentice does not know what the teacher should teach, and how to control it.

This is what happened to Kong Xiangming and others. They wanted to follow the essence of replantation of broken fingers with Wang Haiyang, but Wang Haiyang wanted to talk about something else, and they could only accompany others to have a happy time.

The pain of learning art has never changed in thousands of years of human history, but the art itself is constantly changing.

"The blood vessel suture under the microscope can be stitched for a few months, and we can basically sew a few seven or eight. Our Yunyi practice room is designed for the doctors below. What you want to say is quite useful ... Wang Haiyangshun blew his own department.

Kong Xiangming immediately cooperated: "We have been known for the Yunyi practice room for a long time, and I really want to try it if I have a chance."

"Director Jin had the intention to expand before, but I do n’t know what happened now." Wang Haiyang said casually, and then pulled the topic back again: "Apart from the vascular suture, it ’s from the practice room. The biggest problem. In fact, it is still not stable enough ... "

Wang Haiyang didn't have to interrupt himself, waiting for Ling Ran to pull himself out of the blood vessel, and then said, "Like this blood vessel, it is not difficult to sew with 24 needles, but if you do n’t sew Steady, by the time the blood vessels are convulsed, that's really impossible to save ... "

Kong Xiangming and others nodded.

Broken finger replantation has spasm, and the probability of necrosis is very high, which is the most necessary condition to avoid in postoperative complications.

"A lot of people don't know how to stabilize the sutured blood vessels. You can't train the rat's tail because we can't see the blood flow in the rat's tail. That was a thing at that time. The spasm was a few days later. "..." Wang Haiyang sold a little more. "There are many ways to stabilize the blood vessels. I say one of the most useful."

Wang Haiyang's eyes looked at the microscope, and no one could see his face, but from his voice, Wang Haiyang was right when he said that, at this time, naturally, the apprentices were profitable.

The crowd almost listened to the cheats with their ears open.

Hearing Wang Haiyang with a smile: "The most commonly used and best way we use is to say that a penny is not worth it, it is a pass."

"Once through?"

"The blood vessels are aligned. One stitch is one stitch, 24 stitches is 24 stitches, no more than one stitch, many stitches, don't pinch more, the shorter the stitching time, the better." Wang Haiyang raised his head at this time, Then look at the other person's face and smile: "It's actually a layer of window paper. It's boring to wear it through. Ling Ran, you can sew the artery. Are you sure?"

"No problem." Ling Ran's expression was very light.

Wang Haiyang smiled comfortably and said, "Let's change positions."

Ling Ran then changed positions with Wang Haiyang.

Although the main knife and Yizhu are face to face, the surgical area seen is different. Just like a person looking at his palm directly, it is the same as looking at the palms of others. The main knife should face the surgical area that he is more familiar with.

Kong Xiangming and others just listened to the secrets taught by Wang Haiyang, and they all came to understand.

When Ling Ran sat on the main knife, Wang Haiyang said it more smoothly.

In a way, Wang Haiyang is more like a commentator ...

The other doctors were all very happy. Kong Xiangming's years of doctor experience had made him smell something unusual.

He wanted to ask, but after all, he didn't ask.

For Chief Physician Wang Haiyang who came to fly a knife, Kong Xiangming was more at ease.

As far as the current medical environment is concerned, apart from the patient, the most unbearable failure of the flying knife is the doctor who is in charge of the flying knife. The specific operation of the hospital itself bears responsibility in the name of the unit, which means that it loses money in the name of the unit.

Kong Xiangming believed that Wang Haiyang didn't dare let Ling Ran practice his hand during the flying sword, but if he wanted to go deeper, if Wang Haiyang didn't let Ling Ran practice his hand, what was the purpose of giving up the main knife position?

Ling Ran and Wang Haiyang both lowered their heads and could not see the expression.

Kong Xiangming didn't ask the aged Wang Haiyang, so he looked for a gap and asked Wang Haiyang to talk. "Dr. Ling, what is your strategy for sewing blood vessels?"

Ling Ran didn't speak for a long time. When asked, he told the truth: "I don't have a specific strategy."

"What about this patient?"

"Now, the patient's blood vessels are a little harder. Sew them according to the blood vessels of the elderly." Ling Ran then asked the nurse to pour the normal saline containing heparin and started to move the needle after wetting the blood vessels.

Kong Xiangming suddenly realized. Wang Haiyang certainly felt that the hardened blood vessels were not easy to sew, so he had that strange behavior, and asked Ling Ran whether he was sure.

According to Kong Xiangming, this shows that Wang Haiyang is not completely sure.

Kong Xiangming then came to a corollary: Wang Haiyang gave Ling Ran the blood vessel suture without full confidence ...

This thought surprised Kong Xiangming himself.

No matter how Kong Xiangming turned his mind, in the screen above the operating table, Ling Ran used a needle, two needles, or five or six needles to sew the blood vessels.

If you say that Ling Ran was just holding Wang Haiyang to run the marathon, now he is being pushed by Wang Haiyang to run the marathon. The rhythm is slightly disturbed. After adapting, he still runs fast and easy.

No one spoke in the operating room for a while. When Rong Xiangming thought of a new topic, Ling Ran had sewn an artery.

"Two more stitches?" Ling Ran looked up and asked Wang Haiyang.

"Yes, let's sew four today." Wang Haiyang didn't want to return to the position of the main knife, and was not embarrassed in the slightest.

He came with Ling Ran because he was fancy about Ling Ran's ability.

The blood vessel suture just now, if he wants to suture, he can have a 70% or 80% certainty. Among the doctors of hand surgery, he must be the top one. But why do we have to sew blood vessels ourselves?

Wouldn't it be better to hand over such delicate “trivial” tasks to young doctors?

Wang Haiyang was familiar with Ling Ran's habit, knowing that he was sure when he was sure, so he gave up the suture of the blood vessels in peace. The so-called old does not rely on bones and bones, and Wang Haiyang has no interest in lowering his head to fight the old blood vessel.

Who would have thought that the boss, Cha, in his forties, would have a 70-year-old blood vessel.

If Wang Haiyang had to deal with this blood vessel, it would take a lot of thought, so it is possible to extend the operation time by an hour or two.

However, Ling Ran was in a "hard-on" posture. At the beginning, Wang Haiyang had a dreadful battle. After a short while, he felt relaxed and happy.

Kong Xiangming lost his interest in speaking in a short time, and looked at Ling Ran's operation, turning his mind to more thoughts.

He is a senior orthopaedic surgeon. He has evaluated the director in the previous two years, and has led a group for seven or eight years. In the last resort, replantation of broken fingers was also done.

Yiyuan County is a remote county with a certain industrial base. After a period of time, there are always patients who accidentally refer to seek medical treatment. Some patients can not afford the ambulance round-trip cost of thousands of dollars, and ca n’t fly The doctor of the knife also asked for replantation of the broken finger locally.

In fact, many patients simply do not realize the technical content of broken finger replantation, and just think it is ordinary osteosynthesis. As an elite in orthopaedics, Kong Xiangming has done a few cases ~ www.novelhall.com ~ without much success.

But with this foundation, Kong Xiangming had the confidence to develop a broken finger replantation project.

However, looking at Ling Ran's operation, Kong Xiangming's rare confidence gradually disappeared again.

"Yunyi is indeed Yunyi." Kong Xiangming suddenly sighed, attracting the approval of all doctors.

Wang Haiyang looked up proudly and received all the bills.

Ling Ran also looked up: "It's stitched."

"Well? Are you okay?" Kong Xiangming was a little lost, just looking at his watch subconsciously at this time, startled: he won't be blindly stunned, so panic ...

"I also sewed my nerves." Ling Ran asked actively. Patients who do not occupy the bed are definitely cool when they are the main surgeon.

Wang Haiyang said from the good, "It's up to you."

"Do you want to sew the skin?" After a while, Ling Ran asked in a spirit of sharing.