Chapter 195： Cut foot

The system prompts did not affect Ling Ran. He kept the list as usual, and then informed Lu Wenbin and others to prepare before surgery.

Any expectation is meaningless until the patient is delivered.

And after the patient was delivered ...

Ling Ran looked at the MRI film and still had no clue.

What kind of replantation of broken fingers is a perfect suture?

No scars? That's impossible. Don't say that when you replant your broken fingers, you won't be able to deal with this problem. You won't be able to deal with it.

Is the phalanx not truncated? A broken finger basically has to be cut short. When a huge impact force breaks the finger, the damage to the cross section is inevitable, and to be accurate, you ca n’t count on the original butt, but not Transformers.

Ling Ran thought of this and found that from an aesthetic point of view, it is difficult for him to be perfect.

Thinking of it this way, perfection is considered in terms of functionality.

To restore the patient's original hand function?

Ling Ran thought about it. There is a precedent for replanting broken fingers at this level, but if you can say it, you can't do it.

However, from another perspective, the task will not be guaranteed to be completely completed.

Can only find a way to approach success.

Ling Ran first thought of the blue potion with skill +1, but only a second later, he rejected the idea, not to mention that the blue potion has a lot of space to use, as far as the task description is concerned, it is also required to play Perfect grade finger replantation technology.

Ling Ran pouted, but in her mind was the legendary level after +1 ...

I don't know what the blue bottle tastes like.

"Dr. Ling, the patient is here." Yu Yuan came to report after running.

As the oldest member of Ling Ran's team, Yu Yuan, 1.48 meters tall, knew that her surgical skills were lacking, so she quickly did some chores to help everyone. The skills are so good that Ling Ran is actually an emergency department doctor who is most suitable for Yu Yuan.

Su Jiafu also rushed over and asked, "Dr. Ling, do you have relatives to see the doctor?"

He was called by Ling Ran, and he changed his class to make it happen.

Ling Ran glanced at him and said: "The patient is a decoration worker and has high requirements for the functionality of his fingers. I want to do as much as possible, so I come to you."

Su Jiafu couldn't listen to it, and almost laughed out loud: "Dr. Ling's vision is still OK, and I won't say anything else about you."

Ling Ran looked at Su Jiafu strangely, without a word.

Later, Lu Wenbin laughed intentionally and said, "Dr. Ling just wants a familiar anesthesiologist."

Ling Ran nodded subconsciously.

For a perfect operation, it is still necessary to have a familiar anesthesiologist. Of course, they don't always work, but when they do, they feel very valuable.

In this regard, the value of the anesthesiologist can be seen as: 10% chance of eliminating abnormal conditions.

Su Jiafu was very upset: "What is it just? Dr. Ling certainly values ​​my strength."

"Do you dare to say that you are the best in the anesthesiology department?" Lu Wenbin relaxedly set one.

Su Jiafu didn't say anything.

There are many deputy directors and directors above him. If you talk like this, even if it is a joke, what if they are taken seriously?

"Let's have a small consultation before surgery." Ling Ran didn't bother with these. It is required that the team members are the best. This kind of thought was gone when Ling Ran was in junior high school. The members of the choir do not need to have the level of singers. Sometimes, a smile of the lead singer can cover up countless Omissions.

Lu Wenbin was slightly strange: "Is surgery today complicated?"

Prior to this, they rarely had preoperative consultations. This is the case for surgeons. It is common for one operating room to switch to another operating room, especially the main surgical method of a department. A main knife is old from a young age, and some can perform the same operation for 20 years. . Even with a low frequency of one to two hundred cases per year, one main knife will perform 2,000 such operations.

Then, facing the same operation in 2001, as long as a human with normal anatomical structure is lying on the bed, or even a human with an anatomical structure that is not particularly strange, there is no need for preoperative consultation.

The only exception is that the surgery itself is very complicated, especially those types of surgery that are not sufficiently researched by humans, often requiring more consultations and examinations. In the final analysis, the ability to force hard to push is not enough, and you can't do it blindly, so you have to choose the appropriate It's hole.

Ling Ran said directly: "I want to be as good as possible."

Lu Wenbin agreed with "Oh".

Su Jiafu, who was preparing anesthetic, said "Hey", "You don't feel strange, old Lu?"

"What's weird? People always want to make better pork trotters." Lu Wenbin looked at Su Jiafu with contempt, and said, "You don't have the experience of getting up at the vegetable market at two in the morning, will you Feeling too boring? "

"I was in the medicine at two o'clock in the morning, which was boring than putting seasoning." Su Jiafu calmly opposed Lu Wenbin.

"In short, look at the MRI image first." Ling Ran interrupted the comparison of the two, pointed to the image, and said, "Dr. Lu, what can you see from the inside?"

"I ..." Lu Wenbin was recently asked to study nuclear magnetic resonance, and he did study hard, but Ling Ran's question still made him a little bit confused.

"Go back and read the book." Ling Ran said first, his tone was very high.

Lu Wenbin nodded obediently. The superior doctor has the ability to read magnetic resonance imaging, so he must learn it desperately. As far as the domestic environment is concerned, it would be a fortune to have such learning conditions as him.

Yu Yuan tiptoed and stretched out her hand behind Lu Wenbin.

"Yu Yuan?"

"It can be seen that the cutting injury is very neat, the bones should not be displaced, the bone density is relatively high, and the nerve contusion is more severe ..." Yu Yuan chose to know.

"The key is surgery for us." Ling Ran interrupted Yu Yuan's long nonsense with a sentence, and then said, "Lü Wenbin, let's look at the patient's anatomy first. Let's select a few that can be used for anastomosis. Blood vessels ... "

Lu Wenbin nodded repeatedly and was fed directly into his mouth.

Ling Ran didn't expect Lu Wenbin to see it himself. He introduced the situation of several blood vessels in the way of explanation, mainly the location of arteries and veins, and the current state.

During replantation of broken fingers, the arteries must be anastomated. If there is no artery suitable for anastomosis, reimplantation cannot be successful. The exception is that the arteries on the palm are acceptable, and the distal arteries are bad. You can use the arteries to connect the veins to achieve a compromise.

In addition to arteries, veins are not decisive, but if they are sutured quickly and well, they are also very conducive to postoperative recovery. Especially in the case of vascular crisis, the vein can be delayed for a little longer, which is similar to the existence of a spillway.

Ling Ran pointed out the positions of several blood vessels in the MRI image, then asked for the CT image, explained it to Lu Wenbin, and finally began to discuss the strategy. That is, which one to sew first and which one to sew in case of failure.

On weekdays ~ www.novelhall.com ~ these things are all in Ling Ran's mind, too lazy to speak, Lu Wenbin can look at it, but he hasn't heard Ling Ran carefully.

Ling Ran now talks, and Lu Wenbin combined with the surgery that he had seen in the past, he suddenly felt.

"I think I can go into battle." Lu Wenbin couldn't help but knocked sideways.

"It's done today and look at it." Ling Ran didn't mean to refuse. Lu Wenbin has done so many cases of replanting broken fingers.

I helped myself to clarify the vascular problem, and Ling Ran talked about the other parts roughly, and then started the operation in time.

In the end, he still had to perform the operation, and even if he pursued perfection, it would not be possible to ignore basic operations.

With the shadowless light on, the operating room quieted again.

"Ma has turned." Su Jiafu looked at the monitor and explained, waiting for two minutes, and smirking again: "The trotters at two in the morning? I cut my feet at two o'clock."