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Chapter 143

Every job has its bitterness and its sweetness.

The bitterness of doing a project is working for Party B, and the sweetness is working for Party A; the bitterness of doing business is the salary and rent, and the sweetness is making money; the bitterness of moving bricks is the soreness of the muscles and confusion about the future, and the sweetness is the daily salary and family.

Smile; the pain of being a leader is being bullied by superiors, and the sweetness of being a leader is bullying subordinates.

The pain of being a surgeon is the hard work, and the sweetness of being a surgeon is the pleasure when the operation goes well.

When the operation went very smoothly, the surgeon's cheerfulness made him feel happier, more nervous, and more relaxed than hooking up with four beauties on the roadside and going home together...

Director Wang Haiyang looked around. He now felt a little regretful that no one appreciated his surgery and no one shared his happiness. Not counting Lu Wenbin, who was a resident doctor in the emergency department.

"It's rare that I have to suture three broken fingers today, why not ask the students to learn it." Wang Haiyang quickly found a suitable reason.

He is the chief physician of the hand surgery department. Although he does not have as much power as the director, it is still easy to ask a group of interns to shout "666".

After a call was made, not long after, several interns and trainees arrived at the scene.

"Everyone go wash your hands or something, leave six people, and the others go to the lounge to watch the big screen." Wang Haiyang and others came, and felt that the operating room was crowded, so they kicked out the ones who came after them.

The requirements for the cleanliness of the operating room for replantation of severed fingers are not particularly high. Modern laminar flow operating rooms have good ventilation and bacterial adsorption capabilities, and there is relatively little dust. The key point of replantation of severed fingers is that

Only with successful blood supply and blood vessel suturing can the severed finger survive, and the chances of infection will be less.

A group of interns left the operating room and were led to the rest room, shouting "baa baa", shouting 666 in the air.

"The finger-breaking suturing we are doing now is a level 4 operation in the surgical catalog. It can only be performed by someone who has reached the deputy senior level. You may not be able to access it in a short time, but through finger-breaking suturing, you can understand

Up to now, the most advanced tendon suturing, vascular anastomosis, nerve anastomosis, etc...." Wang Haiyang faced the onlookers and trainees, adjusted the positions of the microphone and camera, and played happily. His condition was obviously better than before.

alright.

Ling Ran still worked hard, not only did a good job as a first aid, but also thought about what the surgeon wanted and what the surgeon couldn't do.

Perfect replantation of amputated fingers, after getting familiar with the operation, can provide Ling Ran with a lot of skills and ideas, experience in Tang techniques, and 3,000 cases of hand anatomy experience, which makes Ling Ran's movements almost

Perfect.

In fact, if it were not for Wang Haiyang's cooperation, Ling Ran might have performed the surgery faster and with better results by himself.

However, for Wang Haiyang, who has become accustomed to normal speed, he is now performing beyond his level.

Incredibly smooth!

So cool!

"Pliers, change the needle." Wang Haiyang slapped the scissors down with a soft sound, which startled the instrument nurse.

"Be careful." The equipment nurse couldn't help but remind her.

Wang Haiyang laughed and said: "Today's surgery was very comfortable. Well, you have to be careful. Don't imitate me."

When he said the last sentence, he was naturally speaking to the interns.

"yes."

"OK."

"clear."

The interns shouted "666" tiredly and watched for dozens of minutes. Many people were tired after watching.

"Why are everyone falling asleep? Okay, you guys go out and let another group of people come in." How could Wang Haiyang tolerate such an attitude? The stitching just now was so strong that no one could even praise it.

, he is too lazy to teach this group of people.

"Ling Ran, please sew the tendon." Wang Haiyang was a little embarrassed and gave up the suture of the tendon. Considering that Ling Ran was best at the Tang method, he carefully sutured the tendon.

"Okay." Ling Ran responded, picked up the scalpel, pinched a tendon, like peeling a shrimp, and cleaned it with three strokes, then replaced the needle-holding forceps.

, the tendon was sewn up in a moment and stuffed back.

At about the same time, the students who were changing classes also came in.

Wang Haiyang got excited again and laughed: "Well, we are now going to suture the blood vessels. This is the most complicated part... Doctor Ling, do you want to take a rest."

"No, I'm not tired yet." Ling Ran answered happily.

He often performs three or even four surgeries at once, and his well-trained back and waist never feel any burden from consecutive surgeries.

Wang Haiyang can't do it anymore. He's already rushing to reach his sixties. Not to mention consecutive surgeries, he can't even complete a single surgery.

"It's better to slow down for a moment. I'll tell you something later." Wang Haiyang rubbed his waist, then turned to see Lu Wenbin and said, "You should also change your clothes and help me later. Why are you so stupid?"

"Yes." Lu Wenbin was so anxious about waiting that he turned around and wanted to change into surgical clothes.

"Go and wash your hands again. The surgical gown will come over later and you can put it on again." Wang Haiyang spread his palms and floated them up and down between the lower abdomen and collarbone twice, and said: "Put your hands in the right place."

"Yes." Lu Wenbin ran to wash his hands with a grimace.

He has recently performed hundreds of surgeries with Ling Ran, so he will naturally not forget the principle of sterility, but after waiting for a long time, he got a little carried away.

10 minutes later, Lu Wenbin returned to the operating room.

Wang Haiyang began to concentrate on the operation again.

If anything, the most normal thing for Wang Haiyang to do now is to hand over the patients in his hands to Ling Ran.

Wang Haiyang had seen Ling Ran's operations before, and had tested the patients after his sutures. He had also heard of a large number of tan treatment methods that Ling Ran had performed. Judging from the bone resetting just now, Ling Ran had actually done a good job of re-suturing his severed fingers.

All preparations for planting.

Originally, Huo Congjun asked Wang Haiyang to check it out, just because he was a little worried. After completing an operation, Ling Ran showed good skills and actively participated in every step. Wang Haiyang should have let go with peace of mind.

However, Wang Haiyang was reluctant to part with it.

That’s really hard to bear!

After passing five levels and killing six generals, heads were rolling in. Wang Haiyang was as excited as he was now.

He has been performing hand surgery for half his life, and he can count the number of surgeries he has enjoyed so much.

This is like playing Go, when you meet your opponent, you kill the opponent's dragon.

When playing chess, when you meet your opponent, you capture both of his rooks.

When the military flag is lowered, you encounter an opponent in chess, and your bomb hits the opponent's commander.

Bai Sensen's severed finger was stitched up as soon as it was said to be stitched. How cool was that?

Now, how could Wang Haiyang be willing to give up his position as chief surgeon to Ling Ran?

What is backache in comparison?

Leg pain is nothing.

It doesn't matter if your fingers are tired.

"Get me a bottle of glucose." Wang Haiyang wanted to recharge his batteries and fight another 300 rounds.

Lu Wenbin raised his hands and looked at Wang Haiyang pitifully.

"Change his clothes." Ling Ran was obviously more relaxed and had time to observe Lu Wenbin's condition.

The circulating nurse was too lazy to pay attention to Lu Wenbin, but after Ling Ran spoke, she tore open another bag of clothes and put Lu Wenbin into surgical clothes.

Ling Ran continued to do his own thing. He had just started replanting amputated fingers and was willing to see a few more cases. Moreover, Ling Ran was not hungry at all after eating a Snickers bar.

Two minutes later, Wang Haiyang continued to operate bravely, and Lu Wenbin took over Ling Ran's hook pulling job.

"As for blood vessels, generally speaking, the more sutures, the better. However, the four arteries in the fingers mainly rely on the thicker palmar arteries to supply blood. The dorsal arteries are smaller and play a smaller role.

It is relatively small, so when we replant the severed finger, we can just anastomose the palmar artery..." Wang Haiyang made an intraoperative judgment and informed Ling Ran of the reason, which can be regarded as fulfilling his teaching duty.

Other interns and trainees also nodded their heads as they listened, feeling that they had learned a lot.

Lu Wenbin looked at the bleeding field with excitement.

Ling Ran was also making his own assessment in his mind.

The risk of suturing only one artery also needs to be considered. To put it more fashionably, the safety redundancy of suturing one artery is relatively small. Once it fails and the blood supply is insufficient, the finger will be useless.

However, the operation time is also an important indicator. If it is only one finger, such as the three-finger suturing currently being performed, if each finger takes two or three hours, will the risk be greater after a set of operations?

What? What if the operation takes longer?

The surgeon's judgment is not static. Wang Haiyang is a doctor with stable suturing skills but average speed. Therefore, his intraoperative judgment was to suture only one major artery.

If Ling Ran performed the surgery himself, the situation would naturally change even more.

However, for today's surgery, Ling Ran followed Wang Haiyang's instructions.

Expose when it's time to expose, stop bleeding when it's time to stop, tie when it's time to tie, and suction when it's time to suction.

Wang Haiyang did whatever he wanted, and he chose the palmar artery with a larger diameter. He sutured it down in one piece and it was so satisfying.

"Continue!" Wang Haiyang shouted and drank another bottle of glucose.

Sew one thread, then sew another.

One after another.

The trainees and interns who called 666 around him changed their hands several times before Wang Haiyang finally finished sewing all three fingers.

It was already dark at this time, and Wang Haiyang leaned directly against the wall of the operating room, muttering to himself:

"It's so cool..."
Chapter completed!
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