"Lingran, you can continue to do the ring finger in your left hand." Wang Haiyang couldn't keep Lingran without using it, waiting for the others to finish their work.

Replanting the broken finger is one of the most race against time.

This is even more true for today's surgery.

If you want to use 8 fingers of a 5-year-old patient, you must suture them as quickly as possible.

A good and fast operation is the focus of postoperative recovery of broken finger replantation. Blood circulation is very important, and it is most important to restore blood circulation as soon as possible.

No one knows how long it takes for a broken finger to die, it will be necrotic after 20 hours, 8 hours, or 12 hours. The longest time for ischemia in Chinese children is 56 hours later, and the replantation of Wuxi Surgical Hospital was successful, but no one is willing to take the initiative to challenge the record.

Different people have different situations, and one thing is not wrong. If you let it recover blood flow as soon as possible, the better it will recover and the stronger its functionality will be.

The broken finger replantation of the first, second and third groups was only about halfway through, and no one had completed the most important vascular anastomosis, and there was even the same complex nerve anastomosis waiting for everyone...

With their current speed, it will not be over within an hour and a half.

In this case, let alone being freed, it makes no sense to let other doctors replace Ling Ran. Ling Ran does the fastest and is young and energetic. Letting him continue to do it is the most correct choice.

The doctors who were substituting the bench, regardless of speed or quality, could not compare with the directors and deputy directors who were on the battlefield at this time. Why should they replace Ling Ran?

Wang Haiyang didn't need to measure left and right, and made a decision in a blink of an eye.

He is responsible for the entire operation, but not for the face of a doctor. To put it bluntly, the surgeon who cannot perform the surgery properly has no face.

Especially in provincial-level tertiary hospitals like Yunhua, most surgeons go to the technical route. If they are not good at technology, they will be looked down upon. This is undoubtedly political correctness.

Wang Haiyang is already a chief physician, so he doesn't need to look at other people's faces.

Ling Ran also did not consider anyone's face and refused the surgery he was good at.

Ling Ran nodded gently, said "Okay", and said again: "Ma Yanlin, continue to sew the skin. Nurse Liu, show me the MRI blockbuster of the ring finger of his left hand."

Ma Yanlin gritted his teeth and continued to sew the skin, which attracted everyone's attention.

Ma Yanlin himself was also quite uneasy. When he picked up the needle holder, his fingers even shook slightly.

Ma Yanlin couldn't help but look at Ling Ran.

If you change to a warm-hearted superior doctor, there will be about 800 words of comfort at this time, so that Ma Yanlin will not be too nervous.

Ling Ran didn't even look at Ma Yanlin. It was like the operation on weekdays, staring at the MRI chart on his own, not like a small handheld like X-ray, the MRI film has a huge amount of information. For example, the films taken by ordinary patients from hospitals are blurred.

Doctors who can read films get more information when reading MRI than they get from fluoroscopy.

Ling Ran concentrated on reading the film, but Ma Yanlin calmed down.

It’s not okay to be calm.

As a doctor, you will always encounter all kinds of accidents. The ability of a surgeon is to deal with accidents.

Ma Yanlin recalled more about the previous various things in the operating room, including sewing and debridement, which he did the most. He had surgery several times, which gave him more understanding of the hand structure of the human body.

Although the fingers of a 5-year-old child were small, Ling Ran also did more than 10 cases of tendon suture in children during tang suture. Although the positions were different, the problems encountered were similar. The touch of the skin, muscles, fat, etc. was the same.

Ma Yanlin calmed down and gently penetrated the skin of the little patient.

He was extremely serious in sewing, and even more standard.

Just like when you are in the emergency department.

After a series of operations, if you don’t look at Ma Yanlin’s face, you can’t tell that it was made by a regular doctor.

The onlookers looked at each other and stopped talking.

Suture is a job that can make perfect, but ordinary doctors don’t have the opportunity to stitch the broken fingers again. If the number of operations is not increased, there is no need to talk about skill.

However, Ma Yanlin has done more than a hundred tang methods and is not less skillful than senior therapies. When undergoing surgery on weekdays, sewing skin is just a routine operation.

A person's spirit and concentration are limited. The value of Yishui's existence is to assist in the main surgery and deal with trivial matters. Ma Yanlin just didn't have the chance to show his face before, but at this time he was remembered by several directors and deputy directors of the hand surgery department.

"Doctor Ling, the skin has been sewn." Ma Yanlin breathed a sigh of relief.

It is not false to move the needle in front of such a group of big shots.

To be honest, in a group of tertiary hospitals of Yunhua, one of the resident doctors who can be seen and participated in a major operation, the winning level is as rare as one thousand sheep being selected as a breeding sheep.

During the period of training, Ma Yanlin got such an opportunity and was rarely seized. He was already excited to make a seed.

"Next... debride the left ring finger." Ling Ran said and squeezed in and occupied the position of the main surgeon.

Ma Yanlin could only squeeze into his head sideways, and then he could barely have room for operation.

The little patient is currently lying on his back with his hands open, and there are two groups of doctors on both sides, which is indeed full of crowds.

Ling Ran and Fei Zhou each occupy the main position on one side, and the equipment nurse occupies the middle, so the assistant has to work at a glance.

Ling Ran cleaned the patient's wounds, then pinched the joints of his fingers, observed them carefully for more than ten seconds, sighed secretly, and said, "The fingers are broken in the middle of the backbone, and the bones must be shortened."

After bone shortening, the fingers will be shorter than normal. However, at this time, there is no need to talk about whether it is beautiful or not.

As humans, there is natural loss of disgust and few people are willing to acknowledge the "sunken cost", and this is when the knowledge and reason of the doctor need to work.

If bone shortening is done, the fingers will become ugly after the injury is healed, but if bone shortening is not done, you can only choose amputation.

The loss is not caused when bone shortening is performed, but when 8 fingers are pinched off.

The role of a doctor is to minimize losses as much as possible, but he rarely does not lose any losses. In the final analysis, recovery is just a beautiful word.

In terms of probability, the average success rate of replanting the broken finger is only about 80%, which can reach a lower "optimal" level.

Even if the hand function is evaluated as excellent, it is excellent among broken fingers, and will not be exactly the same as normal fingers, let alone compared to more flexible individuals in humans. Long-term medication and rehabilitation are indispensable.

It is pitiful for a 5-year-old child to encounter such a situation, but none of the doctors present will slow down the pace in order to pursue perfection.

Even in order to increase the speed, everyone adopted the strategy of only suturing one artery and part of the nerve, including Ling Ran.

Except for Ling Ran, the principals, all doctors who have undergone 20 or 30 years of surgery, and no one has believed in perfection.

Any choice comes at a price.

The price of choosing fast may be that one finger or multiple fingers are incomplete, but the price of choosing perfection may be that necrosis of one finger or even three fingers. The worst case is that it involves other fingers.

Weighing risks is what surgeons do every moment.

This is perhaps the biggest difference between a surgeon and a pilot.

Both surgeons and pilots need strong hands-on skills and abundant knowledge reserves, and they also need timely judgment. The difference is that pilots try to avoid all risks, while surgeons only choose the one they can control among various risks.

“Needle holder.”

"Stay."

“Give me 12-0.”

Ling Ran advances step by step, which is basically the same as the usual operating methods.

And it takes about an hour and a half to replant a broken finger.

"The ring finger on the left hand is finished." Ling Ran buried his head in his work, and only looked up at the watch after finishing it.

In fact, without him speaking, everyone else noticed Ling Ran's speed.

At this moment, the other three groups of broken finger replanting were not completed. Seeing Ling Ran step by step to the end, everyone's mood was indescribable.

"Can you continue?" Wang Haiyang asked calmly before sewing it himself.

Ling Ran said: "Yes."

"I'll give you the little finger of your left hand." Wang Haiyang gave the finger that he originally planned to give to Fei Zhou to Ling Ran.
Chapter completed!