Chapter 190: Blood Vessel Tear
"Dr. Ling Ranling is an expert in replantation of severed fingers at our Yun Medical Hospital. He has operated on more than a hundred operating tables, and his index is almost 300." Wang Haiyang is a doctor who understands doctors' language very well. When meeting, he introduces Ling Ran first, so as not to worry about others.
Offended him unintentionally.
Doctors are very skilled technicians, and they usually have a lot of experience when it comes to offending people.
Kong Xiangming was stunned when he heard this.
He had heard Wang Haiyang mention Ling Ran before, but he didn't pay much attention at the time.
However, Kong Xiangming couldn't help but be surprised when he saw Ling Ran's handsome appearance.
He doesn't care about terms like handsome guy or doctor or handsome doctor guy, but in his impression, there is very little overlap between good doctors and handsome guys.
Good doctors, especially good surgeons, need to stay in the operating room for many years. If you want to quantify it, the 10,000-hour rule is also valid...
And after spending 10,000 hours in the operating room, doctors who don’t work overtime should grow old, and doctors who work overtime should also become ugly...
From another perspective, if we also quantify the expert level of replanting severed fingers, having performed 100 operations is definitely an expert level.
In orthopedics or hand surgery, doctors who can perform thirty or forty replantation surgeries on amputated fingers can be said to be very experienced. Of course, they may have participated in a larger number of replantation surgeries on amputated fingers before this. It’s just that
As first or second assistant.
To describe it in other industries, a doctor who can perform thirty or forty replantation operations on severed fingers is like a soldier who has participated in thirty or forty battles of varying intensity. He must have had long-term training and training before this.
Simulated, and may have participated in some peripheral non-combat operations, but in the final analysis, being qualified to participate in dozens of battles and continuing to participate in battles is remarkable in itself.
As the director of the Second Orthopedics Department of Yiyuan County Hospital, Kong Xiangming is very aware of the difficulty of replanting severed fingers. Many orthopedic surgeons confidently start to perform replantation of severed fingers independently, but give up completely after one or two times.
Doctors who are qualified to replant severed fingers are all talented and hard-working doctors, but there are only a few of them who can replant severed fingers.
"Doctor Ling is really young and promising..." Kong Xiangming praised Ling Ran half-heartedly. He was indeed envious of Ling Ran's age and appearance.
This was not the first time for Wang Haiyang to come to Yiyuan County. At this time, he smiled and praised Ling Ran and said: "Dr. Ling has been doing replantation of three and four fingers recently. The postoperative results are very good, but I spent a lot of money."
It took a lot of effort to hire Dr. Ling.”
Ling Ran looked at Wang Haiyang and expressed admiration for his bragging. He then said, "Should we consult him first?"
Growing up, he received a lot of praise and had little interest in insignificant verbal praise.
Kong Xiangming looked at Wang Haiyang and laughed instantly: "Okay, let's have a consultation first?"
"Okay." Wang Haiyang agreed immediately.
Consultation is teaching time.
Yiyuan County Hospital took risks, contributed people, prepared surgical instruments, etc. because it wanted to ask for the truth, and Wang Haiyang didn't mind satisfying it.
There is no such thing as a teaching master starving his apprentice to death among surgeons. In this world, there have always been too many patients and too few high-skilled doctors. Because medical technology is constantly rising, so are the needs of patients.
rising.
If someone can really eliminate a certain disease without side effects, doctors will also have a simple blessing of "May the world be disease-free"... That is the wish of mankind, not just the interests of the community of interests.
Wang Haiyang sat in the conference room, waited for Kong Xiangyang to bring out the case, especially after unfolding various imaging films, drank water, and started talking slowly.
The operation of replanting two fingers was a familiar and extremely familiar operation to him, but to the doctors of the Department of Orthopedics of Yiyuan County Hospital, it was a new and difficult operation.
Kong Xiangming himself also listened very carefully.
Yiyuan County Hospital is a quasi-tertiary-A hospital, which means that its hardware conditions have reached the level of a tertiary-A hospital and it has the opportunity to become a tertiary-A hospital.
Orthopedics is one of the most profitable departments in the hospital. The reason why a second department of orthopedics was separated was to accommodate Kong Xiangming.
Otherwise, the old director is far from retirement age, and Kong Xiangming cannot wait indefinitely. Once he leaves, the hospital will first face losses.
After the establishment of the Department of Orthopedics, replantation of severed fingers was selected by Kong Xiangming as the latest growth point of the department.
He purchased special microsurgical instruments for this purpose and conducted training and carried out related projects.
Of course, the most important thing is that Kong Xiangming taught himself related projects.
Just like all similar hospitals and departments, director-level doctors are the backbone of the backbone, and most of the main surgical procedures must be established and maintained by themselves.
Wang Haiyang had been exposed to finger replantation surgery before, and this was the third time he invited Wang Haiyang to come to Yiyuan County. With a certain degree of cooperation, Kong Xiangming was able to inquire in extremely detail.
The consultation lasted half an hour. Wang Haiyang said he was tired, took a sip of tea and asked Ling Ran, "Does Dr. Ling have anything to add?"
Kong Xiangming and the other six doctors looked at Ling Ran.
The Second Department of Orthopedics in Yiyuan County is not as large as Yunyi with several groups of people. A total of seven doctors divided into two treatment tiers are the entire medical force. In addition to Kong Xiangming, there is also a deputy chief physician and two attending physicians.
, the three residents are usually classified and not grouped, so the overall structure is healthy.
For Ling Ran, no one can say whether they respect him or not, they just don't pay much attention to him.
Ling Ran also took a sip of water, coughed, and said, "Let me add a few words."
One of the young residents almost laughed out loud on the spot. This kind of meeting language came from the mouth of the young and handsome Ling Ran. No matter how it sounded, it was incongruous and something was wrong.
Ling Ran continued: "I think the patient has a blood vessel detached, and there are signs of blood vessel tearing in the dorsal finger vein arch. At that time, it should be incised and re-sutured."
After saying that, Ling Ran lowered his head and took two more sips of tea.
Kong Xiangming and others were stunned on the spot. If they were cuter, they could even call out "meow" now.
The dorsal digital venous arch is not a particularly important blood vessel when replanting a severed finger. It may or may not be sutured, but people can see that the blood vessel is torn...
"Dr. Ling, how do signs of blood vessel tear manifest?" Kong Xiangming corrected his attitude and asked seriously. Just because someone can say this, dare to say this, hundreds of people
The surgical experience of replanting severed fingers is no joke.
Ling Ran stood up and moved the MRI film from the edge to the middle. Then he pointed at the middle of the dorsal venous arch and said, "There is a trace of a torn blood vessel here. It is probably broken. I don't think there is any need to guess.
Regarding the specific degree of damage, if the plan is to suture the dorsal finger vein arch, just cut it open and sew it up. If not, it depends on whether you have enough time."
Kong Xiangming and others looked at each other, relatively speechless.
Although Kong Xiangming has a desire to learn, he has no ability to learn at this time. He cannot understand MRI, and no one under his command can understand it. And to learn this thing, it will not take a few months of investment to achieve results.
of.
At this time, Kong Xiangming could only look at Wang Haiyang.
"Dr. Ling is the best in our hospital when it comes to MRI scans. It just so happens that our original plan doesn't need to be touched, and the backup plan can be bypassed." Wang Haiyang said casually. This level of surprise was not for him.
Even though he was just ordinary, Ling Ran had already shown extraordinary technical strength.
However, Kong Xiangming and others looked at Ling Ran with admiration. When it came to assigning surgical roles, Kong Xiangming took the initiative to step aside and become the second assistant.
Wang Haiyang was very satisfied with this. The doctors who came to Feidao took risks and paid high prices. No matter how happy they were during the pre-operative consultation, the most important thing for Dr. Feidao was always the surgery. As long as the surgery was done well, then
It is a happy situation, but if the surgery is not done well, the problem will become serious.
Wang Haiyang brought Ling Ran here just to borrow his abilities, so naturally he couldn't be placed in the position of second assistant.
As for Kong Xiangming and others, it depends on them whether they can learn anything during the operation.
"It's almost time, let's go see the patient?" Wang Haiyang looked at his watch and felt that the teaching time was enough.
Kong Xiangming was also satisfied and quickly stood up and opened the door: "I will lead the way."
The group of people filed out and saw that both sides of the corridor were full of young nurses wearing blue and red nurse uniforms. Some of them were carrying trays, some were holding books, some were pretending to be on the phone, and more
It was a look of unabashed curiosity.
Kong Xiangming had something he wanted to say, but seeing that so many nurses were not from his own department, he wisely kept silent.
The team from the Department of Orthopedics walked forward silently.
The little nurses on both sides of the corridor moved forward silently.
In the silent environment, there is only the clicking sound of taking pictures, which is crisp and fascinating.
Chapter completed!