Chapter 48 This guy is still an intern
Tang method suturing, also known as multiple sets of intra-tendon suture, as the name suggests, uses multiple groups, usually three sets of nylon threads to suture the tendons. The tendons sutured in this way have a tensile strength that is far greater than that of Kessler method and double-double suture, and will not destroy the blood circulation on the dorsal side of the tendon.
However, compared with other tendon suture methods, it is obvious that a tiny tendon is sutured by three sets of nylon threads.
Ling Ran said that he could not stop because he did one-third of the time. If he stopped at this time, it would be even more difficult to set up two other sets later. Other stitching methods may not be applicable.
Similarly, this is the reason why Zhao Leyi was unable to take over.
Barely speaking, he can also stitch tendons, but he has never been exposed to tang suture before.
Unlike intermittent suture method, tang suture is a suture method and a technique. It is only used for suture of the flexor tendon in the second area of the hand. The application range is extremely narrow and only one-fifth of the area of a person's hand. It is extremely difficult and has a very outstanding effect.
The training strategies of the emergency department are more inclined to general practitioners. Zhao Leyi has never even been exposed to the tang method, but he has only heard of it.
At this time, Ling Ran said that he could not stop after doing halfway, and he really couldn't express his rebuttal opinions.
What are you saying? Do you stop by force?
Zhao Leyi looked around. The operating room was not a lawless place. Although the surgeon had supreme power in the operating room, he had to bear responsibility while making a decision.
He can force Ling Ran to stop, then what?
What should I do if the patient cannot recover his hand function in the future?
Even if you don’t consider external litigation, the internal review of the hospital will not make it easy. If you can’t do it well, you can’t think of getting promoted to deputy director within three to five years. If you are unlucky, you may be transferred to the physical examination center...
Or... I went to the surgery department and asked the boss to come and save the situation.
In the operating room, it was very quiet.
Everyone lost interest in talking.
"Skin pull hook."
"Glasses."
"pliers."
Ling Ran put on his microglasses again and still shouted out everything in an accurate and unconventional way.
Zhao Leyi could no longer hold back and turned her head and said, "Please ask Director Huo to the operating room."
He decided to find a boss to save the situation.
However, first of all, I will find a boss from my department, which is also the basic law to save the situation.
At the same time, the excited general surgeon who was watching the surgery and seeing the patient took two steps back and stepped on the unlocking frame at the bottom of the right side of the door. Before the airtight door was completely opened, he slipped out.
"Hou Kang, can you tang suture it?" The senior hospital sent to the emergency department by the general surgery department, winked.
The general outside hand is a family, but the classification of outside hand is more detailed, and the residents are quite familiar with it.
Hou Kang raised his head strangely and said, "Why did you ask about this?"
The emergency department may apply for emergency consultation every day, sometimes two or three times a day. If the attending or better deputy chief physician is sent every time, other departments will not have to do anything else. Just wait for the emergency department notification every day.
Most of the time, when receiving consultation applications from the emergency department, each department sends a resident to see the situation first. If it can be handled on the spot, it will be handled on the spot. If it cannot be handled on the spot, it will usually be pushed back to the operating room of its own department for treatment. Otherwise, there will be no enough instruments and equipment in the emergency room.
As for today's surgery, Puwai will soon have to go to an emergency surgery, while outside the hand can wait for a deadline for a while. Therefore, one of the two is waiting inside the door and the other is waiting outside the door.
The resident doctor from the UAV said with a smile: "It's tang stitching inside."
"Impossible, Director Pan went to RB for further study." Hou Kang immediately shook his head.
The residents of the general foreign country immediately grasped the key point and asked: "Only Director Pan can do the tang method outside your hands?"
Hou Kang corrected: "Only Director Pan will do the tang method."
Today, when surgical medicine develops, facing the same goal, there have been countless solutions. Although the Unman's Land was initially broken by the Tang method, there are still other technologies developed in the past 20 years after it was broken. As for which solution has more advantages, it depends on the patient's condition.
According to the idea of ordinary people, doctors should learn from others' strengths and learn a variety of solutions. However, the reality is that doctors usually understand a variety of solutions, but they will only focus on one solution.
It’s like students are doing questions in their studies. There are many solutions to the problem of chickens and rabbits in the same cage. Students only know one or two more, and then they will continue to solve the problem, constantly and continuously, and for many years, using their used-to-one solutions to solve the problem.
For doctors, it is more expensive to practice a new technology, and few people will learn several parallel technologies.
When a patient does need some kind of surgery to treat, they usually ask for a "flying knife" or simply introduce the patient.
Deputy Director Pan is the one who is good at the Department of Hand Surgery at Yunhua Hospital and is good at and often uses the tang method to suture it.
The resident doctor from the U.S.A. laughed and said, "You go in and have a look. From now on, there will be more than Director Pan who does tang method in our Yun Doctor from now on."
Hou Kang put away his things and stepped on the air-tight door of the operating room with doubts.
laugh……
As a resident in the surgery department, Hou Kang stood in the corner with his head stretched out his head and looked in.
The surgical field under the shadowless light is very clear, and you can see that the patient's hand area II is undergoing surgery.
Hou Kang naturally recalled the various details of the "tang method" suturing in his mind, and then a series of thoughts arose:
who I am?
Where am I?
What am I doing?
laugh……
Huo Congjun, wearing green hand washing clothes, walked into the operating room.
"What's the situation?" Huo Congjun had already received the news and his voice was low.
"Ling Ran performed the surgery beyond the scope without permission." Zhao Leyi complained immediately.
"Is that true?" Huo Congjun looked at Ling Ran.
Ling Ran lowered his head and said while operating: "Yes."
Zhao Leyi raised his eyebrows, and he didn't expect Ling Ran to admit it immediately.
Huo Congjun was also a little surprised and asked: "Since you know the violation, why do you still need to undergo surgery?"
"I didn't know that this was a violation before I performed tendon sutures." Ling Ran thought for a few seconds. This was indeed not written in the intern manual.
Huo Congjun and Zhao Leyi were also stunned. They just remembered that Ling Ran was also a famous intern medical student!
This guy is still an intern?!
The melon-eating doctors in the operating room were yelling in their hearts.
The drama that I originally thought was a bit boring, and I felt like Lao Ai was walking with his **tung wheel, and everyone laughed at him for being so hard to read.
"In the operating room, the main surgery is absolutely authoritative." Huo Congjun said seriously: "Not only do you have to operate according to the requirements of the main surgery doctor, but also, your operations, especially unconventional operations, must inform the main surgery doctor and get permission. Do you understand?"
"I understand." Ling Ran agrees with the procedure.
No matter how good the technology is, it requires certain procedures.
It’s like when he was a child, a few people bought a Transformer model together. Whoever assembled it must have a certain qualification and technical guarantee. At least you have to successfully assemble a small one many times before you can get started. Otherwise, it would be too heartbreaking to buy a very valuable Transformer model that you finally bought.
As far as Ling Ran understood, patients lying on the operating bed should naturally be guaranteed by technology and procedures.
"Do you know what to do when you go to the operating room in the future?" Huo Congjun stared at Ling Ran with his hands behind his back and asked hard.
Ling Ran thought seriously for a few seconds and said, "Be the chief?"
"Let the hand surgeon take over." Zhao Leyi felt that she was about to explode on the spot, glanced at the melon-eating doctors and asked, "Are the hand surgeons here?"
Chapter completed!