"The injury to the patient's index finger is quite serious. It is not very serious for foster fingers, but it is much more serious than the standard for replantation of severed fingers. In this case, when we do foster care, we must first consider using

Repair the skin flap." Wang Haiyang stood at the surgeon's position, high-spirited.

Ectopic foster care can be said to be the ultimate operation of microsurgery.

But from this perspective, ectopic foster care can also be considered as the current extreme operation of human medicine.

One of the reasons why Yunyi Hand Surgery is famous is that it has the ultimate operating level in this direction.

Of course, the most extreme thing is the ectopic placement of the palms and arms, and the difficulty of the fingers is much lower, but overall, it still represents a very high-end level.

The operational difficulty of foster care and the various problems during care are basically similar, but there is a slight difference in magnitude.

Most hospitals in the country, not to mention the operational level of doctors, are stuck in aspects such as nursing. Even hospitals in Beijing and Shanghai cannot afford to perform such operations if they do not have a sufficiently professional team in hand surgery or orthopedics.

.

Wang Haiyang, who has mastered the technology of ectopic foster care, is qualified to express his pride.

As early as 20 years ago, he was one of the main doctors in Yunyi Medical University in the field of ectopic foster care.

Wang Haiyang looked at Ling Ran and talked eloquently:

"After understanding this foundation, we will understand that how to choose a suitable skin flap is the first key issue."

"Generally, when fostering a finger, it is easier to design and utilize radial artery flaps, dorsum pedis flaps, and ulnar artery flaps that are close to the foster finger or the wound to achieve satisfactory results. The one we chose today is the dorsum pedis flap."

"The reconstruction of the blood circulation of the severed finger, the repair of the tissue defect, and the later functional reconstruction are the three major elements of foster care and replantation. Generally speaking, the first-stage surgery basically determines the upper limit of the entire operation."

It can be said that Wang Haiyang has had enough of giving lessons to "Doctor Ling".

By this time, Guan Fei had already disinfected the patient's feet.

Looking at the patient's tiny feet, Guan Fei had a strange expression and said, "Finger growing on the instep of a child?"

Wang Haiyang, who had just spoken a long sentence, was preparing the next set of content when he was interrupted. He glanced at Guan Fei unhappily and asked, "Do you want to listen?"

Wang Haiyang is quite patient with pretty girls. Otherwise, if it were an idiot male intern, he would not be able to use questions at all and would just "go out" to solve the problem. Not adding "get out" is because he is too old,*

*Ketone secretion changes and temper improves.

Guan Fei, who has always been relatively casual in speaking, had met Director Wang Haiyang several times and thought he was a good-tempered chief physician. Unexpectedly, he was suddenly reprimanded.

Guan Fei couldn't help but lower her head. One year of internship was obviously not enough for her to fully adapt to the hospital environment.

Wang Haiyang turned around after scolding him.

He couldn't care less about looking at the pretty girl now.

At this moment, Wang Haiyang is falling into the most mysterious, happiest and elusive emotions of the Chinese people in order to be a teacher.

Wang Haiyang raised his head happily and asked Ling Ran: "If you do a skin flap, Dr. Ling should be fine."

"Can the muscle tissue be cut to form a skin flap? Yes."

"If you were given a choice, which position would you choose?"

Ling Ran recalled: "It can be connected to the dorsalis pedis artery."

"Yeah... that's right. Did you think about it yourself, or did you read the book?"

"I've seen it before when I was studying." Ling Ran's answer this time was the result of his passion for reading.

Not only did the energy medicine help him perform surgery, but the effect of Ganshu was also very good.

As a newbie in the hospital, Ling Ran really has quite a lot of books to read.

It can be said that it is very common for a mature doctor to read a stack of professional books equal to his height every time he reaches a higher level.

Snapped.

Wang Haiyang stamped his foot vigorously: "That's right. Dr. Ling is prepared. Okay, let's continue... The second stage of replantation is the focus and difficulty of ectopic foster care. Generally speaking, the dorsum of the foot is removed as needed.

The skin flap mainly maintains the continuity of the foster blood vessels and the dorsalis pedis artery and vein..."

Wang Haiyang's explanation was very detailed, even more detailed than what he explained in surgical surgery.

From Ling Ran and Lu Wenbin to the interns, everyone listened very carefully.

However, the only one who is truly qualified to perform ectopic foster care is Ling Ran.

Among the others, Lu Wenbin, who is the best at replanting amputated fingers, has never performed this operation independently. For him, higher-level ectopic foster care is far away.

Wang Haiyang kept talking for more than half an hour before taking action.

Of course, he couldn't hear anything during the operation, so the nurse had to pour water into his throat once.

Wang Haiyang was so excited that he couldn't stop.

After the skin flap was done, Wang Haiyang was so happy that he wanted to take off his clothes and dance to a song.

"Okay, I can do this ectopic foster care today." Wang Haiyang was the chief surgeon in charge today. Under the influence of Ling Ran's silent large-scale feeding technique, he was almost shocked by the results achieved.

After all, techniques are interoperable. Although Ling Ran does not know how to perform ectopic foster care, he has 100 foot dissection experiences and 3,000 upper limb dissection experiences. With such dissection experience, it can be said that he can see

For a blood vessel, you can know the shape of the surrounding tissue. You can even look at the state of other muscle tissues and tendons to know the degree of stress on the tissue you are pulling.

With such a foundation, coupled with Wang Haiyang's detailed explanation, Ling Ran was not very clear about the specific steps of the technique. The general direction was determined. He was his assistant and fed Wang Haiyang as usual.

Theoretically, unless Wang Haiyang has 80% of Ling Ran's skill, concentrates on doing fast, and then leaves a lot of auxiliary work to his assistants, then Ling Ran may not be able to use the big feeding technique. However, if he is given another

Ling Ran had several opportunities to familiarize himself with the techniques. Even if Wang Haiyang had Ling Ran's nine-success power, he would still be overwhelmed.

The intraoperative pressure on the assistant is much less than that on the surgeon.

The surgeon has to consider a variety of issues, including the patient's condition, the current tissue capacity, the order of operations, etc. The assistant only needs to cooperate with the surgeon.

If you switch to an ordinary low-seniority attending physician or resident doctor, there may still be situations where you can't cooperate well. With a senior attending physician who has been doing surgery for a few more years, this situation will rarely happen again.

Wang Haiyang did it for a while, and he felt so good that he wanted to fly. He looked to both sides again, nodded at someone he recognized and said: "Doctor Zuo, go to the hand surgery department and call the doctors from my team to come and see the surgery."

Zuo Cidian was free after finishing the debridement of one finger. He quickly agreed and said, "Should I inform the doctor on your team?"

"People from other groups can come and see if they want. By the way, specialists and interns are also called over. Alien foster care is relatively rare." Wang Haiyang decided to upgrade his enjoyment level.

The best part about being a surgeon is when the surgery is done well and other doctors come to visit.

Correspondingly, if the operation is not done well and there are too many people seeing it, the surgeon should scold them.

Zuo Cidian reluctantly walked backwards out of the operating room.

He is also very eager to watch this operation. As Wang Haiyang said, ectopic foster care is indeed quite rare. Furthermore, chief doctors like Wang Haiyang will not explain the time of other operations in detail to you.

Most surgeons like to chat when they get to the operating table.

When it comes to giving lectures, it definitely depends on your mood.

If Ling Ran hadn't been listening to the lecture today, Wang Haiyang wouldn't have bothered to say anything more.

After a while, doctors from the hand surgery department came in one after another.

The circulating nurse was busy drawing lines and controlling the number of people. In the end, Xiang Xueming and other interns were kicked out.

Wang Haiyang only needs someone to worship him. He feels more comfortable when he keeps changing people, and his voice rises when he speaks:

"Children's blood vessels are not easy to sew. This little patient is only 10 years old this year. It is rare to do ectopic foster care at such a young age."

"The youngest person who underwent ectopic foster care in our hospital was probably 7 years old. The results were average. The conditions for the surgery at the time were not comparable to those now. The current microscopes look better than before. It’s just that my eyes are getting old.

…”

"This operation is expected to last three hours. You are not allowed to urinate in my operating room. You are joking. It is allowed to pee in diapers. Don't overdo it. If it drops on the floor, lick it clean yourself."

Ling Ran listened to Wang Haiyang's words and thought while doing it.

As the operation progressed, he became more familiar with the operation and became more comfortable with it.

The reduction in the pressure of surgery leads to an increase in thinking.

Ling Ran didn't expect the system to give him the skill of ectopic foster care, so he had to study it carefully. In fact, most doctors who did ectopic foster care were just trying to catch up.

The volume of this kind of surgery is too small. If you only perform three to five cases, you can call yourself an expert nationwide.

Of course, there are some who do it a lot. However, after all, ectopic foster care is a hand surgery operation and is more suitable for emergency cases. Even if it is done on mature hands, the window period without similar surgeries may be very long.

As far as Ling Ran's current level is concerned, he is already better than most doctors who have performed this type of surgery, but he is less experienced than the experienced ones.

"The blood vessels in the foster part should match the blood vessels in the fingers. They should be easily exposed, which is beneficial to later operations."

"The thickness and color of the skin flap should also be taken into consideration as much as possible."

"You don't have to think too much about the donor area. We just cut such a small piece and it will have little impact on the donor area."

Wang Haiyang was extremely excited as he spoke, and the movements of his hands increased.

The doctors around him were also staring at the surgery and Ling Ran who was performing the surgery.

The few interns hiding behind could not see clearly the operating area, so they looked at Ling Ran and whispered in their ears:

"Dr. Ling is really handsome when he performs surgery."

"Look at the way Dr. Ling is holding the tweezers. Hey, look, it feels good."

"Look at her standing posture, if you ask me, you should show the scene of Dr. Ling performing the operation, so that there will be no doctor-patient disputes."

"There will only be more disputes between doctors and patients. There will definitely be a green tea bitch who curses her husband to death and then sues Dr. Ling for marriage. I have already thought about the plot..."
Chapter completed!