Chapter 192 Hard On

"It's in the veins."

"Let's sew the arteries first."

"You pulled it out... oh, it has already been pulled out."

"Okay, it's time for the most complicated part of the blood vessel..." Wang Haiyang had a two-hour operation, and the time for the operation he talked about was limited, and he was mostly chatting, and he seemed to be happier as he chatted.

Finally, when it was time for the blood vessel suturing, Wang Haiyang pulled himself back a little and began to talk about several key points of blood vessel suturing.

Kong Xiangming and the others looked at the screen and listened carefully.

A group of doctors in the Second Department of Orthopedics are also newcomers in finger replantation, and the difference between these newcomers and pure newcomers interns or residents is that they already have basic surgical operations and concepts, so I want to learn It's easy to get started, but not easier to master it.

It is difficult for a surgeon to improve from entry to mastery simply by reading books, and simple repetitive exercises are not enough. The most effective way is to teach them by hand.

This is true of non-mass production skills in human society. When they reach a high-end level, they can only be honed by a master leading an apprentice.

Of course, nowadays people don’t need to learn art from a master, but it’s not up to the apprentice to control whether the master teaches or not, and how to teach. Without enough knowledge, the apprentice doesn’t know what the master should teach and how to control it.

This is what Kong Xiangming and others are experiencing now. They want to follow Wang Haiyang to listen to the essence of severed finger replantation, but Wang Haiyang wants to talk about other things, so they can only chat with him to have fun.

The pain of learning art has never changed in the thousands of years of human history, but the art itself is constantly changing.

"The suture of blood vessels under the microscope can be sutured after a few months of hard work. The training room of our Yun doctor is specially for the doctors below. What you have to say is quite useful... "Wang Haiyang blew about his department.

Kong Xiangming immediately cooperated and said: "We have been famous for Yunyi's practice room for a long time, and I really want to try it if I have the opportunity."

"Director Jin wanted to expand it before, but now I don't know what's going on." Wang Haiyang said casually again, and then brought the topic back: "Let's talk about blood vessel suturing, the biggest problem is that it came out of the practice room. , in fact, it is still not stable enough..."

Wang Haiyang didn't even need to interrupt himself, he waited for Ling Ran to pull out the blood vessel for him, and then said: "Like this blood vessel,

It is not too difficult to sew it up with 24 stitches, but if you sew it unsteadily, the blood vessels will spasm, and it will be impossible to save..."

Kong Xiangming and the others nodded their heads.

The fingers of the replanted amputated fingers are convulsed, and the probability of necrosis is very high, which is the situation that needs to be avoided most among postoperative complications.

"Many people don't know how to make the sutured blood vessels stable. You can't do this by sewing a rat's tail, because we saw that the blood flow in the rat's tail was blocked. The matter..." Wang Haiyang made a fool of himself, saying: "There are many ways to stabilize the blood vessels, and I will say the most useful one."

Wang Haiyang's eyes were looking at the microscope, and no one could see his face, but from his voice, it was time for Wang Haiyang to say something cool, and this kind of time was naturally the time for the apprentices to profit.

Everyone is almost listening to the cheats with their ears pricked up.

Wang Haiyang said with a smile: "The most common and best method we use, to put it bluntly is worthless, is to pass it once."

"Once through?"

"The blood vessels are right, one stitch is one stitch, 24 stitches is 24 stitches, no more stitches, no less stitches, don't scratch too much, the shorter the stitching time, the better." Wang Haiyang raised his head at this time, Looking at the faces of the others, he said with a smile, "Actually, it's just a layer of window paper. It's meaningless if you pierce through it. Ling Ran, you can sew the arteries. Are you sure?"

"No problem." Ling Ran's expression was very indifferent.

Wang Haiyang smiled gratifiedly and said, "Let's change positions."

Ling Ran then changed places with Wang Haiyang.

Although the chief surgeon and Yisuke are facing each other, they see different surgical areas. Just like a person looking at his own palm from the front has the same feeling as looking at someone else's palm, the chief surgeon should face the surgical area he is more familiar with.

Kong Xiangming and others had just listened to the secret book taught by Wang Haiyang, and they suddenly realized it.

When Ling Ran took the chief knife position, Wang Haiyang spoke more smoothly.

To some extent, Wang Haiyang is more like a commentator...

The other doctors were very happy to hear that, but Kong Xiangming's many years of experience as a doctor made him smell something unusual.

He wanted to ask, but he still didn't ask.

Kong Xiangming was quite relieved about Chief Physician Wang Haiyang who came to throw the knife.

As far as the current medical environment is concerned, besides the patient, the most unacceptable failure of the flying knife is the doctor in charge of the flying knife. The hospital itself bears the responsibility in the name of the unit, and at most it loses money in the name of the unit.

Kong Xiangming believed that Wang Haiyang didn't dare to let Ling Ran practice his hand during the knife throwing period, but if he thought about it a little bit more, if Wang Haiyang didn't let Ling Ran practice his hand, what was the purpose of giving up the main knife position?

Both Ling Ran and Wang Haiyang lowered their heads, showing no expressions.

Kong Xiangming didn't ask the old and mature Wang Haiyang any more, he just took a break from Wang Haiyang's speech as if asking for advice, and said, "Doctor Ling, what is your strategy for suturing blood vessels?"

Ling Ran didn't speak for a long time. When asked, he said truthfully: "I don't have a specific strategy."

"Are we targeting this patient?"

"Now, the patient's blood vessels are a little hard, so let's sew them according to the old people's blood vessels." Ling Ran then asked the nurse to pour saline containing heparin, and after wetting the blood vessels, he started to move the needle without even saying hello.

Kong Xiangming suddenly realized. Wang Haiyang must have felt that hardened blood vessels were not easy to sew, that's why he acted in that strange way, and asked Ling Ran if he was sure.

According to Kong Xiangming, this shows that Wang Haiyang is not fully sure.

Kong Xiangming then got a deduction: Wang Haiyang gave Ling Ran the blood vessel suture he was not sure about...

This thought shocked Kong Xiangming himself.

No matter how Kong Xiangming turned his mind, on the screen above the operating table, Ling Ran was suturing blood vessels with one stitch, two stitches, five or six stitches.

If Ling Ran ran the marathon just now with Wang Haiyang in his arms, he is being pushed by Wang Haiyang to run the marathon now, and the rhythm is slightly disturbed. After getting used to it, he still runs fast and easily.

No one spoke in the operating room for a while, and by the time Kong Xiangming thought of a new topic, Ling Ran had already sewn up an artery.

"Two more stitches?" Ling Ran raised his head and asked Wang Haiyang.

"Okay, let's sew four today." Wang Haiyang didn't want to return to the position of the chief surgeon, and he didn't feel embarrassed at all.

He brought Ling Ran here because he liked Ling Ran's ability.

For the suturing of blood vessels just now, if he wants to suture, he can be 70% to 80% sure, and he must be ranked among the top doctors in hand surgery. But why do you have to sew your own blood vessels?

Wouldn't it be better to entrust young doctors with such fine and "trivial" work?

Wang Haiyang was familiar with Ling Ran's habits, and knew that he was sure if he was sure, so he gave up the suture of the blood vessel with confidence. The so-called old people don't rely on their muscles and bones, and Wang Haiyang has no interest in lowering his head to fight this old blood vessel.

Who would have thought Boss Cha, who is in his forties, would have a 70-year-old blood vessel.

If Wang Haiyang wanted to deal with this blood vessel, he would have to spend a lot of thought, and the operation time might be extended by an hour or two.

Ling Ran was in a "hard-on" posture. At the beginning, Wang Haiyang was a little apprehensive, but after a while, he felt relaxed and happy.

Kong Xiangming lost the interest in speaking for a short time, so he watched Ling Ran's operation and had more thoughts in his mind.

He is a senior orthopedic surgeon. He was appointed as the director two years ago, and he has been leading the group alone for seven or eight years. When he had to, he also did replantation of severed fingers.

Yiyuan County is a remote county with a certain industrial foundation. Every once in a while, patients who have accidentally severed their fingers come to seek medical treatment. There are also doctors who ask for severed fingers to be replanted locally.

In fact, many patients are not aware of the technical content of severed finger replantation at all, and just think it is an ordinary bone graft. As an elite in orthopedics, Kong Xiangming did a few cases half-heartedly, but they were not too successful.

But it is also with such a foundation that Kong Xiangming has the confidence to develop the severed finger replantation project.

However, watching Ling Ran's operations, Kong Xiangming's seldom confidence gradually disappeared.

"Doctor Yun deserves to be Doctor Yun." Kong Xiangming suddenly sighed with emotion, which attracted the approval of all the doctors.

Wang Haiyang raised his head proudly and accepted all the orders.

Ling Ran also raised his head: "It's finished."

"Huh? Are you ready?" Kong Xiangming was a little distracted just now, and now he looked at his watch subconsciously, and was startled: It couldn't be a blind sewing, so panic...

"I have stitched up my nerves too." Ling Ran asked proactively. Patients who don't occupy the hospital bed must be happy when they are the chief surgeon.

Wang Haiyang said kindly: "Then leave it to you."

"Do you want to sew the skin?" After a while, Ling Ran asked with a spirit of sharing.