Chapter 195 Cutting Off the Feet

The reminder from the system did not affect Ling Ran, he still opened the order, and then notified Lu Wenbin and others to prepare for the operation.

Any expectations are meaningless until the patient is delivered.

And after the patient arrives...

Ling Ran looked at the MRI film, but still had no clue.

What kind of severed finger replantation is considered a perfect suture?

No scars? That's impossible, not to mention that this problem can't be taken care of when the severed finger is replanted, and it can't be dealt with if the scruples are obtained. It's better to have plastic surgery after the fact.

The phalanges are not shortened? Severed fingers basically have to cut off a part of the finger. When the huge impact force breaks the finger, the damage to the cross section is inevitable, and the alignment must be accurate, and the original butt joint cannot be expected. Transformers.

Thinking of this, Ling Ran realized that from an aesthetic point of view, it was difficult for him to be perfect.

Thinking about it this way, perfection has to be considered in terms of functionality.

To restore the patient's original hand function?

Ling Ran thought about it, there are precedents for replanting severed fingers to this extent, but if you want to guarantee it, you can't do it.

However, looking at it from another angle, the task probably won't be guaranteed to be 100% complete.

You can only try to get closer to success.

The first thing Ling Ran thought of was the blue potion with +1 skill, but after only a second, he rejected this idea, not to mention that there is still a lot of room for using the blue potion, as far as the task description is concerned, what is required is to give full play to it. Perfect finger replantation technique.

Ling Ran smacked his lips, but what he was thinking about was the legendary level after +1...

Not sure what the blue bottle smells like.

"Doctor Ling, the patient is here." Yu Yuan ran back and forth to report.

As the oldest member of Ling Ran's team, Yu Yuan, who is 1.48 meters tall, knew that her surgical skills were lacking, so she hurriedly did some chores to help everyone. Ling Ran is the doctor who taught her the most surgical skills. His skills are so good that Ling Ran is actually the most suitable doctor for Yu Yuan in the emergency department.

Su Jiafu also rushed over and asked, "Doctor Ling, do you have relatives coming to see the doctor?"

He was called by Ling Ran.

It only made sense to change shifts.

Ling Ran glanced at him and said, "The patient is a decoration worker and has high requirements for the functionality of his fingers. I want to do my best, so I asked you to come here."

Su Jiafu was so happy to hear that, he almost laughed out loud: "Doctor Ling's vision is still good, so I won't complain about you."

Ling Ran looked at Su Jiafu strangely, but didn't say anything.

Lu Wenbin, who came after him, smiled deliberately, and said, "Doctor Ling just wants a familiar anesthesiologist."

Ling Ran nodded subconsciously.

To perform a perfect operation, it is necessary to have a familiar anesthesiologist. Of course, they don't always work everywhere, but when they do, it's worth it.

In this regard, the value of an anesthesiologist can be regarded as: 10% chance to eliminate abnormal state.

Su Jiafu was very upset: "What is just? Doctor Ling must still value my strength."

"Do you dare to say that you are the best in the anesthesiology department?" Lu Wenbin relaxed.

Su Jiafu snorted and didn't say anything.

There are many deputy directors and directors above him. If you talk like this, it is considered a joke. What if someone takes it seriously?

"Let's have a small pre-operative consultation." Ling Ran didn't worry about these things. Requiring all team members to be the best, this kind of idea disappeared when Ling Ran was in junior high school. The members of the choir do not need to have the level of singers. Sometimes, a smile from the lead singer can cover up countless people. Omissions.

Lu Wenbin was slightly surprised: "Is today's surgery complicated?"

Before that, they rarely did preoperative consultation. This is the case for all surgeons. It is common for one operating room to switch to another. Especially for the main operation of a department, a chief surgeon grows old from a young age, and some can perform the same operation for twenty years. . Even with a low frequency of one to two hundred cases per year, one surgeon would have to perform 2,000 such surgeries.

Then, facing the 2001st case of the same operation, as long as the person lying on the bed is a human with normal anatomy, or even a human with not particularly strange anatomy, then there is no need for preoperative consultation.

The only exception is that the surgery itself is very complicated, especially those types of surgery that are not sufficiently studied by humans, and often require more consultations and examinations. hole.

Ling Ran said directly: "I want to do my best."

Lu Wenbin said "Oh", expressing his agreement.

Su Jiafu, who was preparing the anesthetic, said "Hey" and said, "Don't you find it strange, Lao Lu?"

"What's so strange? People always want to make better pig's trotters." Lu Wenbin looked at Su Jiafu with contempt, and said, "You don't have the experience of getting up at two o'clock in the morning to go to the vegetable market, do you? Think it's too boring?"

"I'm always in medicine at two o'clock in the morning, which is more boring than making seasonings." Su Jiafu calmly despised Lu Wenbin.

"Anyway, let's look at the MRI image first." Ling Ran interrupted the comparison between the two, pointed to the image, and said, "Doctor Lu, what can you see from it?"

"I..." Lu Wenbin was recently asked to study MRI, and he was indeed working hard, but Ling Ran's question still confused him.

"Remember to read the book when you go back." Ling Ran said something first, in a tone that sounded like a senior doctor.

Lu Wenbin nodded obediently. The superior doctor has the ability to read MRI images, so he must learn it desperately. As far as the domestic environment is concerned, it is already lucky to have such learning conditions as him.

Yu Yuan stood on tiptoe and stretched out her hand behind Lu Wenbin.

"Yu Yuan?"

"It can be seen that the cuts are neat, the bones should not be displaced, the bone density is relatively high, and the nerve contusion is severe..." Yu Yuan chose to say it knowingly.

"The key is our operation." Ling Ran interrupted Yu Yuan's endless nonsense with one sentence, and then said, "Lu Wenbin, first look at the patient's anatomical structure, and let's select a few that can be used for anastomosis." Blood vessel……"

Lu Wenbin nodded again and again, being fed directly into his mouth, it was easy to chew.

Ling Ran didn't expect Lu Wenbin to figure it out by himself, so he explained the situation of several blood vessels on the spot, mainly the positions of arteries and veins, as well as their current status.

When the severed finger is replanted, the arteries must be anastomosed. If there is no suitable artery for anastomosis, the replantation will not be successful. The exception is that the arteries on the palm side are acceptable and the arteries on the distal side are bad. A compromise can be reached by connecting the arteries to the veins.

In addition to arteries, veins are not decisive, but if they are sutured well and quickly, it is also very conducive to postoperative recovery. Especially in a vascular crisis, the veins can delay a little longer, which is a bit like the existence of a spillway.

Ling Ran first pointed out the location of several blood vessels in the MRI image, then asked for the CT image, explained it to Lu Wenbin again, and finally started discussing the strategy. That is, which one to sew first and then which one to sew, and what to do in case of failure.

On weekdays, these things were kept in Ling Ran's mind, and he didn't bother to say them out. Lu Wenbin could watch and ponder them, but he didn't listen to Ling Ran explain them carefully.

When Ling Ran talked about it now, Lu Wenbin combined with the surgery he had seen on weekdays, and he immediately felt it.

"I think I'm ready to go to battle." Lu Wenbin couldn't help but insinuating.

"We'll have a look at today's one when it's ready." Ling Ran had no intention of refusing. Lu Wenbin has done so many cases of replantation of amputated fingers, it is only normal to have the heart to try.

After explaining the blood vessel problem clearly to his first assistant, Ling Ran briefly explained the other parts before starting the operation in time.

In the end, he was still required to perform the operation, and even if he pursued perfection, it was impossible to neglect the basic operation.

With the lighting of the shadowless lamp, the operating room became quiet again.

"It's broken." Su Jiafu looked at the monitor and explained something. After waiting for two minutes, he laughed again: "Pig trotters at two o'clock in the morning? I cut human feet at two o'clock."