Chapter Five Hundred and Twentieth Four Heterotopic Foster Care

Well, get out your Kirschner wires and have a look. Ling Ran checked the Kirschner wires in Master Huang Maoshi's box, nodded, and asked, "For free?" "

"Yes. We have quotas for manufacturers to promote..." Huang Maoshi quickly introduced the situation.

Ling Ran selected the commonly used type, then nodded to Nurse Liu, and said, "Please ask someone to clean and disinfect it for later use."

"Okay." Nurse Liu waved familiarly, and left with Master Huang Mao.

The medical staff in the hospital have long been familiar with the existence of medical representatives, including in the operating room, where medical representatives come and go.

Especially for consumables that are used in a small amount, it is often just a phone call from a hospital or doctor, and a medical representative will send them over.

In local hospitals below the top three, medical representatives with suitcases are like mobile consumable warehouses. The hospital cannot build consumable warehouses by itself, or the consumable warehouses are too small, so they use this method to supplement. Usually, the medical representative is notified in the first day or two, and the consumables are delivered by the medical representative on the second day, and then cleaned by the nurses and sent to the operating table.

However, for things like Kirschner wires, the cheap ones only cost a hundred and ten yuan, and the expensive ones are only a thousand and eight hundred yuan. Usually, they can only be stored in the hospital consumables warehouse.

The medical representative of the family didn't bother to send it.

Of course, like draping, there are exceptions to everything.

The medical representatives are now trying their best to get close to Ling Ran, but they can't, let alone bring a Kirschner needle to the operating room, even if they bring a needle, they can only get close to Ling Ran to show their faces, and Huang Maosheng is very happy.

About the same time, the patient was also pushed in.

Su Jiafu first stood up for various examinations, and then administered anesthesia.

Lu Wenbin, Yu Yuan and the others hurriedly started spreading the towels.

Ling Ran leaned over to inspect and evaluate the patient's wound condition.

The suture of four severed fingers is difficult to suture, and the severed finger was injured by firecrackers. Among the hand injuries, it is also a clear and complicated injury, and it is very difficult to suture.

The most difficult part is that the little patient has a skin defect in the finger, as well as an arterial defect.

Ling Ran observed and thought while taking the X-rays he had just taken to read.

After looking at it for a while, Ling Ran shook his head and said, "Call Director Wang Haiyang, you can't do this finger well, the blood vessels are too thin. Hmm... the index finger may have to give up."

The index finger is the name of the index finger in medicine, and it is also the most severely wounded part. Not only the bones were shattered, but the skin and tendons in the middle were also shattered and burned. To be stripped.

Lu Wenbin and Ma Yanlin showed disappointment. The two of them have been with Ling Ran for the longest time, and they have also performed the most number of severed finger replantations. If two operations are performed at the same time today, they will have a chance to be the chief surgeon.

However, the blood vessels of fingers are already thin, not to mention the blood vessels of children, and the gunshot wounds are so complicated, neither Lu Wenbin nor Ma Yanlin has the confidence to do it.

"Call the interns, too." Ling Ran ordered again, and then went back to watch the film again.

A huge difference between the chief surgeon and the assistant is that the chief surgeon determines the direction of the operation.

For a successful operation, the chief surgeon must be familiar with it before getting started, and every step must be well thought out, and if the level is higher, he must also consider how to deal with unexpected situations.

Of course, if the same operation is done more, the same considerations are done more, and the experience in dealing with unexpected situations is more, many pre-operative steps can be omitted. However, watching movies is indispensable after all.

"No MRI?" Ling Ran asked with his back on the operating table.

Yu Yuan said, "The MRI machine is being cleaned..."

All departments are not immune to the outbreak of mrsa.

Ling Ran said helplessly: "Okay, the X-rays can basically be seen clearly, how long will Director Wang Haiyang be here?"

"three minutes."

"Then wait, are the signatures ready?"

"Double signatures, the child's parents are divorced, and the mother is not in Yunhua City. His father and aunt signed it." Yu Yuan explained a few sentences carefully.

Ling Ran nodded "graciously", and continued to look at the patient's wound and think.

Lu Wenbin pushed aside the towel and looked at the patient's face before saying, "This brat is only eight or nine years old."

"Seven or eight years old, it's not unreasonable for dogs to dislike it." Zuo Cidian said: "When we were in the township health center, in all kinds of emergency departments, this age was the most miraculous. I have seen eating dirt. Diarrhea, I've even seen someone taste their own shit..."

"Why eat shit?" Yu Yuan couldn't believe it.

"What the brat said? He said that his family shouted stinky shit every day, so he just wanted to see if the shit really stinks?"

Everyone in the room was attracted.

Yu Yuan laughed so hard she couldn't breathe: "Of course it stinks, you can smell it. Smell is smell, not taste."

"How do children know these things? Don't tell me, the nose smells different. Taste it to prove it more directly, right? It's like durian." Zuo Cidian suddenly felt a faint nostalgia in his heart, he disliked it even Yu hated the town health center, but his youth remained there after all.

Lu Wenbin said strangely: "Even if I ate dog shit, I wouldn't have to go to the hospital, would I? The health center still cares about that?"

"Oh, that brat was bitten by a dog when he was trying hot dog shit." Zuo Cidian gave a reasonable answer.

Yu Yuan asked suspiciously: "Is it because his family said that shit should be eaten while it's hot?"

Zuo Cidian was stunned for a moment, and said: "Probably, the brat has eaten shit, who cares why he wants to eat hot dog shit."

laugh.

The airtight door opened, and Director Wang Haiyang rushed over.

"It's all here." Wang Haiyang tied his hands together with a smile, and asked the nurse to help put on the surgical gown.

"The firecracker was injured, the 8-year-old child lost four fingers..." Zuo Cidian hurried forward and began to introduce the situation.

Wang Haiyang and Ling Ran's approach is similar, they also watch the movie before watching it.

"This indicator is dead." Wang Haiyang's judgment was similar to Ling Ran's, and much more resolute than Ling Ran's.

The earth cannon made by Xiongzi was so powerful that it almost exploded in his hand. Therefore, including bones, tendons and blood vessels, he suffered a lot of damage, and the index finger that bore the brunt was even more severely injured.

Ling Ran nodded, and said: "You can try to do replantation, but it will be more difficult to achieve a good standard."

If it does not meet the standard of excellence, it is just a show.

Of course, it's nice to be able to make a show.

At the very least, you won't be stared at by strangers.

Wang Haiyang looked at it carefully for a while, and said, "Ling Ran, this injury is enough to meet the standards of heterotopic foster care. Do you want to give your index finger to foster care?"

His suggestion immediately attracted Ling Ran.

For fingers, ectopic fostering means first transplanting them to other parts of the body, and then re-transplanting them back to the hand after the wound on the finger itself has healed.

One transplant becomes two transplants, and the final effect is definitely not as good as one.

However, for fingers with insufficient conditions for primary replantation, it is always good to have a chance for secondary replantation.

Ling Ran thought for a few seconds quickly, and said, "I won't."

"Hey, don't you know?" Wang Haiyang became interested in an instant, looked at Ling Ran, and almost shouted "Let me teach", "Let me teach".

Ling Ran nodded: "I have never learned heterotopic foster care."

The replantation of his perfect severed fingers is limited to finger joints, and ectopic fostering can be regarded as another specialized skill. Not only fingers can be ectopically fostered, but also the positions of arms, legs, ears, noses, etc. can be ectopic. foster care.

"General orthopedic or hand surgery doctors don't learn heterotopic foster care. It's impossible for the current private hospitals to engage in this project." Director Wang Haiyang laughed twice, and said: "But I will, It’s better to foster the index finger today, and I’ll give you on-site teaching, and in a few weeks, we’ll do the second phase of replantation.”

Wang Haiyang couldn't be happier to be able to teach Ling Ran.

This is the background of Yunyi's hand surgery as an elite department. In other hospitals, ectopic foster care can be used as promotional materials for 10 years.

But in Yunyi, the ectopic fostering of a finger can only be regarded as the initial stage, and the operations on the ectopic fostering of the arm are performed several times a year.

Being able to learn new things made Ling Ran a little excited.

He looked at the little patient's index finger again, and said, "Then inform the patient's family and ask if they would like it. Let's do the replantation of the other three fingers first. Doctor Zuo, go and ask."

"Okay." Zuo Cidian immediately agreed, took off the surgical gown and was about to leave.

"We can give them some fee reductions. For 30% to 40%, ask your Director Huo, he will definitely approve, Ling Ran will call your Director Huo." Wang Haiyang stopped Zuo Cidian, said, and then said: " The medical expenses of ectopic foster care are much more expensive than replantation, and the care of the finger during foster care is also troublesome. But you should tell them clearly that in view of the current condition of the child's index finger, ectopic foster care should not be adopted. My suggestion is Amputation. Forced replantation, the possibility of not surviving is also very high. In addition, ectopic foster care can also preserve a better shape."

Zuo Cidian made a note of it, and the pace of going out was not so quick.

Such a conversation is quite difficult.

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