Chapter Eight Hundred and Thirtieth Six Together
"Separation forceps."
"Electrocoagulation knife."
"Check for bleeding..."
Ma Yanlin calmed down, and the operation went very smoothly.
After watching half the time, Ling Ran also relaxed, and called the doctor from Guipei, Qu Xiaolian, to come over and help the mirror, while he watched from the side.
Single-port laparoscopy is a little more difficult. In theory, if there is a problem, it needs to be turned into an open laparotomy. But no matter what mode, Ma Yanlin can actually do it. Ling Ran's visit this time also has a sense of investigation.
"Doctor Ling, there is no bleeding. Have I placed a drainage tube?" Ma Yanlin did the final examination. Seeing that Ling Ran hadn't spoken, he did it again before asking in a low voice.
"En, let's go on." Ling Ran put down his hands as he spoke, and said, "When the electric coagulation knife was cut off, it cut too deeply. Remember to adjust the frequency next time."
After finishing speaking, Ling Ran turned around and left the operating table.
Ma Yanlin froze for a moment, and quickly recalled the previous operation in his mind.
If Ling Ran didn't say anything, he would be a little more proud when he went back at night.
Now, his mind is full of surgical details.
Ren Qi was dizzy with envy.
He is not envious of having surgery. Lower-level hospitals have fewer patients, fewer doctors, and less intense competition for disease sources. Those who can perform surgery can always do it. However, it is very rare to have someone to guide, the more difficult the operation is, the more so.
For example, when Ling Ran goes to the districts and counties below to make throwing knives, the local liver and gallbladder doctors have to prepare several days in advance. Apart from maintaining relationships, at least half of the purpose is to learn some skills.
But in a hospital like Yunyi, a small resident doctor like Ma Yanlin can even get Ling Ran's guidance, Ren Qi's heart is really mixed.
Seeing Ma Yanlin sullenly finishing his work, Ren Qi couldn't help but lose interest.
The operation of subcutaneous suturing is already experienced by Ren Qi, so there is no need to look at it again.
He quietly took two steps back, and followed a leaving resident doctor out of the operating room.
"Huh..." Ren Qi sighed heavily, raised his head again, and walked forward quickly.
It was his rest time just now, and in the next few hours, there is still surgery to be done.
"Be careful, walk slowly." Ling Ran walked in a leisurely manner, and when he saw Ren Qi walking wildly with his head down from afar, he reminded him first.
Ling Ran has experience in similar scenarios. Many people, especially girls, often walk quickly with their heads down, reminding them from a long distance, and some of them bump into their arms.
Especially when he was in school, Ling Ran often encountered this kind of madness at the corner of the stairs, in the corridor or at the entrance of the classroom.
The most troublesome thing is that if you are hit by them, the other party will often open their eyes, ask for compensation, or offer compensation...
Ling Ran simply didn't want to be bumped into.
Ren Qi suddenly stopped.
He could hear Ling Ran's voice. Because it sounds so nice and recognizable.
Ren Qi felt that even if Ling Ran entered the record industry, he would be successful.
"I'm sorry, Doctor Ling." Ren Qi raised his head a little shyly, smiled apologetically, and said, "I just watched an operation, and I'm going to the operating room to make preoperative preparations."
Ling Ran nodded, seeing that it was Director Huo who sent him to study as a doctor, thought for a while, and asked, "Have you decided on the direction of study?"
Not every person in charge of the treatment group will manage the fellows responsibly. In most cases, trainee doctors are in the same state of herding sheep and being exploited as regular training doctors or interns.
This is especially true for departments with tight resources.
However, the status of Ling's treatment group is obviously not like this.
In the treatment group, the number of main operations is not many, but the scope involved is very wide, and the depth is at the top of Yunyi. In this case, no matter which direction the doctors in the group choose, they can have A large number of sources and resources. Ling Ran is also willing to give trainee doctors a chance to choose.
Ren Qi also came to his senses quickly, and became tense instantly.
It is not easy to get a chance to study, especially under Ling Ran's banner. But at this moment, his choice is likely to be the key to the success or failure of this training.
Ren Qi's brain was running fast, and he reluctantly gave up the art of liver and gallbladder.
If he can learn liver resection, then he doesn't have to worry about whether there is a source of disease in Qiu County. Ren Qi can be sure that he can easily find a new hospital in Changxi Province.
However, during the two-month training period, he could not learn liver resection.
Ren Qi let go rationally, raised his head again, and said, "Dr. Ling, I have made up my mind. I want to learn single-port laparoscopy."
Ling Ran frowned and said, "What about the technique?"
"Appendicitis removal." Ren Qi answered quickly.
Appendicitis is the basic work of general surgery. From laparotomy to laparoscopy to single-port laparoscopy, each entry skill is appendicitis resection.
And this is also the most performed operation in county-level hospitals. If he could learn it in two months, Ren Qi felt that the trip would be worthwhile.
Ling Ran didn't understand Ren Qi's situation, so he couldn't help asking: "Why did you choose appendicitis, you should know how to do it."
"But I have never done single-port laparoscopy." Ren Qi said, and then said: "I just want to learn how to use single-port laparoscopy."
"The effect of a single hole, at present, is still inferior to that of traditional laparoscopy."
"But patients are willing to have a single hole." Ren Qi explained: "There will be no scars if the surgical incision is hidden in the navel. This is too tempting for young people today. I feel...as if I have to work with Keep up with the times..."
Ren Qi spoke in a weak voice, looked at Ling Ran's expression, and quickly added: "I'm not saying that I don't want to pursue more advanced medical skills, but the time for further study is too short, I'm thinking, two months of study alone Laparoscopy should be enough, right... Dr. Ling?"
Ling Ran's expression remained unchanged, until Ren Qi finished speaking for a while, then nodded, and said, "Yes, then we will tentatively order single-port laparoscopy."
"OK."
"Go to work." Ling Ran waved his hand and sent Ren Qi away, but he started to think.
In general surgery, when it comes to appendectomy, it is easy to think of cholecystectomy. Ling Ran's appendectomy was at the perfect level, while his cholecystectomy was at the expert level.
Gein's cholecystectomy was practiced by Ling Ran himself, and he also obtained two intermediate treasure chests for it.
However, since cholecystectomy has reached the expert level, Ling Ran has no tendency to reach the master level when performing cholecystectomy again...
Ling Ran once read a lot of information and kept digging the depth of cholecystectomy. Now that he thinks about it, the breadth is actually very necessary.
Just like Ling Ran's appendectomy, he can perform laparotomy or single-port multiport laparoscopy, Ling Ran has performed laparotomy cholecystectomy, but rarely performs single port cholecystectomy.
"Look for cholecystitis patients who want single-port laparoscopy." Ling Ran took out his mobile phone and called Zuo Cidian.
He will have cholecystitis patients every once in a while. Zuo Cidian was not surprised either, he answered immediately and thought about it, wait in the emergency center for a few emergency cases of cholecystitis, then make a few calls to familiar hospitals in Yunhua City, and then go to the hepatobiliary surgery department for a few days A patient with chronic cholecystitis must be able to get together easily.