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Chapter 194 Hard
"To the blood vessels."
"First suture the artery."
"You pulled it out...oh, it’s already pulled out."
"Well, I got to the most complicated part of the blood vessels..." Wang Haiyang did two hours of surgery, and the time of the operation was limited. More often, he was chatting, and he was more and more happy.
At the end of the blood vessel suture, Wang Haiyang pulled himself back a bit and began to talk about several key points of blood vessel suture.
Kong Xiangming and others looked at the screen and listened carefully.
A group of doctors in the second division of the anatomy is also a newcomer in the replantation of the finger, and the difference between these newcomers and the pure newcomer interns or residents is that the basic surgical operations and concepts are already in place, so I want to learn Getting started is easy, and it's not easy to learn proficiency.
From the beginning to the proficiency of the surgeon, it is difficult to simply improve through reading and reading. The simple and repeated practice is not feasible. The most effective way is to teach by some people.
This is true of the non-quantitative skills of human society. To the high-end level, it can only be the master's tempering with an apprentice.
Of course, nowadays people don't need to learn from the teacher, but the master teaches not to teach, how to teach, and it is not the apprentice who can control it. Without enough knowledge, the apprentice does not know what the master should teach, and how to do it. It.
This is the case that Kong Xiangming and others are now encountering. They want to follow Wang Haiyang’s point of re-planting, but Wang Haiyang wants to talk about other things, and they can only talk with others to have fun.
The pain of learning and art has never changed in the history of mankind for thousands of years, but the art itself is constantly changing.
"The blood vessels under the microscope are sutured. After a few months of practice, we can basically sew a seven-eight-eight-eighth. The practice room of our cloud doctor is specially for the underlying doctors. If you want to say something, it is quite useful... "Wang Ocean has blown his own department."
Kong Xiangming immediately cooperated with the road: "We have been famous for the practice room of Yun Medicine. We have the opportunity to really try it."
"Jin Director had the intention to expand before, and now I don't know what happened." Wang Haiyang said it again, and then re-raised the topic: "I will talk about the vascular suture, the practice room, the biggest problem." In fact, it is still not stable enough..."
Wang Haiyang did not have to interrupt his own words, waiting for Lingran to pull out the blood vessels, and then said: "It is not difficult to sew with 24 needles like this blood vessel, but if you don't sew it, Steady, when the blood vessels are paralyzed, it’s really a bailout to save..."
Kong Xiangming and others listened to nod.
The finger of the replanted finger is paralyzed, and the probability of necrosis is very high, which is the most need to avoid postoperative complications.
"A lot of people don't know how to make the sutured blood vessels stable. The tail of your sutured rat can't be trained, because we can't see the rat's tail blood flow, it was the thing at the time, it was a few days later. The matter..." Wang Haiyang sold a small one and said: "There are many ways to stabilize the blood vessels. I said one is the most useful."Wang Haiyang’s eyes looked at the microscope, and no one could see his face, but when he heard it from his voice, Wang Haiyang said that it was a cool time. At this time, it was natural time for the apprentices to make a profit.
The crowd is almost listening to cheats with their ears up.
Just listen to Wang Haiyang’s smile. “The most common and best way to use it is to say that it’s worthless to wear it. It’s a pass.”
"Once through?"
"The blood vessels are good, one needle is a needle, 24 needles are 24 needles, not more than one needle, not many needles, don't grasp more, the shorter the stitching time, the better." Wang Haiyang raised his head at this time. Look at the faces of other people and smile: "It's actually a layer of window paper. It's boring to wear it. Lingran, the arteries you sew, are you sure?"
"No problem." Ling Ran's expression is very light.
Wang Haixin smiled comfortably and said: "Let's change position."
Ling Ran then changed position with Wang Haiyang.
Although the main knife and the assistant are face to face, the surgical area seen is different. Just like a person looking at his palm in front, just like the feeling of seeing someone else's palm, the main knife should face the more familiar operating area.
Kong Xiangming and others just listened to the secrets taught by Wang Haiyang, and they made a lot of sighs.
When he sat on the main knife, Wang Haiyang said it was more succinct.
In a way, Wang Haiyang is more like a commentator...
Other doctors were very happy to hear that Kong Xiangming’s many years of experience in doctors made him smell a little unusual.
He has a heart to ask, after all, he still did not ask for an exit.
For Wang Marine, the chief physician of the flying knife, Kong Xiangming is still relatively reassured.
As far as the current medical environment is concerned, the most unbearable failure of the flying knife is the doctor who presides over the flying knife. The specific operating hospital itself assumes the responsibility in the name of the unit, and at most it loses money in the name of the unit.
Kong Xiangming believes that Wang Haiyang does not dare to let Ling Ran practice during the flying knives. However, if he wants to be deeper, if Wang Haiyang does not let Ling Ran practice his hand, what is the purpose of letting the main knife position?
Ling Ran and Wang Haiyang both lowered their heads and could not see the expression.
Kong Xiangming did not ask Wang Haiyang, who was a good old man. He simply asked for a gap in Wang Haiyang's speech. He said: "Dr. Ling, what is your strategy for suturing blood vessels?"
I didn’t talk for a long time, and when I was asked, I told the truth: "I don't have a specific strategy."
"Let's we target this patient?"
"Now, the patient's blood vessels are a bit hard, and they are sewn according to the blood vessels of the elderly." Ling Ran then let the nurse pour the normal saline containing heparin, and after the blood vessels were wet, they started to move the needle, and did not say a greeting.
Kong Xiangming suddenly realized. Wang Haiyang certainly felt that the hardened blood vessels were not easy to sew, so there was such a strange move, and I was specifically asked if Ling Ran was not sure.
According to Kong Xiangming, this shows that Wang Haiyang is not fully grasped.
Kong Xiangming then got a corollary: Wang Haiyang gave the vascular suture without full grasp to Lingran...
This idea made Kong Xiangming himself shocked.Regardless of how Kong Xiangming turned his mind, the screen above the operating table was stitched with a needle, two needles, and five or six needles.
If it is said that Ling Ran just took the Marathon run by Wang Haiyang, he is now being dragged by Wang Haiyang to run the marathon. The rhythm is slightly disturbed. After adapting, it is still fast and easy to run.
No one spoke in the operating room for a while, and when Kong Xiangming thought of a new topic, Ling Ran had already sewed an artery.
"Do you have two seams?" Ling looked up and asked Wang Haiyang.
"Yes, sew four today." Wang Haiyang did not have to return to the position of the main knife, and there was no embarrassment.
He came with Ling Ran, and he took a fancy to Ling Lian’s ability.
Just the blood vessel suture, if he wants to suture, he can also have a grasp of 70% or 80%. Among the doctors in hand surgery, it is definitely ranked first. But why must you sew your own blood vessels?
Isn't it better to give this kind of fine "trivial" work to a young doctor?
Wang Haiyang is familiar with the habit of Ling Ran. He knows that he is sure to be sure, so he can safely let the suture of the blood vessels. The so-called old is not to use the bones and muscles, Wang Haiyang is not interested in lowering his head to harden this old blood vessel.
Who can think of the boss in his forties, there will be a 70-year-old blood vessel.
If Wang Haiyang wants to deal with this blood vessel, it is estimated that he has spent a lot of thoughts, and it is possible to extend the operation time by an hour or two.
Ling Ran is a "hard" posture. At the beginning, Wang Haiyang has a horrible battle. After a while, I feel refreshed.
Kong Xiangming lost his interest in speaking for a short time, and he looked at the operation of Ling, and turned his mind more thoughts.
He is a veteran orthopedic surgeon. He has been a director for the past two years. He has been alone for seven or eight years. When he was forced to do so, he had done it again.
Yiyuan County is a remote county with a certain industrial base. After a period of time, there are always patients who have accidentally broken their fingers to seek medical treatment. Some patients can not afford to pay thousands of dollars for ambulances. The doctor of the knife is required to do the replantation of the finger in the local area.
In fact, many patients are not aware of the technical content of finger replantation, and only think it is ordinary bone. Kong Xiangming is an elite of orthopedics. He has done a few cases in half and has not been too successful.
But with such a foundation, Kong Xiangming has the confidence to develop a replantation project.
However, looking at the operation of Ling Ran, Kong Xiangming’s little confidence has gradually disappeared.
"Cloud doctors are not cloud doctors." Kong Xiangming suddenly felt a sigh, attracted the approval of the medical doctors.
Wang Haiyang proudly looked up and took all the orders.
Ling Ran also looked up: "Sewed."
"Hey? Alright?" Kong Xiangming had some disappointment just now. At this time, he looked at the table subconsciously and was shocked: it would not be quilted, so panic...
"Nerve I have also sewed." Ling Ran took the initiative to ask. A patient who does not occupy a hospital bed is definitely cool when he is still a surgeon.
Wang Haiyang said from the good words: "Take it to you.""Do you want to sew the skin?" After a while, Ling Ran asked for a spirit of sharing.
(End of this chapter)
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