"Li Huamin, right?"
"Yes. Thirty-one years old, female. Her palm was pierced by a hard object after she fell … "
Ling Ran entered the operating theater and asked. He listened to Lu Wenbin's report while he craned his neck to look at all kinds of scans.
He did not have such a request before. Since he had it, the Emergency Department's operating theater had specially added a large mobile backlight board.
The hospital was such an organization. As long as your skill level was high enough, you could get whatever you wanted. If you could not get it, it meant that your skill level was not high enough. To put it in simpler terms, how much did it cost to buy your life? How much did it cost to buy your own hand?
When it came to high-level doctors, hospitals would always invest a lot of money into them. The leaders who were qualified to become the decision-makers in the hospital also knew very well that high-level doctors could not be calculated purely based on the surgery fees and medical fees they earned.
Of course, the level of a high-level doctor must be very high, far surpassing the average level of a doctor.
In this regard, doctors were very similar to athletes.
A normal doctor was like a normal athlete. In order to reach the second or first class level, they would feel like they were going to die of fatigue, and they would suffer a lot. However, who cared? Who knew? Who cared?
Outsiders did not even bother to look at the level that they could only reach after training for five, eight, or even ten years. The insiders only treated them as a cornerstone. Their value was about the same as small stones.
High-level doctors were more like high-level athletes. They were at least qualified to get a place in the provincial games.
In the larger tertiary Grade A hospitals, this requirement was even higher. You had to be qualified to participate in the National Games. At the very least, you had to have the potential to grow to such a level in the next few years.
Ling Ran obviously had it.
His confidence came from more than one hundred cases of M-Tang technique surgery.
The leaders of the hospital did not need to spend too much effort to compare. They just used Department Associate Director Pan as a benchmark to draw a baseline for Ling Ran's value.
Department Associate Director Pan was already a well-known hand surgery expert in the province. He was not very famous, but he was famous. He was invited to hand surgery-related conferences in the province. If there was a national conference related to flexor tendons, he would definitely get an invitation.
Department Associate Director Pan was one of the top specialists in Changxi Province when it came to the M-Tang technique. He was the first choice in the industry for referrals.
It was only because Ling Ran had only been in Yun Hua Hospital for a short period of time, and his status was slightly awkward, that the bureaucratic system of Yun Hua Hospital had yet to be activated and make a final decision.
However, the treatment Ling Ran enjoyed in the Emergency Department was already quite good. The right to use the operating theater at all times, full surgery fees, full commission for medical consumables, semi-full-time assistants and housemen, and so on.
Of course, Ling Ran's abilities were even more surprising.
It was an amazing achievement for any hospital in the country to continuously discharge patients with excellent ratings.
Lu Wenbin looked at Ling Ran with fear.
"The ulnar nerve is damaged, isn't it?" Ling Ran had seen the scans before. Now, he wanted to confirm it.
Lu Wenbin was stunned for a moment and quickly said, "The ulnar nerve sulcus is damaged."
Lu Wenbin was a little used to Ling Ran's style of doing things, and he rarely saw him pay attention to nerve damage.
Some minor nerve injuries did not need to be sutured, and slightly more serious ones could be sutured or not. If it was more serious, they would not be sent to the Emergency Department of Yun Hua Hospital because of the so-called associated nerve rupture.
The professional departments in modern hospitals would always screen for diseases. The more complicated the disease was, the better the hospital would be. Ordinary hospitals would only treat the cases they were familiar with to increase their success rate.
Before Ling Ran did not perform nerve sutures, he would screen out the cases with serious nerve damage. Similarly, he also screened out those with more serious fractures.
Now that he could do it, if he encountered patients with surgical indications, he could suture them.
"After I suture the tendon, I'll suture the ulnar nerve perineurium." Ling Ran quickly made a decision.
The so-called surgical indications meant that the disease met the standard prescribed for conventional surgery. The surgical indications for nerve damage in the hand were actually very low, because the effect of first-stage suture (for good wounds in the early stage) was very good for nerve damage.
Moreover, sutured nerves were better than unsutured nerves. This was self-evident.
However, few doctors liked to suture nerves, especially in departments other than the Neurosurgery Department. They often did not suture if they could.
The main reason was naturally the difficulty of suturing. In simple terms, it was rare for hospitals other than tertiary Grade A hospitals to perform nerve sutures, and there were even fewer who could suture well. And if they could not suture well, they might as well not suture at all.
Ling Ran used to be like this. If he did not have a diamond, he would not do it.
Now, he had a diamond in his hands.
Lu Wenbin hesitantly began to make preoperative preparations.
Ling Ran looked at the scans for a while longer.
A large number of MRI scans and X-ray scans were inserted on the backlight board. It looked a little messy to a layman, but Ling Ran looked at them with great interest.
For clinicians, the experience brought about by Master Level MRI Scan Analysis was like having a third eye. There was no need to dissect the patient, but the feeling of clarity was even better than dissecting the patient. Once it was used, it would be inseparable. This was much more useful than the few words he got from the doctors from the Medical Imaging Department. Even the doctors from the Medical Imaging Department themselves could not get the large amount of information Ling Ran could get without knowing their specialties.
In the future, the medical environment would definitely have higher requirements for doctors' MRI Scan Analysis. But at the moment, it was still very difficult to popularize it.
Medical students who graduated from university did not go through specialized training, so reading MRI scans was like reading a book from heaven.
And Ling Ran's Master Level MRI Scan Analysis was even better than most of the doctors from the Medical Imaging Department.
To do his first perineurium anastomosis well, Ling Ran looked at it for a long time, and he looked at it very carefully.
Ling Ran carefully thought about the order of suturing the tendons and nerves, the direction of the incision, and so on in his mind.
In the past, when he performed the M-Tang technique, there was a fixed surgical method and a fixed order. It did not involve anything else, and he just had to do it step by step.
It was different when he added perineurium anastomosis.
It was like building a bridge, but now he had to build an overpass. The bridge could be designed step by step, but the overpass had to be built according to the local conditions.
Although Lu Wenbin and the others were a little puzzled, they were still as quiet as cats.
"Let's start." Ling Ran returned to the operating table and said expressionlessly, "Flexor function reconstruction combined with ulnar perineurium anastomosis. Today's surgery is different from the usual ones. You have to be alert. "
Ling Ran gave a special reminder and started with the bow-holding stance. He gently made a large incision that was six inches long.
Lu Wenbin's gaze focused as he watched.
After working as a resident doctor for a long time, he could sometimes guess a lot just by looking at the chief surgeon's incision.
Personal habits aside, when the same chief surgeon performed the same surgical method, the bigger the incision, the more difficult the surgery would be.
Ling Ran was a doctor who paid attention to the aesthetics of his incision. At this time, when he made an extremely large incision, it immediately startled Lu Wenbin.
There was no need for Ling Ran to say anything. Lu Wenbin quickly went to work with the gauze.
Ling Ran steadily and slowly cut open the patient's muscle layer. He did not care about speed at all.
Lu Wenbin actively participated in the surgery because he was more competitive.
The familiar flexor tendon suture was completed very quickly even though Ling Ran deliberately stabilized the incision. Then, perineurium anastomosis was performed.
The nerves of the human body were constructed like a network cable.
The core was a lot of perineurium. They were the parts that played a role, just like the twisted pair in a network cable. The perineurium was like the skin of the network cable.
The difference was that due to the biological nature of the nerves, they had the ability to heal themselves.
On this basis, there were usually three types of nerve anastomosis: epineurium anastomosis, perineurium anastomosis, and epineurium and perineurium anastomosis at the same time. The most commonly used epineurium anastomosis was to sew up the skin and let the inside grow on its own.
Doctors could control the growth to a certain extent, but they could not control it completely.
The control of perineurium anastomosis was even stronger, but it was also much more difficult. Epineurium anastomosis could usually be done with the naked eye, but perineurium anastomosis was completely impossible.
Lu Wenbin looked at Ling Ran, who was wearing surgical magnifying glasses, a little worriedly.
He did not wear a microscope, so he could not see Ling Ran's operation clearly. He could not even see the thread clearly. When the 10-0 suture moved, it was truly undetectable.
"The perineurium is indeed quite tough," Ling Ran suddenly said.
Lu Wenbin was stunned for a moment. He also asked curiously, "Tougher than pig skin?"
Ling Ran thought about it and said, "Much tougher. It's like pig skin. "
Lu Wenbin understood.
"Done." Ling Ran quickly tied a knot with the needle holder and announced the completion of the suture.
Lu Wenbin was surprised. "You're done? There are a few perineurium, right? "
"They're all done." Ling Ran breathed a sigh of relief and began to close the wound.
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