"Ling Ran, did you perform perineurium suture today?" Doctor Zhou asked in a low voice when he saw Ling Ran enter the office.
There were no secrets in the hospital. This was especially true when it came to medical skills and affairs between men and women.
"Yes." Ling Ran, who had just finished his surgery, drank all the water on the table in one go to quench his thirst.
"How was the suture? You really dared to do it. "Doctor Zhou waited quietly for a few seconds before he continued to ask. Doctors were used to being hungry before they performed surgery, especially ordinary surgeries that lasted for a few hours. They basically had to hold their urine back, and the more they drank, the worse the result would be.
Adult diapers could solve most of the problems, but for the sake of their image and the price, doctors would not wear them if they could.
Ling Ran thought about it seriously and said, "If the nerves recover well, the effect should be very good."
Doctor Zhou seemed to be speechless and said, "Are you really confident?"
"Yes." Ling Ran's answer was so simple that Doctor Zhou could not figure him out.
"Then, get ready. Department Director Huo will definitely ask you later." Doctor Zhou reminded Ling Ran again and returned to his seat to drink tea.
Among the three types of nerve anastomosis, perineurium suture was the most hardcore.
Usually, a doctor with good suture skills could try epineurium anastomosis. For example, Ling Ran had Master Level Simple Interrupted Suture, and with more practice, he had the foundation to perform epineurium anastomosis. However, perineurium anastomosis under a microscope was more delicate.
As for epineurium and perineurium anastomosis, since it was a combination of the first two, the difficulty was also higher than perineurium anastomosis.
But no matter what kind of anastomosis it was, if a doctor knew how to perform nerve anastomosis, the range of surgery that could be performed would instantly increase to a higher level.
In the past, when Ling Ran performed flexor tendon sutures in Zone II of the hands, Huo Congjun would directly refuse to perform them if they were associated with nerve injuries or fractures.
The patients with flexor tendon injuries admitted by Yun Hua Emergency Department were all patients with simple flexor tendon injuries. At most, they would be like Li Huamin, who had a ruptured nerve that could be sutured or not.
Patients who were out of range could either find a way to go out of the province for treatment, or go to the Hand Surgery Department to receive tendon sutures such as the Kessler suture technique, and then request for neurosurgery to perform the suture. If it really did not work, they would first perform tendon sutures and give up on nerve anastomosis. If it was more complicated, they might have to amputate the patient's limb.
However, if the success rate of Ling Ran's perineurium anastomosis increased, it would be much easier for Huo Congjun to find patients.
Many patients with hand injuries also suffered from nerve damage.
Most importantly, the combination of tendon anastomosis and nerve anastomosis in no man's land was much more impressive than a simple tendon anastomosis in no man's land.
It was only slightly inferior to limb replantation surgery.
There were not many hospitals in the field of hand and foot surgery that could do this, especially when they considered the success rate. Ling Ran's surgery was even more worth looking forward to.
After a while, Huo Congjun rushed in with a gust of hot air.
"Ling Ran!" Huo Congjun shouted the moment he entered the door. He was so imposing that he looked like a marshal who was looking for a knight. His hair fluttered like an old cat with mixed fur.
Ling Ran turned to look.
"Did you perform perineurium anastomosis?" Huo Congjun's question was similar to Doctor Zhou's.
The latter waggled his eyebrows at Ling Ran smugly.
He was never lazy when it came to figuring out people's thoughts.
Ling Ran still answered, "Yes." He thought about it and repeated the same answer he gave to Doctor Zhou just now. "The suture is pretty good. Let's see how the patient will recover in the future."
"Let's go and see the patient." Of course, Huo Congjun would not let it go just because he listened to Ling Ran.
When he saw Ling Ran get up, Doctor Zhou also put on his large white coat without hesitation and followed him. The other doctors in the office who were free also did the same thing.
In the ward.
Li Huamin had already woken up. Although her hand was bandaged and fixed, she struggled to get up and shouted, "I want to change to another ward. This ward is not good for my recovery."
Huo Congjun frowned and thought, 'This is the first case of perineurium anastomosis performed by my department. How can I not recover well?'
He immediately looked at the nurses around him.
Under pressure from Boss Huo, the nurses who originally did not want to pay attention to her could only go forward and ask kindly, "What's wrong?"
"I want to change to another ward?" Li Huamin said.
The nurse asked, "Why do you want to change to another ward?"
"The ward is green. I can't be green." Li Huamin's voice was still a little hoarse, but she still spoke very clearly.
The nurse guided her patiently, "Why can't you be green?"
"I have a lot of wood in the five elements. I can't wear green when there's a lot of wood, and I can't stay in a green room. You guys, change to another ward for me. " Li Huamin squirmed uncomfortably and said, "I can't recover well in a green room. If you don't change to another ward for me, my illness will definitely not recover."
When the nurse heard this, she felt satisfied. She put her hands on her hips and looked at Huo Congjun.
Huo Congjun felt very helpless. He originally thought that there was a problem with the ward's facilities and was thinking about whether to adjust it. Now that he heard that there was a lot of wood in the five elements, he was instantly confused.
Ling Ran also felt a little regretful. He was the one who sutured the patient from the beginning to the end. He originally wanted to get a sincere gratitude. Now, it seemed that he still did not do enough to get Li Huamin to thank him.
"I don't care. If you don't change my room, I want to be discharged. I don't want to stay in a green room." Li Huamin screamed again and wanted to jump down from the bed. Although it was just for show, her family members still cheered her on by the side.
"The wards are all green." Huo Congjun was patient and said with an attitude of trying to keep the peace.
"Green is not good for people with a lot of wood. You can repaint a few wards." Li Huamin gave a suggestion.
Huo Congjun asked calmly, "What color?"
Li Huamin immediately said, "Pink. I want pink."
"Why pink?"
"Pink is the attribute of money. I lack money in the five elements."
Huo Congjun was stunned for a few seconds. When he realized that the other party was really not joking with him, he turned and left angrily.
Once he was out of the ward, Huo Congjun said, "Those who don't know would think that the ulnar nerve is connected to the skull."
Doctor Zhou chuckled and said, "Maybe the effect of the anesthesia is not over yet."
Ling Ran felt that it was a little novel. He saw a patient under anesthesia, and at that time, he still felt a sense of achievement for saving lives.
"Do an electromyography on her." Huo Congjun said and added, "Analyze the recovery of her nerves. Don't let me see her anymore."
"Okay." Ling Ran accepted the order.
"Your nerve anastomosis must have a certain success rate. Once the success rate is up, you will have a lot of patients." Huo Congjun gave Ling Ran additional guidance because he was looking forward to it.
Yun Hua Hospital currently performed nerve anastomosis mainly on the main nerves, such as the median nerve. Because it was thick, it was not difficult to repair it if it was damaged. The difficult part was the trauma in a small area. Those with nerve damage were very difficult to deal with, and there were very few surgical methods that could be carried out.
However, according to Huo Congjun's thoughts, Ling Ran would at most practice for a period of time in private. He would definitely need time and medical cases to hone his skills. Just now, it was equivalent to him opening a small mouth. As long as there was a certain success rate, he would support Ling Ran to carry out the surgery.
Doctor Zhou turned to look at Ling Ran. He did not know if Ling Ran understood or not.
"The electromyography is done. I will bring it to you." Ling Ran still gave a simple answer.
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