In the operating theater of the Hand Surgery Department, Hou Kang, a senior resident doctor, introduced the situation to Ling Ran and the others in a low voice, "The patient is a technician in the assembly line. When he was repairing the equipment, his right thumb was crushed. The patient was originally sent to the local county hospital. After he was transferred to our hospital, the department's consultation concluded that thumb reconstruction is the most suitable for the patient, and it has also been approved by the patient and his family. "
When Hou Kang finished his introduction, he looked at Ling Ran. When he saw that Ling Ran did not seem to have any objections, he continued, "They think that the first toe of the right foot is the most suitable for thumb reconstruction. Right now, the patient is being debrided in the operating theater. Doctor Ling, your task is to amputate the first toe of the right foot …"
Ling Ran nodded. Major surgeries like this usually required two or three groups of people, so it was normal for him to be assigned to debridement or amputation.
For Ling Ran, who had never performed thumb reconstruction surgery, he was satisfied as long as he could enter the operating theater.
Wang Haiyang's thoughts were a little unpredictable.
In other words, thumb reconstruction surgery was quite rare in Yun Hua Hospital's Hand Surgery Department. It might only happen once in a few months, so there should be many doctors who were willing to go on stage.
However, things in the hospital had always been complicated, and it was common for people to be close to them.
After Wang Haiyang entered the operating theater, he even ordered, "Ling Ran, check the operating theater and see if there is anything missing or if there are any instruments you want. Ask them to hurry up and fill them in."
This was a relatively high level of recognition, and a few doctors from the Hand Surgery Department looked over.
Ling Ran did not care at all. He first asked, "Usually, amputating the second toe of the thumb is more common. What about this patient?"
"Small feet." Wang Haiyang, who was standing in the operating theater and waiting for the draping, answered in an unusually simple and honest manner.
Ling Ran deliberately stood for half a minute. When the nurses finished draping and revealed the surgical surface, he saw the patient's small feet. He might not even be a size 37, or even a size 36.
Compared to his hands, they were a pair of big, rough, blue-collar workers' hands.
Lu Wenbin, who was also performing this surgery for the first time, took advantage of the fact that he was a junior and decisively extended his thumb to compare it with the patient's toe, then the second toe, and then the patient's hand. He could not help but say, "Small feet and big hands, it's quite rare."
"Maybe he wore tight shoes since he was young." Wang Haiyang had seen this many times, and he did not even bother to smile.
The circulating nurse took the opportunity to joke, "You've been in a lot of trouble since you were young."
"His height is okay. He's 1.75 meters barefoot, but his stability is a little lacking." The doctor who was debriding the wound quickly took the opportunity to say a few words.
Hou Kang's interest was piqued. He immediately said to the nurse, "Don't you all say that people with big hands and feet have big d * cks? What should we do if we encounter such a person? "
No matter how vulgar the words came out of the doctor's mouth, they all sounded very professional.
Lu Wenbin was on the verge of tears. Damn, this was the operating theater that he was familiar with. In comparison, Ling Ran's operating theater was too lonely. The chief surgeon did not chat, so how could the assistants chat? The patients were also anesthetized with laryngeal masks, and they did not know how to say a word. What was the difference between an operating theater and a butcher's shop?
Then, he looked at the operating theater of the Hand Surgery Department. The cheerful atmosphere was filled with obscene language … If doctors could go to heaven, heaven would definitely be an operating theater with a few cute young nurses, a few knowledgeable young doctors, and a patient under general anesthesia.
"Young Lu, what are you thinking about?" Hou Kang's voice interrupted Lu Wenbin's thoughts.
Lu Wenbin reflexively put on a knowledgeable smile. "I think we should focus on the tightness of the underwear."
Hou Kang was stunned, and he could not help but laugh.
The atmosphere in the operating theater became even more cheerful.
"Ahem."
Wang Haiyang stood up, and it was as if he had suddenly pressed a pause button.
Wang Haiyang looked around, chuckled, pointed at the crowd, and said, "As a doctor, you need to learn from your experience, and don't just echo what others say. Let me say something first. The larger the thenar region (the protruding part from the base of the thumb to the base of the palm), the longer the duration of type B blood. "
The young nurses were instantly shocked.
After a few seconds, they started whispering.
"Blood type is related to this?"
"The thenar region is related to the size of the hand, right?"
"There's no way to test it now."
"Will there be a way to test it later?"
"But you can't see the size, and you're still making wild guesses, aren't you?"
"Idiot, the size can at least be quantified. If we can't see it, we can go to the Department of Urology and ask. How are you going to find samples if it's a long time? Are we supposed to do the statistics ourselves? "
"Ah, that's disgusting."
"But … how did Chief Wang come up with the conclusion?"
…..
Ling Ran had always ignored the conversations in the operating theater.
According to Wang Haiyang's request, Ling Ran checked the surgical instruments and drugs one by one. This was originally the first assistant's job, to check whether the things in the operating theater were sufficient and suitable.
His current status was equivalent to that of a major first assistant.
Ling Ran was extremely serious. Before the major surgery officially began, he checked the conventional instruments and drugs, then checked the microscopic instruments, then looked at the electric drill and endotherm knife. He also asked the nurses to fill the surgical instruments with various types of Kirschner needles and sutures. Finally, he checked the electric tourniquet and the sterile microscope cover that he had just prepared.
If another doctor were to check the instruments in such a meticulous manner, he would have scolded the hot-tempered nurse. But Ling Ran had never met a hot-tempered nurse, so he did not have the corresponding awareness.
"You can prepare more heparin saline." Ling Ran glanced at Yu Yuan, who was waiting in the corner, and deliberately gave her a reminder.
He needed a second assistant today, and between Yu Yuan and Ma Yanlin, Ling Ran was not surprised to choose Yu Yuan. Ma Yanlin was still a houseman in the Hand Surgery Department. If he was brought to the operating theater of the Hand Surgery Department, there was always a risk that he would be lost. He had no choice in the past, but now that Yu Yuan was here, he could first be tied up at home.
"In a while, after the debridement of the thumb stump is completed, I will make an S-shaped incision and dissociate the radial artery, radial nerve, and cephalic vein as backup. Ling Ran, you will make a V-shaped incision and dissociate the artery, vein, and nerve to be used. Then, you will make an osteotomy and suture. " Wang Haiyang paused for a moment and said, "This is the first stage. Two groups of people will operate separately and work together to complete the work."
"Okay."
"Yes."
The doctors became slightly more serious.
"The second stage is the anastomosis of the first toe. The cephalic vein and the vein of the first toe will be anastomosed, and the dorsal carpal branch of the radial artery and the dorsal plantar artery will be anastomosed … "Wang Haiyang introduced the plan in detail. There were many ways to reconstruct the thumb. While the other group was doing debridement, he introduced his plan in detail.
In the end, Wang Haiyang said, "In the second stage, I will be the chief surgeon, Ling Ran will be the first assistant, and Hou Kang will be the second assistant. Is there any problem? "
"Okay." Hou Kang answered with some difficulty. He had been a resident doctor for a few years and could be considered a senior. He was a little embarrassed to be ranked behind Ling Ran. However, when he raised his head, it seemed that no one was paying attention to this problem, and Hou Kang felt relieved.
Ling Ran said, "I want to see the original MRI scan."
"I've prepared it for you," Wang Haiyang answered very quickly. Everyone now knew that Ling Ran could read MRI scans. Understanding and being able to read MRI scans were two different concepts. In the hospital, ordinary resident doctors from the Medical Imaging Department did not dare to say that they understood MRI scans very well.
This advantage was also one of the reasons why Ling Ran had a good reputation in the Hand Surgery Department. Being able to read MRI scans might require a few months of practice and reading hundreds or thousands of scans, but the requirement to be able to understand it was very high.
Occasionally, when they encountered problems related to MRI scans, Ling Ran, who was well-versed in the Hand Surgery Department, could obviously provide more information, and many of them could not be provided by the Medical Imaging Department. For example, blood vessels, tendons, and other human tissues were usually not directly displayed through MRI scans. It was also related to the various choices made during the scan, and if one wanted to delve deeper into it, the requirements were extremely high.
Ling Ran, who had experience in dissecting hands three thousand times, Master Level Medical Imaging (Four Limbs), and Perfect Level Finger Replantation, could make judgments that were usually not understood by the professionals from the Medical Imaging Department.
Perhaps it was because of the prerequisites for the first two that Ling Ran was able to obtain the third skill.
"Open it." Wang Haiyang turned his finger, and one of the walls of the operating theater was lifted up slowly. Then, the big screen behind it was revealed.
Under the control of the nurse, the patient's MRI scan was soon displayed on the big screen.
Ling Ran was a little surprised. It was only natural that the effect of reading a scan on such a big screen would be better.
Wang Haiyang smiled and said, "How is it? This is a new piece of equipment from our Hand Surgery Department … How do I put it … "
"It's a divine tool for reading scans." Hou Kang took a step forward, and his tone became more serious.
Wang Haiyang nodded in satisfaction and said, "The Hand Surgery Department is the most important department in Yun Hua Hospital. You only need to open your mouth to install a piece of equipment like this that costs a million RMB. This is different from the Emergency Department, right? If the Emergency Department wants to buy a piece of equipment that costs a hundred thousand RMB, they have to submit a report. Truth be told, if you really want it, it's not impossible for the Hand Surgery Department to buy an MRI scanner alone when the time is right. "
Ling Ran nodded as he listened to the scan. At the same time, he asked curiously, "What did you tell Department Director Huo?"
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