"We're at the blood vessel."
"Let's suture the artery first."
"You pulled it out … Oh, you've already pulled it out."
"Alright, we're at the most complicated part, the blood vessel …" Wang Haiyang had performed surgery for two hours, and he did not have much time to talk about the surgery. Most of the time, he was just chatting, and the more he talked, the happier he became.
When it was finally time to suture the blood vessel, Wang Haiyang pulled himself back a little and began to talk about a few key points of blood vessel suture.
Kong Xiangming and the others looked at the screen and listened attentively.
The doctors from the Department of Orthopedic Surgery were also newbies in finger replantation surgeries. The difference between them and new interns or resident doctors was that they already knew the basic surgical procedures and concepts. Therefore, it was very easy for them to learn the basics, but it would not be easy for them to master it.
It was very difficult for surgeons to improve from the basics to master it simply by reading books. Simple repetitive practice would not work either. The most effective way was to have someone teach them step by step.
This was the case for skills that were not mass-produced in human society. When they reached a high level, they could only be trained like a master guiding his disciples.
Of course, people did not need to be apprenticed to a master to learn skills, but whether the master would teach them or how to teach them was not something the disciple could control. Without enough knowledge, the disciple would not even know what the master should teach, so how could he control it?
This was the situation that Kong Xiangming and the others were facing now. They wanted to listen to the essence of finger replantation surgeries from Wang Haiyang, but since Wang Haiyang wanted to talk about something else, they could only accompany him and chat until he was happy.
The hardship of learning skills had never changed in the thousands of years of human history. It was just that the skills themselves were constantly changing.
"If you practice for a few months, you'll basically be able to suture blood vessels under the microscope. The training room in Yun Hua Hospital is specifically for the doctors under us to practice. What you said is quite useful …" Wang Haiyang took the opportunity to praise his department.
Kong Xiangming immediately cooperated and said, "We've long heard of the training room in Yun Hua Hospital. If there's a chance, I really want to try it."
"Department Director Jin wanted to expand it before, but I don't know what's going on now," Wang Haiyang said casually. Wang Haiyang said casually before he refocused the topic. "Let's talk about blood vessel suturing. The biggest problem with practicing in the training room is that it's not stable enough …"
Wang Haiyang did not even need to interrupt himself. He waited for Ling Ran to pull out the blood vessel before he said, "It's not difficult to suture this blood vessel with twenty-four stitches. But if you can't suture it stably, the blood vessel will spasm, and you won't be able to save it …"
Kong Xiangming and the others listened and nodded.
The finger that underwent finger replantation spasmed, and the probability of necrosis was very high. It was the most important postoperative complication to avoid.
"Many people do you know how to suture a blood vessel stably. You won't be able to achieve this by sewing up a rat's tail, because we can see that the blood flow of the rat's tail is not smooth. That's something that happened at that time. The cramps happened a few days later … "Wang Haiyang kept him in suspense." There are many ways to stabilize the blood vessels. I'll tell you the most useful one. "
Wang Haiyang's eyes were looking at the microscope. No one could see his face, but from his voice, Wang Haiyang was talking to his heart's content. This was naturally the time for his disciples to profit.
Everyone pricked up their ears to listen to the secret manual.
Wang Haiyang chuckled and said, "The most common and best method we use, to put it bluntly, is to pass in one go."
"One pass?"
"As long as the blood vessels are aligned, one stitch is one stitch. Twenty-four stitches are twenty-four stitches. Not one more, not one less. Don't overdo it. The shorter the suture time, the better." At this moment, Wang Haiyang raised his head and looked at the other people's expressions. He smiled and said, "Actually, it's just a paper window. It'll be boring if you poke through it. Ling Ran, you'll be the one to suture the artery. Are you confident?"
"No problem." Ling Ran's expression was very calm.
Wang Haiyang smiled happily and said, "Let's change seats."
Ling Ran switched places with Wang Haiyang.
Even though the chief surgeon and the first assistant were facing each other, the surgical area they saw was different. It was just like how a person would feel when looking at his own palm and when looking at someone else's palm. The chief surgeon should face the surgical area he was more familiar with so that he could perform better.
When Kong Xiangming and the others heard the secret manual that Wang Haiyang imparted to them, they seemed to have come to a sudden realization.
When Ling Ran sat in the chief surgeon's position, Wang Haiyang spoke more fluently.
To a certain extent, Wang Haiyang was more like a commentator …
The other doctors were very happy when they heard it, but Kong Xiangming's years of experience as a doctor made him sense that something was not right.
He wanted to ask, but in the end, he did not.
Kong Xiangming was quite at ease when it came to Chief Physician Wang Haiyang, who came as a freelance surgeon.
In the current medical environment, besides the patient, the doctors who hosted the freelance surgery were the ones who could not bear the consequences of failing a freelance surgery. The hospital itself, which was the one who carried out the surgery, would bear the responsibility in the name of the unit. At most, it would lose money in the name of the unit.
Kong Xiangming believed that Wang Haiyang would not dare to let Ling Ran practice during the freelance surgery. However, if he thought deeper, if Wang Haiyang did not want Ling Ran to practice, what was his purpose in giving up the chief surgeon's position?
Ling Ran and Wang Haiyang lowered their heads, and their expressions could not be seen.
Kong Xiangming did not ask Wang Haiyang, who was old and cunning. He simply looked like he was asking for advice. He found a gap when Wang Haiyang was talking and asked, "Doctor Ling, what's your strategy for suturing the blood vessels?"
Ling Ran did not speak for a long time. Since he was asked, he told the truth, "I don't have a specific strategy."
"What if we focus on this patient?"
"Right now, the patient's blood vessels are a little hard. Let's suture them according to the blood vessels of an elderly person." Ling Ran then asked the nurse to pour some normal saline containing heparin on the blood vessels. Once the blood vessels were moistened, he began to suture them without saying anything.
Kong Xiangming came to a sudden realization. Wang Haiyang must have felt that the hardened blood vessels were not easy to suture. That was why he acted strangely, and he even deliberately asked Ling Ran if he was confident.
In Kong Xiangming's opinion, this meant that Wang Haiyang was not completely confident.
Therefore, Kong Xiangming came to a conclusion. Wang Haiyang gave up the blood vessel suture that he was not completely confident in to Ling Ran …
Kong Xiangming was shocked by this thought.
No matter how Kong Xiangming thought about it, the screen above the operating table showed Ling Ran suturing the blood vessels with one stitch, two stitches, five to six stitches.
If Ling Ran was running a marathon with Wang Haiyang in his arms just now, then he was being pushed by Wang Haiyang to run a marathon. His rhythm was slightly disturbed, but after he got used to it, he still ran quickly and easily.
No one in the operating theater spoke for a while. When Kong Xiangming thought of a new topic, Ling Ran had already sutured an artery.
"Two more?" Ling Ran raised his head and asked Wang Haiyang.
"Sure, I'll suture four today." Wang Haiyang did not ask for the position of chief surgeon back, and he did not feel embarrassed at all.
He brought Ling Ran here because he saw Ling Ran's ability.
If he were to suture the blood vessels just now, he would be seventy to eighty percent confident. He would definitely be ranked among the top among the doctors in the Hand Surgery Department. But why did he have to suture the blood vessels himself?
Would it not be better to leave this kind of delicate and "trivial" work to a young doctor?
Wang Haiyang was familiar with Ling Ran's habits, and he knew that Ling Ran was confident, so he gave up the suturing of the blood vessels to Ling Ran. As the saying went, "When you are old, you will not be able to use your muscles and bones to prove your strength." Wang Haiyang was also not interested in lowering his head and forcibly suturing this old blood vessel.
Who would have thought that Boss Cha, who was in his forties, would have an old blood vessel that was seventy years old?
If Wang Haiyang wanted to deal with this blood vessel, he would probably have to put in a lot of effort, and the surgery might even be prolonged by one or two hours because of this.
Ling Ran, on the other hand, was in a "head-on" stance. In the beginning, Wang Haiyang was a little frightened, but after watching for a while, he felt refreshed.
Kong Xiangming lost interest in talking for a short period of time. He just watched Ling Ran operate, and more thoughts flashed in his mind.
He was a senior orthopedist, and he was promoted to a department director two years ago. He had been leading a group alone for seven or eight years, and when he was forced to, he also performed finger replantation surgeries.
Yiyuan County was a remote county, and it had a certain industrial base. Every once in a while, there would be patients who accidentally severed their fingers coming to seek treatment. Some of the patients could not afford the thousands of RMB needed for an ambulance to travel back and forth, and they could not hire freelance surgeons either, so they requested for finger replantation surgeries to be performed locally.
In fact, many patients did not even realize the technical content of finger replantation surgeries. They only thought that it was a normal bone setting. As an elite in the Orthopedics Department, Kong Xiangming had performed a few finger replantation surgeries with some reluctance, but they were not very successful.
But it was also because of this foundation that Kong Xiangming had the confidence to carry out finger replantation surgeries.
However, as he watched Ling Ran operate, the little bit of confidence Kong Xiangming had gradually disappeared.
"As expected of Yun Hua Hospital." Kong Xiangming suddenly sighed with emotion, and the other doctors agreed with him.
Wang Haiyang raised his head proudly and accepted everything.
Ling Ran also raised his head. "I'm done."
"Huh? Is it done? " Kong Xiangming was a little absent-minded just now. At this moment, he subconsciously looked at his watch and was shocked. 'Did I just suture it blindly? I'm so nervous …'
"I'll suture the nerves too," Ling Ran took the initiative to request. Patients who did not take up hospital beds were definitely the best when they were chief surgeons.
Wang Haiyang readily said, "I'll leave it to you, then."
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