The notification from the system did not affect Ling Ran. He wrote the list as usual and informed Lu Wenbin and the others to make preoperative preparations.
Before the patient arrived, there was no point in anticipating anything.
And after the patient arrived …
Ling Ran looked at the MRI scan and still had no clue.
What kind of finger replantation could be considered as a perfect suture?
No scar? That was impossible. Forget about the fact that this problem could not be solved during the finger replantation, even if it could be solved, it would be better to have plastic surgery after the surgery.
Should the phalanx not be shortened? A severed finger would basically have to be cut off by a section. While the huge impact would break the finger, it would inevitably cause damage to the cross-section. Moreover, the alignment had to be accurate, and one couldn't expect it to be the same. After all, it wasn't like they were Transformers.
When Ling Ran thought about this, he realized that it was difficult for him to achieve perfection from an aesthetic point of view.
If that was the case, perfection would have to be considered from a functional perspective.
Restore the patient's original hand function?
Ling Ran thought about it. There were precedents for finger replantation surgeries of this level, but it was impossible for him to guarantee that it would work.
However, from another perspective, there was no guarantee that the mission would be completed.
He could only think of a way to achieve success.
The first thing Ling Ran thought of was the blue serum that would give him + 1 to his skills, but after a second, he rejected this idea. Aside from the fact that there was still a lot of room for the use of blue serum, based on the mission description, the requirement was to bring out Perfect Level Finger Replantation Skill.
Ling Ran smacked his lips, but in his heart, he was thinking about Legendary Level after + 1 …
He did not know what the blue bottle tasted like.
"Doctor Ling, the patient has been sent over." Yu Yuan ran back and forth to report.
As the oldest member of Ling Ran's team, Yu Yuan, who was 1.48 meters tall, knew that her surgical skills were lacking, so she seized the opportunity to do some chores to help everyone. Ling Ran was the doctor who taught her the most surgical skills, and it was rare that his surgical skills were so good that Ling Ran was the doctor who was most suitable for Yu Yuan in the Emergency Department.
Su Jiafu also rushed over and asked, "Doctor Ling, do you have a relative coming to see you?"
He was called over by Ling Ran, and he deliberately changed shifts before he could come.
Ling Ran glanced at him and said, "The patient is a renovation worker, and he has high requirements for the functionality of his fingers. I want to do it as well as possible, so I asked you to come over."
Su Jiafu was so happy when he heard that that he almost laughed out loud. "Doctor Ling, you have good taste. I won't make fun of your other words."
Ling Ran looked at Su Jiafu strangely and did not say anything.
Lu Wenbin deliberately chuckled a few times and said, "Doctor Ling just wants an anesthetist he's familiar with, right?"
Ling Ran nodded subconsciously.
If he wanted to perform a perfect surgery, it was necessary to have a familiar anesthetist. Of course, they couldn't play a role all the time, but when they played a role, it would be very worthwhile.
In this regard, the value of an anesthetist could probably be seen as a 10% chance of eliminating abnormal conditions.
Su Jiafu was very unhappy. "What do you mean by 'just'? Doctor Ling must still value my abilities. "
"Do you dare to say that you're the best in the Department of Anesthesiology?" Lu Wenbin easily set up a trap.
Su Jiafu huffed and puffed but didn't say anything.
There were many associate chief physicians and chief physicians above him. If he said that, even if it was a joke, what if the other party took it seriously?
"Let's do a small preoperative consultation." Ling Ran did not care about this. Ling Ran had already given up on the idea of wanting his team members to be the best when he was still in junior high school. The members of a choir did not need to all be at the level of a singer. Sometimes, a smile from the lead singer could cover up countless flaws.
Lu Wenbin was slightly puzzled. "Is today's surgery very complicated?"
Before this, they rarely did preoperative consultation. It was common for surgeons to change from one operating theater to another, especially when it was the main surgical method of a department. A chief surgeon could perform the same surgery for twenty years from a young age to an old age. Even if it was a low frequency of one to two hundred cases a year, a chief surgeon had to perform two thousand such surgeries.
Then, when faced with the same surgery, as long as the person lying on the bed was a human with a normal anatomical structure, or as long as the anatomical structure was not particularly strange, there was no need for preoperative consultation.
The only exception was that the surgery itself was very complicated, especially those types of surgeries that humans did not have enough research on. They often needed more consultation and examination. In the end, it was because the ability to push forward by force was not enough. They could not do it blindly, so they could only choose a suitable hole.
Ling Ran said directly, "I want to do it as well as possible."
"Oh," Lu Wenbin agreed with him.
Su Jiafu, who was preparing the anesthetic, snorted and said, "Old Lu, don't you think it's strange?"
"What's strange about it? People always want to make more delicious pork trotters. " Lu Wenbin looked at Su Jiafu with a contemptuous gaze and said, "You don't have the experience of waking up at two o 'clock in the morning to go to the market, right? Don't you think it's too boring?"
"I'm treating people at two o 'clock in the morning. It's more boring than putting seasonings." Su Jiafu calmly retorted and despised Lu Wenbin.
"Anyway, let's look at the MRI scan first." Ling Ran interrupted the comparison between the two, pointed at the scan, and said, "Doctor Lu, what can you see from this?"
"I …" Lu Wenbin was recently asked to learn MRI scans, and he was indeed working hard to learn it. However, Ling Ran's question still made him a little confused.
"Remember to read when you go back," Ling Ran said first, and his tone was very similar to that of a senior doctor.
Lu Wenbin nodded obediently. Since senior doctors had the ability to read MRI scans, he would definitely try his best to learn it. In terms of the environment in the country, he was already very lucky to have such learning conditions.
Yu Yuan tiptoed and extended her hand behind Lu Wenbin.
"Yu Yuan?"
"I can see that the incision is very neat, and the bone should not be displaced. The bone density is relatively high, and the nerve contusion is more severe …" Yu Yuan chose to say what she knew.
"The key is the surgery for us." Ling Ran interrupted Yu Yuan's long list of nonsense and said, "Lu Wenbin, look at the patient's anatomical structure first. We'll first choose a few blood vessels that can be used for anastomosis …"
Lu Wenbin nodded repeatedly. It was easy for him to chew when the information was directly put into his mouth.
Ling Ran did not expect Lu Wenbin to be able to see it on his own. He explained the situation of a few blood vessels on the spot, mainly the locations of the arteries and veins, as well as their current state.
During finger replantation, the arteries must be anastomosed. If there were no suitable arteries for anastomosis, the replantation would not be successful. The exception would be the palmar artery. If the distal artery was bad, the arteries could be connected to the veins, and a compromise could be reached.
Aside from the arteries, the veins did not play a decisive role. But if they were sutured well and quickly, it would also be very beneficial for postoperative recovery. This was especially true when there was a vascular crisis. The veins could buy a little more time, and it was a little like a spillway.
Ling Ran first pointed out the locations of a few blood vessels in the MRI scan, then asked for the CT scan and explained it to Lu Wenbin again. Finally, they began to discuss the strategy. In other words, they had to decide which blood vessel to suture first, and what if they failed?
Usually, these things were stored in Ling Ran's mind, and he was too lazy to say it out loud. Lu Wenbin could look at it and think about it, but he had never listened to Ling Ran talk about it in detail.
Now that Ling Ran talked about it, Lu Wenbin combined it with the surgeries he usually watched, and he immediately had a feeling.
"I think I can go on the field now." Lu Wenbin could not help but ask in a roundabout way.
"Let's see when we're done today." Ling Ran did not have any intention to refuse. Lu Wenbin had performed many finger replantation surgeries, so it was normal for him to want to try it out.
Once Ling Ran explained the blood vessel problem to his first assistant, he briefly explained the other parts of the surgery before he started the surgery.
In the end, he still had to perform the surgery. No matter how much he pursued perfection, he could not ignore basic operations.
As the shadowless lamp lit up, the operating theater became quiet again.
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