The heavy reinforcing suture was much slower than the normal suture.
Not only did the heavy reinforcing suture have to be divided into multiple sections, but the insertion and removal of the needle had to be carefully considered in each section. The specific insertion and removal of the needle had to be decided by considering the tension of the skin and the distance between the needles. The needle had to be placed between the epidermis and the dermis …
Aside from that, it was also very difficult to align the edges of the skin. The injured skin was not always smooth, and sometimes, there would be skin defects. It was even more difficult to align the edges of the skin.
However, if they were not aligned, the heavy reinforcing suture would be meaningless. If the final result was a wrinkled skin suture, it would be better to use the normal interrupted or continuous suture method.
The young doctors in the emergency room could suture a wound that was a few centimeters long with normal techniques. If the debridement was not complicated, they could complete it in around ten minutes, and it included all kinds of nagging.
When Ling Ran performed the recessive heavy reinforcing suture, it would take more than thirty minutes just to suture the wound. After two hours, he had only performed three cases.
The medical interns in the treatment room soon shifted their attention.
For a large Emergency Department like Yun Hua Hospital, performing three debridement and sutures in two hours was still a loss they could afford.
Doctor Zhou looked around, and after a while, he arranged for a little girl to come over.
The little girl was injured at the tibia, which was the front of her calf. The wound was torn into an S-shape, and it was almost five centimeters long. It was considered a big wound.
Her parents were beside her, thinking. Her father looked anxious and travel-worn, probably because he had just rushed over. Her mother's manicure was bright and kept dancing in the air. "I told you to be careful. You have to be careful. Why are you so careless? Look, because of you, your father and I can't go to work anymore. We have to come to the hospital. Hospitals nowadays are still obsessed with money. How can they still use manicures? Why don't you just say that you're robbing us? "
While Ling Ran was examining the little girl, the little girl's mother kept scolding people. She scolded the little girl the most, followed by the hospital and her husband. At the same time, she did not forget to scold her boss and colleagues …
Ling Ran did not seem to notice.
Ling Ran often turned a deaf ear to the words of others if they were not specifically directed at him.
Ever since Ling Ran was young, there would always be people around him who would deliberately speak loudly, discuss certain things, and spread certain gossip. If Ling Ran had to pay attention to all of these, then Ling Ran would not have peace for a long time.
Ling Ran's experience was that you had to decide whether you wanted to ignore certain people as soon as possible.
Just like his mother in front of him. Although she was the patient's immediate family member and was emotional, there was fear hidden in her anger, worry hidden in her fear, and sadness hidden in her worry … But what she said was meaningless. It was just an emotional outburst. It was ineffective or even wrong information.
First of all, Ling Ran used reality as a basis to determine the extent of the injury.
It was good news that his bones were not hurt. However, in order to make a better judgment, Ling Ran still raised his head and asked, "Did you take an X-ray?"
"X-ray, my foot." The little girl's mother raised her head when she entered the door. At this time, she looked at Ling Ran's head and scolded him angrily, "Doctors in the past could tell the difference between good and bad with just one touch. If I wasn't close to Yun Hua Hospital, I wouldn't be stupid to send him to Yun Hua Hospital. Can't you find a reliable person? Where's your department director? Can't I get a specialist? "
Doctor Zhou was a little embarrassed as he sat opposite Ling Ran. He whispered, "The patient's family is against the X-ray. Take a look …"
"Then, let's just do the debridement and suturing." Ling Ran was not a greenhorn. He had seen similar situations more than once in the emergency room.
The hospital was a small world that faced reality. There were people who would sign up for VIP consultation at 500 RMB just to avoid queuing. There were also people who would not go for X-ray because they wanted to save 100 RMB.
X-ray was to be safe. In other words, if they did not go for X-ray, they would have to bear the risk.
Fortunately, the risk was not too high … Ling Ran twisted in his chair, got up, and took a deep breath before he sat down again to examine the patient.
The little girl's mother stared at Ling Ran for a few seconds before she looked away. Her tone was not as harsh as before, but she still said, "You're immature, and you're not reliable. Hospitals nowadays are really terrible. The clinics in the past were so good …"
"I'll debridement. You take over the anesthesia," Ling Ran said to Lu Wenbin before he lowered his head and started working.
Lu Wenbin coughed a few times and said, "Family member, please leave."
"I'm not going out. If I go out, what if you damage it?" The mother straightened her neck and grabbed the handrail beside her. She was ready to fight back.
None of the doctors or nurses were willing to play this game with her. They lowered their heads and pretended not to see it.
The father said a little embarrassedly, "I'll wait outside."
"Hey, you good-for-nothing. Are you trying to be a good person now? What were you doing earlier? "The woman's voice suddenly became shrill.
The little girl began to cry.
Ling Ran had no choice but to stop. He waited for the girl's trembling body to stabilize a little before he started debriding the wound again.
The woman was a little tired. She stopped waving her bright nails and asked, "Will it leave a scar?"
Doctor Zhou looked at Ling Ran apologetically and said to the woman, "If you go to the Department of Aesthetic Medicine …"
The woman raised her voice again. "I told you, I won't go to that place where you scam money …"
"I mean!" Doctor Zhou also raised his voice a little and said, "I mean, even if you go to the Department of Aesthetic Medicine and suture a wound that costs two to three thousand RMB per centimeter, there's no guarantee that there won't be a scar at all."
"Look, look, but you still asked me to go to that place …"
"If you're sutured in the Emergency Department, there's a possibility that … there will be a scar." Doctor Zhou glanced at the little girl lying on the treatment bed and lowered his voice a little. He said, "But Doctor Ling's skills are very good. What he did just now is called the heavy reinforcing recessive suture. It's a suture method that can reduce scars. It's the same method used by the Department of Aesthetic Medicine."
A glimmer of hope rose in the little girl's heart. She looked at Ling Ran.
Her wound was on the front of her calf. If there was a scar, she would not look good in dresses in the future.
At the very least, it would not leave an ugly scar.
Ling Ran looked at Doctor Zhou and said, "Use an absorbable suture under the skin."
According to the hospital's charging standards, absorbable sutures were much more expensive than normal sutures, and imported sutures could not be reimbursed.
Doctor Zhou nodded and said, "We'll talk about it later."
Sutures were always worn out. He was an attending physician, and he could do things like replace the thread as long as the young nurse in charge agreed to it.
The nurse by the side immediately went to get the suture without saying anything.
Ling Ran then lowered his head and continued debridement. He explained to the little girl, "After the anesthetic is done, I'll align your wound and use the heavy reinforcing recessive suture method on both sides. Recessive means that the needle and thread cannot be seen on the surface."
The little girl listened and held her breath. She asked, "If the needle and thread can't be seen, there won't be a scar, right?"
She spoke faster now. It could be heard that she was originally a lively girl, but she was extremely depressed in front of her mother.
Ling Ran pondered for a moment and told her the truth, "The scar is not caused by the needle and thread, but the heavy reinforcing suture method can indeed reduce the scar."
"Will there still be a scar?" The little girl reacted quickly.
Ling Ran nodded. "If you recover well, there will be fewer scars, but there may still be a scar."
"What … What about the medical department?" The little girl glanced at her mother carefully.
Ling Ran did not stop and said, "There may still be a scar."
"Oh," the little girl said in disappointment and relief.
"After the heavy reinforcing recessive suture method, I'll use an intradermal suture. There won't be a needle hole when the needle is placed on the inner side of the skin. But the traction force of the intradermal suture is weaker. You have to be more careful and follow the doctor's instructions to reduce the growth of the scar. "
"Then, if I follow the doctor's instructions … How big will the scar be?" The little girl timidly extended her finger and gestured. She then reduced the size of the scar a little and asked again, "Will it be this big?"
"It may be smaller."
"That small?"
"It may be even smaller."
"That small?"
"It's possible, possible. Do you understand what I mean?"
"I know. You're afraid that my mother will scold you, so you don't dare to say that you're dead." The little girl was also very experienced in life.
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