The M-Tang technique was also known as the multi-group intratendinous suture technique. As the name suggested, it used multiple groups, usually three groups of full sets of nylon thread to suture tendons. The tendon that was sutured in this way had a tensile strength that far exceeded that of the Kessler suture method and the double-edged inferior suture method. Moreover, the blood circulation on the dorsal side of the tendon would not be destroyed.
However, compared to other tendon suturing methods, the difficulty of suturing a small tendon with three sets of full set nylon thread was obvious.
This was also the reason why Ling Ran said that he could not stop. He was already one-third of the way through. If he stopped now, it would be even more difficult for him to stitch up the other two sets of stitches in the future. Even if he used other suturing techniques, it might not be suitable anymore.
Similarly, this was also the reason why Zhao Leyi could not take over.
Technically speaking, he could suture tendons, but he had never come into contact with the M-Tang technique before this.
The M-Tang technique was not only a suture method, but also a surgical method. It was a suture method that was only used to suture flexor tendons in Zone II of the hand. Its scope of application was extremely narrow, and it could only be used on one-fifth of a person's hand. However, it was extremely difficult to perform, and its effects were outstanding.
The training strategy of the Emergency Department was more inclined towards general practitioners. Attending physician Zhao Leyi had never even come into contact with the M-Tang technique before. He had only heard of it.
At this time, when Ling Ran said that he could not stop halfway through, he really could not come up with any rebuttal.
What are you talking about? Forcefully order them to stop?
Zhao Leyi looked around. The operating theater was not a lawless place. Although the chief surgeon had the highest authority in the operating theater, he had to bear responsibility when he made decisions.
He could force Ling Ran to stop, and then what?
If the patient could not recover his hand function in the future, what would he do if he filed a lawsuit?
Even if external lawsuits were not considered, the hospital's internal review would not let him off easy. In the worst case scenario, if he were to lodge a complaint and make a few manipulations, he could forget about being promoted to deputy chief physician for the next three to five years. If he was unlucky, he might even be transferred to a physical examination center …
Or … he could go to the Hand Surgery Department and ask for help from a big shot.
It was very quiet in the operating theater.
Everyone lost interest in making flirtatious remarks.
"Skin retractor."
"Glasses."
"Pliers."
Ling Ran put on the magnifying glasses again and shouted out every item in an accurate and unconventional way.
Zhao Leyi could no longer hold back. He turned his head and said, "Please invite Department Director Huo to the operating theater."
He decided to look for a big shot to save the situation.
However, first of all, he had to find the boss of the department. This could be considered a basic way to save the situation.
At the same time, the doctor from the General Surgery Department who was watching the surgery happily took two steps back and stepped on the lock frame on the lower right side of the door. Before the airtight access door was completely opened, he slipped out.
"Hou Kang, do you know the M-Tang technique?" The senior resident doctor sent to the Emergency Department from the General Surgery Department winked at Hou Kang.
The General Surgery Department and the Hand Surgery Department belonged to the same department. It was just that the Hand Surgery Department had a more detailed classification, and the resident doctors were quite familiar with each other.
Hou Kang raised his head curiously and asked, "Why are you asking about this?"
The Emergency Department might receive requests for emergency consultations every day. Sometimes, there would be two or three requests a day. If they sent attending physicians or even better associate chief physicians every time, the other departments would not have to do anything else. All they had to do was wait for the Emergency Department's notification every day.
Most of the time, after receiving a consultation request from the Emergency Department, each department would first send a resident doctor to take a look at the situation. If they could handle it on the spot, they would do so on the spot. If they could not handle it on the spot, they would usually push the patient back to the operating theater of their department for treatment. Otherwise, no matter how many instruments and equipment the Emergency Department had, it would not be enough.
For today's surgery, the General Surgery Department was an emergency surgery that needed to be performed very soon, while the Hand Surgery Department was a scheduled surgery that could wait for a while. Therefore, one of them waited inside the door, and the other waited outside.
The resident doctor from the General Surgery Department grinned and said, "They're using the M-Tang technique inside."
"Impossible. Department Associate Director Pan went to Japan for advanced studies." Hou Kang immediately shook his head.
The resident doctor from the General Surgery Department immediately caught the main point and asked, "Department Associate Director Pan is the only one in the Hand Surgery Department who knows how to perform the M-Tang technique?"
Hou Kang corrected him, "Yes, Department Associate Director Pan is the only one who knows how to perform the M-Tang technique."
Surgery had developed to this day, and when faced with the same goal, there were already countless plans. Although the No Man's Land was first conquered by the M-Tang technique, in the nearly twenty years after it was conquered, other techniques were developed. As for which plan was more advantageous, it depended on the patient's condition.
According to the thoughts of ordinary people, doctors should learn from other people's strong points and learn many plans. However, the reality was that doctors usually understood many plans, but they would only focus on one plan.
This was just like how students studied and did math problems. There were many ways to solve the chicken and the rabbit in the same cage problem, but most students only knew one or two of them. Then, they would continue to solve the problem with the solution they were used to for many years without changing.
For doctors, it was more costly for them to practice a new skill. Very few people would learn several skills in parallel.
And when patients really needed a certain surgical method to be treated, they would usually hire freelance surgeons or simply refer the patient over.
In the Hand Surgery Department of Yun Hua Hospital, Department Associate Director Pan was the only one who was good at and often used the M-Tang technique.
The resident doctor from the General Surgery Department chuckled and said, "Go in and take a look. In the future, Department Associate Director Pan will not be the only one who performs the M-Tang technique in Yun Hua Hospital."
Hou Kang put away his things and stepped open the airtight access door of the operating theater with suspicion.
* Shick … *
As a resident doctor from the Hand Surgery Department, Hou Kang stood obediently in the corner and craned his head to look inside.
The surgical field illuminated by the shadowless lamp was very clear. He could see that the patient was undergoing surgery in Area II of the hand.
Hou Kang naturally recalled the various details of the M-Tang technique in his mind. Then, a series of thoughts surged in his mind.
'Who am I?
Where am I?
What am I doing? '
* Shick … *
Huo Congjun, who was dressed in green scrubs, walked into the operating theater.
"What's the situation?" Huo Congjun had already received the news. His voice was low.
"Ling Ran performed the surgery without permission." Zhao Leyi was the first to complain.
"Is that so?" Huo Congjun looked at Ling Ran.
Ling Ran lowered his head. As he operated, he said, "Yes."
Zhao Leyi raised his eyebrows. He did not expect Ling Ran to admit it immediately.
Huo Congjun was also a little surprised. He asked, "Since you knew it was against the rules, why did you still carry out the surgery?"
"I didn't know it was against the rules before I sutured the tendon." Ling Ran recalled for a few seconds. This was indeed not written in the intern handbook.
Huo Congjun and Zhao Leyi were also stunned. They just remembered that Ling Ran was still a medical intern!
'This guy is still an intern?!'
The doctors in the operating theater who were watching the drama roared in their hearts.
The drama that was supposed to be so exciting now felt a little dull. It was as if the people laughed at him for having a difficult name to pronounce.
"In the operating theater, the chief surgeon has absolute authority." Huo Congjun said very seriously, "Not only do you have to carry out the surgery according to the chief surgeon's requirements, but you also have to inform the chief surgeon of your operations, especially those that are not conventional, and get permission, understand?"
"Understood." Ling Ran agreed with the procedures.
No matter how good the skill was, it still needed a certain amount of procedures to guarantee it.
This was just like when he was a child. When a few people bought a Transformer model together, the person who assembled it must have a certain amount of experience and skills. At the very least, he must have successfully assembled a small model many times before he could get used to it. Otherwise, it would be too sad if the valuable Transformer model that was bought with great difficulty was left incomplete.
Based on Ling Ran's understanding, the patient lying on the operating table should naturally be guaranteed skills and procedures.
"Do you know what to do when you go to the operating theater in the future?" Huo Congjun stared at Ling Ran with his hands behind his back and asked stiffly.
Ling Ran thought seriously for a few seconds and said, "Be the chief surgeon?"
"Let the people from the Hand Surgery Department take over." Zhao Leyi felt like he was about to explode. He glanced at the doctors who were watching the drama and asked, "Are the people from the Hand Surgery Department here?"
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