Huo Congjun had been paying attention to Wang Haiyang's expression. When he saw the change in Wang Haiyang's expression, his heart immediately skipped a beat. He quickly asked, "Chief Physician Wang, is there a problem?"
Wang Haiyang was silent for a few seconds and said with some embarrassment, "No."
He was embarrassed because he couldn't ask a question …
For a chief physician who was assigned to find fault with others, this was obviously a little awkward.
However, the suturing of tendons in the Hand Surgery Department had always been a simple surgery with high technical requirements and low systemic requirements. Ling Ran's surgical steps were clear and logical, and he really could not find any problems with it.
As for the specifics of the suture, Wang Haiyang could not lift the patient's tendon to look at it.
Huo Congjun was a little unhappy and said, "Old Wang, just say what you want to say. You don't have to hide it for us. This was originally a delicate surgery that was carried out during resuscitation. Now that we're looking for a great expert from the Hand Surgery Department for a consultation, isn't it to see if there are any mistakes? "
When he said that, the patient's family members hiding in the corner of the room showed gratitude.
In the car accident on the highway, even if the patient was not smashed into pieces, he was still in a semi-shattered state. The patient's lowest expectations had already been met if the patient's life was saved. Department Director Huo was only grateful that he cared about the patient's hand function.
Wang Haiyang smiled bitterly and said, "Let's do a hand function assessment. Of course, the patient has just undergone surgery, so his condition might not be too good. Let's use it as a reference first."
Hand function assessment was often done by the Hand Surgery Department. It was used to assess the hand function of patients after surgery.
Wang Haiyang first grabbed the patient's hand and gently performed a few passive movements. When he found that he had completed it well, he asked, "Can the patient move his hand on his own?"
"On the day Wenhua regained consciousness, Doctor Ling requested for the activity." The family members rushed to answer, and they asked with slight uncertainty, "Is this good or bad?"
Wang Haiyang raised his eyebrows and coughed twice before saying, "It's good to be able to move. It's bad to be unable to move."
The family member was greatly encouraged and hurriedly said, "He can move, he can move all five fingers, but he can't move them too much. He can't even clench his fist."
Another older family member of the patient quickly asked, "You can't clench your fists now, is it okay?"
"It's alright." He turned his head to look at Ling Ran before he said, "The M-Tang technique still has some advantages."
Ling Ran smiled and nodded to show his approval.
The group of resident doctors by the side felt itchy all over as they watched. They felt as if they had walked into the wrong movie set.
Wang Haiyang stared at the patient and asked him to move each of his fingers.
The patient who had just undergone a round of surgery and was waiting for the second round of surgery was a little dizzy, but he still tried his best to move his fingers under Wang Haiyang's instructions.
It could move slightly, ugly and swollen.
However, it could really move.
"Doctor, how is it?" The family members were still worried.
This time, Wang Haiyang said in an affirmative tone, "It's amazing that he can move. If he can move, it means that his tendon hasn't ruptured … Hmm, let's clench our fists. We definitely can't clench them. Let's clench as much as we can …"
Under his command, Ma Wenhua, who was wrapped like a mummy, used his left hand to make a big C shape.
"You can't move anymore?" Wang Haiyang asked.
The patient nodded.
"How is it?" This time, not only did the patient's family ask, but Huo Congjun also asked.
"It's not bad." Wang Haiyang coughed twice and said, "Let's pinch our fingers together."
"Pinch with the belly of your fingers."
"Side pinch."
Wang Haiyang did a round of tests, and the more he did, the more surprised he became.
There were two most troublesome and important points in the prognosis of hand tendon sutures. One was tendon adhesion, and the other was tendon rupture.
Tendon adhesion would limit the function of the hand. Tendon rupture was easier to understand. If a sutured tendon ruptured, naturally, the hand would not be able to perform its function at all.
For doctors in the Hand Surgery Department, the troublesome thing was not either of the two points. The troublesome thing was that the requirements of the two were opposite.
It was easy to solve the problem of tendon adhesion alone. The earlier the hand started moving, the smaller the problem of adhesion. This was because adhesion happened gradually, and the longer it was delayed, the more serious the adhesion would be.
It was also easy to solve tendon rupture. The later the hand started moving, the smaller the chance of rupture. This was because tendons grew gradually, and the longer it was delayed, the stronger it would be.
Therefore, tendon adhesion and tendon rupture became two contradictory sequelae.
Moving early would solve the problem of adhesion, and increase the risk of rupture. If the rupture happened, the hand would have to enter the uterus again, and it might not be sutured properly.
Moving late reduced the chance of rupture, but the problem of adhesion was serious, and many hands could not be used normally.
To solve this problem, the Hand Surgery Department tried desperately on two routes. In the beginning, many doctors in the Hand and Foot Surgery Department imagined that they could find a medicine to prevent adhesion, or a dressing to reduce adhesion, just like organ transplants. This would reduce the risk of tendon rupture, and at the same time, prevent tendon adhesion. However, there was no decisive medicine.
Therefore, moving early and increasing the strength of tendon sutures became the only route for many years.
The M-Tang technique was the one that went the furthest.
It used three strands of thread to suture, which greatly increased the strength of the suture, and allowed the patient to start moving earlier.
Wang Haiyang liked the Kessler technique and the double Kessler technique. They usually started moving passively 48 hours after the surgery, or 36 hours at the earliest. Three days later, they started trying to move actively. Even so, 20% of the tendon would rupture.
On the other hand, the M-Tang technique emphasized on initiating activities after twenty-four hours.
Wang Haiyang had seen surgeries before, but he had never observed the prognosis of patients who were sutured using the M-Tang technique.
And from what he could see, the prognosis of patients who were sutured using the M-Tang technique was obviously much better.
"The Hand Surgery Department has always emphasized early movement." Wang Haiyang faced the patient and explained to Huo Congjun at the same time, "From our experience, the stronger the ability to move in the early stage, the better the recovery of hand function. But we can't be sure how good it will be."
With the last sentence, he gave the patient a heads-up and said, "You must listen to the doctor's advice. The final recovery is related to the existing state of your tendon, the quality of the suture, and the condition of your rehabilitation. Rehabilitation is especially important."
"Then, how is our suture?" The older family members still had some doubts about Ling Ran. After all, in his impression, the older the doctor, the better, just like the expert in front of him.
Wang Haiyang smiled and asked in a very experienced manner, "How much do you hope to recover?"
"Of course, I hope it will be better." The patient's family member hesitated for a moment. When he thought of the almost pulverized hand he saw before, he said with uncertainty, "At least be able to take care of himself."
"That's not a problem. This requirement of yours can be achieved." When Wang Haiyang said this, the family members were happy.
Wang Haiyang smiled proudly. The tendon suture he performed could reach this level in three days. Forget about taking care of himself, it was possible for the patient to cook and even play basketball.
In a flash, Wang Haiyang suddenly felt that something was wrong. 'I did not suture this!'
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