Alright, take out your Kirschner needles and let me have a look. "Ling Ran checked the Kirschner needles in Huang Maoshi's suitcase, nodded, and asked," Free? "
"Yes. We have a quota for manufacturers to promote them … "Huang Maoshi quickly explained the situation.
Ling Ran selected the commonly used type, then nodded to Nurse Liu and said, "Please ask someone to clean and disinfect it. Set it aside later."
"Okay." Nurse Liu waved her hand in a familiar manner and left with Huang Maoshi.
The medical staff in the hospital had long been familiar with the existence of pharmaceutical sales representatives, including in the operating theater, where pharmaceutical sales representatives came and went.
This was especially so for medical consumables that were rarely used. Pharmaceutical sales representatives would usually send them over with just a phone call from the hospital or doctor.
In local tertiary Grade A hospitals and below, pharmaceutical sales representatives with suitcases were like mobile medical consumables. The hospital could not build its own medical consumables warehouse, or the medical consumables warehouse was too small, so they used this method to replenish their supplies. Usually, the pharmaceutical sales representatives would be notified in the first one or two days, and the pharmaceutical sales representatives would send the medical consumables the next day. The nurses would then clean the medical consumables and send them to the operating table.
However, for things like Kirschner needles, the cheap ones only cost around a hundred RMB, and the expensive ones would cost around a thousand RMB. Usually, they could only be stored in the hospital's medical consumables warehouse.
Pharmaceutical sales representatives were also too lazy to send them over.
Of course, just like draping, there were always exceptions.
Pharmaceutical sales representatives now tried their best to get close to Ling Ran, but they could not. Forget bringing Kirschner needles to the operating theater, even if they brought a needle over, Huang Maosheng would gladly do it just to get close to Ling Ran and show his face.
Almost at the same time, the patient was also pushed in.
Su Jiafu first stood up for various examinations before he was anesthetized.
Lu Wenbin, Yu Yuan, and the others were busy with the draping.
Ling Ran leaned over to check and evaluate the patient's wound.
The difficulty of suturing four severed fingers was high, and the finger was injured by firecrackers. It was also a clear and complicated injury among hand injuries, and it was very difficult to suture it.
The most difficult thing was that the small patient's finger had skin defects and arterial defects.
Ling Ran observed and thought at the same time. He took the X-ray film he had just taken to read.
After looking at it for a while, Ling Ran shook his head and said, "Call Chief Physician Wang Haiyang. You can't do this finger well, the blood vessels are too thin. Hmm … the index finger might have to give up. "
The index finger was the medical term for the index finger, and it was also the most seriously injured part of the cannon. Not only were the bones shattered, but the skin and tendons in the middle were also largely shattered and burned. When the wound was debrided later, it might even be peeled off.
Lu Wenbin and Ma Yanlin looked disappointed. The two of them had worked with Ling Ran the longest, and they had also performed the most finger replantation surgeries. If there were two surgeries today, the two of them would have the chance to be chief surgeons.
However, the blood vessels in the fingers were already very thin, let alone the blood vessels of a child. Moreover, the wounds from the blast were so complicated that Lu Wenbin and Ma Yanlin were not confident that they could do it.
"Call the interns over as well." Ling Ran gave another order before he went back to watch the scans.
A huge difference between a chief surgeon and an assistant was that the chief surgeon decided the direction of the surgery.
For a successful surgery, the chief surgeon must be familiar with it by heart and think about every step well before he even started. Those who were more skilled would also have to think about how to deal with unexpected situations.
Of course, the more the same surgical method was used, the more the same considerations were taken into consideration, and the more experience he had in dealing with unexpected situations, the more preoperative procedures could be omitted. However, watching the scans was still a must.
"No MRI scan?" Ling Ran asked with his back facing the operating table.
Yu Yuan said, "The MRI machine is being cleaned …"
None of the departments were spared from the MRSA outbreak.
Ling Ran said in resignation, "Alright, we can basically see through the X-ray. How long until Chief Physician Wang Haiyang arrives?"
"Three minutes."
"Then we'll wait for a while. Are the signatures done?"
"Double signatures. The child's parents are divorced, and the mother is currently not in Yun Hua City. His father and aunt signed it, "Yu Yuan explained in detail.
Ling Ran nodded and continued to look at the patient's wound as he pondered.
Meanwhile, Lu Wenbin pushed aside the draping and looked at the patient's face before he said, "This brat is only eight or nine years old."
"Even dogs would think that he's seven or eight years old. It's not unreasonable," Zuo Cidian said. "When we were in the town hospital, brats at this age were the most amazing in all kinds of emergency cases. I've seen people who ate dirt and had diarrhea, and I've also seen people who tasted their own feces …"
"Why would he eat feces?" Yu Yuan could not believe it.
"Brat's words? He said that his family keeps shouting stinky dog feces, stinky dog feces, and he wants to taste whether dog feces is really stinky. "
Everyone in the room was attracted.
Yu Yuan laughed so hard that she could not breathe. "Of course it's stinky. We can smell it. Stinky is a matter of smell, not taste. "
"How would a child know about this? You know, smells are always different. It's more direct to prove it by tasting it, right? It's like durian." Zuo Cidian suddenly felt a little nostalgic. He despised and even hated the town hospital, but after all, it was where he spent his youth.
Lu Wenbin asked curiously, "Even if he ate dog feces, there's no need for him to go to the hospital, right? Does the hospital even care about this? "
"Oh, the brat was bitten by a dog when he tried hot dog feces." Zuo Cidian gave a reasonable answer.
Yu Yuan asked in puzzlement, "Is it because his family said that he should eat feces while it's hot?"
Zuo Cidian was stunned and said, "Probably. The brat has already eaten feces. Who cares why he wants to eat hot dog feces."
* Shick. *
The airtight access door opened, and Chief Physician Wang Haiyang rushed over.
"You're all here." Wang Haiyang smiled and put his hands together. He asked the nurse to help him put on the surgical gown.
"Injured by firecrackers. An eight-year-old child with four severed fingers …" Zuo Cidian quickly went forward and began to explain the situation.
Wang Haiyang's approach was similar to Ling Ran's. He also looked at the scan before looking at the hand.
"This index finger won't make it." Wang Haiyang's judgment was similar to Ling Ran's, but he was much more determined.
The brat's homemade firecracker was very powerful. It almost exploded in his hand. Therefore, his bones, tendons, and blood vessels were all greatly damaged. The injury to the index finger was the most serious.
Ling Ran nodded and said, "You can try replanting it, but it's more difficult to reach the standard of 'good'."
If it did not reach the standard of 'good', it would just be for show.
Of course, it was not bad to be able to put on a show.
At the very least, he would not be stared at by strangers.
Wang Haiyang looked at it carefully for a while and said, "Ling Ran, this injury is enough for ectopic transplantation. Do you want to use the index finger?"
His suggestion instantly attracted Ling Ran's attention.
Ectopic transplantation meant that the finger was first transplanted to other parts of the body, and when the injury on the finger healed, the finger would be transplanted back to the hand.
If one transplant turned into two transplants, the final effect would definitely not be as good as the first.
However, for fingers that did not have the conditions to undergo replantation in the first stage, it was good to have a chance to undergo replantation in the second stage.
Ling Ran quickly thought about it for a few seconds and said, "I don't know how."
"Huh, you don't know how?" Wang Haiyang's interest was instantly piqued. He looked at Ling Ran, and he almost shouted, "Let me teach you! Let me teach you!"
Ling Ran nodded. "I've never learned ectopic transplantation."
His Perfect Level Finger Replantation Skill was limited to finger replantation, and ectopic transplantation could be seen as another specialized skill. Not only could he perform ectopic transplantation on the fingers, he could also perform ectopic transplantation on the arms, calves, ears, nose, and other parts of the body.
"Doctors from the Orthopedics Department or Hand Surgery Department don't learn ectopic transplantation. It's also impossible for private hospitals nowadays to engage in this project. " Chief Physician Wang Haiyang chuckled and said, "But I know how to do it. Why don't we perform ectopic transplantation on this index finger today? I'll teach you on the spot. A few weeks later, we'll do the second stage of replantation."
Wang Haiyang was extremely happy to be able to teach Ling Ran.
This was also why the Hand Surgery Department of Yun Hua Hospital was an elite department. If it were any other hospital, ectopic transplantation could be used as a promotional material for ten years.
But in Yun Hua Hospital, ectopic transplantation of a finger could only be considered as a preliminary stage. A few ectopic transplantation surgeries were performed every year.
Being able to learn something new made Ling Ran a little excited.
He looked at the young patient's index finger again and said, "Then, inform the patient's family and ask them if they're willing to do it. We'll do the replantation of the other three fingers first. Doctor Zuo, go and ask them. "
"Okay." Zuo Cidian immediately agreed. He took off his surgical gown and was about to leave.
"You can reduce the fees for them. Look for Department Director Huo for thirty to forty percent of the fees. He'll definitely approve it. Ling Ran, give Department Director Huo a call. " Wang Haiyang stopped Zuo Cidian and said, "The medical fees for ectopic transplantation are much more expensive than replantation. Also, during the ectopic transplantation period, it'll be troublesome to take care of the patient. But tell them clearly that based on the current condition of the child's index finger, if we don't use ectopic transplantation, my suggestion is to amputate it. There's a high possibility that the finger won't survive if we forcefully replant it. Besides, ectopic transplantation can also preserve the appearance of the finger in a better way. "
Zuo Cidian made a mental note of it. When he went out again, his footsteps were not as fast.
It was quite difficult to talk like this.
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