The next day.
The day of the surgery.
Lu Wenbin was the first to enter the operating theater. He only saw Ling Ran and Huo Congjun after he was done with the draping and the examination.
Huo Congjun looked calm.
He was as elegant as a jade tree.
Lu Wenbin was under immense pressure.
"The patient is Li Xingguo, 21 years old. Open wound. The flexor tendons of the index finger and middle finger are ruptured. The flexor tendons of the middle finger are both ruptured. It's more complicated …" Lu Wenbin had read the information in advance and explained.
Ling Ran had also read the information, so he listened and thought at the same time. His expression could not be read.
Huo Congjun heaved a sigh of relief. This was the only patient he could find today.
No man's land was a no man's land because the tendons were too densely distributed in the no man's land. Both the flexor profundus and flexor profundus were bound in a narrow tendon sheath. Postoperative adhesion was severe, and the recovery of function was not ideal.
Now that both the superficial and profunda muscularis profunda and profunda muscularis were injured at the same time, it meant that their activity had increased, and the probability of adhesion was higher.
However, this was not a problem for Ling Ran.
It was only basic for a Master Level M-Tang Technique to treat the flexor profundus and flexor flexor flexor at the same time.
He nodded and said, "Then, let's begin. The M-Tang technique is used to suture a ruptured tendon in Zone II … pen."
The moment Ling Ran extended his hand, Wang Jia, who was fully focused, slapped a marker pen into his palm. The way she held it was extremely comfortable. She must have practiced it before.
Wang Jia stared at Ling Ran. She seemed to be able to see the faint smile behind the mask, and she was very happy.
Huo Congjun originally wanted to say that he would perform the surgery, but he only thought about it and did not say it in the end.
"Incision" was usually a reward given by senior doctors to junior doctors. There was no reason for it to be the other way around.
Besides, Huo Congjun could not possibly help Ling Ran cut open every single time. In the end, Ling Ran still had to practice it himself.
When he thought of this, Huo Congjun looked at Lu Wenbin.
No matter what, he was still a resident doctor in the department. Although he had been sent out for housemanship for two to three years, he was like a sheep that was released by his own family. When it was time to be milked and when it was time to be sheared, he would have to come back. Now that he had finished his housemanship, it was time for him to improve his skills …
Judging from the last surgery, Lu Wenbin's performance was also quite good.
After that, he was very attentive to the patient's prognosis.
If Huo Congjun was really the chief surgeon and Ling Ran was really the first assistant, Huo Congjun would most likely choose to let Lu Wenbin perform the incision. Come to think of it, no matter how bad it was, it would not be worse than Ling Ran's previous incision …
There were only three people in front of the operating table. Lu Wenbin immediately noticed Huo Congjun's gaze.
Was it good or bad to be noticed by the director?
Lu Wenbin's little heart was pounding.
What he looked forward to the most was for Ling Ran to give up on the task of cutting the liver and hand it over to him.
If the director spoke up for him, it would be even more certain.
Lu Wenbin was not greedy. He just subconsciously felt that since Ling Ran did not rush to practice making incisions yesterday, he either gave up, or he had some flaws when it came to making incisions, which was why he gave up because he knew that he was not good at it.
In this case, it seemed logical for Ling Ran to pass the cut to someone else.
Lu Wenbin recalled the scene of the middle-aged skateboarder's egg flying out of the forest yesterday and calmed down a little.
"Pull it tight."
It was only when Ling Ran gave the order that Lu Wenbin realized that he had already drawn the lines.
You don't even need to hesitate? Or did you think about it in advance?
Even though Lu Wenbin muttered, he still quickly went to work. He flattened the patient's slightly curled hand so that the line he drew was protruding.
When he did this, Lu Wenbin realized that the position Ling Ran chose was very good. Expanding the surface of the wound on the foundation of the existing wound was a very contradictory choice. It was not easy to come up with a reasonable plan every time.
If surgery was seen as the renovation of a house, then the patient's original wound was like a load-bearing pillar in the middle of the house. You could not remove it, change it, or even drill holes on it. The position of the pillars in each house might be different. To renovate the house well, the relationship between the space in the house and the load-bearing pillars must be handled well.
A perfect plan might not exist. Even if it was relatively reasonable, it still required a lot of thought.
Ling Ran made a cut with the scalpel.
The bow-holding technique was very basic, and there were not many fancy moves.
But in just a minute or two, Ling Ran had already exposed the surgical field he wanted.
Lu Wenbin helped to tidy up the saline pad to prevent contamination while he looked at the incision in surprise.
Ling Ran, who still needed to make two incisions a few days ago, became an expert in the blink of an eye?
Based on his experience in the past two to three years when he rotated in various departments in Yun Hua Hospital, most of the senior doctors in most departments could only make such incisions.
"You've been practicing making incisions recently?" Huo Congjun was even more shocked. This was the only reasonable explanation he could think of.
"Yes." Ling Ran nodded. He had indeed tried a few times.
Huo Congjun was silent.
He felt that he had seen enough, but he did not expect that it was still not enough.
Before today, if someone told him that someone had practiced hard for three days and mastered the skill of making incisions, he would definitely spit on that person's face.
Or did Ling Ran perform abnormally when he made the incision previously?
At first, it seemed to make sense. But in Huo Congjun's memory, Ling Ran's previous fluster did not seem to be an aberration.
"Retract the retractor." Ling Ran gave a simple order to Lu Wenbin.
Lu Wenbin, who had been a retractor operator for many years, subconsciously picked up the skin retractor and enlarged the incision he just made.
Two tendons were clearly exposed.
For incisions, being clean and neat was one thing, but the most important thing was to facilitate the expansion of the surgical field.
And for Ling Ran's incision, it could be said to be very beautiful.
At least, Lu Wenbin could not find any problems. It was impossible for him to make such a good incision.
Lu Wenbin only felt that his chest was very tight. He thought that Ling Ran was arrogant yesterday, but he did not expect that Ling Ran really had the ability to be arrogant.
Although no one knew what he thought yesterday, Lu Wenbin still felt inexplicably ashamed. He laughed dryly and said, "With your speed, outsiders will think that you're using cheats."
Ling Ran smiled faintly.
"It doesn't matter what other people think." Huo Congjun woke up from the initial shock. At this time, he was so happy that he grinned, and he almost cut his own head open.
What did the hospital need? What did the department need? What did the department director need?
Wasn't it just a talent like Ling Ran?
The path of medicine was long. Doctors who practiced sutures for three years, made incisions for three years, and performed appendectomies for three years, became associate chief physicians at the age of forty-five, and became chief physicians at the age of fifty-five were the backbone of the hospital. But they were just like the middle-ranking and low-ranking officers in the army. Hospitals valued and needed the military officer groups formed by middle-ranking and low-ranking officers, but they did not need a certain low-ranking officer.
Hospitals constantly pursued single doctors, and they were doctors who could lead the way. They were the so-called leaders.
They were either the outstanding ones who stood out from the military officer groups, geniuses who studied under famous doctors, or treasures that fell from the sky.
For example, Wu Mengchao, the big shot in China's Department of Hepatobiliary and Pancreatic Surgery, completed his undergraduate degree at the age of twenty-seven. Ten years later, he attended the National Surgical Conference to read his thesis and proposed the five-lobe, six-segment, and five-lobe, four-segment theory of the liver. At the age of forty-one, he broke through the forbidden zone of the middle lobe of the liver. While ordinary doctors were fighting tooth and nail for the position of associate chief physician, he became a nationally renowned expert in the Department of Hepatobiliary and Pancreatic Surgery and was known as the "Father of China's Department of Hepatobiliary and Pancreatic Surgery". If any hospital had such a leader, they could simply grab a bone and put it together. Of course, Wu Mengchao's teacher was also very good. He was Qiu Fazu, who was known as the "Father of China's Department of Surgery". All the doctors who were still working in China read his books and entered the hospital.
"By the way, Ling Ran, I heard that you often buy pork trotters to practice?" Huo Congjun suddenly asked.
"Yes, I did." Ling Ran put on the surgical magnifying glasses. When he spoke, the speed at which his hands moved was not slow at all.
"You're still an intern now. You can't do this. Your monthly allowance of a few hundred RMB isn't even enough to buy pork trotters, right?" Huo Congjun said seriously, "Practice materials shouldn't be paid by private individuals. Our Emergency Department can't build a training room for now, but we should also provide an environment for doctors to improve according to local conditions. Don't you think so? "
Huo Congjun turned his head and looked at Su Jiafu, who was sitting on the round stool.
The anesthetist, Su Jiafu, slowly stood up and said, "Yes."
"Reimbursing pork trotters doesn't sound good, and it's not easy to do. How about this? You don't have a medical practitioner's certificate yet. When you're the chief surgeon for a surgery, either write my name or Lu Wenbin's name. The surgery fees will be credited to my card, and I'll transfer it to you. Don't decline it.
Ling Ran did not intend to decline it at all. He replied with another "Yes" and focused on the surgery.
Lu Wenbin was so envious that he did not even have the strength to operate the retractor anymore.
In the hospital, the chief surgeon would be the chief surgeon. If the chief surgeon was not present for the surgery, the surgery fees would still be paid to the chief surgeon. This amount of money was very little before the medical reform, but after the medical reform, the surgery consultation room had become quite a considerable amount.
This was especially true for the chief surgeon. The chief surgeon's surgery fees were more than double that of the assistants, nurses, and anesthetists. He could buy any pork trotters he wanted, and it was the department director who forced it on Ling Ran.
Lu Wenbin lowered his head and made up his mind. 'I'm definitely going to learn the M-Tang technique!'
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