This doctor is very stable
Chapter 117 Show Advanced Stitching Techniques
Chapter 117 Show Advanced Stitching Techniques
The nurse ran out to find equipment, and came in with a medical tray after a while.
Behind her was the little fat man Qian Xuan.
Seeing Qian Xuan, Lin Ran smiled and said, "Dr. Qian came just in time, pull the hook for me."
Qian Xuan also had this intention, don't underestimate the small hand tendon, nerve and blood vessel repair sutures.
The high-precision stitching required inside is as high as the stitching technology required by the beauty department.
"It's my honor! However, Dr. Lin, we have two operations at one o'clock, don't forget."
Qian Xuan was reminding Lin Ran to pay attention to the time.
"I know, wear glasses!"
In the case of tendon neurovascular injuries in the hand, any procedure should be performed under a microscope.
In particular, the debridement work must be done meticulously and thoroughly, because any infection and swelling after the operation will directly affect the recovery of hand function.
The flexibility of the hand depends on the nerves and tendons!
Putting on the monocular microscope, Lin Ran picked up the tweezers and picked up the alcohol cotton.
Qian Xuan also put on the microscope, picked up the normal saline bottle, and opened it.
"It will hurt a little, so bear with it."
Fang Quan smiled softly, "Don't worry! Doctor, I don't even know how many times I have been to the hospital."
Lin Ran nodded, "Then let's go!"
Qian Xuan poured saline solution on the wound on Fang Quan's hand, and Lin Ran's tweezers began to debride the wound finely.
Fang Quan gritted his teeth and turned his head away, not watching Lin Ran's operation.
Veins popped up on his forehead, and sweat burst out all at once.
It can be seen from this that firefighters are also afraid of pain, but they just resist with their strong will.
Xu Hong stood behind Lin Ran and the others, watching their operations.
After using two bottles of normal saline, Lin Ran finally completely debrided the wound.
At this time, looking at Fang Quan, his cropped short hair was wet with sweat.
If it were an ordinary person, he would have screamed a long time ago.
But Fang Quan just gritted his teeth and kept silent throughout the whole process, which shows that the iron will of the firefighting hero is not covered!
The non-damaged suture of the tendon nerve needs to be performed without pain, so Lin Ranyou gave Fang Quan another brachial plexus anesthesia.
Brachial plexus anesthesia is relatively simple, and the degree of danger is not high. With Xu Hong present to give advice, Lin Ran naturally dared to do it with confidence.
If Xu Hong was not present, he would definitely not do it.
He once saw a medical malpractice news!
A man went to a beauty hospital for fine-tuning of his face, but because of an overdose of local anesthetic injections, he eventually became a vegetative state.
The surgeon's license was revoked, and the beauty hospital lost a lot of money!
Therefore, practicing medicine is risky, and it is best to leave it to professional people to do professional things.
Lin Ran held the tweezers in his left hand, and picked up the small needle holder in his right to clamp the special suture needles for suturing tendon nerves.
The needles used to suture the tendon and nerve are much different from those used in ophthalmology. They are both the thinnest ophthalmic needles. The difference is the difference between 0-8 intestinal absorbable suture and 0-10 ordinary suture.
When the stitching started, Lin Ran put all his energy into it.
A suture needle that is thinner than a strand of hair will break if you use a little more force, so don't cheer up!
Right to left, bottom to top.
Qian Xuan pinched the non-injured tweezers to align the tendon for Lin Ran.
Lin Ran used Tang's suture to suture the tendon, which is a combined suture method used for suturing long tendons.
Needle pull thread in, needle pull thread out.
Lin Ran's movements were not slow, but his hands were always steady.
It gives people a feeling of strolling around the courtyard, being familiar with it, and showing off skills with ease.
Under the microscope, Lin Ran and Qian Xuan could see the entire texture of the tendons and nerves at the wound on the patient's palm.
Lin Ran's surgery was too steady.
This made Qian Xuan envious!
Consciousness and experience can be accumulated the day after tomorrow. Can the steady hand be practiced a little more?
It's all about innate talent!
And if Qian Xuan is not mistaken, Lin Ran is now using Tang's suture method, this highly difficult combination suture technique, Qian Xuan has done clinical work for four years, and has never seen any doctor in the hospital use it !
The reason why it can be seen is because he is more knowledgeable and has occasionally watched medical videos a few times.
Later, he wanted to learn it, but bought two pig's trotters, and he gave up completely after the sewing was a mess. After watching the video literature, he also knew that Tang's suture method has a miraculous effect on suturing tendon nerves!
Used well, it can reduce tendon and nerve damage.
After all, the tendon nerve has been completely ruptured. No matter how minimally invasive and non-invasive suturing you do, it will hurt the tendon nerve, but it is different with Tang's suture method.
It can greatly reduce the damage to the tendon and nerve caused by suture, and it is even a little more stable than other suture methods, and it can even prevent the sutured tendon and nerve from sticking to a certain extent.
However, the relative learning difficulty of Tang's suture method is also very high!
Xu Hong saw Lin Ran show his hand again, smiled and asked, "Lin Ran, you also know Tang's suture! When did you learn it?"
When to learn?Lin Ran has never learned it at all. After the three basic suturing skills have been upgraded to advanced levels, he can use any suturing method with ease as long as he understands the principles of it.
Without looking up, "If you really want to be serious, you should have watched the teaching video several times!"
Xu Hong and Qian Xuan said in unison, "Never practiced?"
After speaking, both of them were shocked.
In the field of surgery, isn't it necessary to practice thousands of times to master the essence?
What the hell is it that Lin Ran can use it so smoothly after watching the video a few times without practicing it?
Who the hell didn't a few tons of pig's trotters be wasted in practicing stitching?
It's your turn to watch the video a few times?
Still let people live?
There is no need for Lin Ran to lie, anyway, they can't arrest him for autopsy, they will!
"This is my first time using tang."
"Eh..." Teacher Xu Hong and his student felt like they were beeping, this is too irritating!
It seems that from time to time, an unexpected and awesome technique can appear on Lin Ran's body.
Now Xu Hong has the urge to dissect Lin Ran's brain to have a look!
Is the neural structure of geniuses different from that of ordinary people?
Or is it true, is he in a hurry to undergo craniotomy and adjustment now?
Xu Zhong and Fang Quan, two firefighters, could not understand the professional dialogue of the three doctors.
But Xu Zhong could vaguely see that Lin Ran's skills were very good from the expressions shown in the conversation between the three of them!
Probably better than Xu Hong.
Thinking about it this way, will Fang Quan's operation have unexpected results?
Thinking of this, Xu Zhong couldn't help but interjected, "Director Xu, the Tang suture technique used by Dr. Lin is very powerful? What good is it for Xiao Fang's hand injury?"
Xu Hong looked away from the wound with some reluctance, looked at Xu Zhong, smiled and explained: "How can I tell you! The suture technique used by Xiaolin is more suitable for tendon and nerve sutures, and it must be better than other sutures. The suturing method is good, but how much effect it can produce will not be known until after the operation is over and rehabilitation begins.”
Xu Hong didn't finish his speech again, Lin Ran had already mentioned the [-]% recovery figure just now.
Seventy percent is already very high, if he adds a little more, what if the effect after the operation is not as ideal as imagined?
We must know that the higher the hope, the higher the disappointment. The insurance point is the best protection for doctors.
But even so, Xu Zhong was already very happy. "Well, here I would like to thank Dr. Lin first."
Fang Quan also said with a smile: "I also have to thank Dr. Lin, no matter what the result is, I will admit it."
"Ah."
Lin Ran replied, but did not answer and continued sewing seriously.
Seeing Lin Ran's serious appearance, Qian Xuan was in a complicated mood. Thinking that he still regarded Lin Ran as a competitor back then, he couldn't help laughing at himself. Maybe his talent was not worth mentioning in Lin Ran's eyes!
Fortunately, I didn't choose to confront Lin Ran at the beginning, otherwise I would have brought shame upon myself!
Just look at Zeng Zhiwen who just passed Lin Ran. That guy is now helping Li Min, and he has changed positions with Fan Jianye.
The results of it!
After Fan Jianye joined the surgery team, he learned the small incision appendicitis resection surgery, and realized the freedom of appendicitis. If he received a patient who was suitable for Lin Ran, he could sign a contract and accept the performance!
It is estimated that Zeng Zhiwen had regrets when the emergency department and general surgery had a match last time!
Looking at Lin Ran in front of him, Qian Xuan had completely lost the idea of competition.
Some people just have to catch up. He can only work hard now, hoping that Lin Ran will not make too much progress!
Otherwise, he was a little worried that he would not be qualified to be Lin Ran's assistant.
The operation time is one hour and forty minutes.
The speed was a little slower than expected, but Lin Ran stitched very well!
Tendons, nerves, blood vessels, epidermis.
The high-precision and high-quality stitching makes Lin Ran feel like the rain is coming after a long drought.
From psychological to physical comfort, it seems that every time the tendon suturing is completed, it is like experiencing an orgasm.
Until the skin was sutured, Lin Ran still had a feeling that he was still unsatisfied.
From Xu Hong and Qian Xuan's point of view, Lin Rantai's tendon, nerve and blood vessel repair surgery is all about showing off his suture skills!
Gives a natural feeling.
It makes people look a little fascinated and unable to extricate themselves.
After bandaging the patient and Qian Xuan finished writing the medical records, Lin Ran and the others handed the patient over to the nurse.
Walking out of the treatment room, Xu Hong smiled and asked, "Do you have surgery? What kind of surgery."
PS: It turns out that as long as the brothers subscribe enough, I can also update [-] words a day!We are not much worse than others!hey-hey!
So where are your monthly tickets and tips!
(End of this chapter)
The nurse ran out to find equipment, and came in with a medical tray after a while.
Behind her was the little fat man Qian Xuan.
Seeing Qian Xuan, Lin Ran smiled and said, "Dr. Qian came just in time, pull the hook for me."
Qian Xuan also had this intention, don't underestimate the small hand tendon, nerve and blood vessel repair sutures.
The high-precision stitching required inside is as high as the stitching technology required by the beauty department.
"It's my honor! However, Dr. Lin, we have two operations at one o'clock, don't forget."
Qian Xuan was reminding Lin Ran to pay attention to the time.
"I know, wear glasses!"
In the case of tendon neurovascular injuries in the hand, any procedure should be performed under a microscope.
In particular, the debridement work must be done meticulously and thoroughly, because any infection and swelling after the operation will directly affect the recovery of hand function.
The flexibility of the hand depends on the nerves and tendons!
Putting on the monocular microscope, Lin Ran picked up the tweezers and picked up the alcohol cotton.
Qian Xuan also put on the microscope, picked up the normal saline bottle, and opened it.
"It will hurt a little, so bear with it."
Fang Quan smiled softly, "Don't worry! Doctor, I don't even know how many times I have been to the hospital."
Lin Ran nodded, "Then let's go!"
Qian Xuan poured saline solution on the wound on Fang Quan's hand, and Lin Ran's tweezers began to debride the wound finely.
Fang Quan gritted his teeth and turned his head away, not watching Lin Ran's operation.
Veins popped up on his forehead, and sweat burst out all at once.
It can be seen from this that firefighters are also afraid of pain, but they just resist with their strong will.
Xu Hong stood behind Lin Ran and the others, watching their operations.
After using two bottles of normal saline, Lin Ran finally completely debrided the wound.
At this time, looking at Fang Quan, his cropped short hair was wet with sweat.
If it were an ordinary person, he would have screamed a long time ago.
But Fang Quan just gritted his teeth and kept silent throughout the whole process, which shows that the iron will of the firefighting hero is not covered!
The non-damaged suture of the tendon nerve needs to be performed without pain, so Lin Ranyou gave Fang Quan another brachial plexus anesthesia.
Brachial plexus anesthesia is relatively simple, and the degree of danger is not high. With Xu Hong present to give advice, Lin Ran naturally dared to do it with confidence.
If Xu Hong was not present, he would definitely not do it.
He once saw a medical malpractice news!
A man went to a beauty hospital for fine-tuning of his face, but because of an overdose of local anesthetic injections, he eventually became a vegetative state.
The surgeon's license was revoked, and the beauty hospital lost a lot of money!
Therefore, practicing medicine is risky, and it is best to leave it to professional people to do professional things.
Lin Ran held the tweezers in his left hand, and picked up the small needle holder in his right to clamp the special suture needles for suturing tendon nerves.
The needles used to suture the tendon and nerve are much different from those used in ophthalmology. They are both the thinnest ophthalmic needles. The difference is the difference between 0-8 intestinal absorbable suture and 0-10 ordinary suture.
When the stitching started, Lin Ran put all his energy into it.
A suture needle that is thinner than a strand of hair will break if you use a little more force, so don't cheer up!
Right to left, bottom to top.
Qian Xuan pinched the non-injured tweezers to align the tendon for Lin Ran.
Lin Ran used Tang's suture to suture the tendon, which is a combined suture method used for suturing long tendons.
Needle pull thread in, needle pull thread out.
Lin Ran's movements were not slow, but his hands were always steady.
It gives people a feeling of strolling around the courtyard, being familiar with it, and showing off skills with ease.
Under the microscope, Lin Ran and Qian Xuan could see the entire texture of the tendons and nerves at the wound on the patient's palm.
Lin Ran's surgery was too steady.
This made Qian Xuan envious!
Consciousness and experience can be accumulated the day after tomorrow. Can the steady hand be practiced a little more?
It's all about innate talent!
And if Qian Xuan is not mistaken, Lin Ran is now using Tang's suture method, this highly difficult combination suture technique, Qian Xuan has done clinical work for four years, and has never seen any doctor in the hospital use it !
The reason why it can be seen is because he is more knowledgeable and has occasionally watched medical videos a few times.
Later, he wanted to learn it, but bought two pig's trotters, and he gave up completely after the sewing was a mess. After watching the video literature, he also knew that Tang's suture method has a miraculous effect on suturing tendon nerves!
Used well, it can reduce tendon and nerve damage.
After all, the tendon nerve has been completely ruptured. No matter how minimally invasive and non-invasive suturing you do, it will hurt the tendon nerve, but it is different with Tang's suture method.
It can greatly reduce the damage to the tendon and nerve caused by suture, and it is even a little more stable than other suture methods, and it can even prevent the sutured tendon and nerve from sticking to a certain extent.
However, the relative learning difficulty of Tang's suture method is also very high!
Xu Hong saw Lin Ran show his hand again, smiled and asked, "Lin Ran, you also know Tang's suture! When did you learn it?"
When to learn?Lin Ran has never learned it at all. After the three basic suturing skills have been upgraded to advanced levels, he can use any suturing method with ease as long as he understands the principles of it.
Without looking up, "If you really want to be serious, you should have watched the teaching video several times!"
Xu Hong and Qian Xuan said in unison, "Never practiced?"
After speaking, both of them were shocked.
In the field of surgery, isn't it necessary to practice thousands of times to master the essence?
What the hell is it that Lin Ran can use it so smoothly after watching the video a few times without practicing it?
Who the hell didn't a few tons of pig's trotters be wasted in practicing stitching?
It's your turn to watch the video a few times?
Still let people live?
There is no need for Lin Ran to lie, anyway, they can't arrest him for autopsy, they will!
"This is my first time using tang."
"Eh..." Teacher Xu Hong and his student felt like they were beeping, this is too irritating!
It seems that from time to time, an unexpected and awesome technique can appear on Lin Ran's body.
Now Xu Hong has the urge to dissect Lin Ran's brain to have a look!
Is the neural structure of geniuses different from that of ordinary people?
Or is it true, is he in a hurry to undergo craniotomy and adjustment now?
Xu Zhong and Fang Quan, two firefighters, could not understand the professional dialogue of the three doctors.
But Xu Zhong could vaguely see that Lin Ran's skills were very good from the expressions shown in the conversation between the three of them!
Probably better than Xu Hong.
Thinking about it this way, will Fang Quan's operation have unexpected results?
Thinking of this, Xu Zhong couldn't help but interjected, "Director Xu, the Tang suture technique used by Dr. Lin is very powerful? What good is it for Xiao Fang's hand injury?"
Xu Hong looked away from the wound with some reluctance, looked at Xu Zhong, smiled and explained: "How can I tell you! The suture technique used by Xiaolin is more suitable for tendon and nerve sutures, and it must be better than other sutures. The suturing method is good, but how much effect it can produce will not be known until after the operation is over and rehabilitation begins.”
Xu Hong didn't finish his speech again, Lin Ran had already mentioned the [-]% recovery figure just now.
Seventy percent is already very high, if he adds a little more, what if the effect after the operation is not as ideal as imagined?
We must know that the higher the hope, the higher the disappointment. The insurance point is the best protection for doctors.
But even so, Xu Zhong was already very happy. "Well, here I would like to thank Dr. Lin first."
Fang Quan also said with a smile: "I also have to thank Dr. Lin, no matter what the result is, I will admit it."
"Ah."
Lin Ran replied, but did not answer and continued sewing seriously.
Seeing Lin Ran's serious appearance, Qian Xuan was in a complicated mood. Thinking that he still regarded Lin Ran as a competitor back then, he couldn't help laughing at himself. Maybe his talent was not worth mentioning in Lin Ran's eyes!
Fortunately, I didn't choose to confront Lin Ran at the beginning, otherwise I would have brought shame upon myself!
Just look at Zeng Zhiwen who just passed Lin Ran. That guy is now helping Li Min, and he has changed positions with Fan Jianye.
The results of it!
After Fan Jianye joined the surgery team, he learned the small incision appendicitis resection surgery, and realized the freedom of appendicitis. If he received a patient who was suitable for Lin Ran, he could sign a contract and accept the performance!
It is estimated that Zeng Zhiwen had regrets when the emergency department and general surgery had a match last time!
Looking at Lin Ran in front of him, Qian Xuan had completely lost the idea of competition.
Some people just have to catch up. He can only work hard now, hoping that Lin Ran will not make too much progress!
Otherwise, he was a little worried that he would not be qualified to be Lin Ran's assistant.
The operation time is one hour and forty minutes.
The speed was a little slower than expected, but Lin Ran stitched very well!
Tendons, nerves, blood vessels, epidermis.
The high-precision and high-quality stitching makes Lin Ran feel like the rain is coming after a long drought.
From psychological to physical comfort, it seems that every time the tendon suturing is completed, it is like experiencing an orgasm.
Until the skin was sutured, Lin Ran still had a feeling that he was still unsatisfied.
From Xu Hong and Qian Xuan's point of view, Lin Rantai's tendon, nerve and blood vessel repair surgery is all about showing off his suture skills!
Gives a natural feeling.
It makes people look a little fascinated and unable to extricate themselves.
After bandaging the patient and Qian Xuan finished writing the medical records, Lin Ran and the others handed the patient over to the nurse.
Walking out of the treatment room, Xu Hong smiled and asked, "Do you have surgery? What kind of surgery."
PS: It turns out that as long as the brothers subscribe enough, I can also update [-] words a day!We are not much worse than others!hey-hey!
So where are your monthly tickets and tips!
(End of this chapter)
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