Chapter 242: The Unscarred

Tension-reducing stitches are much slower to do than normal stitches.

The tension reduction part made with thread 0 is not only divided into multiple sections for suturing, but also each section must pay attention to the entry and exit of the needle. The specific entry and exit must be determined by considering the tension of the skin and the needle distance. The needle must fall between the skin and the dermis...

In addition, aligning the skin edge is also very difficult. The injured skin is not always smooth, and sometimes there are skin defects, which is even more difficult when aligning.

However, without aligning them, the tension-reducing sutures are meaningless, and you might as well use ordinary interrupted or continuous sutures if you end up with wrinkled skin sutures.

The little doctor in the emergency room used ordinary techniques to suture a wound several centimeters long. If the debridement was not complicated, it could be completed in more than ten minutes, which included all kinds of long-winded before and after.

Ling Ran did hidden tension-reducing sutures, and the pure sutures took more than 30 minutes. After staying for two hours, he only did 3 cases.

The interns in the disposal room quickly turned their attention away.

For such a large emergency department as Yunyi, three cases of debridement and suture in two hours, everyone can afford to lose.

Instead, Dr. Zhou looked around, and after a while, arranged for a little girl to come over.

The little girl was injured on the tibia, which is the front of the calf, and the wound was torn into an S shape, almost 5 centimeters in length, which was considered a big cut.

Her parents were all around her thinking, her father looked anxious and dusty, he probably just rushed over, and her mother's bright manicures were dancing in the air: "I told you to be careful, be careful, Why are you so careless...Look, because of you, your dad and I can't get to work anymore, we have to go to the hospital...The current hospital still asks for money and medical beauty? You guys? Wouldn’t it be okay to just say stealing money?”

During Ling Ran's inspection time, the little girl's mother was chattering and cursing. I scold the little girl the most, then the hospital and my husband, and I don’t forget to scold my boss and colleagues...

Ling Ran didn't realize it.

Ling Ran would often turn a deaf ear to the words of others, if they were not aimed at him specifically.

Since he was a child, there were always people around Ling Ran who would intentionally speak loudly, discuss certain things, and spread certain gossip. If Ling Ran paid attention to it, Ling Ran would not hear it for a long time. quiet.

Ling Ran's experience is that,

You always have to use the fastest speed to decide whether you want to ignore certain people.

Just like the mother in front of me. Although she is the patient's immediate family member, and she is emotional, with fear hidden in anger, worry hidden in fear, and sadness hidden in worry... But what she said is meaningless, just venting emotions, which is ineffective and even wrong information.

Ling Ran first judged the injury based on reality.

No bones were injured, which is good news, but, to strengthen his judgment, Ling Ran still raised his head and asked, "Did you take X-rays?"

"Take an X-ray." The little girl's mother raised her head as soon as she entered the door. Looking at the top of Ling Ran's head, she scolded angrily, "The old doctor would have found out the good and bad at once. If it wasn't for Dr. Li Yun Recently, I was a fool to send someone to Yunyi, so you can’t find a reliable person? What about your director? I can’t register as an expert, can I?”

Doctor Zhou stood across from Ling Ran with some embarrassment, and said in a low voice, "The patient's family members object to taking X-rays, take a look..."

"Then let's do debridement and suture directly." Ling Ran is not a fledgling buddy anymore, and has seen similar situations more than once in the emergency room.

The hospital is a small world that faces reality. Some people here will pay 500 yuan for a special-needs outpatient clinic in order not to queue up, and some people will not take X-rays in order to save 100 yuan.

Taking X-rays is for safety. In other words, if you don’t take X-rays, you have to take risks.

Fortunately, the risk is not too great... Ling Ran twisted a few times on the chair, stood up and took a deep breath before sitting down to check again.

The little girl's mother stared at Ling Ran for a few seconds before withdrawing her gaze. Her tone became less aggressive, but she still said, "There is no hair on your mouth, and you can't handle things well. The current hospital is really terrible. The old clinic was so good... ..."

"I'll debride the wound, you anesthetize." Ling Ran said to Lu Wenbin, then lowered his head and began to operate.

Lu Wenbin coughed twice, and said, "The family members should go out."

"I'm not going out, I'm going out, what if you mess it up?" The mother's neck was stung, and her hand was already on the side of the power rail, ready to fight with force.

None of the doctors or nurses were willing to play this trick with her, and they all looked down as if they didn't see it.

The father said with some embarrassment: "I'll go out and wait."

"Hey, you wretch, are you a good person now? What have you been doing?" The woman's voice suddenly became sharp.

The little girl began to cry.

Ling Ran had no choice but to stop, and waited for the girl's trembling body to stabilize a little before debridement again.

The woman was also a little tired. She stopped waving her brightly colored nails and asked, "Will there be scars?"

Doctor Zhou gave Ling Ran an apologetic look, and then said to the woman, "If you go to the aesthetics department..."

The woman raised her voice again: "I've said it all, I won't go to that place where you scam money..."

"I mean!" Dr. Zhou also raised his voice a little bit, and said, "I mean, even if you go to the medical aesthetics department and have two or three thousand yuan per centimeter for you to sew, there is no guarantee that you won't leave any scars. .”

"Look, look, then you still ask me to go to that place..."

"If you suture you in the emergency department, it is possible...to leave a scar." Dr. Zhou glanced at the little girl lying on the treatment bed, lowered his voice, and said, "However, Dr. Ling's technique is very good, he What I did to the patient just now is called tension-reducing hidden suture, which is a suture method that can reduce scars, and it is the same as the method used in medical aesthetics."

The little girl raised a glimmer of hope and looked at Ling Ran.

She was injured on the front of her calf. If there was a scar left, it would not look good in a skirt in the future.

At the very least, don't leave an ugly big black scar.

Ling Ran looked at Doctor Zhou and said, "Absorbable sutures should be used under the skin."

According to the hospital's charging standards, absorbable thread is much more expensive than ordinary silk thread, and imported goods cannot be reimbursed.

Doctor Zhou nodded and said, "I'll talk about it later."

All sutures are wearable, and he is the attending physician, so he can perform operations such as stealing the beam, as long as the nurse in charge agrees.

The nurse at the side went to get the thread immediately, without saying a word.

So Ling Ran lowered his head, continued to do the debridement, and explained to the little girl: "After the anesthetic is ready, I will first align your wounds, and use tension-reducing hidden sutures on both sides. Get out the needle."

The little girl held her breath and asked, "If you can't see the stitches, there will be no scars, right?"

At this time, she spoke faster, and she could tell that she was supposed to be a lively girl, but she was extremely depressed in front of her mother.

Ling Ran pondered for a moment, and told the truth, "The scars are not caused by needlework, but the tension-reducing suture method can indeed reduce the scars."

"Still have scars?" The little girl responded quickly.

Ling Ran nodded: "The recovery is good, the scars will be less, but there may still be scars."

"Go...to the aesthetics department?" The girl gave her mother a careful look.

Ling Ran said without pausing: "It's still possible to leave a scar."

The girl let out an "oh" in disappointment and relaxation.

"After the tension-reducing hidden suture method, I will use intradermal suture. The needle goes inside the skin, and there will be no needle holes. But the pulling force of intradermal suture is relatively weak. Reduces the appearance of scars."

"Then if I follow the doctor's advice, how big will the scar be?" The little girl stretched out her finger timidly, made a gesture, and then shrunk a little, then asked, "Will it be this big?"

"Maybe smaller."

"so small?"

"Possibly smaller."

"so small?"

"It's possible, it's possible, do you understand what it means?"

"I know, you are afraid that my mother will scold you, so you dare not say you are dead." The little girl also has life experience.

Ling Ran smiled, and his dark eyes shone brightly under the reflection of the light.