Chapter 208： Feed till

"Manage the line."

Before Dr. Qu's words were spoken, Ling Ran rolled up the thread and set it aside.

"Run it."

As soon as Dr. Qu's voice fell, he saw that Ling Ran had already brought the salt water.

"Suck ... **** ..."

Dr. Qu said halfway, Ling Ran had already pumped.

Dr. Qu cut open the skin, treated the subcutaneous tissues, and then protected the mesentery, the small veins, the gastrocnemius nerve, and so on. Then he felt awkward ... awkward and comfortable, his body relaxed and his mood awkward.

If you think about it carefully, he hasn't scolded anyone since he started surgery.

The operation was so smooth that Dr. Qu did not even think of cursing.

Basically, Dr. Qu had just thought of something and hadn't asked for it, Ling Ran had already done it.

This kind of surgery can be said to be the limit of comfort.

As an ordinary surgeon, Dr. Qu never even thought that surgery would be as comfortable as this.

It's almost like when you want to add vegetables, someone brings the dishes you want to eat.

However, the operation was comfortable and comfortable, but Dr. Qu's heart was unhappy.

What he was after was not a comfortable operation.

What he pursued was difficult, and then he was conquered a little by himself.

Dr. Qu, who is only forty years old this year, is bald and has pursuits. He is different from Wang Haiyang.

Wang Haiyang is old and frail, and his favorite is being fed. Wang Haiyang can have surgery all the time, and he has always been fed and loves it.

At least Dr Qu expects a bit chewy surgery.

In today's surgery, he even looks forward to seeing Ling Ran make a small mistake.

The authority of superior doctors to lower doctors is based on mistakes.

In the operating room, seniority has never been a core consideration. Perhaps the senior director's qualifications and identity will make everyone a little bit sceptic about, but outside of the chief director, any doctor who wants to scold someone must find a suitable opportunity.

Subordinate doctors make mistakes, which is a good opportunity for superior doctors to scold and breathe.

If the subordinate doctor made a mistake throughout the operation? That shows that the authority of the superior doctor does not exist. Perhaps, the two are already on a par with each other, or even reversed technology.

If there is no technical gap, no control over the operation mode, and no control over the operating room, where can the superiors of the superior doctors embody?

It can't be arrogant.

Although surgeons are irritable, they are almost outrageous.

Dr. Qu looked up at Ling Ran and said in his mouth, "It's time to sew."

"Okay." Ling Ran's eyes did not leave the lens of the double microscope, grasping the tweezers in his hand, posing a posture to pinch the Achilles tendon at any time.

Dr. Qu frowned as he looked. Indeed, his next step was to suture the Achilles tendon, and he planned to use the method of strengthening the suture, so he needed an assistant to pinch the slightly atrophied Achilles tendon.

Dr. Qu is certain that as soon as he starts to do it, Ling Ran will begin to pinch the Achilles tendon, because this is the step to strengthen the suture.

So, no need to strengthen sutures?

Dr. Qu's thought flashed into his mind and he was immediately rejected.

Although he can indeed use other suture methods to suture the Achilles tendon, but a temporary change of the plan during surgery requires a series of changes, and Dr. Qu is more worried about the confusion caused by this.

There are many paths for Achilles tendon repair. It is not too complicated to describe in language, but it is not easy to implement it, and it is performed on an uncertain living person.

To describe it as a problem, it is as if there are four solutions to a mathematical problem in Orsay, but no matter how many times the teacher says, most people can only master one or two solutions.

Dr. Qu originally mastered two kinds of Achilles tendon repair, simple end-to-end repair and enhanced repair. The latter is already a complicated situation of the former, which makes Dr. Qu temporarily more difficult operation ...

His psychology is not yet weak to this extent.

"Tear out the Achilles tendon." Dr. Qu sighed in his heart, then looked at Ling Ran and grabbed the Achilles tendon for a second.

Dr. Qu's eyes twitched twice, and began to sew without a word.

He used the modified kessler method, which is the tendon suture method most commonly used by Yunyi hand surgeons.

The Achilles tendon is also a tendon. It is the thickest tendon in the human body. Therefore, the more common tendon suture method is sufficient. On the contrary, Ling Ran is familiar with the tang method, and this kind of super thick and stiff tendons can't exert any advantages.

Ling Ran watched Dr. Qu's operation silently, and provided assistance in real time according to his speed and progress.

He now masters the perfect Achilles tendon suture method, which naturally covers the improved kessler method perfectly. In fact, such a basic tendon suture method does not need to wait for the system to be shipped. Can get started.

It's easier now without actually doing it.

The pressure and responsibility of the assistant was originally much weaker than the main knife. Ling Ran had time to observe and understand Dr. Qu's operating habits, think about his operating purpose, and organize his operating sequence.

In a normal doctor's group, Yizhu is still sweating, and it is good to be able to keep up with the pace of the main knife. Where can I predict the work of the main knife?

Dr. Qu did not look up to see Ling Ran, but he could feel the leisurely breath of Ling Ran.

Easy.

Freehand.

With ease.

For a surgeon, failing to make full use of help is simply a sin.

"Tendron dissector." Dr. Qu took it from the instrument nurse and asked, "Ling Ran, do you know what this is for?"

"Free extension of the tendon." Ling Ran answered briefly and forcefully.

"Well. Will it work?" Dr. Qu asked.

"meeting."

"You do it." Dr. Qu didn't want to be desperate alone, and let Ling Ran look at the joke.

The counter-attack method as the main knife is to let Yizhu do the surgery. If Yizhu does not do well, he can scold and recover his rights.

If you do well ... you should do well, praise or not praise, the main knife is there ...

Ling Ran reached out and took the tendon stripper. In the eyes of Dr. Qu's expectation, he clicked twice to separate the extension tendon, and then performed a frantic operation at the proximal end of the extension tendon. Store in wet gauze.

With such an operation, it is necessary to read four or five pages to read the surgical book, but Ling Ran got it within a few minutes.

"4/0 nylon." Ling Ran took the thread from the nurse's hand, and began to sew the tendon stump of the Achilles tendon.

Using the 4/0 intermittent suture method, the stump-like tendon bundles of the stump were combed out, and the complete set of tendon dissection was completed.

Ling Ran threw the instrument into the plate and looked at Dr. Qu again.

"Well ... good job." Dr. Qu was silent for a few seconds before reaching out. "Line 2."

The instrument nurse patted Dr. Qu with the needle holder equipped with the second thread.

Dr. Qu started to formally sew, aiming to sew the distal tendon to the broken Achilles tendon, and finally spread the ponytail-like tendon to form a smooth membrane surface ...

For Dr. Qu, this is a relatively familiar operation, and there is not much fancy at all, that is, each leg is sutured honestly to ensure the strength of the patient's Achilles tendon.

For Ling Ran, this is also a very familiar operation process.

Medical feeding has already begun. It is even more accurate to do this standard operation.

After more than ten minutes, Dr. Qu ate.

However, he could not stop hastily. The surgical plan can still be changed in the middle stage. Until now, there is no room for change. At least with Dr. Qu's ability, he is immutable.

For the same reason, Ling Ran's judgment on Dr. Qu's operation was more timely.

It felt to Dr. Qu that he was desperately running a marathon. Ling Ran always ran in front of him, and he kept handing water and bread.

Dr. Qu is also a person who can sit firmly in the bone and joint and sports medical center.

He sped up the stitching ...

He slowed down stitching ...

He operates in normal order, he operates in reverse order ...

Slowly, Dr. Qu became familiar with Ling Ran's feeding.

The so-called from frugality to extravagance is easy, from extravagance to frugality is difficult.

When every step of the operation is prepared for you, deal with the follow-up, and pay attention to the details, the doctor of the surgeon will gradually like this feeling.

Doctor Qu's desperate sewing, desperate sewing, completed the suture of the Achilles tendon with super fast speed.

Then he asked for 3/0 absorbable thread and made sutures himself.

Ling Ran didn't say a word to help him, UU reading www. uukanshu.com does not fight or rush, and behaves just like Dr. Qu asked, and everything is done according to standards.

After the last stitch was sewn, Dr. Qu dropped the needle clamp and looked at the thin thread at the wound for a long time without saying a word.

In his heart, he had a wonderful feeling. He felt that his technology had been sublimated, that his technology had become stronger, and that his technology had changed from quantitative to qualitative.

However, reason pulled Dr. Qu to the other side.

The contradictory psychology made Dr. Qu's expression uncertain.

"That's it." After a while, Dr. Qu turned and stepped on the door of the operating room.

"Be careful." Xue Haochu, who was about to enter the door, hurriedly came into contact with Dr. Qu.

Dr. Qu frowned, and turned away.

Xue Haochu looked at Ling Ran and the resident doctor, and several other nurses, gave a kind smile, and then turned to Ling Ran, saying: "Dr. Ling, the video of the operation just recorded, I sent a copy to Academician Zhu , A copy to your mailbox. "