Chapter 223： Intraoperative decision

"Dr. Ling, I think that the path you sutured is enough, are we thinking about ending the operation early and shortening the operation time will also have a lot of benefits." Ji Tianlu said very euphemistically.

From his point of view, not only is there a sufficient passageway, but it can also be said that it is more than enough in terms of Ling Ran's stitching margin.

Ending the operation now can be said to be a short operation time and good results. Analyzing the patient's benefits is simply the best node. Regarding Ling Ran's re-establishment of a backup path, in Ji Tianlu's opinion, there is already suspicion of over-medical treatment.

If Ling Ran does not have the system's completion degree prompt, he may hesitate.

In fact, even now, he is not sure that rebuilding the second channel will definitely improve Liu Weichen's Achilles tendon function.

The plan made by Academician Zhu Tongyi is an experimental plan in itself. Prior to this, there was no precedent. It can even be said that the completion of the first passage was useless. Everyone couldn't say that it would have to wait for Liu Weichen to be wounded, so we can guess One or two.

To really judge the clinical value of this program, maybe we need to do some more surgery and then compare it with conventional surgery.

However, this program is not aimed at ordinary people, but athletes who have a great demand for recovery time and Achilles tendon strength. At least they must be professionals such as soldiers to have similar needs. Therefore, even if It takes time to increase the blueprint.

At that time, if the program's value is really proven, some blue-collar workers or sports enthusiasts may also benefit. But at this stage, they can't afford huge health and economic risks-experimental surgical solutions are not reimbursed, domestic medical insurance is not reimbursed, and foreign ones are not expected. Follow-up continuous health risks are also a problem. Liu Weichen is currently even willing to bear the risk of bearing weights after a few years. Ordinary people are better off waiting for a few years to see the results.

"The blood supply capacity of our sutured blood vessels is at most equivalent to that of two fingers. Are you sure enough?" Ling Ran used the tone of discussion. It is normal for Achilles tendon function to recover to 75%, and to advance to a higher degree of recovery, suture more blood vessels is not the only way.

In theory, Ling Ran can continue to strengthen the strength of the Achilles tendon, and you can also consider the problems of bones and surrounding muscles. In addition, infection may also exist. Adhesion is always a major problem for tendon sutures, and it may even be Liu Weichen. Genetic problems-some people recover better after invasive surgery, and some recover worse, such as people with hemophilia genes, which is very unsuitable for surgery.

However, from Ling Ran's judgment, he is more inclined to the issue of blood supply ability.

Academician Zhu Tongyi's plan was approved by him, and based on this plan, the blood supply network connected by the sutured path just now does not provide sufficient nutrition-more than adequate for ordinary recovery, for miraculous recovery, Maybe I can't help it.

This is like an army's demand for logistical supply. A small amount of logistics is the basis for survival. A large amount of supply is sufficient to respond to defense in a war state. Only sufficient supply can meet the offense.

Ji Tianlu was asked some questions, and frowned for half a minute before he said: "From our experience, the blood supply is now much higher than the previous level."

"Not necessarily." Ling Ran has been thinking about this problem before, saying: "It seems that we use fewer median incisions to destroy the vascular network. In the past, patients with Achilles tendon rupture did not pay special attention to the blood supply. Some people Maybe the condition of the injury and wound is better, so the recovery is better? "

"Hmm ... it's possible." Ji Tianlu had to admit the problem, but said: "But it will take more than 90 minutes for the suture to continue. Can the patient get a positive benefit? An open wound is not small for three or four hours. Surgery. "

The longer the wound is open, the greater the chance of complications. Surgery over three or four hours will basically cause complications. For sprinters, prolonged edema or inflammation is a huge problem.

Ji Tianlu was also worried that the situation would be inverted.

Ling Ran was previously replanted with broken fingers, and his dedication to blood transport was natural. With previous thinking, Ling Ran said without hesitation: "Guarantee blood supply will always be first. If you are worried about complications, It can be treated later with drugs. If there is insufficient blood supply, are there any remedial measures? "

This answer hit the heart of Zhu Tongyi.

After waiting for Ji Tianlu to speak, Zhu Tongyi immediately said: "The idea of ​​ensuring blood supply is the core of the whole plan, and continue the operation."

In today's surgery, Ling Ran's main position is ranked second, and the final decision-making power is still in the hands of Academician Zhu Tongyi. If he continues, Ji Tianlu will not be able to say anything. He can only say, "I will change another one. gloves."

"Well, Lu Wenbin is going to change it, I will do it myself." Ling Ran paused, sat in front of the microscope, and then said, "Wipe sweat."

The instrument nurse wearing a little gray rabbit surgical cap, grasped the gauze with tweezers, and lightly touched it on Ling Ran's forehead, then whispered: "There is no sweat, there is a hair falling down, so I think Itch, wait a minute ... "

The little nurse wearing a small gray rabbit surgical cap put down the gauze, changed another pair of tweezers, got close to Ling Ran, stomped her feet, carefully pinched a hair in Ling Ran's forehead, and said, "I will help you check again. a bit."

Hair and the like are very troublesome. Ling Ran stood obediently and asked the little nurse to scan her face again.

The little nurse's face turned redder and redder, if it had not been taught the principle of sterility countless times, then it would be stuck on the body.

...

The doctors and nurses in the classroom were smiling, and everyone ’s attention began to shift from Liu Weichen to Ling Ran.

"I didn't expect Dr. Ling to be so hard."

"Dare to argue with Director Ji like this, it should be a bit sure."

"What certainty? It's nothing more than youthful vigor."

"Young and vigorous? So what is Academician Zhu doing to agree with his plan? Isn't it obvious to support Director Ji?"

"This is not a question of who supports who. You haven't noticed that Dr. Ling is going to do the second channel? This is the most scary thing."

Speaking of specific technology, many doctors are dumbfounded while excited.

"Hey, if I let me do it, a set of pathways will be tomorrow." A resident doctor opened it with himself and instantly opened the topic.

"I can do it tomorrow night too."

"I guess I can't finish it before fainting ~ www.novelhall.com ~ Everyone cried out.

Microsurgery is notoriously tiring. In contrast, Achilles tendon surgery is relatively easy. No one expected that such a complicated surgery that has been designed can even double the complexity.

"Wipe sweat." Ling Ran's voice came out of the screen. It can be seen that his physical energy consumption is also very large, and his forehead turned out to be sweat again.

The little nurse wearing a little grey rabbit hat wiped it again with gauze under Ling Ran's little yellow rabbit hat.

The operation continued.

The little doctors continued the discussion.

"Wipe sweat." Ling Ran's voice was slightly tired.

The little nurse wearing a little gray rabbit hat was still energetic.

The 204-pound fat was hospitalized, and squeezed half of the mineral water tightly. Just as he was about to drink it, the phone rang and the electric bell rang: "I do n’t have that kind of life, and I wo n’t turn To me ... "