Chapter 235： will be better

"Dr. Ling, are you responsible for my operation?" Lying on the operating table, He Xiufang asked Ling Ran with his head up. Fiction.

Ling Ran who nodded to see the magnetic resonance film for the nth time nodded, thinking that He Xiufang could not see it, and said, "It is my main knife. I wish Academician Tongyi to guide the operation."

"When the operation was performed, could you make the wound smaller for me." He Xiufang lowered her voice and said, "I lost weight after I retired. It must look better than now. Do n’t have a scar on the back of the calf. . "

"The wound can't be small." Ling Ran answered stiffly, and then said, "You can have a tattoo ..."

"Don't tattoo, our hometown, it's harder to get a tattoo than for a second marriage." He Xiufang's voice increased.

The nurse who was preparing to listen was unwilling to listen: "What happened to the tattoo, I am not willing to marry this kind of man, and I just screen this kind of person."

"I don't want a tattoo!" He Xiufang's attitude was firm.

"After the operation, I will make a suture for you. It will not be too obvious if the prognosis is good." Ling Ran watched the film, closed his eyes, remembered it a little, and turned back and asked, "What else is wrong?"

He Xiufang thought about it and said, "Your operating table is so small, can you change it to a bigger one? I'm afraid I fell asleep, and one fell over. I was restless and snoring ..."

"Let it go." Ling Ran felt that the preparations were completed.

Yesterday, the anesthesia doctor, who was deliberately full of sleep, came over with a smile, holding his laryngeal mask, and said, "Say the name again."

"He Xiufang."

"A discus thrower?"

"Yes."

"Come, have a cake."

"Ah? Ha ..."

A man in the operating room, plus a doctor in the classroom, silently watched the performance of the anesthesiologist.

"I thought about me last night." The anesthesia doctor was so proud of howling.

Ji Tianlu and Zhu Tongyi looked at each other and didn't even want to know.

Ling Ran waited, and asked for a pen again. She lined from He Xiufang's ankle to her calf, and stretched 16 to 17 centimeters long.

The nurse in the audience could not help but said "Yeah", and then quickly bowed her head.

Ji Tianlu frowned, and asked, "How long?"

"The edges of the Achilles tendon are a bit hairy, so it's safer to stretch them out," said Ling Ran.

"Well, you decide." Ji Tianlu paused, and said to some troubled He Xiufang: "The scar is a little bit longer, there is no way, it is important to heal the wound."

Ling Ran didn't say a word. He was not a doctor who liked to open a small incision. When he was studying, he had seen many cases of accidents caused by too many small incisions. Now he has accumulated more knowledge. He was even more afraid of the accidents that might occur during the operation.

It ’s like the magnetic resonance of the Achilles tendon is not clear, there are many possibilities, the serious may be a malignant tumor, and the lighter conclusion may be the injury. As the chief surgeon, Ling Ran is more willing to go now Have a look.

"The Achilles tendon is not completely broken." The s-shaped incision was opened, and the doctors in the operating room were relieved, showing that the doctors in the classroom were also relieved.

The key to complete or incomplete Achilles tendon is not how much the Achilles tendon is injured, mainly because the Achilles tendon that is not completely broken will not shrink too much.

This is a troublesome problem encountered in Achilles tendon rupture. The broken Achilles tendon will retract inwardly, and it will be able to retract six or seven centimeters or more by opening the leg.

As a kind of tendon, the Achilles tendon that has shrunk to this extent is very difficult to suture. Even pulling it may not be pulled together. You can only use tendon transplantation. Take a piece of tendon from another part of the body and close it. stand up.

It is conceivable that the corresponding intensity of such an Achilles tendon transplantation is definitely not enough. It can only deal with daily life, and even be careful and careful. It is impossible to participate in high-intensity competitive sports.

From He Xiufang's magnetic resonance film, you can see the incompletely fractured Achilles tendon, but you can confirm the specific situation of the fracture only after it is completely opened.

Now it seems that there is no too serious verification and too much unevenness, which is considered to be the better Achilles tendon that Ling Ran has seen.

If he used ordinary methods for ordinary people to sew, such Achilles tendon can be sew to at least 80 points, which is the level of high-intensity training, which will take no more than half an hour.

Many athletes have undergone similar operations. It is only after their own rehabilitation efforts that they can see them again on the field.

If you use the scheme a designed by Zhu Tongyi, Ling Ran's confidence should be a little bit more, although it is not necessarily possible to reproduce Liu Weichen's recovery level, but for the incompletely disconnected Achilles tendon, the success rate will definitely increase.

"Take off the Achilles tendon first, well, I will do it myself." Ling Ran did not let Ji Tianlu do it, and chose to do it himself.

Zhu Tongyi frowned and asked, "Ling Ran, what does it mean to do it yourself ..."

"I just noted down the location of the blood vessels, and tried to avoid the blood vessels to peel the Achilles tendon as much as possible." Ling Ran tilted her head and said, "I will follow the previous procedure after I peel it off."

This is the idea that came out after Ling Ran made the plan a for Liu Weichen last time, and then looked back and analyzed again.

From Ling Ran's perspective, many of the blood vessels that were severed last time can be avoided. In other words, the complexity of reconstructing the vascular network can be reduced by avoiding small blood vessels, or it can be the same. Vascular network, but there are more blood vessels providing blood flow.

However, this operation is more difficult, especially the understanding of nuclear magnetic resonance, it must be quite proficient, otherwise, it is not clear.

Ji Tianlu thought for a while before he understood what Ling Ran meant, and he was shocked: "You can't always write down all the blood vessel positions?"

"How could that be ..." Ling Ran smiled.

"I said ..."

"I just took notes around the Achilles tendon." Ling Ran smiled.

Ji Tianlu laughed twice, too lazy to talk.

Zhu Tongyi also made two coughs and worked hard to adjust the atmosphere, saying, "Director Ji, don't look at Ling Ran's youth. His professional class scores are among the top three in Yunhua University. He has bad memory and cannot do it. right?"

Doctors are different from other industries. Even after leaving school for many years, the doctor's education still has a considerable amount of gold, especially medical students of well-known universities. Not only is it easy to find a job, it is smooth to be promoted, and after many years, Origin of Xiehe, origin of Xiangya, returnees, etc., still attract the attention of the hospital.

Of course, at that time, it may not be for academic qualifications, but for factions.

Zhu Tongyi just looked at Ling Ran's file and remembered it clearly, at this time he took the opportunity to talk about gossip.

Ji Tianlu was interrupted, so he no longer struggled, staring at Ling Ran's operation and thinking silently.

Ling Ran lowered the knife slowly. The action was slow, but the knife was accurate. Around the edge, slowly peeled off the part of the tendon that was broken.

To do this, Ling Ran took 30 minutes.

But when this step was done, everyone was relieved.

The next step is solution a, which everyone has already done again, and it should be simpler. Compared with Ling Ran's previous operation, it is more relaxing.

Ling Ran shook his shirt away and sewed quickly.

The number of Achilles tendons he has stitched together these days, there are not one hundred and seventy or eighty. With the perfect grade of Achilles tendon repair, the accumulated information obtained by his cases is very much.

In addition, Ling Ran has more experience with the familiarity, toughness and hardness of tissues and organs around the human Achilles tendon.

The same is the needle lead, the treatment method is different for people with different experiences. This is like calligraphy works on different types of rice paper, showing different postures ~ www.novelhall.com ~ Ling Ran is a little familiar with the organization of the surgical area, and the rest of the surgical work becomes stable Rebuilt steadily.

Vascular anastomosis remains.

Still an excellent fit.

However, Ling Ran did not come up with anything special, which was to steadily complete all the procedures step by step.

By the time the layers were stitched, many of the little doctors in the classroom did not wake up, and Ling Ran's surgery was complete.

"It's done." Ling Ran dropped the instrument and gave way.

"How do you feel?" Zhu Tongyi was in a good mood, and both cases were successful, greatly increasing the value of option a.

Ling Ran only thought when he asked about the operation, and said, "It should be better recovered by Liu Weichen."

"Great." Lu Wenbin and Miss Nurse both raised their fists.