Chapter 259： Legend Achilles

Ling Ran, wearing gloves, squeezed on the sterilized patient's calf, and then squeezed it, and squeezed it enough, and said, "Count down to 20 minutes."

There are only twenty minutes left in his skill potion. If the operation can be completed in 20 minutes, the entire operation is performed in the legendary Achilles tendon repair.

Of course, even if the operation cannot be completed in 20 minutes, there will be no loss.

When Ling Ran was performing surgery at the Bone Joint and Sports Medicine Center, the average operation time for Achilles tendon rupture repair was just over 30 minutes. Now the preliminary preparations are completed, and it is not a particularly complicated operation. Ling Ran's mentality is Extremely relaxing.

As for the doctors of Yunyi Orthopedics, the mood and expression are not so calm.

The time for a normal doctor to repair an Achilles tendon rupture is generally about one hour. Taking into account the various bad habits of grinding, it is more common to spend one and a half hours for surgery.

Occasionally, there are doctors who are pursuing the speed of surgery. It is also possible to shorten the time of Achilles tendon repair to less than 50 minutes, but no one really looks like a competition, limiting the time of an operation to a short time. Inside.

It was said to be 20 minutes.

What can be done in 20 minutes? For a surgery, 20 minutes is not enough time to sew the skin, especially the new doctor, it is normal to spend tens of minutes to sew a skin.

Even a skilled orthopedist does not have the concept of performing a surgery for 20 minutes. The bones of a patient with bone cancer are removed and cooked for more than 20 minutes.

Ling Ran did not care what other orthopedists thought.

He is not a person who is good at taking into consideration the thoughts of others. If he wants to make everyone around him happy, Ling Ran should be assigned 166 dolls when he is in kindergarten. That is the number of all girls in the kindergarten, plus teachers. The number of daughters in the family, plus the number of daughters in the parents' homes.

Therefore, at a very young age, Ling Ran understood that it is impossible for one person to please the whole world by pleaseting everyone.

A more likely scenario is to please one person and offend another.

After growing up, Ling Ran learned how to do things to others.

Like the surgery in front of him, he can complete it in 20 minutes, and it needs to be completed within 20 minutes, and he will limit it to 20 minutes. As for the embarrassment and embarrassment of other orthopedic surgeons, Ling Ran has no way to resolve it. It's as if someone confessed to you on the street and you don't like the person at all. So, is there any solution other than rejection?

"Knife." Ling Ran stretched out his hand, got the scalpel, and used a bow to cut an S-shape at the position where the line was drawn.

With the addition of skill potions, his bow-holding techniques have risen from mastery to mastery.

Specialized skills are the norm at top hospitals in areas like Yunyi.

If an attending doctor can't master even a specialized level of skills, he will be very difficult to stay in Yunyi, and there is no problem in using mixed words to evaluate. Of course, most of the attending masters are mastering two or three, three or four specialization-level skills, which are barely regarded as unique skills.

However, the master class is truly unique.

Not to mention doctors in their thirties, deputy chief physicians without talents, master-level skills can not be practiced as usual, or even with talent, doctors need time and opportunities to exercise master-level skill.

Like Director Pan of Yunyi Hand Surgery, his tang method has not yet reached the master level, not because his talents are not good, but because Yunyi did not do the tang method, at least before Ling Ran arrived , Tang method suture is not available in Yunyi. Director Pan developed the tang method from scratch. It took time and effort, and it was very difficult to learn.

Therefore, it is very good for Director Pan to be able to sew the tang method to strong specialization, but it still takes one or two years for him to reach the master level. Two or three years of continuous training can make a breakthrough.

In the hospital, deputy directors such as Director Pan are already among the elite.

Yunyi Bone

----- This is a gorgeous dividing line--

Fiction netizens please remind: please pay attention to the rest of your eyes for a long time reading. Recommended reading:

---- This is a gorgeous dividing line ---

The average level of the department is not up to the level of hand surgery. The doctors present are mostly attending and in-patient doctors. None of them have mastered master-level technology.

Some deputy director who came around woke up a little bit, knocked on the shoulder of the doctor next to him, and said, "Take it down."

The named inpatient called "Oh" and quickly pulled out his mobile phone and put it into the photography state.

The deputy director nodded and said, "It is not allowed to bring a mobile phone in and out of the operating room. It is not an example."

"Oh, yes ..." The little resident doctor looked at the screen with a sullen expression.

Cell phones, socks and slippers are the biggest sources of pollution in the operating room.

The main knife, assistant, and equipment nurse can only guarantee that they are not touched. Few people do not carry them. Even if the hospital makes three orders, it is not effective. Doctors are willing to abide by various rules and regulations, but are unwilling to leave their mobile phones, change slippers and give up socks.

Therefore, the mobile phone is also called Schrödinger's mobile phone in the hospital. When you ask and observe the doctor, there is no mobile phone on them. When you close the black box, you don't know how many calls they made with the mobile phone. , How much the level of consumer music hit.

The deputy director naturally also carried a mobile phone, but if he did not pull it out, he did not bring a mobile phone.

The criticized little resident was pushed to the operating table, and the attendant patted him on the shoulder and laughed: "It's okay. We used to forget to put the phone down. We will know when you work for another two years. . "

The little resident hummed twice as he pointed the mobile phone at the operating surface. "If you didn't bring a mobile phone, what would be against my waist?"

"Who's cell phone will be in that position."

"what?"

...

Ling Ran quickly dissected the position of the Achilles tendon of the small white-collar worker, and then carefully examined it.

At this moment, what Ling Ran sees is Achilles tendon, but what appears in his mind are various parameters in MRI.

With the perfect level of MRI reading ability, Ling Ran does not need to write down the specific values, but when he reads the film, he has a perceptual knowledge, so he has his own ideas about the key parameters. .

For example, the stiffness of the tendon, the toughness of the ligaments around the Achilles tendon, the thickness, whether there are calcification points, the density of the muscle and the thickness of the fat layer, and so on.

When most people look at NMR, they look at the problematic part. Even when Ling Ran reads the film with master-level MRI, he sees the problematic part.

However, the perfect level of MRI reading ability has allowed Ling Ran to have a corresponding understanding of the problem-free part.

It is equivalent to expanding his reading of NMR by a factor of ten or one hundred.

Just like the Achilles tendon of a small white-collar in front of you, the force that binds its ligaments belongs to the larger category, and the toughness of the ligaments is also too large. However, both are within the normal range, so doctors usually do not pay attention to it.

The doctors before the surgery, even if they have the ability to read films, will not read to such an in-depth level. Even if the doctors in the imaging department have such reading capabilities, they do not know how to tell the surgeon that the imaging department serves the entire hospital. Yes, most of them will not delve into or understand how a specific operation in orthopedics is done.

As for the impact of a tough ligament on the operation, it is beyond the knowledge of the imaging doctor.

In fact, even Ling Ran's current reading capabilities are beyond the reach of most imaging doctors worldwide.

Ling Ran felt that if he had performed Liu Weichen's surgery in this way, the improvement of MRI reading ability alone would greatly increase Liu Weichen's ligament resilience, and he did not dare to say that he had achieved 100% recovery. And so on, there will be more advantages.

As for the legendary Achilles tendon repair ...

Ling Ran held the knife with a pen and gently slid it down. Only three or two times, she moved the patient's Achilles tendon away.

--- This is a gorgeous dividing line ---

Fiction netizens please remind: please pay attention to the rest of your eyes for a long time reading. Recommended reading:

----- This is a gorgeous dividing line-

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"There are old plaques, which should be cracked." Ling Ran took a look, and easily made a judgment.

"If he listens to nonsense and thinks it was someone who made a fuss, it would be interesting to cut it now." Lu Wenbin was a little funny and unhappy.

Ling Ran said "En", "I thought it was an interesting medical record."

The levels of the Achilles tendon rupture shown in the MRI are uneven. If it is provoked by others, the subsequent development is very unexpected. Unfortunately, the result is that some of the patients who are least excited are nonsense, better than lying, but more boring than lying.

"Do you want to cut it all?" There are hundreds of Achilles tendon repairs followed by Lu Wenbin and Ling Ran. In the hospital, such big assistants can try to go into sutures by themselves. For the various steps in the operation, naturally It is not cooked anymore.

Ling Ran, however, was looking at the old plaque part and thought for a while, and said, "He should have been torn here before, without treatment, so that the Achilles tendon's athletic ability and toughness are relatively poor. It broke. "

"A lot of people do n’t know if their Achilles tendon is broken, they think it is lame. He is partially torn, and it is probably that he is lame.

"Well, now that it's all open, let's do an old Achilles tendon repair by the way." Ling Ran quickly made a decision.

Lu Wenbin looked at his watch and asked, "Will you readjust a time?"

"No, 20 minutes is enough." Ling Ran said, "Scissors."

The instrument nurse handed the scissors over.

Ling Ran pinpointed the location, cut the Achilles tendon, and said to Lu Wenbin: "I cut the torn Achilles tendon to repair the old parts."

The biggest difference between the old Achilles tendon repair and the fresh Achilles tendon repair is that the former often requires transplantation.

Cut a part of the good tendon to fill the missing part of the Achilles tendon. If it is an old Achilles tendon repair after a complete rupture, the Achilles tendon to be transplanted is often long after the Achilles tendons on both sides are contracted ~ www.novelhall.com ~ However, Ling Ran's patients at this time are only partially old Sexual lesions, he only needs to do partial repair.

The cut-out Achilles tendon hair tips are used, which belongs to the category of waste utilization, but in terms of difficulty, it has increased by at least an order of magnitude.

Ling Ran didn't talk much, so he didn't rush.

It is difficult for a normal doctor to do this operation. The strength of the torn Achilles tendon cannot be guaranteed. It is used for repair and it is easy to cause secondary injuries.

However, Ling Ran knew it clearly through MRI. The legendary Achilles tendon repair is even more accustomed to this kind of operation.

In fact, although Ling Ran didn't say it now, his approach is approaching Scheme A designed by Academician Zhu Tongyi.

It is nothing more than suturing the severed blood vessels, but the core essence is to reduce severed blood vessels.

Therefore, from the perspective of orthopaedic doctors, Ling Ran's Achilles tendon repair seems to be satisfactory. In fact, he may only have 20% of the blood vessels that he cut off.

Even so, Ling Ran completed the patient's Achilles tendon in just 18 minutes.

Wait until the suture finishes, 20 minutes.

"It's fast."

"20 minutes?"

"It's lightning fast."

The orthopaedic doctors did not hesitate to praise, but Ling Ran's expression was the same, because the praises of the little doctors did not praise the idea at all.

"Tough work." Ling Ran had no interest in work such as bandaging, and threw it all to Lu Wenbin, nodded to the crowd, and left the operating room.

"Go back and send me the video." The deputy director took out his mobile phone and shook it at the shooting doctor.