Chapter 298： Blood loss

In the operating room, many foreign doctors were as quiet as chickens.

A surgeon can have all kinds of hobbies and do all kinds of strange things, as long as his surgery is good enough!

They didn't know Ling Ran's operating habits, and they didn't want to know if he had a strange ritual before the operation, they just waited in silence for the operation to continue.

The Chinese doctors were a little curious and did not dare to talk in a mess. Only one resident doctor took out his mobile phone as if he was dead, wanted to exchange two sentences with colleagues in the classroom, raised his head, and saw Ji Tianlu's murderous look .

The resident doctor looked around, then lowered his head, opened the phone case, took out the battery, and put the phone back in his pocket.

"We continue the operation."

Ling Ran had spoken, and began to press on the operating table. The red light of the camera with the plastic bag on the belly of Diamond's calf also turned on.

At the same time, the small conference rooms and classrooms were also quiet.

The doctors present were holding their breaths.

They could have sat in the conference room and watched the live broadcast, but they should also watch the surgeries of the highly qualified scholars recommended by the organizing committee.

However, they came to the scene to see Ling Ran's operation.

Achilles tendon repairs will be performed by a resident.

An operation that determines the future of a 19-year-old.

Diamond had reason to cry.

When the hard work of the past and the dream of the future depend on an operation, when he put his entire life as a bet on the operating table of an unfamiliar surgeon, tears were the only vent.

"Peel the Achilles tendon." Ling Ran's tone couldn't hear the change.

"Peel off the Achilles tendon." Yu Yuan, who was stepping on two step stools, repeated it.

"Suction."

"gauze."

"Draw again."

Ling Ran first did the work of hemostasis to ensure the clarity of the surgical field of vision.

Yu Yuan listened to Ling Ran's order and thought while doing it.

She couldn't stop thinking about it, so she often delayed the operation. In the words of her mentor, she was thinking too much and doing too little, and her hands were not matched.

Earlier in Yunyi's other treatment groups, Yu Yuan was disappointed because of her slow movements and slow response.

Even a modest surgeon wants the operation to go smoothly. A smoother sign, in addition to a good prognosis, surgery is scheduled to proceed, is also very important.

Residents who can't cooperate well are definitely a hindrance to a treatment group.

However, in Ling Ran's treatment group, Ling Ran's requirements for residents were not high.

Of course, working hours are long, but when she was on the operating table, Ling Ran was silent and able to adapt to different states of different residents at any time, but Yu Yuan and others had never encountered .

Under Ling Ran, even if Yu Yuan was half a beat slow because of her thinking, she would not be reprimanded.

This makes Yu Yuan more relaxed, but better.

"The amount of bleeding is very small." Yu Yuan discovered this "secret" earlier than others.

Others have no idea about the normal amount of bleeding in Scheme A.

Ling Ran said "En" and said, "It is better to break a little blood vessel than to sew it afterwards."

Yu Yuan immediately nodded and should "yes", then turned her head and asked the anesthesiologist, "What is the blood loss?"

The anesthesiologist whispered, "45 ml."

Ling Ran nodded, this is already lower than the previous blood loss, indicating that the severed blood vessels may be less than before.

Of course, it's just maybe.

The doctors present were finally able to hear clearly and could not help but talk.

If you are unfamiliar, take out your phone and start searching.

Ji Tianlu coughed heavily and said, "The blood loss of the current traditional incision method is about 150 to 200."

He said a little less, so as not to appear weak domestic medical standards.

A fast-moving doctor has found something, nodded and put away the mobile phone, and someone introduced it in English: "Now limited blood loss of about 70 ml, minimally invasive blood loss of about 30 ml, the entire surgical process. "

In comparison, the blood loss of Ling Ran's surgery so far has exceeded the blood loss of minimally invasive surgery. After the whole operation, it must also exceed the blood loss of wired incision surgery.

This is limited by the type of surgery. From the perspective of the traditional incision mode, the blood loss so far in this operation is very small.

"This is the principle of Scheme A." Dr. Morris asked Ji Tianlu, curiously, "reducing the amount of bleeding and increasing the strength of the Achilles tendon suture?"

"The blood loss is just ... the appearance." Ji Tianlu asked the translator to repeat it again, and said, "The ultimate purpose of Scheme A is to reduce the damaged blood vessels, maintain the normal operation of the vascular network, and provide sufficient blood supply to the Achilles tendon."

"Well ... good idea," Dr. Morris said with a smile, "it's also difficult."

"Dr. Ling's level is very high." Ji Tianlu took the opportunity to help Ling Ran publicize a wave. At this time, it is meaningless to publicize the hospital or yourself. Publicizing Li Ran is publicizing plan A, which is to publicize Zhu Tongyi and his hospital.

"It should be possible to make a reinforced suture." After playing with the Achilles tendon for a while, he made a judgment.

Yu Yuan scrambled to get ready.

The function of a helper can be more or less. For an experienced main knife, a helper that can help the rope can also be used, and a helper that can do everything can also be used.

Ji Tianlu did not participate in the surgery, he looked beside, seeing that Ling Ran's enhanced suture was as smooth as ever, and nodded secretly.

The doctors on the sidelines came involuntarily.

Because of the blocking band, a group of doctors could only stick their belts to their waists, step on their feet, and stretch their heads forward.

The most extreme is already using the golden rooster's independent tricks.

"The match is neat."

"Double reinforcement stitching."

"If there are no complications, this intensity is fine."

Whether Chinese doctors or foreign doctors are communicating in English at this time, there are no obstacles.

The language used for the speech is more complicated ~ www.novelhall.com ~ Compared with daily communication, it is much more difficult.

At this moment, everyone discusses the same topic. In English, most people have no problem.

"Vascular forceps."

"Suction."

"The stitches are made by Purdue."

Ling Ran moved quickly and ordered very quickly.

"It does retain a lot of vascular networks."

The doctors watching outside and inside the operating room slowly saw the doorway.

With 200 times of anatomical experience, Ling Ran decisively changed the approach and cut off fewer blood vessels. Coupled with sutured blood vessels, it not only reduced the operation time, but also ensured blood supply and reduced bleeding.

In addition, all operations are familiar operations that Ling Ran has done countless times.

The more Ling Ran did, the more doctors outside the circle became more and more active.

Of course, the layman looked very boring. The perfect Achilles tendon repair did not have any special conditions, and there was no fierce dialogue and fierce movements. Ling Ran's operation was unhurried. It's like a man who always goes on a blind date in a restaurant and meets a woman who has little interest and feeds himself in vain.

"It's done." After Ling Ran sutured the skin, she cut the sutures short and lost the scissors. He nodded to the crowd and walked out of the operating room.

There was blood on his gloves, and the surgical gown was not clean. It was not time to hug.

The doctors who were watching the operation seemed as if they had discussed it. They took out their phones and started taking pictures and selfies.

The resident at the Bone, Joint and Sports Medicine Center also hurriedly took out his mobile phone disassembled into pieces, installed the battery, pressed the back cover, turned on with anticipation, and raised his head happily ...

"Director Ji, your eyes are really bright." The hospital doctor smiled thickly and pulled out the battery just installed.