Chapter 341： Arthroscopy

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Place the patient on a dark green treatment towel.

Large light blue sterile sheet covers the patient, exposing only the knee area.

Although the patient was awake, he was also covered under the sterile sheet at this time. He could only look bored at the sterile sheet and listen to the music in the operating room, which was extremely boring.

"It's better than general anesthesia." Zuo Cidian knew that Ling Ran didn't like chatting with patients, so he took the initiative actively, of course, because he likes chatting and was afraid of boredom.

Today's patient is a 62-year-old man. He nervously and persistently shook his head behind the sterile sheet, and said, "Can't be anesthetized. People we know. After anesthesia, they didn't wake up and died."

"Dead to anesthesia? That's not common." Zuo Cidian was surprised.

"The hospital said that it died of a heart attack, and it did not lose money. We all know that old Liu, although it is a bit high blood pressure and heart disease, it is not a degree of death." It hurts a lot. "

Zuo Cidian looked at Ling Ran and suddenly felt that chatting with patients was not a good idea.

"Check the tourniquet for inflation." Ling Ran painted his knees and spoke to Yu Yuan.

Meniscioplasty under knee arthroscopy originally required only one assistant. However, the doctor at Zhucheng Hospital could not leave him alone. The original attendant Zhang Pengyi acted as a helper, Yu Yuan acted as a second helper, and Zuo Cidian was in a state of observation and stood aside.

"The lateral approach of the knee anterior patellar ligament." Ling Ran explained to the assistants, then observed the position, and then reached out and said, "Knife."

Snapped.

The highly nervous equipment nurse immediately smashed a scalpel into Ling Ran's hand, and became even more nervous.

Ling Ran looked up at her, but gave a smile, then turned her head to the place where the marker was drawn. A 0.5 cm incision was made.

The equipment nurse was tense, and an endless imagination began in his mind.

"Piercing cone." Ling Ran reminded again.

Snapped.

The equipment nurse exhausted all her life-long learning, and put the puncture cone into Ling Ran's hand at the best speed, the most accurate angle, and the most suitable strength. When she dropped her hand, she even had a faint collection. force.

This is the best fit for surgeons.

Ling Ran gave a smile again, and immediately lowered his head, poking the puncture cone into the knee joint stably.

Next, Ling Ran placed an arthroscope and ordered: "Add saline."

Zhang Pengyi, relieved, immediately began to inject saline.

He was a little worried just now that Ling Ran's operation was flawed.

Although there are praises for out-of-hospital experts on the lips, in the medical industry, interlacing like a mountain is inevitable. Even an internationally-known cardiac expert can see the knee joints well.

For example, Amano Atsushi, who performed a heart bypass for the Japanese emperor, what he is known for is that the main knife has completed 6,000 cardiac bypass operations, plus instructions to complete 10,000 cardiac bypass operations. On average, 500 surgeries are performed every year, which is normal for Japanese doctors. Nearly 10 times that of Chinese doctors.

But besides that, Amano did not perform any surgery, and he didn't need to know about knee arthroscopy or ankle arthroscopy. The basic anatomy may be clear, but it doesn't stop there.

Zhang Pengyi saw Ling Ran's experience in operating arthroscopes, plus a foreign expert hired by heavy money, which obediently gave up the position, but his name was written on the operation list. If there is no worry, that is impossible.

However, now that Ling Ran is so skilled, Zhang Pengyi is relieved.

Do not look at it is a puncture cone operation, a small movement, it requires a lot of practice and personal understanding. The puncture cone is like an oversized needle. The depth of the puncture into the knee must be controlled, and the intensity must be sufficient, so as to avoid repeated attempts to cause a poor prognosis.

You can guess one or two by seeing the level of a nurse. Seeing a doctor doing arthroscopy, a puncture cone is also a good criterion.

Zhang Pengyi was convinced that Ling Ran's level was good, so he cooperated with peace of mind.

The arthroscope entered the knee joint, and the 42-inch screen above the operating table displayed the content in the video in real time. Compared with X-rays and even MRI, it was much more intuitive and clear.

Theoretically, the diagnosis under arthroscopy, especially the diagnosis of meniscus injury, can reach a 98% accuracy rate. In terms of medical diagnosis, this number is very high. Especially the diagnosis of western medicine, it is to give a classification of the disease, unlike traditional medicine, just point out that there is a problem somewhere.

Of course, the probability of misdiagnosis still exists. A 100% affirmation can only indicate conceit, but not confidence.

Ling Ran spent a few more minutes to check the meniscus for damage, and then said: "It is expected that a meniscus of about 7 mm can be retained ..."

Zhang Pengyi was still looking at the screen. He heard Ling Ran's words and did not answer for a while. In his experience, UU Reading needs more time to think and judge.

Ling Ran has taken care of himself.

The core of meniscioplasty is to restore the meniscus of a patient with meniscus injury to a normal state or near normal state.

In this, the extra ones must be snapped with blue forceps, the edges with irregularities must be cleaned up, and the worn ones must be smoothed out ... Ling Ran is now encountering a patient with long-term conservative treatment and eventually severe meniscus wear.

"The meniscus is uneven." Zhang Pengyi finally looked back and looked at the meniscus in the screen and sighed.

The patient cried out, "Is it embarrassing to be bumpy?"

"Not good." Zhang Pengyi said: "The result of your conservative treatment is that the meniscus is constantly being worn, which is more difficult to handle now."

"My conservative treatment was also requested by the doctor."

"You didn't check it regularly."

"Well, everyone knows what's going on, and what's going on." The patient was lying on the bed, and didn't dare to move.

Zhang Pengyi shut up.

Ling Ran finished the arthroscopic surgery in one breath, and finally looked at the time, only 15 minutes.

"Next?" Ling Ran took off his gloves and left the operating room.

"How's it going?" The director waited for a vote.

"Better than me." Zhang Pengyi grinned twice, nothing to hide.

"Better than you?" The director repeated his words and nodded slightly.

They also just started arthroscopic surgery, and the demand for specialists is much greater than before.

Because the effect of arthroscopic surgery is good, the trauma is small, and the number of patients willing to undergo surgery is increasing. Zhucheng Hospital has not trained enough arthroscopic doctors.

You Fengyu took a chance and asked Zuo Cidian alone, "How much does your doctor cost an arthroscopy?"