Chapter 993： Brain flower

The incision made by Ling Ran today is only one-third stronger than usual, which is about 5 cm in length.

Compared with minimally invasive, such an incision is still a great trauma, and scar control after surgery is still very difficult. However, compared with the large incisions of 13 cm or more often made by "Zhu-Ling Achilles Tendon Repair", 5 cm incisions can be covered at least in various ways.

Of course, the most important of these is the strength of the Achilles tendon after surgery.

If the strength of the Achilles tendon is not pursued to ensure the corresponding exercise capacity, the patient does not need to challenge the Zhu-Ling Achilles tendon repair with a large incision, and can use minimally invasive surgery directly.

Because of this, Ling Ran has always faced two extreme patients, one is athletes and sports enthusiasts whose sports ability is the first pursuit, and the other is more concerned about wounds and appearance. And can give up some athletic ability to non-professionals.

Pei Baoer showed another compromised demand to Ling Ran.

On the one hand, she needs strong athletic ability of the Achilles tendon, because dance does need it. On the other hand, she needs the scars on her legs to be as small as possible, and her skin to be as smooth and complete as possible, because dancing is also needed.

Achieving just one of these goals is extremely detrimental to Pei Baoer's career-this is a contradiction that is difficult to see for other patients.

Ling Ran has done Achilles tendon repair for a number of female athletes. Among them, there are young female athletes with smooth and beautiful skin, but even if they do not want to, they will ultimately choose Zhu Ling Ling Achilles Repair, or Simply retire.

However, Pei Baoer first preferred to flee in a wheelchair rather than perform an operation, but to endure the pain, and voluntarily returned to the operating table, but she showed her psychological dilemma in action.

Ling Ran always does not care what others say, but cares more about what others do.

Pei Baoer's approach made Ling Ran aware of the improvement direction of Zhu-Ling Achilles tendon repair, or another need for Achilles tendon repair-Zhu-Ling Achilles tendon repair, originally because of Liu Weichen's needs. By design, Liu Weichen is a world-class men's track and field athlete. He has extremely high requirements for the strength of the Achilles tendon and has no requirements for the shape of the calf. Therefore, a 10 cm or 14 cm blade is no problem for him. Yes, as long as the strength of the Achilles tendon is guaranteed. Even if it only increases the strength of the Achilles tendon by 1%, he is willing to draw an extra 5 cm.

However, dancers like Pei Baoer obviously need a balance.

Or, dancers like Pei Baoer can use new design methods and concepts to redesign the surgery.

This is an unimaginable difficulty for ordinary doctors, but it is not so complicated for Ling Ran and Academician Zhu.

It takes time to improve a technique. of course. A little difficult? of course. Can it be done? of course!

Ling Ran lowered her head and sutured the blood vessels lightly.

的 The core of the new operation is still blood flow. To be precise, this is the core of Achilles tendon repair. Only by ensuring blood flow can we ensure the strength-for ordinary doctors, only by ensuring blood flow can we ensure the vitality of the Achilles tendon and the success of the operation.

However, different surgical methods are very different in how to ensure blood flow.

Minimally invasive is the ultimate in reducing damage. The lost blood vessels are abandoned by default. As long as the reattachment of the Achilles tendon is completed, the remaining blood vessels are used to maintain a certain amount of exercise capacity and ensure that the patient can lead a normal life. aims.

Open surgery is another direction, it is more like a reconstruction of the peripheral Achilles tendon system. The Achilles tendon is broken, all sutured, blood flow is insufficient, blood vessels are sutured and even transplanted blood vessels ...

Zhu Ling Achilles tendon repair is the best among them. It keeps small blood vessels as far as possible, which makes it more difficult and more effective while it is outstanding. It has almost become Ling Ran's sole surgery— — Doctors who can do sutures of this level would rather use it in brain surgery to avoid such a stitch and thread suture.

Ling Lingran and Academician Zhu re-negotiated the design of the surgery, using a more compromised solution.

In the case of open surgery with a small incision, the blood vessels are still sutured as much as possible, but the selectivity is stronger and more focused. Equal to that, it is the core irrigation for Zhuling's pujiang manna during Zhuling Achilles tendon repair.

This is the most secure plan that Ling Ran and Academician Zhu have discussed in a short time. However, if you look deeper, it has nothing to do with time. Clinical medicine is not like natural science. You can use time to pile up the best solutions. Many times, clinical medicine is a last resort. The time to wait for the right patient is often longer than the time for the doctor to design the solution. At the moment, it is not uncommon to modify the plan.

Pei Baoer is very suitable for this modified version of Zhu Ling Achilles tendon repair. Not only does she have realistic and definite needs, but from the information of MRI and other imaging information, her physical conditions such as Achilles tendon are also suitable.

Ling Ran held Pei Baoer's Achilles tendon stump and nodded with satisfaction while trimming.

The broken Achilles tendon hairs are ponytail-like in professional terms, but Pei Baoer's Achilles tendons are not completely broken, and less than a quarter are connected, and the remaining broken parts are not uniform. So it doesn't really look like a horsetail, more like chicken feathers, some thick spots like feathers, and some fine spots like down, a mess.

Ling Ran patiently organized, sutured, and then sutured blood vessels of varying thickness one by one, and focused on ensuring a few key points ...

A 5 cm incision, whether it is suture the Achilles tendon or the blood vessel, is a bit stretched. To some extent, this is actually an increase in the difficulty of the operation.

However, because there are fewer sutured blood vessels, the total operation time can be compressed. From this perspective, the difficulty of the operation is reduced.

After all, no matter how difficult it is, it is just an orthopedic surgery. In addition to paying attention to infection, the total difficulty of orthopedic surgery is not as high as ~ www.novelhall.com. The blood vessels take a long time, but they are not as long as craniocerebral surgery.

Ling Ran required himself to perform craniocerebral tendon repair according to the standards of craniocerebral surgery, except that the corresponding equipment was inferior to brain surgery, except that the skills of assistants were not comparable to brain surgery, and the prudent attitude of surrounding people was not comparable to brain surgery ... The environment is basically the same.

Ling Ran held his Achilles tendon in one hand and sewed blood vessels in one hand, operating silently.

Slightly, a little lonely ...

Especially the atmosphere in the operating room is always a little lack of seriousness.

Already accustomed to Ling Ran's operating room, Ma Yanlin is talking about Lu Wenbin's pig's feet at this time: "Pork is expensive, but the price of Lu's trotters has risen too fast. The price is adjusted once a week. The weekly price adjustments are not low. It is really a bit of a loss. "

"The trotters have also become a bit smaller. They used to have fewer big trotters."

"He sells a large quantity, but at such a large scale, he can't say that the price will rise, then, let's say, now that the price has risen up, will it still fall? I don't believe it."

"Let's eat hot pot at night." Ling suddenly said something, interrupting Ma Yilin's complaint.

"Okay, okay, I'll make a decision soon." Ma Yilin quickly agreed, and asked: "Do you want to order in advance?"

"I want to eat two brain flowers." Ling Ran patience piercing the needle lead, the brain flowers are all brain flowers.

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