Chapter 993 Brain Flower

The incision Ling Ran made today is only one-third of the usual length, which is about 5 centimeters in length.

Compared with minimally invasive, such an incision is still a big trauma, and postoperative scar control is still very difficult. However, compared with the large incision of more than 13 centimeters that is often done in "Zhu-Ling Achilles tendon repair", the incision of 5 centimeters can at least be covered in various ways.

Of course, the most important thing here is the strength of the Achilles tendon after the operation.

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

Because of this, all along, Ling Ran has been dealing with two extreme patients, one is athletes and sports enthusiasts who put sports ability first, and the other is more concerned about wounds and appearance. And non-professionals who can give up part of their athletic ability.

Pei Bao'er showed Ling Ran another compromise demand.

On the one hand, she needs the Achilles to be extremely athletic, as dancing does. On the other hand, she needs the scars on her legs to be as small as possible, and the skin to be as smooth and intact as possible, because dancing really needs it.

Just achieving one of these goals is extremely detrimental to Pei Baoer's career—this is a contradiction that is hard to see in other patients.

Ling Ran has performed Achilles tendon repair on many female athletes, many of whom are young with smooth skin and beautiful skin, but even if they are unwilling, they will eventually choose Zhu-Ling Achilles tendon repair rationally, or just Simply retire.

However, Pei Bao'er would rather escape in a wheelchair than undergo an operation, and enduring the pain, she voluntarily returned to the operating table, but her actions showed her psychological dilemma.

Ling Ran has always cared less about what other people say, and more about how they do it.

Pei Baoer's practice made Ling Ran realize the improvement direction of Zhu Ling's Achilles tendon repair, or in other words, the need for another kind of Achilles tendon repair—Zhu Ling's Achilles tendon repair was originally developed because of Liu Weichen's needs. Designed by Liu Weichen, a world-class male track and field athlete, who has extremely high requirements for the strength of the Achilles tendon, and has no requirements for the shape of the calf. Therefore, a 10cm or 14cm incision is no problem for him. Yes, as long as the strength of the Achilles tendon is ensured. Even if it only increases the strength of the Achilles tendon by 1%, he is willing to make an extra 5 cm incision.

However, a dancer like Pei Baoer obviously needs a balance point.

In other words, dancers like Pei Baoer can use new design methods and concepts to redesign the operation.

For ordinary doctors, this is unimaginably difficult, but for Ling Ran and Academician Zhu, it is not so complicated.

It's all about improving a technique, and it takes time? certainly. A little difficult? certainly. Can it be done? certainly!

Ling Ran lowered his head, suturing the blood vessels lightly.

The core of the new surgery is still the blood supply, to be precise, this is the core of the Achilles tendon repair. Only by ensuring the blood supply can the strength be guaranteed - for ordinary doctors, only by ensuring the blood supply can the vitality of the Achilles tendon and the success of the operation be guaranteed.

However, different surgical methods vary widely in how to ensure blood supply.

Minimally invasive is the ultimate in reducing damage. Lost blood vessels are given up by default. As long as the reconnection of the Achilles tendon is completed and the remaining blood vessels are used to maintain a certain level of exercise ability,

Its goal is to ensure that patients can live a normal life.

Open surgery is another direction, it is more like a reconstruction of the Achilles tendon system. The Achilles tendon was ruptured, all sutured up, the blood supply was insufficient, the blood vessels were sutured and even grafted...

Zhu Ling's Achilles tendon repair surgery is the best among them. It does not let go of even the small blood vessels. This makes it more effective and at the same time more difficult. It has almost become Ling Ran's unique surgery— —Doctors who can do this level of suturing would rather be used in brain surgery than to be bothered with such stitches.

Ling Ran and Academician Zhu re-discussed the planned operation and adopted a more compromised plan.

In the case of open surgery with small incisions, it is still necessary to suture blood vessels as much as possible, but it is more selective and more focused. In other words, it turned Zhu Ling's general nectar during the Achilles tendon repair into core irrigation.

This is the safest plan that Ling Ran and Academician Zhu have discussed in a short period of time. However, on closer inspection, it has nothing to do with time. Unlike natural science, clinical medicine can use time to pile up various best solutions. Clinical medicine often has to be done as a last resort. The waiting time for a suitable patient is often longer than the time for a doctor to design a plan. At the end of the day, it is not uncommon to modify the plan.

Pei Baoer is very suitable for this modified version of Zhu Ling's Achilles tendon repair. Not only does she have a realistic and definite need, but she is also suitable for her Achilles tendon and other physical conditions based on MRI and other image information.

Ling Ran grabbed Pei Bao'er's Achilles tendon stump and trimmed it while nodding in satisfaction.

The broken Achilles tendon is hairy, professionally speaking, it looks like a ponytail, but Pei Baoer's Achilles tendon is not completely broken, and less than a quarter of it is connected, and the rest of the broken part is uneven. So it doesn't really look like a ponytail, it's more like chicken feathers, some are thick like feathers, some are thin like fluff, a mess.

Ling Ran tidied up patiently, and then sewed up blood vessels of different thicknesses one by one, focusing on a few key points...

The 5 cm incision, whether it is suturing the Achilles tendon or suturing blood vessels, is a bit stretched. To a certain extent, this actually increases the difficulty of the operation.

However, because there are fewer blood vessels to be sutured, 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. Apart from paying attention to infection, the overall difficulty of orthopedic surgery is not much higher. The difficulty of suturing blood vessels is high, but it is more difficult than craniocerebral surgery; the time for suturing blood vessels is long, not as long as craniocerebral surgery; it is more troublesome to suture blood vessels, but it is not as troublesome as craniocerebral surgery...

Ling Ran demanded himself according to the standards of craniocerebral surgery, doing Achilles tendon repair, except that the corresponding equipment was not as good as that of the brain surgery, except that the skills of the assistants were not as good as that of the brain surgery, except that the cautious attitude of the people around him was not as good as that of the brain surgery ...the environment is basically the same.

Ling Ran stroked the Achilles tendon with one hand and sewed the blood vessels with the other, operating silently.

A little, a little lonely...

Especially the atmosphere in the operating room is always somewhat lacking in seriousness.

Ma Yanlin, who was used to Ling Ran's operating room, was now talking about Lu Wenbin's pig's trotters: "It's true that pork is expensive, but the price of Lu's pig's trotters is also rising too fast. The price is adjusted once a week. The weekly price adjustments are not low, and I really don’t suffer even the slightest loss.”

"The pig's trotters have also become a little smaller, and there are fewer of the big pig's trotters that used to be."

"The volume he sells is large, but with such a large scale, you can't just increase the price if you say that the price has increased. Besides, if the price has been increased now, will it be lowered later? I don't believe it."

"Let's have hot pot tonight." Ling Ran suddenly said, interrupting Ma Yanlin's complaint.

"Okay, okay, I'll order it later." Ma Yanlin quickly agreed, and then asked: "Do you want to order in advance?"

"I want to eat two brains." Ling Ran patiently threaded the needle, and all the brains came up in his mind.

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