Chapter Two Hundred and Eight

"Wire management."

Before Dr. Qu could say anything, Ling Ran rolled up the thread and put it aside.

"Moisten it up."

As soon as Dr. Qu finished speaking, he saw that Ling Ran had already asked for the salt water.

"Puff... suck..."

Dr. Qu was halfway through speaking when Ling Ran started to twitch.

Dr. Qu just cut the skin, treated the subcutaneous tissue, and then protected the mestenoid, venous saphenous vein, sural nerve, etc., and he felt uncomfortable all over...uncomfortably comfortable, the body is comfortable but the mood is uncomfortable.

Thinking back carefully, his old Qu has never scolded anyone since he started the operation.

The operation went so smoothly, Dr. Qu didn't expect to scold someone even if it went smoothly.

Basically, Dr. Qu had just thought of something, and Ling Ran had already prepared it before he asked for it.

Such an operation can be said to be the limit of comfort.

As an ordinary surgeon, Dr. Qu never even imagined that surgery would be so comfortable.

It's almost like when someone wants to add food, someone brings the food he wants to eat to his mouth.

However, the operation was comfortable and comfortable, but Dr. Qu's heart was not happy.

What he was after was not a comfortable operation.

What he pursues is difficult, and then conquered by himself little by little, with a sense of accomplishment.

Dr. Qu, who is only in his forties this year, is bald and ambitious. He is different from Wang Haiyang.

Wang Haiyang is old and frail, and what he likes most is being fed. Wang Haiyang can always have surgery and be fed all the time, and he never gets tired of it.

Dr. Qu was expecting at least a bit of chewy surgery.

During today's operation, he even expected to see Ling Ran make a small mistake.

The authority of superior doctors over subordinate doctors is based on mistakes.

in the operating room,

Qualifications have never been a core consideration. Perhaps the senior director's qualifications and status will make everyone feel a little scruples, but apart from the senior director, any doctor who wants to curse someone has to find a suitable opportunity.

When a junior doctor makes a mistake, it is a good opportunity for the superior doctor to curse and vent their anger.

What if the junior doctor didn't make a single mistake in the whole operation? That means that the authority of the superior doctor does not exist. Perhaps, the two are already neck and neck, or even reversed.

If there is no technical gap, no control over the surgical procedure and the operating room, where can the superiority of the superior doctor be reflected?

It can't be rude and unreasonable.

Although the surgeon is irritable, there is almost no arrogance.

Dr. Qu looked up at Ling Ran, and said, "It's going to be stitched up."

"Okay." Ling Ran's eyes did not leave the lens of the two-person microscope, and he held the tweezers in his hand, posing as if he was ready to pinch the Achilles tendon at any time.

Dr. Qu frowned when he saw it. Indeed, his next step was to suture the Achilles tendon, and he planned to use reinforced sutures, so he needed an assistant to pinch out the slightly shrunken Achilles tendon.

Dr. Qu was sure that as soon as he started to do it, Ling Ran would start to pinch the Achilles tendon, because this was the way to strengthen the suture.

So, without reinforcement stitches?

A thought flashed through Dr. Qu's mind, but it was rejected in an instant.

Although he can indeed use other suture methods to suture the Achilles tendon, a series of changes are required to temporarily change the plan during the operation, and Dr. Qu is more worried that he will be confused because of this.

There are many paths for Achilles tendon repair. It is not too complicated to describe in words, but it is not so simple to execute, and it is performed on an uncertain living person.

If it is described as a problem, it is like a math problem in the Olympiad that has four solutions, but no matter how many times the teacher tells it, most people can only master one or two solutions.

Dr. Qu has already mastered two types of Achilles tendon repair, simple end-to-end repair and enhanced repair. The latter is already a complicated situation of the former. Let Dr. Qu temporarily replace the more difficult surgery...

His mind is not so fragile yet.

"Pull out the Achilles tendon." Doctor Qu sighed inwardly, then watched Ling Ran for a second and then pulled out the Achilles tendon.

Dr. Qu's eyes twitched twice, and he began to sew without saying a word.

He used the modified Kessler method, which is the tendon suture method most commonly used by doctors in Yunyi Hand Surgery.

The Achilles tendon is also a tendon, and it is the thickest tendon in the human body. Therefore, the more common tendon suture method is sufficient. On the contrary, the tang method that Ling Ran is familiar with is sutured, and it can't exert any advantage on this kind of super thick and super hard tendon.

Ling Ran silently watched Dr. Qu's operation, and gave real-time assistance according to his speed and progress.

He now masters the perfect Achilles tendon suture method, which naturally perfectly covers the modified Kessler method. In fact, such a basic tendon suture method does not need to wait for the system to be delivered, and he can practice it by himself. Can get started.

Now it's easier to not have to actually do it.

The pressure and responsibilities of the first assistant are much weaker than those of the chief surgeon. Ling Ran has more time to observe and understand Dr. Qu's operation habits, think about his operation purpose, and organize his operation sequence.

In the normal combination of doctors, Kazusuke was still sweating in his studies, so it would be good if he could keep up with the rhythm of the chief surgeon. There was no time to predict the work of the chief surgeon.

Doctor Qu didn't look up at Ling Ran, but he could feel Ling Ran's relaxed aura.

easy.

Freehand.

With ease.

For a doctor who is the chief surgeon, not being able to make full use of the first aid is simply a crime.

"Tendon stripper." Dr. Qu took it from the device nurse and asked, "Ling Ran, do you know what this is for?"

"Free tendons." Ling Ran answered briefly but forcefully.

"En. Will it work?" Dr. Qu asked.

"meeting."

"You do it." Doctor Qu didn't want to work hard by himself, and made Ling Ran laugh at him.

As the chief surgeon, the anti-client method is to let the first assistant do the operation. If the first assistant does not do well, then he can be scolded smoothly and regain his rights.

If you do well... you should do well, praise or not, the main knife is there...

Ling Ran reached out to take the tendon stripper, and in Doctor Qu's expectant eyes, he split the tendon with two clicks, and then frantically operated, cut off the proximal end of the tendon, and released it again. Stored in damp gauze.

For such an operation, even if you read a surgical book, you have to read four or five pages, but Ling Ran did it in a few minutes.

"4/0 nylon." Ling Ran took the thread from the little nurse and began to sew up the tendon bundle of the Achilles tendon stump.

The 4/0 interrupted suture method was used to comb out the tendon bundle like the horsetail of the stump, and the whole set of tendon stripping work was completed.

Ling Ran threw the instruments on the plate, and looked at Dr. Qu again.

"Well... well done." Dr. Qu was silent for a few seconds, then stretched out his hand and said, "Line 2."

The equipment nurse took the needle holder with the No. 2 line installed to Dr. Qu.

Dr. Qu started the formal suture, the purpose is to sew the distal tendon to the ruptured Achilles tendon, and finally spread the tendon bundle like a horsetail to form a smooth membrane surface...

For Dr. Qu, this is a relatively familiar operation process, and there is not too much fancy to speak of. It is to suture every foot honestly, so as to ensure the strength of the patient's Achilles tendon.

For Ling Ran, this is also a very familiar operation process.

The medical feeding technique has already started, and it is even more accurate to do this standard operation.

After ten minutes, Dr. Qu was full.

However, he couldn't stop rashly. The operation plan could be changed in the middle stage. Now, there is no room for change. At least with Dr. Qu's ability, he is unchangeable.

It was also for the same reason that Ling Ran's judgment on Dr. Qu's operation was more timely.

It gave Dr. Qu the feeling that he was running a marathon desperately, and Ling Ran was always running ahead of him, and he kept passing water and bread.

Dr. Qu is also someone who can secure a position in the Center for Bone, Joint and Sports Medicine, how can he suffer from such a shame...

He speeds up the stitching...

He slows down to sew...

He operates in the forward order, and he operates in the reverse order...

Gradually, Dr. Qu became familiar with Ling Ran's feeding.

The so-called transition from frugality to extravagance is easy, but from extravagance to frugality is difficult.

When every step of the operation is prepared for you, handles the follow-up, and pays attention to the details, the surgeon will gradually like this feeling.

Dr. Qu sewed desperately, sewed desperately, and completed the suture of the Achilles tendon at super fast speed.

Then, he asked for 3/0 absorbable thread, and made the suture himself.

Ling Ran helped him without saying a word, neither fighting nor grabbing, behaved well, just like Doctor Qu asked, everything was done according to the standard.

After finishing the last stitch, Dr. Qu put down the needle-holding forceps, stared at the thin thread at the wound, and remained silent for a long time.

In his heart, there is a wonderful feeling that his technology has been sublimated, that his technology has become stronger, and that his technology has changed from quantitative change to qualitative change.

However, rationality pulled Dr. Qu to the other side.

The contradictory psychology made Dr. Qu's expression uncertain.

"That's it." After an unknown amount of time, Dr. Qu turned and stepped on the door of the operating room.

"Be careful." Xue Haochu, who was about to enter the door, hurried over and bumped into Dr. Qu.

Dr. Qu only frowned, then turned and left.

Xue Haochu looked at Ling Ran, the resident doctor, and several other nurses inside, gave a friendly smile, then turned to Ling Ran, and said, "Doctor Ling, I recorded a video of the operation just now, and I sent a copy to Academician Zhu , a copy to your mailbox."