Chapter 224: Passage Completed
"How is the patient's physical condition?" Ling Ran was halfway through the operation when he suddenly raised his head and looked at the monitor.
The reason why he asked this was because he found that the completion of the task was dropping.
When the blood vessel reconstruction of the second channel was completed one-third of the way, Ling Ran discovered that the task completion rate dropped from 75% to 74%, then 73%, 72%, 71%...
In just a few minutes, Ling Ran could think of many reasons, but it was not so easy to prove it.
The anesthetist was sitting in front of the monitor, bored and about to fall asleep, but suddenly woke up at this moment, looked at the monitor in fear, and then stood up abruptly: "Everything is normal."
When these four words were said, the anesthesiologist's heart slowed down from 180 beats, followed by cold sweat and helplessness.
In general surgery, it is normal for the chief surgeon to ask the anesthetist about the situation, but Ling Ran is obviously not a normal chief surgeon. In the previous surgeries, Ling Ran judged the situation by himself by watching the monitor.
This time, Ling Ran asked about "signs" abruptly, and with Academician Zhu Tongyi beside him, the anesthesiologist felt as if he had been woken up by fright.
Fortunately, the data on the monitor was indeed normal, and the anesthesiologist calmed down. Xizi looked at Ling Ran resentfully as if holding his heart, then touched Liu Weichen's head with his hand, and said in a low voice: "Da Lang It's okay, it's fine."
Ling Ran frowned, stopped the operation altogether, stood in front of the monitor, and watched.
The anesthesiologist felt challenged, so he checked it carefully, and said again: "The patient's signs are all normal."
Ling Ran gave an "en" and nodded slowly: "It's indeed normal."
"Ling Ran, what's the matter?" Zhu Tongyi also walked over, crossing his arms, looking a little tired.
"I don't feel very good." Ling Ran said.
Zhu Tongyi hesitated for a few seconds. He really wanted to ask "Do you want to end the operation early?" However, considering that the operation was for the demonstration classroom, Zhu Tongyi didn't ask. At this time, he was a little unhappy about the video in the operating room.
There will be various problems in the operating room in the black box state, and there will still be problems in the operating room with full video. Especially conceited surgeons, it is easy to make wrong surgical judgments due to the observation of others.
Ji Tianlu dealt with the work in hand,
Sitting and turning his head, he asked, "What about now?"
He also didn't ask Ling Ran if he wanted to end, but his own attitude was clear in itself.
Ling Ran was lost in thought.
It's the surgeon's job to bear the stress and make judgment calls.
Ling Ran can now suspend the operation in order to maintain a relatively high level of Achilles tendon repair. 70% of the Achilles tendon function is not enough for Liu Weichen to perform high-intensity training, but it is enough to maintain his daily needs.
Or, Ling Ran can also change the plan. In Zhu Tongyi's plan design, plan B and plan C have different directions.
"Let's continue." Ling Ran turned around and returned to the chief surgeon's position, continuing to rebuild the vascular network.
The perfect-level Achilles tendon repair, the perfect-level severed finger replantation, and the experience of hundreds of severed finger replantations all reminded Ling Ran that "blood supply comes first".
With insufficient information on the scene, Ling Ran could only rely on theory to persevere.
What the patient needs is not a conservative plan, otherwise, he would not have to wait so long, and changing the plan is just a rush to the doctor. There is no evidence that plan B and plan C will have better results.
While doing the anastomosis of blood vessels, Ling Ran was reminded that the completion of the task had declined.
About 40 minutes or so, the task completion has dropped to about 55%.
This number is equivalent to saying that Liu Weichen's Achilles tendon function has only recovered to 55%. Let alone participating in high-intensity training and competitions, daily life is relatively difficult, and he has to be very careful in running and jumping.
As far as the Center of Orthopedics and Sports Medicine is concerned, if the end result is such a number, it is completely substandard.
Ling Ran raised his neck, moved slightly, and said again: "Let's check again."
Ji Tianlu looked at Ling Ran puzzled, and checked it as he said.
About 10 minutes later, Ji Tianlu replied: "There should be no problem."
Ling Ran nodded, and entered the sewing state again without saying a word.
The system's information can only be used as an aid, and he can only trust his own intraoperative judgment if there is no problem in the inspection.
Just extending the operation time by two hours should not result in such a significant reduction in completion. The only possibility is that the backup pathway he is building has adverse effects on the patient.
But this is unreasonable. Even if surgical reconstruction is not performed, the human body will complete the reconstruction of blood vessels within a few months after surgery. In other words, vascular reconstruction is what the human body needs.
If Ling Ran had to guess an answer, he would rather think that the unfinished backup channel had a bad effect on the patient.
Against this judgment, Ling Ran continued to carry out the microsurgery under pressure.
His low air pressure unconsciously infected Lu Wenbin, then Ji Tianlu, and then Zhu Tongyi.
Several people had a strong sense of identification with Ling Ran. Seeing Ling Ran's seriousness, they all guessed that the situation had changed. Although no changes can be seen from the instrument and appearance, there are some bad changes that cannot be reflected immediately by the instrument.
Lu Wenbin pulled the hook silently, Ji Tianlu was less interested in chatting and teasing, Zhu Tongyi even hugged his chest, not knowing what thoughts were going on in his head.
Ling Ran was still affected by the system's task completion, so he silently accelerated the stitching speed.
The surgeons in the demonstration classroom did not feel the low pressure in the operating room, but saw the changes in the operation.
Ling Ran's previous speed was fast enough, and the stability and efficiency of stitching were very high.
In the eyes of everyone, this is undoubtedly the advantage that Ling Ran can stand out as the chief surgeon.
No one could have imagined that Ling Ran could do it faster and more surely.
"It's kind of scary."
"This speed is fast enough to sew skin, but it is too much to sew blood vessels."
"Aren't you afraid of being damaged by sewing?"
"The margin is large enough."
"Given you such a large margin, can you sew half of this? Let's not talk about speed, let's talk about speed to bully you..."
The young residents no longer had much confidence, and even the experienced attendings looked at each other without daring to say anything.
Fast stitching has never been an indicator of a surgeon's ability, but the information it shows is not just fast.
There are also accurate judgments, confidence in surgery, familiarity with surgical procedures, mastery of skills, and so on.
Doctors who can do all these things are beyond the reach of ordinary attending physicians.
"Passage complete."
In the video, Ling Ran's voice was not loud, with a long exhalation.
The medical staff in the classroom immediately fell silent.
This time, Ling Ran didn't say anything more, he did a self-examination, and directly let go of the arteries.
A steady stream of blood quickly poured into the perforating artery that had just been sutured, and then spread to the surrounding blood vessel network.
In Ling Ran's field of vision, the completion rate of the "emerging" mission also started to increase slowly from 45%.
55%...
65%...
75%...
85%...
When this number appeared, Ling Ran was finally relieved.
Liu Weichen's Achilles tendon was severely ruptured. The part that was cut off was the size of a thumb. For such a severely damaged Achilles tendon, restoring 85% of its function was considered a success.
The 85% here, if it is used for joint ability assessment, is properly at the "excellent" level.
Liu Weichen used this kind of Achilles tendon to do high-intensity training. Although there are risks, it is already usable. At least, it is possible to maintain a state of exercise.
Most importantly, 85% of the task completion is still slowly rising.
"The second access is successful, suturing now." Ling Ran no longer hesitated, and decisively began to suture layer by layer, ending this time-consuming operation.
Ji Tianlu actively cooperated, and looked at Ling Ran curiously. After a while, he couldn't help asking: "You don't seem to be too worried now?"
"I feel better now." Ling Ran didn't intend to give up the main knife, and even did the skin stitching himself.
When it was time to bandage, Ling Ran could clearly see that Liu Weichen's Achilles tendon had recovered to 90%.
"Academician Zhu, please come and give the doctor's order." Ling Ran relaxed, and took the initiative to give up the part he was not good at.
Zhu Tongyi nodded slightly and pondered.
Ji Tianlu looked at Ling Ran and saw that he seemed to be more relaxed, so he couldn't help asking curiously, "How do you feel now?"
"It feels like a harvest." Ling Ran looked at the 18 low-level treasure chests that were already in place, feeling very emotional.
The nurses and sisters in the classroom quietly typed quickly in the WeChat group, full of emotion: "Doctor Ling is really an emotional person."
"Sentimental people are the best."
"Emotional people are suitable for lovers."
"That's not true. A sentimental person will love his wife more when he is a husband."
"It's best to be a lover."
"You want to be my husband's lover? Shameless ヽ(`д')?
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