Chapter 259: The Legendary Achilles Tendon
Wearing gloves, Ling Ran squeezed the sterilized patient's calf, then squeezed again, hard enough, and said, "Count down to 20 minutes."
He only had 20 minutes left for his skill potion. If he could complete the operation within 20 minutes, then the entire operation would be performed during the legendary Achilles tendon rupture repair.
Of course, even if the operation cannot be completed within 20 minutes, there will be no loss.
When Ling Ran was performing surgery at the Orthopedics and Sports Medicine Center, the average operation time for Achilles tendon rupture repair was just over 30 minutes. Now that the preliminary preparations have been completed, and it is not a particularly complicated operation, Ling Ran's mentality is Extremely relaxing.
As for the doctors of Yunyi Orthopedics Department, their moods and expressions were not so calm.
It usually takes about an hour for a normal doctor to perform an Achilles tendon rupture repair. Counting the various bad habits of dawdling, it is more common to spend an hour and a half for the operation.
Occasionally, there are doctors who pursue the speed of operation, and there are some who can shorten the time of Achilles tendon rupture repair to less than 50 minutes, but no one is really like a competition, and the time of an operation is limited to a very short time Inside.
It was even said to be 20 minutes.
What can be done in 20 minutes? For an operation, 20 minutes may not be enough time for skin stitching, especially for new doctors, it is normal to spend dozens of minutes for random skin stitching.
Even skilled orthopedic surgeons do not have the concept of 20 minutes for an operation. It takes more than 20 minutes to cook the bones of patients suffering from bone cancer.
Ling Ran doesn't care what other orthopedic surgeons think.
He is not a person who is good at taking into account other people's thoughts. If he wanted to make everyone around him happy, Ling Ran should have been ordered to have 166 doll kisses when he was in kindergarten. That is the number of all the girls in the kindergarten, plus the teachers. The sum of the number of daughters in the family plus the number of daughters in the families of parents who come and go here.
Therefore, at a very young age, Ling Ran understood that it is impossible for one person to please the whole world by pleasing everyone.
It is more likely to please one person and offend another.
After growing up, Ling Ran learned to treat things differently than people.
Just like the surgery in front of him, he can complete it within 20 minutes, and if he needs to complete it within 20 minutes, he will limit it to 20 minutes. As for whether other orthopedic surgeons are embarrassed or embarrassing, Ling Ran has no way of resolving it. It's like someone confessing to you in the street, and you don't like this person at all, so, besides rejecting, is there any solution?
"Knife." Ling Ran stretched out his hand, took the scalpel, and cut out an S shape at the position where the line was drawn with a bow.
With the addition of skill potions, his bow-holding techniques have risen from specialization to master level.
Specialized skills are the norm in top hospitals in the region like Yunyi.
If an attending doctor can't even master a specialization-level skill, he will have a very difficult stay in Yunyi, and there is no problem in evaluating it with mixed words. Of course, most of the indications are to master two or three, three or four specialization-level skills, which are barely considered unique skills.
However, the master class is the real unique skill.
Let alone the attending physicians in their thirties, the deputy chief physicians without talent still cannot develop master-level skills. In other words, even if they are talented, doctors still need time and opportunity to develop master-level skills. Skill.
Just like Director Pan of Yunyi Hand Surgery, his tang method of suturing has not yet reached the level of a master. It's not that his talent is not good, but Yunyi didn't have the soil for tang method of suturing, at least before Ling Ran came. , Tang suture is not available in Yunyi. Director Pan developed the tang method from scratch, not to mention time-consuming and laborious, and it was also very difficult to learn.
Therefore, it is already very good for Director Pan to be able to practice tang stitching to a strong level of expertise, but he still needs one or two years, two or three years of continuous training before he can break through to the master level.
In the hospital, a deputy director like Director Pan already belongs to the elite of the elite.
cloud doctor bone
-----This is a gorgeous dividing line--
Tips for novel netizens: please pay attention to rest your eyes when reading for a long time. Recommended reading:
----This is a gorgeous dividing line---
The average level of the department is not up to the level of hand surgery, and most of the doctors present are attending doctors and residents, and none have mastered master-level techniques.
On the contrary, a certain deputy director who wandered over was a bit knowledgeable. He tapped the shoulder of the doctor next to him and said, "Take a picture."
The resident doctor who was named said "oh", quickly took out his mobile phone and put it in the shooting mode.
The deputy director nodded, and said: "It is not allowed to bring a mobile phone in and out of the operating room. This is no exception."
"Oh, yes..." The little resident doctor looked at the screen with a dejected expression.
Mobile phones, socks and slippers are the biggest sources of pollution in the operating room.
Surgeons, assistants and equipment nurses can only guarantee not to touch them, and few people do not carry them. Even if the hospital makes repeated orders, it will have no effect. Doctors are willing to abide by all kinds of rules and regulations, but they are not willing to leave their mobile phones, change slippers frequently, and give up socks.
Therefore, mobile phones are also called Schrödinger's mobile phones in hospitals. When you ask and observe doctors, they don't have mobile phones on them. When you close the black box, you don't know how many calls they made with their mobile phones. , How many levels have you played in Xiaoxiaole?
The deputy director naturally had a mobile phone with him, but if he didn't take it out, he didn't have a mobile phone with him.
The little resident doctor who was criticized was pushed to the operating table, and the attending doctor patted him on the shoulder and said with a smile: "It's okay, we used to forget to put down our mobile phones, and when you work for another two years, you will know." .”
The little resident pointed the phone at the surgical surface, hummed twice, and whispered dissatisfied: "If you didn't bring your phone, what is it against my waist?"
"Whose phone will be placed there."
"Huh?"
...
Ling Ran quickly cut open the Achilles tendon of the little white-collar worker, and then looked at it carefully.
At this moment, what Ling Ran saw was the Achilles tendon, but what appeared in his mind were various parameters from the MRI.
With the perfect level of MRI reading ability, Ling Ran didn't need to write down the specific values. Instead, he had a perceptual understanding when reading the films, and thus had his own ideas about the key parameters. .
For example, the hardness of the tendon, the toughness and thickness of the ligament around the Achilles tendon, whether there is calcification, the density of the muscle and the thickness of the fat layer, and so on.
When most people read MRI, they always look at the problematic part. Even when Ling Ran reads the film with a master-level MRI, he still sees the problematic part.
However, the perfect level of MRI reading ability allowed Ling Ran to have a corresponding understanding of the no-problem parts.
It is equivalent to saying that his reading of nuclear magnetic resonance has been enlarged ten times and a hundred times.
Just like the Achilles tendon of the little white-collar in front of you, the strength of the ligaments that bind it is too large, and the toughness of the ligaments is also too large. However, both are within the normal range, so doctors usually don't pay attention to it.
Doctors before surgery, even if they have the ability to read images, will not read to such an in-depth level. Doctors in the imaging department, even if they have such ability to read images, do not know how to tell surgeons that the imaging department serves the whole hospital. Yes, most of them will not study or understand how a specific orthopedic operation is performed.
As for how a resilient ligament will affect the operation, it is not within the knowledge of radiologists.
In fact, even Ling Ran's current image reading ability is beyond the reach of most radiologists in the world.
Ling Ran felt that if he were to perform surgery on Liu Weichen now, the improvement of MRI reading ability alone would greatly increase the resilience of Liu Weichen's ligaments. I dare not say that he has recovered 100%, but the recovery time depends on the degree of trauma. And so on, there will be more advantages.
As for the legendary Achilles tendon repair...
Ling Ran held the knife like a pen, and slid it down lightly. With just three or two strokes, the patient's Achilles tendon was freed.
---This is a gorgeous dividing line---
Tips for novel netizens: please pay attention to rest your eyes when reading for a long time. Recommended reading:
-----This is a gorgeous dividing line-
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"The old plaque should be cracked." Ling Ran grabbed it and looked at it, making a judgment easily.
"If you listened to his nonsense and thought it was someone who picked it off, it would be interesting to cut it up now." Lu Wenbin was amused, but also a little upset.
Ling Ran said "En", "I thought it was some interesting medical records."
The rupture of the Achilles tendon shown in the MRI is uneven. If someone picked it off, the subsequent development would be very unexpected. Unfortunately, it turned out that some of the patients who were least excited by the doctor were talking nonsense, which was better than lying, but even more boring than lying.
"Do you want to cut it neatly?" Lu Wenbin has performed hundreds of Achilles tendon repairs with Ling Ran. In the hospital, such a big assistant can try to suture it by himself. For the various steps in the operation, it is natural It is also too ripe and cannot be cooked again.
However, Ling Ran looked at the old plaque, thought for a while, and said, "He should have torn here before and didn't treat it, so that the Achilles tendon's mobility and toughness are relatively poor. Broken."
"A lot of people don't know when their Achilles tendon is broken. They think it's a sprained ankle. His is a partial tear, so it's probably more serious than a sprained ankle."
"Well, since they are all opened, let's do an old Achilles tendon repair by the way." Ling Ran quickly made a decision.
Lu Wenbin looked at his watch and asked, "Then shall we adjust the time again?"
"No, 20 minutes is enough." Ling Ran said, "Scissors."
The equipment nurse handed over the scissors.
Ling Ran found the right location, cut off the Achilles tendon, and said to Lu Wenbin, "I'll cut off the torn Achilles tendon to repair the old part."
The biggest difference between old Achilles tendon repair and fresh Achilles tendon repair is that the former often requires transplantation.
Cut off part of the good tendon to fill in the missing part of the Achilles tendon. If it is an old Achilles tendon repair after a complete rupture, the Achilles tendon to be transplanted is often very long after the Achilles tendon on both sides shrinks.
However, Ling Ran's patient at this time only had some old Achilles tendon lesions, and he only needed to do some repairs.
The hair tip of the cut Achilles tendon is used, which belongs to the category of waste utilization, but in terms of difficulty, it has increased by at least an order of magnitude.
Ling Ran didn't say much, and operated in a leisurely manner.
It is very difficult for normal doctors to do this kind of operation. There is no way to guarantee the strength of the torn Achilles tendon. If it is used for repair, it is easy to cause secondary injury.
However, Ling Ran knew everything about it through MRI, and the legendary Achilles tendon repair was even more used to such operations.
In fact, although Ling Ran didn't say it clearly now, the method he used was already approaching Plan A designed by Academician Zhu Tongyi.
It is nothing more than suturing the severed blood vessels, but the core essence is to reduce the number of severed blood vessels.
Therefore, in the eyes of orthopedic doctors, Ling Ran's Achilles tendon repair seems to be quite satisfactory. In fact, the blood vessels he cut may only be 20% of that of ordinary doctors.
Even so, Ling Ran only took 18 minutes to suture the patient's Achilles tendon.
Wait until the seam is over, 20 minutes is just right.
"It's so fast."
"20 minutes?"
"Fast as lightning."
The little doctors in the orthopedics department praised him generously, but Ling Ran's expression did not change at all, because the little doctors' praise did not hit the point at all.
"Thank you." Ling Ran was not interested in bandaging and other work, so he threw it all to Lu Wenbin, nodded to everyone, and left the operating room.
"Go back and send me the video." The deputy director took out his mobile phone and shook it to the little doctor who was filming.