Chapter 309 Time

Standing in the shower room of the operation area, Ling Ran raised his head to face the water flow, relaxed his whole body, and tried his best not to think or say anything.

The hot water poured on Ling Ran with momentum, slowly causing his thoughts to diverge.

It took about a quarter of an hour before Ling Ran slowly turned off the water, wiped himself with a towel, and then came out to change into a brand new pair of underwear with a retail price of 199 yuan and a wholesale price of 79 yuan.

Ling Ran, who was fully armed, exuded a confident light all over his body.

He has been thinking non-stop since the moment the operation was performed.

Dong Xiaoning is not an active athlete, so her recovery time requirements are not as strict as professional athletes such as Liu Weichen or He Xiufang. It doesn’t make much difference for her to return to the field in four months or six months .

And her requirements for treatment can actually be summed up in two points: guaranteed function, beautiful appearance - Dong Xiaoning does not have too high requirements for the healing time, hospitalization time, etc. that doctors are more concerned about. Similarly, Dong Xiaoning's family also clearly Expressing the appeal of using medicines as well as possible means that their ability to afford medical expenses is also relatively high.

Such patients have higher functional requirements than ordinary people or sports enthusiasts, and lower tolerance to scars and appearance than athletes, which actually belong to an intermediate level.

As far as the current medical environment is concerned, such an intermediate layer is actually not very concerned.

On the one hand, their requirements are not high enough for research institutions to publish papers and apply for 973; on the other hand, their medical expenses are not high enough to affect hospitals or pharmaceutical companies.

Ling Ran made a 12cm long S-shaped incision, followed the routine for a few minutes, and stopped when the critical step of stripping the Achilles tendon was approaching.

"Show me the MRI film again." A lot of ideas came to Ling Ran's mind, but they needed data to prove them.

Yu Yuan immediately took off her gloves and turned on the computer for Ling Ran.

During the surgery, Ling Ran would ask to review the MRI scans every now and then. This kind of request is actually not unusual. The core of the MRI operating room, which cost more than 100 million yuan, is to allow doctors to see the MRI images in real time. You don't need to stop the operation halfway to watch the movie like Ling Ran.

However, even the Orthopedics and Sports Medicine Center cannot afford an MRI operating room.

As for Ling Ran, he had new ideas to confirm.

"In her T2-weighted image, the high signal is more obvious." Ling Ran pointed to the upper part of the Achilles tendon, and said: "The incision is too small, we should consider pulling out the Achilles tendon and suturing."

"Is this okay?" Yu Yuan was at a loss. Although she said she had started to learn the Achilles tendon repair technique, she hadn't learned the original Achilles tendon repair technique. It's a rootless thing to try to innovate—even the old technique. If you don't know anything, you naturally don't know if what you are launching is a new technology. The same goes for the formula.

Ling Ran didn't intend to discuss it with Yu Yuan.

Some surgeons are not confident enough and like to discuss with assistants during the operation. They not only have the idea of ​​sharing responsibilities, but also know that they are easy to make mistakes.

In Ling Ran's current state, even if he wanted to discuss with someone, he had to find Ji Tianlu. Discussing with Yu Yuan was a waste of time——Yu Yuan wanted to learn Achilles tendon repair, and Ling Ran would give her the opportunity to study hard, but It will not give her powers that the attending doctor does not have.

Participating in the formulation of surgical plans is naturally a kind of power.

"To reduce the impact of surgery on the appearance of the legs, we must pay attention to blood loss. Another point is to reduce the impact on the muscle tissue." While Ling Ran was talking to himself, he was also explaining to Yu Yuan. As for whether Yu Yuan would listen I understand, Ling Ran can't control that much anymore.

Of course, Yu Yuan can actually understand it. After graduating from a master's degree, she will be a resident doctor for three years after regular training. Yu Yuan has also been studying. For what Ling Ran said, give her a tablet computer for half an hour. Finally, Yu Yuan was able to pull out an outline of a summary.

However, being able to understand and being able to do it are two different things.

Moreover, just because she could understand, Yu Yuan knew how difficult it was to do it.

Blood loss is an eternal topic in surgery. In the early years, there were thousands of articles a year on controlling blood loss during surgery. But now, under the premise that the blood loss in most operations is reduced, it is not so easy to reduce blood loss.

For surgeons, the requirement to reduce blood loss is like asking automotive engineers to reduce fuel consumption. We have already spent a lot of energy on this and will continue to invest on a large scale. However, who dares to say that reducing fuel consumption is an easy task up?

It is even more mysterious to reduce the influence of muscle tissue. Normally speaking, it is best not to move a certain muscle tissue. However, Achilles tendon repair is a large muscle operation. After the Achilles tendon repair, there will be various changes. For most athletes, the impact will not be too great, but if you want to pursue beautiful legs, the impact will be great.

"In this case, the difficulty of the operation will be greatly increased." Yu Yuan said honestly.

The technique itself has not changed, but the difficulty has increased a lot.

Ling Ran nodded, looked at the patient's calf on the operating table, which was exposed outside the surgical drapery, and thoughtfully said: "Actually, we should change our surgical thinking and take into account the desire of some patients to have a beautiful appearance... "

"Especially the patients of Young Master Mao?" Yu Yuan asked while stepping on the step stool with her head raised.

"Well...the patient's request is real. If we can't cover everything, we should improve the more important parts." Ling Ran thought about it: "I think we can try a little..."

"Some patients may not care about appearance." Fei Pan Ma listened amusedly, and interjected, "For example, Wu Dalang, whether he has scars on his legs, who cares, Pan Jinlian doesn't care."

Ling Ran took a deep look at Fei Pan Ma, until the other party panicked, and said: "Today I will control the blood loss, the operation time will be extended, and the anesthesia plan will have to be redone."

"How?" Fei Panma didn't expect that something else would happen to her.

"The operation time is estimated to be more than 4 hours." Ling Ran didn't understand anesthesia, so he said the request, "Add more hemostatic kits for the equipment... Yu Yuan, go explain it to the family members outside."

The length of operation time will naturally affect the use of anesthetics.

The patient's family members will wait very anxiously.

According to normal people's thinking, if the patient can leave the operating room quickly, it means that the operation is very smooth, otherwise, it means that the problem of the operation is more serious.

Ling Ran's Achilles tendon repair for plan A previously took between 2 and 3 hours, and it would take at least 4 hours including the time for the patient to prepare and push out.

Ling Ran himself no longer considered the issue of prolonging the operation time, he just performed the operation in a dull manner.

Compared with Liu Weichen's operation at the beginning, Ling Ran is now more focused on reducing blood loss than anastomosis of blood vessels.

4 hours later.

Ling Ran continued: "I still need an hour, Yu Yuan will notify the family."

Yu Yuan bowed her head and said, "Doctor Ling, the family members of the patients outside are already about to cry. If the time is extended again, they will cry miserably."

"That's true." Ling Ran thought for a while, and said, "Then you should go and inform that it will take another two hours, so there should be no need to extend the time."

Yu Yuan was dumbfounded, and said for a while, "Doctor Ling, didn't we do it very quickly before?"

Ling Ran said slowly: "In the past, even though we did things quickly, we couldn't perfectly meet the patient's requirements. Since this is the case, we can only use other methods."

"But isn't six hours a little too slow?"

Ling Ran stretched his neck, and said, "The number of patients is not many, so it would be good if the surgery is done slowly?"

"The number of patients is running low. Today there are 6 patients, and there are too many to do..."

"Then I will work overtime at night." Ling Ran said it as it should be.

"not me……"

"Go and notify!"

After being called out, Yu Yuan jumped up like a rabbit.