Chapter 341 Arthroscopy

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On the dark green treatment towel, lay out the patient.

A large light blue sterile drape covers the patient, exposing only the knees.

Although the patient was awake, he was covered under the sterile sheet at this time. He could only look at the sterile sheet and listen to the music in the operating room, which was extremely boring.

"It's better to be anesthetized." Zuo Cidian knew that Ling Ran didn't like chatting with patients, so he took the initiative to take over this task. Of course, it was also because he liked chatting and was afraid of being bored.

Today's patient is a 62-year-old man. He shook his head nervously and persistently behind the sterile sheet, and said, "General anesthesia is not possible. We have acquaintances who did not wake up after general anesthesia and died."

"Death from anesthesia? That's not common." Zuo Cidian was surprised.

"The hospital said that he died of a heart attack, and they didn't pay for it. We all know about Liu. Although it was a little bit of high blood pressure and heart disease, it was not enough to die." The old man paused, and said in a firm tone: "General anesthesia It hurt too much."

Zuo Cidian looked at Ling Ran and suddenly felt that it was not a good idea to chat with patients.

"Inflate the tourniquet and check it." Ling Ran touched his knee and spoke to Yu Yuan.

The arthroscopic meniscusplasty originally required only one assistant. But the doctors in Zhucheng Hospital couldn't leave him to operate alone. Zhang Pengyi, the original attending doctor, acted as the first assistant, and Yu Yuan acted as the second assistant.

"The approach on both sides of the anterior patellar ligament." Ling Ran was explaining to the assistants, and after observing the position, he stretched out his hand and said, "Knife."

Snapped.

The nervous instrument nurse immediately smashed a scalpel into Ling Ran's hand, and became even more nervous in an instant.

Ling Ran looked up at her, but showed a smile, then turned his head to the position marked with a marker. A 0.5 cm incision was made.

The equipment nurse tensed up, and endless imaginations began in her mind.

"Puncture cone." Ling Ran reminded again.

Snapped.

The equipment nurse exhausted all her life's knowledge, and put the puncture cone into Ling Ran's hand with the best speed, the most accurate angle, and the most suitable force. force.

For surgeons, this is the best cooperation.

Ling Ran gave another smile, bowed his head instantly, and stabbed the puncture cone into the knee joint steadily.

Then, Ling Ran inserted the arthroscope, and then ordered: "Add salt water."

Zhang Pengyi breathed a sigh of relief and immediately began to add saline.

He was a little worried that Ling Ran's operation was flawed just now.

Although there are many praises for experts outside the hospital, in the medical industry, interlacing is inevitable. Even an internationally renowned heart expert knows everything about the knee joint without seeing it.

For example, Amano Atsushi, who performed heart bypass surgery for the Emperor of Japan, is known as the surgeon who completed 6,000 heart bypass surgeries, plus guided 10,000 heart bypass surgeries, with an average of 500 surgeries per year, which is normal for Japanese doctors. Nearly 10 times, five times that of Chinese doctors.

But other than that, Atsushi Amano doesn't do any surgery, and he doesn't need to know about knee arthroscopy, or ankle arthroscopy. The basic anatomy may be clear, but that's about it.

Zhang Pengyi obediently gave up his position because he saw that Ling Ran had experience in operating arthroscopy, and that he was an expert from another hospital hired with a lot of money, but his name was written on the surgery list. impossible.

However, now that Ling Ran was so proficient, Zhang Pengyi felt relieved.

Don't look at it as the operation of a puncture cone, a small movement requires a lot of practice and personal understanding. The puncture cone is like an oversized needle. The depth of the puncture into the knee must be controlled, and the force must be sufficient to avoid poor prognosis caused by repeated attempts.

How about a nurse's level?

You can guess one or two by looking at her acupuncture level. Seeing how well a doctor does arthroscopy, the puncture cone is also a good criterion for judging.

Zhang Pengyi was convinced that Ling Ran's level was good, so he cooperated with peace of mind.

When the arthroscope enters the knee joint, the 42-inch screen above the operating table displays the contents of the video in real time, which is much more intuitive and clear than X-ray or even MRI.

Theoretically, the diagnosis under arthroscopy, especially the diagnosis of meniscus injury, can achieve a 98% correct rate. In terms of medical diagnosis, this number is very high. Especially in the diagnosis of Western medicine, it is to give a classification of diseases, unlike traditional medicine, which only needs to point out something wrong.

Of course, the probability of misdiagnosis still exists, and a 100% certainty can only explain conceit, not self-confidence.

Ling Ran took a few more minutes to check the damage of the meniscus, and then said: "It is estimated that about 7mm of the meniscus can be preserved..."

Zhang Pengyi was still looking at the screen. When he heard Ling Ran's words, he didn't answer for a while. Based on his experience, it would take a longer time to think and make judgments.

Ling Ran has already started operating on his own.

The core of meniscus plastic surgery is to repair the meniscus of patients with meniscus injury to a normal state or a near-normal state.

Among them, the excess should be bitten off with blue pliers, the uneven edges should be tidied up, and the worn ones should be flattened... What Ling Ran is encountering right now is a patient whose meniscus was severely worn after long-term conservative treatment.

"The meniscus is uneven." Zhang Pengyi finally recovered, looked at the meniscus on the screen, and sighed.

The patient couldn't help crying: "Is it bad to be uneven?"

"Not good." Zhang Pengyi said: "The result of your conservative treatment is that the meniscus is constantly being worn down, which is more difficult to deal with now."

"My conservative treatment is also requested by the doctor."

"You don't have regular checkups, do you?"

"Oh, everyone knows what's going on, so why do you need to check again?" The patient was lying on the hospital bed, not daring to move around, and his mouth was stiff.

Zhang Pengyi shut up.

Ling Ran completed this case of arthroscopic surgery in one breath, and finally checked the time, it only took 15 minutes.

"Next?" Ling Ran took off his gloves and left the operating room.

"How is it?" The director waited for a group of doctors to surround him.

"Better than me." Zhang Pengyi laughed twice, there was nothing to hide.

"Better than you?" The director repeated his words and nodded slightly.

They are also just beginning to do arthroscopic surgery, and the demand for specialists is far greater than before.

Because the effect of arthroscopic surgery is good and the trauma is small, the number of patients who are willing to undergo surgery is also increasing, but Zhucheng Hospital has not trained enough arthroscopic doctors.

You Fengyu found an opportunity to ask Zuo Cidian alone: ​​"How much does your doctor Ling cost for an arthroscopy?"