Chapter 235 It Will Be Better

"Doctor Ling, are you responsible for my operation?" Lying on the operating bed, He Xiufang raised her head and asked Ling Ran. novel .

Ling Ran, who was looking at the MRI film for the nth time with his hands tied, nodded, and thought that He Xiufang would not be able to see it, so he said, "I am the chief surgeon, Academician Zhu Tongyi will guide the operation."

"When I get the surgery later, can you make the wound smaller for me." He Xiufang lowered her voice a little, and said, "I'll lose weight after I retire. I'm sure I'll look better than I do now. Don't have a scar on the back of my calf. .”

"The wound can't be small." Ling Ran replied very bluntly, and then said: "You can get a tattoo when the time comes..."

"Don't get tattoos. In our hometown, it's harder to marry a tattooed person than a second-married one." He Xiufang raised her voice.

The nurse in the audience who was preparing was not happy about it: "What's wrong with the tattoo, I'm not willing to marry this kind of man, it just happened to screen out this kind of man."

"I don't want a tattoo!" He Xiufang's attitude was firm.

"After the operation is over, I'll suture you. If the prognosis is good, it won't be too obvious." Ling Ran watched the film, closed his eyes, and memorized it for a while, then turned around and asked, "Is there any problem?"

He Xiufang thought for a while, and said, "Your operating table is so small, can you change it to a bigger one? I'm afraid I'll fall asleep, turn over and fall down. I can't sleep well, and I'm still snoring..."

"Get numb." Ling Ran felt that the preparatory activities were completed.

The anesthesiologist, who was full of sleep yesterday, came over with a smile, held up the laryngeal mask, and said, "Say the name again."

"He Xiufang."

"Discus thrower?"

"yes."

"Come on, have a pancake."

"Huh? Ha..."

A person in the operating room, plus a doctor in the classroom, silently watched the performance of the anesthetist.

"I was thinking about me all night last night." The anesthesiologist wished he could raise his head to the sky and scream triumphantly.

Ji Tianlu and Zhu Tongyi looked at each other, and there was nothing they wanted to know.

Ling Ran waited for a while,

I asked for another pen, and drew a line from He Xiufang's ankle to her calf, stretching a full sixteen to seventeen centimeters.

The nurse under the stage couldn't help but let out a "Yeah" and quickly bowed her head again.

Ji Tianlu frowned and asked, "Is it going to be this long?"

"The edge of the Achilles tendon is a little hairy, it's safe to stretch it a little longer." Ling Ran said the MRI information.

"Well, you decide." Ji Tianlu paused, and said to He Xiufang who was already in trouble with some regrets: "The scar has grown a bit, and there is nothing to do. The most important thing is to heal the injury."

Ling Ran didn't say a word. He was not a doctor who liked to make small incisions. When he was studying, he had seen and heard too many cases of accidents caused by small incisions. Now that he has accumulated more knowledge, He was even more afraid of possible accidents during the operation.

It's like the edge of the Achilles tendon on the MRI is not clear, so there are many possibilities. If it is serious, it may be a malignant tumor, and if it is milder, it may be an injury. As the chief surgeon, since Ling Ran has already opened it, he is more willing to go to the hospital. Have a look.

"The Achilles tendon is not completely severed." The S-shaped incision was made, and the doctors in the operating room breathed a sigh of relief, as did the doctors in the classroom.

For a completely or incompletely severed Achilles tendon, the key is not how much the Achilles tendon is injured, the main thing is that the incompletely severed Achilles tendon will not shrink too much.

This is a troublesome problem encountered in Achilles tendon ruptures. A severed Achilles tendon will retract inward, so powerful that it can retract six or seven centimeters or more when the leg is opened.

As a kind of tendon, it is very difficult to suture the Achilles tendon that has shrunk to this extent, and even pulling it may not be able to pull it together. We can only adopt the method of tendon transplantation. First, take a piece of tendon from other parts of the body and bridge it. stand up.

It is conceivable that such a transplanted Achilles tendon is definitely not strong enough, and it can only cope with daily life, and even more careful, it is impossible to participate in high-intensity competitive sports.

From He Xiufang's magnetic resonance film, it is possible to see the incomplete rupture of the Achilles tendon, but only when it is completely opened can the specific situation of the rupture be confirmed.

Looking at it now, there is no serious verification, and there is no too uneven tragedy. It can be regarded as the Achilles tendon injury that Ling Ran has seen.

If he uses ordinary methods to suture ordinary people, such Achilles tendon can be stitched to at least an 80-point level, which is the level at which high-intensity training is likely to be performed, and it will take no more than half an hour in total.

Many athletes have undergone similar operations, and it is only possible to see them again on the field only by their own rehabilitation efforts after the operation.

If Zhu Tongyi's plan a is adopted, Ling Ran's confidence will be a little stronger. Although it may not be possible to reproduce Liu Weichen's recovery level, the success rate will definitely increase for the incompletely severed Achilles tendon.

"Peel off the Achilles tendon first, um, I'll do it myself." Ling Ran didn't let Ji Tianlu do it, and chose to do it himself.

Zhu Tongyi frowned and asked, "Ling Ran, what do you mean by doing it yourself..."

"I noted down the location of the blood vessel just now, and prepared to peel the Achilles tendon avoiding the blood vessel as much as possible." Ling Ran tilted his head, and said, "After I strip it out, I will follow the procedure from last time."

This was Ling Ran's thought after he made plan a for Liu Weichen last time, and then analyzed it later.

From Ling Ran's point of view, many blood vessels that were severed last time can be avoided. In other words, the complexity of rebuilding the blood vessel network can be reduced by avoiding the small blood vessels, or it can be the same The complexity of the vascular network, but there are more blood vessels providing blood supply.

However, this kind of operation is even more difficult, especially for the understanding of nuclear magnetic resonance, it must be quite proficient, otherwise, it is not clear.

Ji Tianlu thought for a while before he understood what Ling Ran meant, and he was horrified: "You can't write down all the blood vessels, can you?"

"How is that possible..." Ling Ran smiled.

"I just said..."

"I just noted the ones around the Achilles tendon." Ling Ran smiled.

Ji Tianlu laughed twice, too lazy to speak.

Zhu Tongyi also coughed and coughed twice, trying to adjust the atmosphere, and said: "Director Ji, don't look at Ling Ran as young, his professional subject scores are in the top three in Yunhua University, and he can't do it because of his bad memory. right?"

Doctors are different from other industries. Even after leaving school for many years, a doctor's degree still has considerable value. Especially for medical students from well-known universities, it is not only easy to find a job, but also smooth when promoted. After many years, the so-called People from Xiehe, Xiangya, overseas returnees, etc., still attract the attention of the hospital.

Of course, at that time, it may not be because of academic qualifications, but because of factions.

Zhu Tongyi had just read Ling Ran's file and remembered it clearly, so he took the opportunity to gossip.

Ji Tianlu was interrupted, so he stopped entangled, staring at Ling Ran's operation, thinking silently.

Ling Ran lowered the knife slowly, the movement was very slow, but the knife was very accurate, around the edge, and slowly peeled off the ruptured tendon.

It took Ling Ran 30 minutes to accomplish this step.

However, when this step was completed, everyone breathed a sigh of relief.

The next one is the plan a that everyone has already done, and it is even simpler. Compared with Ling Ran's operation just now, it makes people feel more relaxed.

Ling Ran shook off his arms and sewed quickly.

The total number of Achilles tendons he has sutured these days is seventy or eighty if not one hundred. With the addition of perfect Achilles tendon repair, the information he has obtained from the accumulated cases is extremely large.

Among other things, Ling Ran has more experience with the familiarity, toughness and hardness of the tissues and organs around the Achilles tendon in the human body.

It is also going through the needle, and people with different experiences handle it differently. It is as if calligraphy works are presented in different gestures on different kinds of rice paper.

Ling Ran got a little familiar with the organization of the surgical area, and the rest of the surgical work became a steady reconstruction.

Still vascular anastomosis.

Still an excellent fit.

However, Ling Ran didn't come up with anything special, he just steadily completed all the procedures step by step.

When it was time to suture layers, many of the little doctors in the classroom did not realize that Ling Ran's operation was complete.

"It's done." Ling Ran dropped the equipment and made way for him.

"How do you feel?" Zhu Tongyi was in a great mood. He succeeded in two consecutive cases, which greatly increased the value of plan a.

Ling Ran only thought he was asking about the contents of the operation, thought for a while, and said, "Liu Weichen should recover better."

"Great." Lu Wenbin and the nurse sister both clenched their fists.