Chapter 298 Blood Loss
In the operating room, all the foreign doctors were as quiet as chickens.
A surgeon can have all kinds of hobbies and do all kinds of weird things, as long as his surgery is good enough!
They didn't know Ling Ran's operating habits, and they didn't want to know if he had any strange rituals before the operation. They just waited silently for the operation to continue.
The Chinese doctors were a little curious and didn't dare to talk nonsense. Only one resident doctor took out his mobile phone as if he was dying, and wanted to exchange a few words with his colleagues in the classroom. When he looked up, he saw Ji Tianlu's murderous eyes .
The resident doctor looked around, then lowered his head, opened the phone case, took out the battery, and put the phone back in his pocket.
"We're continuing the operation."
After Ling Ran had spoken, he began to press on the operating table, Diamond's calf, and the red light of the camera wrapped in a plastic bag also lit up.
At the same time, the small conference room and demonstration classroom also fell silent.
The doctors present stared with bated breath.
They could have sat in the conference room and watched the live broadcast, but they should have watched the surgeries performed by scholars with strong qualifications recommended by the organizing committee.
However, they still came to see Ling Ran's surgery on the spot.
A resident Achilles tendon repair.
An operation that determines the future of a 19-year-old boy.
Diamond had reason to cry.
When past efforts and future dreams all depended on a surgery, when he bet his whole life on the operating table of a strange surgeon, tears were the only way to vent.
"Peel off the Achilles tendon." There was no change in Ling Ran's tone.
"Peel off the Achilles tendon." Yu Yuan, who was stepping on two step stools, repeated.
"Suck."
"gauze."
"Pick again."
Ling Ran first did the work of stopping the bleeding to ensure a clear view of the operation.
Yu Yuan listened to Ling Ran's order, thinking while doing it.
She couldn't stop thinking, which often delayed the operation. In the words of her mentor, it means thinking too much, doing too little, and not cooperating with the brain and hands.
When she was in other treatment groups of Yunyi, Yu Yuan was disgusted because of her slow movements and slow reactions.
Even a mediocre surgeon hopes that the operation will go smoothly. As for the sign of a smoother operation, in addition to a good prognosis and the operation being carried out as scheduled, it is also very important to do it quickly.
A resident doctor who cannot cooperate well is definitely a hindrance to a treatment group.
But in Ling Ran's treatment group, Ling Ran didn't have high requirements for residents.
Of course, the working hours are very long, but when it comes to the operating table, Ling Ran's silence and ability to adapt to the different conditions of different residents are something Yu Yuan and others have never encountered before. .
Under Ling Ran, even if Yu Yuan slowed down because of thinking, she would not be reprimanded.
This made Yu Yuan more relaxed, and on the contrary played better.
"The amount of bleeding is very small." Yu Yuan discovered this "secret" earlier than anyone else.
Others have no concept of the normal amount of bleeding in Plan A.
Ling Ran said "En", and said, "It's better to cut the blood vessels less than to suture them afterwards."
Yu Yuan immediately nodded "Yes", then turned to the anesthesiologist, "How much blood loss?"
The anesthesiologist said softly, "45ml."
Ling Ran nodded. This is already lower than the previous blood loss, which means that the severed blood vessels may be less than before.
Of course, just maybe.
The doctors present finally heard it clearly, and they couldn't help discussing it.
If there are unfamiliar ones, he quickly took out his mobile phone and started to inquire.
Ji Tianlu coughed heavily, and said, "The blood loss of the current traditional incision method is around 150 to 200."
He said a little less, so as not to appear that the domestic medical level is weak.
A quick-moving doctor had found something, so he nodded and put away his phone.
Someone also introduced in English: "The blood loss of the limited incision is about 70 milliliters, and the blood loss of the minimally invasive surgery is about 30 milliliters. The whole operation process."
In comparison, so far in Ling Ran's surgery, the amount of blood loss has exceeded that of minimally invasive surgery, and after the full operation, the amount of blood loss will definitely exceed that of wired incision surgery.
This is due to the limitation of the surgical form. From the perspective of the traditional incision mode alone, the blood loss in this operation so far has been very small.
"This is the principle of Plan A." Dr. Morris asked Ji Tianlu half-curiously, "Reduce the amount of bleeding and increase the strength of the Achilles tendon suture?"
"The amount of blood loss is just... the appearance." Ji Tianlu asked the translator to read it again, and said again: "The ultimate goal of plan A is to reduce the damaged blood vessels, maintain the normal operation of the blood vessel network, and provide sufficient blood supply to the Achilles tendon."
"Well... a very good idea." Dr. Morris said with a smile: "It's also very difficult."
"Doctor Ling's level is very high." Ji Tianlu took the opportunity to help Ling Ran spread the word. At this time, it is meaningless to promote the hospital or yourself. To promote Li Ran is to promote plan A, which is to promote Zhu Tongyi and his hospital.
"It should be possible to do reinforced sutures." After playing with the Achilles tendon for a while, he made a judgment.
Yu Yuan hurriedly made preparations by the side.
The function of the first aid can be more or less. For an experienced surgeon, a first aid who can hold a rope can also be used, and a first aid who can do everything can also be used.
Ji Tianlu did not participate in the operation, but just watched from the side. Seeing that Ling Ran's reinforced sutures were as smooth as ever, he nodded secretly.
The doctors who were watching all around came forward involuntarily.
Because of the blocking belt, a group of doctors could only stick their waists to the belt, step on the line with their feet, and stretch their heads forward desperately.
The most excessive, has already used the golden rooster's independent trick.
"It fits neatly."
"Double reinforced stitching."
"If there are no complications, this intensity is fine."
Whether it is a Chinese doctor or a foreign doctor, they all communicate in English at this time, so there is no obstacle.
The language used in speeches is complex, and it is much more difficult than daily communication.
At this time, everyone was discussing the same topic, and most of them had no problem even guessing in English.
"Vascular forceps."
"Suck."
"The sutures are from Purdis."
Ling Ran's movements were quick, and his orders were also very fast.
"A lot of vascular networks are indeed preserved."
The doctors who were watching inside and outside the operating room slowly saw the way.
With 200 times of dissection experience, Ling Ran decisively changed the approach, cut off fewer blood vessels, and added sutured blood vessels, which not only reduced the operation time, but also ensured the blood supply and reduced bleeding.
Other than that, all the operations are familiar operations that Ling Ran has done countless times.
The more Ling Ran did it, the smoother it became, and the doctors outside the circle also watched more and more vigorously.
Of course, it is very boring for laymen to see. The perfect Achilles tendon repair surgery has neither any special situation nor fierce dialogues and ferocious movements. Ling Ran performed the entire operation without any surprises. , It's like a man who always goes on blind dates in a restaurant, meets a woman who has no interest, and feeds himself in vain.
"It's done." After sewing the leather himself, Ling Ran cut the stitches and threw away the scissors. He nodded to everyone and left the operating room.
His gloves were covered in blood, his surgical gown was dirty, and it wasn't time for cuddling.
The doctors watching the operation, as if they had discussed it, took out their mobile phones in unison, and began to take pictures and selfies.
The resident doctor of the Bone Joint and Sports Medicine Center also hurriedly took out the mobile phone that he had disassembled into parts, installed the battery, pressed the back cover, turned it on with full expectation, and then raised his head happily...
"Director Ji, your eyes are really bright." The resident doctor smiled honestly, and picked out the battery that was just installed.