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Chapter 61 Pins
Ling Ran observed the exposed flexor tendons, did not immediately start.
Although I have seen several video materials, it is still very important to read them intuitively.
Huo Congjun waited quietly, and he knew what Lingran was doing.
Surgeons like to read intuitively.
If you focus on the development of surgery, you can see that all intuitive surgery is developing very fast, such as organ transplantation, including heart transplantation, from a 21st century point of view, under very difficult conditions, however, Surgeons are still going on – or the patients are being followed.
All in all, visual operation is a surgeon's hobby, and their favorite surgical method, such as laparoscopy or Da Vinci, etc., and the heart stent is discriminated by the heart bridge...
"Let's cut a little bigger." Ling Ran seems to be muttering to himself, and he starts to move his hand.
When he heard what he said, Lv Wenbin couldn’t help but blink: Can you still do this?
Huo Congjun was forced to resist and did not speak.
It seems to be a shame to say that it has been opened twice.
However, Ling Ran does not have a similar understanding.
Prior to this, he spent most of his time in the treatment room and the rescue room. He had not been in other departments, and the operating room in the emergency room had not been visited several times.
When he opened the knife, he was not sure. At this time, he wanted to expose a little more vision. Naturally, he should cut the knife edge longer.
Only then will the next operation be easier. Although the patient's scar will be a little more, in the operation of tendon rupture, scar is obviously not the primary consideration.
He will pay attention to scars when debriding and suturing, but he won't think about scars at this time. Anyway, scars are always left behind, and shorter and shorter, there will be no essential difference.
It is the suture of the tendon, the difference will be very small.
The best case is that the total postoperative activity (TAM) reaches 100%, that is, the range of finger movement is the same as that of ordinary people. The evaluation of TAM is excellent. More than 75% of the activity is good, and daily life can be guaranteed.
The master's tang method suture can achieve an excellent rate of 85%, that is, suturing 100 people, and 85 people can return to normal life. This data, let alone the no-man's land, is to stitch the tendons in other positions with lower difficulty. It is also very rare.
In most ordinary doctors in ordinary hospitals, the flexor tendon suture can be satisfied with the “can” standard, that is, the activity reaches 50% to 75%. This data can only be said that the fingers can still be used, and many things will become difficult. For example, sweeping the floor, end bowls, and peeling eggs are almost impossible to complete.
Even so, in many hospitals, the flexor tendon suture can not reach 85% of the "can" standard.
Ling Ran does not care what ordinary doctors in ordinary hospitals do.
His goal is not only this.However, he is not sure how the results after suturing, so he can only improve the success rate as much as possible.
"Take the skin to the sides." Ling Ran pulled the open skin with pliers and handed it to Lu Wenbin.
"Oh, good." Lu Wenbin was a little nervous, but he managed to hang the cortex on the side.
Repeating the same steps several times, the tendon is completely exposed to the clear vision.
Judging by the master skills he obtained, the exposure is actually a bit more, but it will reduce the difficulty and improve the fault tolerance.
The patient's tendon has been broken for nearly 20 hours, and the tendon contusion or injury is basically inevitable, which is bound to reduce the success rate and excellent rate, so it is better to open a big mouth.
Of course, his level of surgery is too primitive.
Ling Ran once again observed the exposed tendon, still no hands.
The flexor tendon of the human body is the key to the flexion and extension of the fingers. From the wrist, each person will divide five flexor tendons, up to the front end of the five fingers. If you look at the anatomical map, it is like pressing five rubber bands on the wrist and then connecting to five fingers.
The thickness of each flexor tendon is about the thickness of an Apple mobile phone charging cable, but the elasticity and strength are excellent.
The difficulty in suturing the flexor tendon is to ensure its strength and elasticity.
The strength is to ensure that the tendon is no longer broken, and the elasticity is to ensure its function.
Losing the former is a failure of surgery, and losing the latter is also a failure of surgery.
Ling Ran looked at the bloody, white-born tendon, and there were several options in his mind.
His level is not enough. It is impossible to think about how to do it before surgery. However, it does not take much time now.
In a short period of time, Ling Ran extended his hand:
"Pliers."
Wang Jia took a sigh of relief and quickly handed the needle holder of the line. If she had a scalpel again, she would have to worry about him.
Ling Ran found the position, did not hesitate to put the needle into it, the action is hundreds of times more familiar than the knife.
If you describe it as a word, it is equivalent to raising cattle for Lingran. The stitching is equivalent to eating beef.
When holding the needle holder, Ling Ran even has a refreshing feeling.
Needle flashing...
No needles...
When Ling Rising lifted the needle holder, he finally showed the master's level and convinced Huo Congjun's standard.
Huo Congjun stood by and looked at Lingran’s operation, some enjoyed, some proud, and some satisfied...
It is this level that is worthy of Huo Congjun personally running a trip to Lantai County.
Lu Wenbin is even more trembled.
He heard that Ling Ran’s first tang method was stitched, and in the old warehouse, he saw the craft of slashing the trotters. The latter was slightly more intuitive. After all, it was sutured with dead objects. The stitching step is also considered to be "primary".
At this moment, Ling Ran will not consider Lu Wenbin again.
If Lu Wenbin can cooperate, let him cooperate and reduce some work intensity.The part that Lu Wenbin can't cooperate with will be taken over without a word, and in the next operation, the whole process will be completed by himself.
In just a few minutes, Lu Wenbin felt the deep pressure.
He had long known that he would be marginalized. However, he really stood on the operating table and faced patients, doctors and nurses. Lu Wenbin was never willing to be a marginal person.
Lv Wenbin is even more inappropriate for the intern to get a hand, is it better than giving the intern a hand, and then being marginalized?
Furthermore, technology is technology, and technology does not change because of identity.
Lu Wenbin stared at the exposed tendons and hoped to record more details.
Ling Ran naturally noticed the change of Lu Wenbin.
Doing so many debridements in the treatment room has long made him accustomed to watching the movements around him.
Ling Ran's mouth twitched a bit, said: "It's almost the same as the pig's flexor tendon suture."
"Ah? Ah... not the same, it's too different." Lu Wenbin didn't know what to say, shaking his head.
Ling Ran "oh", but did not continue to ask, so Lu Wenbin was quite disappointed.
In the operating room, it became quiet.
Only occasionally sounding orders:
"scissors."
"pliers."
"Gauze pad."
Anesthesiologist Su Jiafu moved some of his body uncomfortably, and the chair under his seat made a squeaky voice.
Su Jiafu let go of thinking, thinking: I really have to lose weight this year, at least 60 pounds, a small fresh meat. No, it’s not good for you to lose too much in one breath. You can lose 50 pounds.
Thinking about it, he looked up bored and looked at the operating table.
Su Jiafu was on the first sight of Huo Congjun’s eyes.
What kind of look is that?
Su Jiafu quickly analyzed the logical thinking of his college entrance examination of more than 600 points: When Director Huo was the chief surgeon, he liked to chat. However, today is the chief surgeon, Ling Ran does not like to talk, and Director Huo is worried that the chat will affect Ling, so he does not speak. So... Director Huo is also very boring... So, I went, my eyes are so fierce, I definitely want my stool.
Su Jiafu stood up silently. He stood tall and wanted to pretend to be stretched, which made him look natural.
laugh……
The small stool with wheels, even if it was too late to roll up, was towed away bluntly, giving a sound of being rubbed.
Director Huo rushed to the ground and pressed it to his knees, revealing the long-lost smile of the old leader.
Su Jiafu sighed in pain, and he was too lazy to stretch out. He lost his thoughts: If I go down, I am afraid that I will lose 80 pounds. It will not work. If it is too thin, it will cause problems. Hey, look for the tour nurse next time. Good words, move a stool more.
"Sew it up." Ling Ran said, he checked it himself.
Huo Congjun suddenly stood up and took the small stool to the corner of the operating room.
......
In the 16th place in the recommended list, I have to climb up and ask for a ticket! !
(End of this chapter)
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