Chapter 309： time

Standing in the shower room in the operating area, Ling Ran raised his head to face the water flow, relax his whole body, and do not want to say anything as much as possible.

The hot water poured on Ling Ran with impulse, slowly letting his thoughts diffuse.

Almost a quarter of an hour, Ling Ran slowly turned off the water, wiped her body with a towel, and came out with a brand new retail price of 199 yuan and a wholesale price of 79 yuan.

Fully armed Ling Ran exudes the light of confidence.

From the moment he opened the knife, he kept thinking.

Dong Xiaoning is not an active athlete, so her requirements for recovery time are not as strict as those of professional athletes such as Liu Weichen or He Xiufang. It will not be much different for her to return to the stadium in four months or six months. .

In fact, her requirements for treatment can be summed up in two points: ensuring function and beautiful appearance-Dong Xiaoning does not have too high requirements for the healing time and hospitalization time that doctors care about. Similarly, Dong Xiaoning's family also made clear Expressing their desire to use medicines as much as possible means that their ability to bear medical expenses is also relatively high.

Such patients have higher functional requirements than ordinary people or sports enthusiasts, and their ability to withstand injuries and appearance is lower than athletes. In fact, they belong to an intermediate layer.

As far as the current medical environment is concerned, such an intermediate layer is actually less concerned.

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

Ling Ran cut a 12 cm long S-shaped incision and made a few minutes as usual. Just before the critical step of peeling the Achilles tendon, he stopped.

"Let me see the MRI again." Ling Ran came up with a lot of ideas, but he needed information to confirm them.

Yu Yuan immediately took off her gloves and turned on Ling Ran's computer.

During the operation, Ling Ran asked to review the magnetic resonance imaging every 30 minutes. This kind of request is not unusual. The core of the MRI operation room costing hundreds of millions is to allow doctors to see the magnetic resonance imaging in real time. There is no need to stop the operation halfway to see the film like Ling Ran.

However, even the Bone Joint and Sports Medicine Center cannot afford a magnetic resonance operating room.

Here at Ling Ran, he has new ideas to confirm.

"In her T2-weighted image, the high signal is more obvious." Ling Ran pointed at the upper part of the Achilles tendon, and said, "The incision is small, and you should consider suturing the Achilles tendon."

"Is this okay?" Yu Yuan was a little overwhelmed. Although she said that she had begun to learn Achilles tendon repair, she did not learn the original Achilles tendon repair, and it was no root to want to introduce new ones-even old techniques I do n’t know anything, so naturally I do n’t know if I launched a new technology. So is the technique.

Ling Ran did not discuss with Yu Yuan.

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

Ling Ran ’s current situation, even if you have to talk to someone, you have to find Ji Tianlu. It is a waste of time to discuss with Yu Yuan-Yu Yuan wants to learn Achilles tendon repair, Ling Ran will give her the opportunity to study hard, but This will not give her the power that the doctor in charge does not have.

Participation 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. In addition, we must reduce the impact on muscle tissue." Ling Ran said to himself, but also explained to Yu Yuan, as to whether Yu Yuan can listen Understand, Ling Ran can't control so much.

Of course, Yu Yuan actually understands. After graduating with a master's degree, she will be a hospital doctor for another three years. Yu Yuan has also been studying. For Ling Ran, give her a tablet for half an hour. Later, Yu Yuan could pull out a summary of the review.

But understanding and doing are two different things.

Moreover, because she understood, Yu Yuan knew how difficult it was.

Blood loss is an eternal topic in surgery. Earlier in the year, there were thousands of articles about blood loss during surgery. But now, under the premise that the blood loss in most operations has been 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. Everyone has 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. Is it?

It is even more mysterious to reduce the impact of muscle tissue. Normally, it is best not to move a certain muscle tissue. However, Achilles tendon repair is a surgery for large muscles. The muscles of the lower leg are in 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 surgery will increase a lot." Yu Yuan told the truth.

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

Ling Ran nodded, looking at the patient's calf exposed on the operating table outside the surgical hole towel, thoughtfully: "In fact, we should change the thinking of surgery, and take into account the problems that some patients want beautiful appearance ... "

"Especially for Mao Shao's patients?" Yu Yuan stepped on the step stool and asked, looking up.

"Well ... the patient's requirements are real. If we can't do everything, we should also improve the more important part." Ling Ran thought, "I think we can try a little ..."

"Some patients may not care about the appearance." Non-Pan Ma heard it interestingly, interjected, "For example, Wu Dalang, if there is a scar on his leg, who cares, Pan Jinlian doesn't matter."

Ling Ran took a deep look at Fei Pan Ma, until the other side was a little panicked, and said, "I want to control blood loss today, the operation time will be extended, and the anesthesia plan will be re-made."

"How to do it?" Fei Panma did not expect that something else would fall on her head.

"The operation time is estimated to be more than 4 hours." Ling Ran did not understand anaesthesia, said the request, and said, "Add more hemostatic packs to the equipment ... Yu Yuan, go and explain to the outside family ~ www.novelhall.com ~ The length of the operation time will naturally affect the use of anesthetic drugs.

Family members of patients will be very anxious.

According to the thinking of a normal person, if the patient can leave the operating room quickly, it means that the operation is very smooth. Otherwise, the more serious the problem is.

Ling Ran had previously done the Achilles tendon repair of Scheme A, which was a speed of 2 hours to 3 hours. Counting the time for the patient to prepare and roll out, it took at least 4 hours.

Ling Ran himself has not considered the problem of prolonged operation time, that is, doing stuffy heads for surgery.

Ran Ran is now more focused on reducing blood loss than on anastomosis to the blood vessels than Liu Weichen's original surgery.

After 4 hours.

Ling Ran reiterated: "I need another hour before Yu Yuan goes to notify the family."

Yu Yuan bowed her head and said, "Dr. Ling, the family members of the patients outside are already crying. If they extend it again, they will cry miserably."

"That's what it said." Ling Ran thought for a moment, and said, "Then you go to inform and say it will take another two hours, so you don't need to extend it any more."

Yu Yuan stared at the dog and said for a while: "Dr. Ling, didn't we do it quickly?"

Ling Ran said slowly: "In the past, we were doing fast, and we couldn't perfectly meet the patients' requirements. In this case, we can only use other methods."

"But is 6 hours too slow?"

Ling Ran moved his neck and said, "The number of patients is not large now. Isn't it better to have a slower operation?"

"The number of patients is not much. There are 6 patients today, and they are all over ...."

"Overtime that night." Ling Ran said it should be.

"not me……"

"Hurry to inform!"

Being shouted, Yu Yuan jumped up like a rabbit.