Chapter 1199： Don't panic

"The great saphenous artery is stripped, let's start directly." Ling Ran chose his position again and came to the patient's leg.

Observing the patient in front of him with the "perfect grade" great saphenous vein stripping technique, he can easily analyze the direction and state of the great saphenous vein.

Of course, the specific location depends on the previous video.

These are all very basic steps. In order to ensure the smooth success of his first great saphenous vein stripping operation, Ling Ran did not hesitate to take out a virtual person for 3 seconds—cutting it from the beginning to the end with a single knife. The great saphenous vein is drawn out, by the way, to experiment with flexibility, it can be said to be a very rough test method.

After completing this step, he was completely relieved.

That's right, the patient in front of him is a standard normal human being on Earth, and it can be said to be stable with his own technology.

Ling Ran wiped a smile at the corner of his mouth, satisfied with what he had grasped.

A surgeon is not always as certain as it seems. However, when it comes to knives, they are very decisive.

Undecided is no good. The operation is always going on, and repeated hesitation will not make the situation better.

However, if there is more information and the situation can be truly determined, then it is naturally better.

Ling Ran felt that his current state was pretty good.

He felt that everything was ready, and he felt fresh about the surgery before him.

This is a rare experience. In normal times, everyone does chest surgeries that are well-versed in order to have this sense of security and control of everything.

But it would be too difficult to add "fresh" to make adjustments.

Ling Ran decided to enjoy today's surgery.

"Knife." Ling Ran reached out and picked up an electric knife into his palm.

The little doctor who was supporting him looked at Ling Ran strangely.

Ling Ranshi's hand-dancing movements are obviously very special. If it weren't for Ling Ran's handsomeness and reputation, he would treat it as a great dance.

Naturally, I dare not talk nonsense now, but the little doctor still asked carefully, "Doctor Ling, why did you dance in mid-air just now."

"You didn't touch the contaminated area, right." Ling Ran's thinking line was completely different.

The little doctor hurriedly said: "No, no, I just think that your movements are quite special and look pretty, kind of like dancing?"

"It's okay to dance." Ling Ran lowered his head and slashed away the patient's leg skin as he spoke.

He chose the side of the blood vessel close to the arch of the foot. There are abundant blood vessels here. Even if one is taken away, it will not affect the patient's normal life.

The resident doctor in the heart surgery also often accompanied the operation. Seeing Ling Ran's movements, he knew that Ling Ran was very confident.

This made the little doctor look at Ling Ran even more strangely, and said in his heart: It's so good to be handsome. Not only does his movements look good, but his confidence in performing surgery seems to be stronger than others.

The gaze of the nurse who was cooperating with Director Kang next to him couldn't help but glanced over, and couldn't help but said, "Doctor Ling's movements are really beautiful, can Doctor Ling dance?"

Director Kang listened unhappily: "Whether there is any relationship between dancing and the operation of the surgery, you have to do the operation well."

"Yes, Director, we are all doing the operation well, it's not that I'm worried that Doctor Ling is unaccustomed to using our things." The little nurse randomly found a reason to prevaricate Director Kang.

The director can't help it. Until the operation is very unsuccessful and the time is so grumpy, Director Kang will not pull his face down to scold the nurse.

Director Kang could only shook his head and used Ling Ran to say: "Don't interfere with Dr. Ling's operation. No matter how thick Da Yin is, it is a blood vessel. If it gets mixed up with nerves, it will easily break."

"Director, don't be scary. We have done so many operations with you, and the blood vessels that are mixed with nerves are not 20%."

"That is, it looks like one or two percent." The traveling nurse next to him called.

"Furthermore, Dr. Ling's skills are so good and his luck is so good, he will definitely not encounter this kind of trouble..."

"As stated in the constellation book, the handsome and long-term people will not have bad luck."

Director Kang rolled his eyelids while listening, but it is not wise to argue with married women when they are united. Even if it is done by a direct superior, it is very dangerous, not to mention that Director Kang's authority in the department is not so important.

Director Kang shook his head, and while dealing with the tasks in hand, he said: "In your constellation book, I didn't say how to avoid this situation?"

"Don't perform surgery at night, when the planets are connected, it is easy to have a crisis."

"You can't have surgery at noon. The sun will affect your luck."

"It's not suitable for surgery in the morning, because..."

"Is it not suitable for the whole day?" Director Kang laughed twice and said: "Let you say that, I would rather run into nerves all the time..."

"This one just ran into it." Ling Ran replied, and it was considered to be reporting the situation during the operation to the surgeon.

Director Kang was stunned for a moment: "Come on?"

"Well, this great saphenous vein has a nerve entwined together." Ling Ran confirmed.

"I hit a nerve just at the beginning..." Director Kang raised his head and looked at Ling Ran's side, and suddenly found that a long blood vessel had been pumped up.

Peeling blood vessels is easy to say, but requires very careful work. To put it simply, it is to cut the outer part of the blood vessel along the direction of the vein to expose the blood vessel. Then, the surrounding branch small blood vessels are peeled off one by one, and the core is to do the ligation of the interface.

Imagine the saphenous vein as a main road, and the process of stripping it off is the process of blocking all auxiliary roads.

The difficulty of this process is not high, and ordinary minors can be successfully completed, but in terms of speed, even the old director for years may not be able to do it fast and well.

Director Kang was busy with his work just now, and he slowed down intentionally, waiting for Ling Ran to practice. He believed that Ling Ran would be able to successfully complete the vascular interception--a doctor who could perform hepatectomy must have done it with his hands, but it was surprising that he could do it so quickly.

"Dr. Ling where did you practice this trick..." Director Kang was full of doubt. Don't you go to other hospitals, develop your skills, and then run back to export for domestic sales?

The more Director Kang thought about the possibility, his expression became more serious.

Ling Ran peeled his nerves briskly. For the patient's postoperative life considerations, nerve preservation is very necessary. But to keep it, you can only deal with it a little bit carefully.

Director Kang looked at it with a serious expression and finally turned around and listened to the chief power whispering: "It seems to be no-touch."

"En?" Director Kang quickly turned around.

The so-called no-touch means that during the process of obtaining the great saphenous vein, the great saphenous vein is not touched, but the surrounding tissues around the great saphenous vein are preserved about 1 cm.

The advantage of this is to reduce the damage to the vein and avoid the occurrence of vein spasm. The three-layer good news tissue of the entire blood vessel wall can also be preserved intact, which further increases the long-term inflation rate after transplantation.

For comparison with reports in the literature, the long-term patency rate of the venous bridge is 50%, while the long-term patency rate of the venous bridge obtained by the no-touch technology can reach 85%, which is comparable to that of the arterial bridge.

However, compared to the simple interception of the saphenous vein, the no-touch technology is much more complicated. It is a complete set of technical systems, and it is a higher-end technology that has not yet been developed by Yun Medical Cardiac Surgery...

Seeing that he was still hesitating, whether the technique he wanted to learn was used lightly by Ling Ran, Director Kang felt very...panic!

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