Standing in the shower room in the operating area, Ling Ran raised his head to face the water, relaxed his whole body, and tried not to think or say anything as much as possible.

The hot water poured over Ling Ran's body with great momentum, slowly allowing his thoughts to spread.

After almost a quarter of an hour, Ling Ran slowly turned off the water, wiped himself with a towel, and then came out and put on a brand new pair of underwear with a retail price of 199 yuan and a wholesale price of 79 yuan.

Ling Ran, who was fully armed, exuded confidence.

From the moment he had the surgery, 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 does not make much difference to her whether she can return to the court in four months or six months.

.

Her requirements for treatment can actually be boiled down to two points: ensuring function and beautiful appearance. Regarding the healing time, hospitalization time, etc. that doctors are more concerned about, Dong Xiaoning does not have high requirements. Similarly, Dong Xiaoning's family also understands

Expressing the desire to use the best medicine possible is equivalent to saying that their ability to bear medical expenses is relatively high.

Such patients have higher functional requirements than ordinary people or sports enthusiasts, and have lower tolerance for scars and appearance than athletes. They actually belong to a middle layer.

In the current medical environment, such a middle layer is actually of little concern.

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

Ling Ran made an S-shaped incision 12 centimeters long. He continued to do this for several minutes as usual, and when he was about to reach the critical step of peeling off the Achilles tendon, he stopped.

"Show me the MRI again." A lot of ideas came to Ling Ran's mind, but he needed data to confirm them.

Yu Yuan immediately took off her gloves and turned on the computer for Ling Ran.

During the operation, Ling Ran would request to review the MRI films every once in a while. This request was actually not unusual. The core of the magnetic resonance operating room, which cost over 100 million yuan, was to allow doctors to see the MRI images in real time.

There is no need to be like Ling Ran and stop the surgery midway to watch movies.

However, even the Bone, Joint and Sports Medicine Center cannot afford to build an MRI operating room.

But here at Ling Ran, he has new ideas that need to be confirmed.

"The high signal in her T2-weighted image is quite obvious." Ling Ran pointed to the upper part of the Achilles tendon and said, "The incision is too small. We need to consider pulling out the Achilles tendon and suturing it."

"Is this okay?" Yu Yuan was a little at a loss. Although she said she had started to learn Achilles tendon repair surgery, she had not learned the original Achilles tendon repair surgery. It was useless to introduce new technologies - even the old technology.

If you don’t know anything, you naturally don’t know if what you are introducing is a new technology. The same goes for the techniques.

Ling Ran had no intention of discussing it with Yu Yuan.

Some surgeons are not confident enough and like to discuss with their assistants during the operation. They want to share responsibilities and know that they are prone to making mistakes.

In Ling Ran's current situation, even if he wanted to find someone to discuss, he would have to come to Ji Tianlu. Discussing with Yu Yuan would be a waste of time - if Yu Yuan wanted to learn Achilles tendon repair, Ling Ran would give her a chance to learn it, but

This will not give her powers that even the attending doctor does not have.

Participating in the formulation of surgical plans is naturally a right.

"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." While Ling Ran was talking to himself, he was also explaining to Yu Yuan. As for whether Yu Yuan could listen.

Understand, Ling Ran can't control that much.

Of course, Yu Yuan actually understands it. After graduating from a master's degree, she went on to be trained as a resident doctor for three years. Yu Yuan has also been studying. For what Ling Ran said, give her a tablet and wait for half an hour.

Finally, Yu Yuan was able to come up with an outline of the review.

However, understanding and doing are two different things.

Moreover, precisely because she could understand, Yu Yuan knew how difficult it was to do it.

Blood loss is an eternal topic in surgery. In the early years, there were thousands of articles a year on controlling intraoperative blood loss. But now, under the premise that blood loss in most surgeries has been reduced, reducing blood loss can be

It's not that easy anymore.

For surgeons, the requirement to reduce blood loss is like asking automobile 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.

Already?

Reducing the impact on muscle tissue is even more mysterious. Normally, it is best not to move a certain muscle tissue. However, Achilles tendon repair is an operation that requires a lot of muscle movement. The muscles of the calf are

After Achilles tendon repair surgery, 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 operation will be much higher." 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 outside the surgical drape on the operating table, and said thoughtfully: "In fact, we should change our surgical thinking and take into account the issue that some patients want to have a beautiful appearance...

"

"Especially Mao Shao's patients?" Yu Yuan stepped on the step stool and raised her head to ask.

"Well... the patient's requirements are real. If we can't cover everything, we should improve the more important parts." Ling Ran thought about it and said, "I think we can make a little attempt..."

"Some patients may not care about appearance." Fei Pan Ma heard this interestingly and interjected, "Just like Wu Dalang, who cares whether he has scars on his legs? Pan Jinlian doesn't care."

Ling Ran looked at Fei Panma deeply, until the other party panicked, and then said: "I have to control the blood loss today, the operation time will be extended, and the anesthesia plan will have to be redone."

"What to do?" Fei Panma didn't expect that something else would happen to her.

"The operation time is estimated to be more than 4 hours." Ling Ran didn't know much about anesthesia. After stating his requirements, he said: "More instruments and hemostasis packs... Yu Yuan, go explain it to the family members outside."

The length of the operation will naturally affect the use of anesthetic drugs.

The patient’s family will be very anxious while waiting.

According to normal people's thinking, if the patient can leave the operating room quickly, it means that the operation went very smoothly. If not, it means that the problem of the operation is serious.

Ling Ran had previously performed Achilles tendon repair in Plan A, which took between 2 and 3 hours. Including the time for patient preparation and removal, it would have taken at least 4 hours.

Ling Ran himself no longer considered the problem of prolonging the operation time, and just focused on doing the operation.

Compared with the initial operation on Liu Weichen, Ling Ran is now more focused on reducing blood loss rather than anastomosis of blood vessels.

4 hours later.

Ling Ran said again: "I still need another hour for Yu Yuan to inform her family."

Yu Yuan lowered her head and said: "Doctor Ling, the family members of the patients outside are already crying. If the time is extended again, they will cry miserably."

"That's right." Ling Ran thought for a moment and said, "Then you go and inform us that it will take another two hours, so there should be no need to extend the time."

Yu Yuan was stunned and said for a long time: "Dr. Ling, didn't we do things very quickly before?"

Ling Ran said slowly: "Even though we did it quickly in the past, we couldn't perfectly meet the patient's requirements. In this case, we can only use other methods."

"But, isn't 6 hours a little too slow?"

Ling Ran moved his neck and said, "There are not many patients now, so wouldn't it be good to do the surgery a little slower?"

"The number of patients is running low. There are 6 patients today, and we can't finish everything..."

"Then I'll work overtime tonight." Ling Ran said it as a matter of course.

"not me……"

"Go and notify!"
Chapter completed!