The patient is placed on the dark green treatment towel.

A large light blue sterile drape covered the patient, leaving only the knees exposed.

Although the patient was awake, he was still covered under the sterile drape. He could only look at the sterile drape and listen to the music in the operating room, which was extremely boring.

"It's better to go under general anesthesia." Zuo Cidian knew that Ling Ran didn't like chatting with patients, so he took the initiative to take over the task. Of course, it was also because he liked chatting and was afraid of being bored.

Today's patient is a 62-year-old man. He shook his head nervously and persistently behind the sterile drape and said, "We can't give him general anesthesia. We know someone who died after general anesthesia and he didn't wake up."

"Death from anesthesia? That's not common." Zuo Cidian was surprised.

"The hospital said he died of a heart attack, but they still won't pay any compensation. We all know, Old Liu, that even though it was a bit of high blood pressure and heart disease, it was not serious enough to cause death." The old man paused for a moment and said in a determined tone: "General anesthesia.

It hurts people too much.”

Zuo Cidian looked at Ling Ran and suddenly felt that chatting with the patient was not a good idea.

"Inflate the tourniquet and check." Ling Ran drew his knees and spoke to Yu Yuan.

Menisplasty under knee arthroscopy originally only required one assistant. But the doctors at Zhucheng Hospital could not leave him alone, so the original attending Zhang Pengyi served as the first assistant, and Yu Yuan served as the second assistant.

Cidian was already in a state of observation, so he stood aside and watched.

"Approach to both sides of the anterior patellar ligament of the knee." Ling Ran explained to his assistants, then he looked at the position, then stretched out his hand and said: "Knife."

Snapped.

The highly nervous equipment nurse immediately smashed a scalpel into Ling Ran's hand, and she became even more nervous in an instant.

Ling Ran raised his head to look at her, smiled, then turned his head and made a 0.5 cm incision at the location drawn with the marker.

The equipment nurse tensed up and began to have endless imagination in her mind.

"Piercing awl." Ling Ran reminded again.

Snapped.

The instrument nurse used all her life-long learning to put the puncture cone into Ling Ran's hand at the best speed, the most accurate angle, and the most appropriate force. When she was about to put her hand down, she even had an undetectable closing thought.

force.

For surgeons, this is the best cooperation.

Ling Ran gave another smile, lowered his head in an instant, and stabbed the puncture awl steadily into the knee joint.

Then, Ling Ran inserted the arthroscope and ordered: "Add saline."

Zhang Pengyi breathed a sigh of relief and immediately began to add physiological saline.

He was a little worried just now that there was something wrong with Ling Ran's operation.

Although we praise the experts outside the hospital, in the medical industry, it is inevitable that there are many different fields. Even an internationally renowned cardiologist knows the knee joint well.

For example, Amano Atsushi, who performed heart bypass surgery on the Emperor of Japan, is famous for having performed 6,000 heart bypass surgeries as his surgeon, and also directed 10,000 heart bypass surgeries, averaging 500 surgeries per year. This is the standard of a normal Japanese doctor.

Nearly 10 times, five times that of Chinese doctors.

But other than that, Amano Atsushi does not perform any surgeries, and he does not need to know about knee arthroscopy or ankle arthroscopy. The basic anatomical structure may be clear, but that is all.

Zhang Pengyi obediently gave up his position because he saw that Ling Ran had experience in operating arthroscopy and that he was an expert from another hospital hired with a large sum of money. However, his name was written on the surgery sheet. To say that he was not worried at all, that was

impossible.

However, seeing how skilled Ling Ran is now, Zhang Pengyi feels relieved.

Although it is just a puncture awl operation, it is a small movement, but it requires a lot of practice and personal understanding. The puncture awl is like an oversized needle. The depth of the puncture awl must be controlled and the force must be sufficient.

To avoid having a bad prognosis due to repeated attempts.

You can make a guess based on how good a nurse is and how well she performs acupuncture. How well a doctor performs arthroscopy, the puncture cone is also a good criterion.

Zhang Pengyi was convinced that Ling Ran's skills were good, so he cooperated with peace of mind.

The arthroscope enters the knee joint, and the 42-inch screen above the operating table displays the content of the video in real time, which is much more intuitive and clear than X-rays or even MRIs.

Theoretically, the diagnosis under arthroscopy, especially the diagnosis of meniscus injury, can reach an accuracy of 98%. As far as medical diagnosis is concerned, this number is very high. Especially the diagnosis of Western medicine, it is

To classify diseases, unlike traditional medicine, you only need to point out that there is a problem somewhere.

Of course, the probability of misdiagnosis still exists. Being 100% sure can only show arrogance, but not confidence.

Ling Ran spent a few more minutes checking the damage to the meniscus, and then said: "It is estimated that about 7 mm of meniscus can be preserved..."

Zhang Pengyi was still looking at the screen. When he heard Ling Ran's words, he didn't answer for a while. According to his experience, it would take longer to think and make judgments.

Ling Ran was already minding his own business.

The core of menisplasty is to repair the meniscus of patients with meniscal damage to a normal state or close to normal state.

Among them, the excess must be bitten off with blue pliers, the uneven edges must be straightened, and the worn edges must be shaved off... Ling Ran is currently encountering a patient whose meniscus has been severely worn due to long-term conservative treatment.

"The meniscus is all uneven." Zhang Pengyi finally came to his senses, looked at the meniscus on the screen, and sighed.

The patient couldn't help but exclaimed: "Does unevenness mean something bad?"

"Not good." Zhang Pengyi said: "The result of your conservative treatment is that the meniscus is constantly being worn, and now it is more difficult to deal with."

"My conservative treatment is also what the doctor ordered."

"You don't have regular check-ups."

"Hey, everyone knows what's going on, why should we check again?" The patient was lying on the hospital bed, not daring to move, and he was so stubborn.

Zhang Pengyi shut up.

Ling Ran completed this arthroscopic surgery in one go. When he finally looked at the time, it was only 15 minutes.

"Next scene?" Ling Ran took off his gloves and left the operating room.

"How's it going?" The director and other doctors gathered around him.

"Better than me." Zhang Pengyi laughed twice, having nothing to hide.

"Better than you?" The director repeated his words and nodded slightly.

They have also just started to perform arthroscopic surgery, and the demand for experts is far greater than before.

Because arthroscopic surgery is effective and less invasive, the number of patients willing to undergo surgery is also increasing, but Zhucheng Hospital has not trained enough arthroscopic doctors.
Chapter completed!