Chapter 733
Ling Ran looked at the screen and operated it lightly with his hands, but countless anatomical images appeared in his mind.
He did not gain experience in knee anatomy, and the total 100 times of foot anatomy experience was lost when it came to the Achilles tendon. This is one of the reasons why Ling Ran did not make long-term efforts in knee arthroscopy. However, Ling Ran read MRI
The resonance ability is master-level, and the arthroscopic menisplasty is also perfect. Coupled with a perfect arthroscopic anterior cruciate ligament reconstruction surgery, the technology in the knee joint is enough.
The only thing that needs to be considered is the patient's own physical condition.
Only with thorough consideration can we preserve as much of Bowman's meniscus as possible in the narrow space of the knee joint and provide the best possible recovery.
It can be seen from the MRI that Bowman's meniscus is quite shattered. To repair such a meniscus, we should not touch too much tissue, so as to minimize the damage and restore the anatomy within the meniscus.
Relationship This is also a big difference between humans and machines.
When repairing a machine, it is in the best condition as long as it can be restored to its original condition. It doesn't matter how it is disassembled in the middle. In many cases, the convenience of repair is taken into consideration at the beginning of the design of the machine.
This is not the case when performing surgery on people. On the one hand, everyone's anatomical structure is different in different ways. On the other hand, when performing surgery on people, it cannot be disassembled in a drastic way. As far as the existing technology is concerned, the total number of post-maintenance repairs is limited.
It is not as good as the original one, so compared to machine maintenance, there are too many restrictions on performing surgery on people.
Various endoscopic surgeries, including the arthroscope currently used by Ling Ran, are self-limiting due to various restrictions on the surgery.
It can bring smaller wounds, but the difficulty for doctors to operate is inevitably increased.
Compared with open surgery, arthroscopic surgery is a typical dojo in a snail shell, and the place that can be moved is very small.
At this time, boring questions such as "move the fewest blocks to complete the puzzle" have practical significance.
"Rinse it." After thinking about it, Ling Ran's movements in his hands didn't pause at all.
After obtaining the perfect arthroscopic meniscus plasty, Ling Ran underwent another two to three hundred knee operations. He has rich experience. Bowman's knee joint structure is also normal. If the injury was not too serious, Ling Ran would
However, as long as you follow it step by step, you will get an excellent prognosis.
"Push for a while longer." Ling Ran felt a little dissatisfied that the field of surgery was not clear enough, so he slowed down a little.'
Even so, to the doctors outside, Ling Ran's speed and rhythm were still... intoxicating.
"I don't know anything about sports medicine, but in my opinion, Dr. Ling's arthroscopy is very beautiful." Lloyd praised frankly. Now that he is in his position, he wants to move to management and pure surgery.
Doctors are doing very simple things and do not need to be confrontational.
Seeing good surgeries and getting to know great doctors is almost part of Lloyd's daily life.
In fact, Lloyd even felt a little bit relieved when he watched Ling Ran undergo the operation.
It's like watching high-pressure water clean the stains on the ground bit by bit, and it's like watching people rearrange the chaotic scene bit by bit...
"How's it going? You didn't come here in vain, right?" Lloyd looked at Boyle, who was a little silent.
Boyle, who was short and thin, snorted and said, "If it were me doing it, I would do a meniscectomy. If it is clean, I can still maintain considerable motor function."
Lloyd didn't agree very much and said: "Is it enough for Bowman to do an organ transplant?"
Organ transplantation can be said to be the pearl of surgery. In China, due to the scarcity of donors, it is still rarely used as an indicator for doctors. However, in countries such as the United States, organ transplantation is an essential skill for high-end doctors. If it cannot be done
Once an organ is transplanted, it will be difficult to gain a foothold in a large hospital like Anderson Cancer Center.
"It's better than taking painkillers all day long." Boyle curled his lips, pointed at the screen, and said: "If the meniscus is injured to this extent, and you still want to save it, it will only cause all kinds of problems."
"What you said makes sense." Lloyd did not argue with Boyle. This is not a subject that can be argued about. Before the operation, different doctors can have different judgments, but after the operation, any judgment will be different.
It's meaningless.
"Bowman was too adventurous and too greedy." Boyle shook his head again.
"Greedy?" Lloyd looked at Boyle again.
Boyle said calmly: "Isn't it a kind of greed to imagine that you can return to normal after being injured like this? At this time, you should admit the loss, and then rationally judge which method is best for you."
Lloyd rolled his eyelids and thought to himself, that's why Bowman chose Ling Ran for the surgery and insisted on not wanting you to do the surgery. The knee made by menisplasty will last for many years longer than the knee made by meniscectomy.
Well, by then, maybe a useful artificial knee joint will be made...
Boyle looked at the screen, operating quickly and accurately, but felt irritated in his heart: "Because Bowman doesn't want to admit the fact that his meniscus is going to be destroyed. It has happened, and it is unfortunate, but we can't expect a miracle."
The birth of..."
"It's just menisplasty, not a miracle..." Lloyd said helplessly: "Moreover, Bowman just had a fall. It would be a pity for a normal person to lose his career for this."
"But the damage has been done, and having an operation is not about going back in time..." Boyle curled his lips: "After all, meniscectomy insurance is a matter of probability. The success rate of meniscectomy is higher, and the meniscus is
If the plastic surgery fails..."
"Okay, the surgery is done, let's get some fluids done." Ling Ran's tone was a bit disgusting.
Lu Wenbin coughed twice and spoke to the radio in English: "The operation is completed and went very well. Now it's over."
In fact, he didn't need to say it, Lloyd and others also saw it.
Boyle curled his lips and repeated: "I'm talking about probability."
Lloyd smiled, his expression changed instantly, and he said to Huo Congjun next to him: "Can we go see Bowman now? I mean the operating room."
"I'll go with you, if you can promise not to move anything?" Huo Congjun looked at the two of them with stern eyes. Although the foreign friends have a high status, if the operation is ruined, it is Dr. Yun himself who will suffer.
.
Lloyd agreed: "I won't touch it."
"Me too," Boyle said.
Huo Congjun took the two of them out and then into the operating room.
Ling Ran had already taken off his gloves and was ready to leave.
"Um... show them the situation, the knee." Huo Congjun listened to the request on the way and did not object.
Lu Wenbin glanced at Ling Ran, and after receiving permission, he took the poker and started poking and prodding Bowman's knees...
One of the reasons why orthopedics is more easily despised by departments such as general surgery is that orthopedic surgeries are generally rough. Even arthroscopy is always being poked and poked hard because the bones are very tolerant.
Lu Wenbin poked the inside from inside to outside, while Lloyd looked at it extremely seriously.
"You did a great job. Thank you, Dr. Ling." Lloyd looked at Ling Ran again and his tone became more polite: "I look forward to seeing your liver resection surgery later."
Chapter completed!