"The great hilar artery is stripped, we start directly." Ling Ran re-selected his position and came to the patient's leg position.

By observing the patient in front of him with a "perfect" saphenous vein stripping technique, he can easily analyze the direction and state of the saphenous vein.

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

These are very basic steps. In order to ensure the smooth success of his first large saphenous vein stripping surgery, Ling Ran did not hesitate to take out the virtual man for 3 seconds and cut it from the beginning to the end with a knife. He pulled out the large saphenous vein on the spot and experimented with flexibility. It can be said that it is a very rough test method.

After completing this step, he felt completely relieved.

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

Ling Ran's smile appeared on the corner of his mouth, and he was very satisfied with the situation he was in front of him.

As a surgeon, you are not always as sure as you look on the outside. However, when you are a knife, you are very decisive.

It is not possible to make decisions. The operation must always be carried out, and hesitation will not make the situation better.

However, if you can have more information and truly determine the situation, it will naturally be better.

Ling Ran thinks he is in good condition now.

He felt that everything was ready, and he felt fresh about the surgery in front of him.

This is a rare experience. In normal times, everyone has a well-versed chest surgery to have this sense of stability and control in everything.

But it would be too difficult to match "fresh" to adjust.

Ling Ran decided to enjoy today's surgery.

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

The little doctor who served as a foil for him looked at Ling Ran strangely.

Ling Ran's dancing and joking movements just now were obviously very special. If Ling Ran was not handsome and famous, he would have regarded him as a god of dancing.

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

"Didn't touch the polluted area?" Ling Ran's thinking route was completely different from that.

The young doctor hurriedly said, "No, I just think your movement is quite special and looks pretty good. It's a bit like dancing?"

"It's okay to dance." Ling Ran lowered his head and scratched the patient's legs.

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

The resident doctor of the cardiac surgery department often accompanys the surgery. When he saw Ling Ran’s movements, he knew that Ling Ran was very confident.

This made the young doctor even more strangely look at Ling Ran and thought to himself: He is so handsome. Not only does he look good in his movements, but his confidence in the surgery seems to be stronger than others.

The nurse who was cooperating with Director Kang couldn't help but glance at her and couldn't help but say, "Doctor Ling's movements are really beautiful. Can Dr. Ling dance?"

Director Kang said unhappily: "Whether you can dance or not have any relationship with the surgery, you can do the surgery well."

"Yes, Director, we all have good surgery. Isn't this worrying that Dr. Ling is not used to using our things?" The young nurse casually found a reason to swear Director Kang.

The director had no choice. Before the operation was very unsuccessful, so Director Kang would not put his face down and scold the nurse.

Director Kang could only shake his head and said to Ling Ran: "Don't interfere with Dr. Ling's surgery. No matter how thick the Da Yin is, it is still a blood vessel. If it is mixed with the nerves, it will easily be broken."

"Director, please don't be scary. We have followed you so many surgeries, and the blood vessels that are mixed with the nerves are no more than 20% of them."

"It's just one or two percent." The traveling nurse next to him spoke.

"Besides, Dr. Ling has such good skills and good luck, so he will definitely not encounter such trouble..."

"It is said in the Zodiac Book that handsome people will not have bad luck."

Director Kang was so angry that he turned his eyelids, but it was unwise to debate with married women when they were united. Even if it was directly done by superiors, it was very dangerous, not to mention that Director Kang's authority in the department was not that important.

Director Kang shook his head and while dealing with the work in his hand, he said, "Your Zodiac Book has not mentioned how to avoid this situation?"

"Don't have surgery at night, as planets are prone to crisis when connected."

"You can't do surgery at noon, as the sun will affect your luck."

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

"It's just that the whole day is not suitable?" Director Kang laughed twice and said, "If you say that, I would rather be in a nerve at all..."

"This one hit." Ling Ran responded, which could be regarded as reporting the situation during the operation to the surgeon.

Director Kang was stunned for a moment: "Have you met?"

"Well, this great saphenous vein has a nerve that is surrounded by." Ling Ran confirmed.

"I encountered the nerve at the beginning..." Director Kang raised his head and looked at Ling Ran, and suddenly found that a long blood vessel had been rubbed.

Splitting blood vessels is easy to say, but requires careful work. Simply put, it is to cut the outside of the blood vessel along the direction of the vein to expose the blood vessels. Then, the surrounding small blood vessels must be stripped one by one, and the core is to ligate the interface.

Imagine the great saphenous vein as a main path, and the process of stripping it is the process of blocking all auxiliary paths.

This process is not difficult, and ordinary small-students can be completed smoothly, but in terms of speed, even a veteran director may not be able to do it quickly and well.

Director Kang was busy with his work just now, and deliberately slowed down, waiting for Ling Ran to practice his hands. He believed that Ling Ran would definitely be able to complete blood vessel interception and hepatic resection successfully. He must be able to do this with a doctor who can do it with liver resection, but it was surprising that he captured so quickly.

"Doctor Ling, where did you practice this trick..." Director Kang was full of suspicion. Should he go to other hospitals, practiced his skills, and then ran back to export and transfer to domestic sales?

The more Director Kang thought about it, the more likely it was, and his expression became more serious.

Ling Ran's fingers briskly peeled the nerves. For the patient's postoperative life, it is very necessary to retain nerves. To retain it, you can only handle it carefully.

Director Kang looked at it with a serious expression. After finally turning his head over, he heard the attending force whisper: "It seems to be no-touh."

"Yeah?" Director Kang quickly turned around.

The so-called no-touh means that during the process of obtaining the great saphenous vein, it does not touch the great saphenous vein, but retains the surrounding tissue about 1 cm around the great saphenous vein.

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

Compared with reports in the literature, the long-term patency rate of venous bridges is 50%, while the long-term patency rate of venous bridges obtained by no-touh technology can reach 85%, which is comparable to arterial bridges.

However, compared to the simple interception of the saphenous vein, no-touh technology is much more complex. It is a complete technical system and a higher-end technology that has not yet been carried out in Yunyi cardiac surgery...
Chapter completed!