"Thread management."

Before Doctor Qu said anything, Ling Ran rolled up the thread and put it next to him.

"Moisten it."

As soon as Doctor Qu finished speaking, he saw that Ling Ran had already brought the salt water over.

"Pump...suck..."

Doctor Qu was halfway through speaking when Ling Ran started to smoke.

Dr. Qu had just incised the skin, treated the subcutaneous tissue, and protected the mesotenon, saphenous veins, sural nerve, etc., and then he felt awkward all over his body... and felt awkwardly comfortable. His body felt comfortable but his mood felt awkward.

If you think about it carefully, he has never cursed anyone since he started the surgery until now.

The surgery went so smoothly that Dr. Qu didn't even think of cursing.

Basically, Dr. Qu had just thought of something, and Ling Ran had already done it before he made the request.

This kind of surgery can be said to be the ultimate in comfort.

As an ordinary surgeon, Dr. Qu never even imagined that surgery could be so comfortable.

It's like when you want to pick up some food, someone brings the food you want to your mouth.

However, the surgery was very comfortable, but Dr. Qu was not happy.

What he is pursuing is not a comfortable operation.

What he pursues is a surgery that is difficult, and then conquered little by little, with a sense of accomplishment.

Dr. Qu, who is only in his forties, is bald and ambitious. He is different from Wang Haiyang.

Wang Haiyang is old and frail, and what he likes most is to be fed. Wang Haiyang can keep having surgeries and being fed without getting tired of it.

Dr. Qu was looking forward to at least a somewhat chewy operation.

During today's surgery, he even looked forward to seeing Ling Ran make a small mistake.

The authority of superior doctors over subordinate doctors is based on mistakes.

In the operating room, seniority has never been a core consideration. Perhaps the senior director's qualifications and identity will make everyone a little wary, but other than the senior director, any doctor who wants to curse must find a suitable opportunity.

.

When a junior doctor makes a mistake, it is a good opportunity for the senior doctor to curse and vent his anger.

What if the lower-level doctor made no mistakes during the entire operation? It means that the authority of the higher-level doctor does not exist. Perhaps, the two of them are already at par with each other, or even have reversed skills.

If there is no technical gap, no control over surgical procedures and the operating room, then where can the superiors of superior doctors be reflected?

It can't be arrogant or unreasonable.

Although surgeons are irritable, they are rarely arrogant.

Doctor Qu looked up at Ling Ran and said, "It's going to be sutured."

"Okay." Ling Ran's eyes did not leave the lens of the double microscope, and he held the tweezers in his hand, as if ready to pinch the Achilles tendon at any time.

Dr. Qu frowned as he looked at it. Indeed, his next step was to suture the Achilles tendon, and he planned to use strengthened suturing, so he needed an assistant to pinch out the slightly atrophied Achilles tendon.

Dr. Qu was sure that as soon as he started to do it, Ling Ran would start pinching the Achilles tendon, because this was the step to strengthen the suturing.

So, no need to strengthen the suture?

A thought flashed through Dr. Qu's mind, but he rejected it instantly.

Although it is true that he can use other suturing methods to suture the Achilles tendon, a temporary change in the plan during the operation will require a series of changes, and Dr. Qu is more worried about causing confusion.

There are many ways to repair the Achilles tendon. If you want to describe it in words, it is not too complicated. But to perform it, and to perform it on an uncertain living person, is not that simple.

To describe it as a problem, it's like there are four solutions to an Olympiad math problem, but no matter how many times the teacher teaches it, most people can only master one or two solutions.

Dr. Qu has already mastered two types of Achilles tendon repair, simple end-to-end repair and enhanced repair. The latter is already a complicated situation of the former, allowing Dr. Qu to temporarily switch to a more difficult surgery...

His psychology is not that fragile yet.

"Tear out the Achilles tendon." Doctor Qu sighed inwardly, and then watched Ling Ran pull out the Achilles tendon in just one second.

Dr. Qu's eyes twitched twice and he began to suture without saying a word.

He used the modified Kessler method, which is the tendon suturing method most commonly used by doctors at Yunyi Hand Surgery.

The Achilles tendon is also a tendon, and it is the thickest tendon in the human body. Therefore, the more common tendon suturing method is sufficient. Instead, Ling Ran is familiar with the Tang method suturing, which is used on this super thick and super hard tendon.

, cannot bring out any advantage.

Ling Ran silently watched Dr. Qu's operation and provided real-time assistance according to his speed and progress.

He now masters the perfect Achilles tendon suturing method, which naturally perfectly covers the modified Kessler method. In fact, there is no need to wait for the system to ship this basic tendon suturing method, he can practice it by himself

Can get started.

Now it's easier without actually doing it.

The pressure and responsibility of the first assistant were much weaker than that of the surgeon. Ling Ran had plenty of time to observe and understand Dr. Qu's operating habits, think about the purpose of his operation, and sort out the order of his operations.

In a normal group of doctors, Ichisuke is still studying hard and can keep up with the rhythm of the surgeon. There is no time to predict the work of the surgeon.

Doctor Qu did not raise his head to look at Ling Ran, but he could feel Ling Ran's relaxed aura.

easy.

Freehand brushwork.

With ease.

For a surgeon, it is simply a sin not to make full use of Ichisuke.

"Tendon stripper." Doctor Qu took it from the device nurse and asked, "Ling Ran, do you know what this is used for?"

"Free extension of the tendon." Ling Ran answered simply and forcefully.

"Well, can it be used?" Dr. Qu asked.

"meeting."

"You do it." Doctor Qu didn't want to work hard alone, so he even let Ling Ran laugh.

As the chief surgeon, the only way to avoid being a client is to let the first assistant do the surgery. If the first assistant does not do well, he can smoothly scold and take back his rights.

If you do well... you should do well. Praise or not praise, the surgeon will be there...

Ling Ran reached out and took the tendon stripper, and with Dr. Qu's expectant eyes, he separated the tendon with two clicks. Then he worked frantically, cutting off the proximal end of the tendon, and then released it.

Put it into wet gauze and store it.

Such an operation would require reading four or five pages of a surgical textbook, but Ling Ran completed it within a few minutes.

"4/0 nylon." Ling Ran took the thread from the nurse's hand and began to sew the Achilles tendon stump.

Use the 4/0 interrupted suture method to comb out the ponytail-like tendon bundles on the stump, and the complete set of tendon stripping work is completed.

Ling Ran threw the instruments on the plate and looked at Dr. Qu again.

"Well... you did a good job." Dr. Qu was silent for a few seconds, then stretched out his hand and said, "Line 2."

The instrument nurse took the needle holder with No. 2 thread installed and handed it to Dr. Qu.

Dr. Qu began formal suturing, with the purpose of suturing the distal extension tendon to the ruptured Achilles tendon, and finally laying out the ponytail-like tendon bundle to form a smooth membrane...

For Dr. Qu, this is a relatively familiar operation process, and there is nothing fancy about it. He just sews each leg honestly to ensure the strength of the patient's Achilles tendon.

For Ling Ran, this is also a very familiar operation process.

Medical feeding technology has been introduced, and this standard operation is even more accurate.

After more than ten minutes, Dr. Qu was full.

However, he can't stop rashly yet. The surgical plan can still be changed in the intermediate stage, but now, there is no room for change. At least with Dr. Qu's ability, he cannot change it.

It is also because of the same reason that Ling Ran's judgment on Dr. Qu's operation became more timely.

Doctor Qu felt like he was running a marathon with all his strength, but Ling Ran was always running in front of him, and kept handing him water and bread.

After all, Dr. Qu is a person who can hold a stable position in the Orthopedic, Joint and Sports Medicine Center. How could he accept such unwelcome food...

He sped up his stitches...

He slowed down and stitched...

He operates in forward order, he operates in reverse order...

Slowly, Dr. Qu became familiar with Ling Ran's feeding.

It is said that it is easy to go from frugality to luxury, but it is difficult to go from luxury to frugality.

When there is someone who prepares you for every step of the operation, handles the follow-up, and pays attention to the details, the surgeon will gradually like this feeling.

Dr. Qu worked hard to sew and sewed desperately, and completed the suturing of the Achilles tendon at a super fast speed.

Then, he asked for 3/0 absorbable sutures and did the skin suturing himself.

Ling Ran helped him without saying a word, without fighting or grabbing, and behaved, just like Dr. Qu asked, doing everything according to the standards.

After finishing the last stitch, Dr. Qu dropped the needle pliers and looked at the thin line at the wound without saying anything for a long time.

He had a wonderful feeling in his heart. He felt that his skills had been sublimated, he felt that his skills had become stronger, and he felt that his skills had changed from quantitative to qualitative.

However, reason pulled Dr. Qu to the other side.

The conflicting psychology made Dr. Qu's expression uncertain.

"That's it." After an unknown amount of time, Dr. Qu turned around and opened the operating room door.

"Be careful." Xue Haochu came in a hurry as he was about to enter, and happened to bump into Dr. Qu.

Dr. Qu only frowned and turned around and left.

Xue Haochu looked at Ling Ran, the resident doctor, and several other nurses inside, gave a friendly smile, then turned to Ling Ran and said: "Doctor Ling, the video of the surgery just now was recorded, and I sent a copy to Academician Zhu
Chapter completed!