"Doctor Ling, are you responsible for operating on me?" Lying on the operating bed, He Xiufang asked Ling Ran with her head raised. Novel .

Ling Ran, who was looking at the MRI film for the nth time, nodded, and then thought that He Xiufang couldn't see it, so he said: "I am the surgeon, and Academician Zhu Tongyi will guide the surgery."

"When I do the surgery later, can you make the wound smaller for me?" He Xiufang lowered her voice and said, "I will lose weight after I retire. I will definitely look better than now. I won't have a scar on the back of my calf.

.”

"The wound cannot be small." Ling Ran answered harshly, and then added: "You can get a tattoo when the time comes..."

"Don't get tattoos. In our hometown, it's harder for people to get tattooed than to get married for the second time." He Xiufang's voice became louder.

The nurse in the audience who was making preparations was unhappy when she heard this: "What's wrong with the tattoo? I'm not willing to marry such a man. We just screen out such people."

"I don't want a tattoo!" He Xiufang's attitude was firm.

"After the operation is over, I will suture you. If the prognosis is good, it won't be too obvious." Ling Ran looked at the film, closed his eyes, memorized it for a while, then turned around and asked, "Do you have any other questions?"

He Xiufang thought for a moment and said, "Your operating table is so small. Can you change it to a bigger one? I'm afraid that I'll fall asleep and roll over. I won't be able to sleep peacefully and I'll even snore..."

"Get rid of it." Ling Ran felt that the preparations were completed.

The anesthesiologist, who had slept well yesterday, came over with a smile, held up the laryngeal mask, and said, "Say your name again."

"He Xiufang."

"Discus thrower?"

"yes."

"Come, have a piece of cake."

"Ah? Ha..."

A person in the operating room and a doctor in the classroom silently watched the anesthesiologist's performance.

"You missed me all night last night." The anesthesiologist was so proud that he wanted to scream to the sky.

Ji Tianlu and Zhu Tongyi looked at each other, not even wanting to know anything.

Ling Ran waited for a moment, then asked for a pen, and drew a line from He Xiufang's ankle to her calf, which was a full sixteen to seventeen centimeters long.

The nurse in the audience couldn't help but said "Yeah" and quickly lowered her head.

Ji Tianlu frowned and asked, "Does it have to be so long?"

"There's a little hair on the edge of the Achilles tendon. It's safer to stretch it a little longer." Ling Ran said about the information on the MRI scan.

"Well, you decide." Ji Tianlu paused and said with some pity to He Xiufang, who was already in trouble: "The scar has grown a little, and there's nothing you can do about it. It's more important to treat the injury."

Ling Ran didn't say a word. He was never a doctor who liked to make small incisions. When he was studying, he had seen and heard too many cases of accidents caused by small incisions. Now he has accumulated more knowledge.

He was even more afraid of possible accidents during the operation.

Just like the edge of the Achilles tendon on magnetic resonance imaging is not clear, there are many possibilities. In serious cases, it may be a malignant tumor, and in a less severe case, it may be an injury. As the chief surgeon, Ling Ran has already opened it and is more willing to do it.

Have a look.

"The Achilles tendon is not completely severed." The S-shaped incision opened, and the doctors in the operating room breathed a sigh of relief. The doctors in the classroom also breathed a sigh of relief.

Whether the Achilles tendon is completely severed or incompletely severed, the key is not how much the Achilles tendon is injured. The main thing is that the incompletely severed Achilles tendon will not atrophy too much.

This is a troublesome problem encountered in Achilles tendon rupture. The severed Achilles tendon will retract inward. It is so severe that when the leg is opened, it can retract six to seven centimeters or more.

As a kind of tendon, it is very difficult to sew the Achilles tendon that has atrophied to this extent. Even pulling may not bring it together. The only way is to use tendon transplantation, which involves taking a piece of tendon from other parts of the body and bridging it.

stand up.

It is conceivable that such an Achilles tendon transplant is definitely not strong enough and can only cope with daily life. Even if you have to be careful, it is impossible to participate in high-intensity competitive sports.

From He Xiufang's MRI, we can see the incomplete rupture of the Achilles tendon, but only when it is completely opened can we confirm the specific circumstances of the rupture.

Now it seems that there is no serious verification, nor is it too uneven and tragic. It can be regarded as the better Achilles tendon injury that Ling Ran has seen.

If he were to use ordinary methods to suture the Achilles tendon for ordinary people, such an Achilles tendon could be sutured to at least an 80-point level, which is a level where high-intensity training is possible, and the total time would take no more than half an hour.

Many athletes undergo similar surgeries, and it is only through their own rehabilitation efforts that they can see them again on the field.

If Plan A designed by Zhu Tongyi is adopted, Ling Ran will be more confident. Although it may not be possible to reproduce Liu Weichen's degree of recovery, the success rate for incompletely severed Achilles tendons will definitely increase.

"Tear off the Achilles tendon first. Well, I'll do it myself." Ling Ran didn't let Ji Tianlu do it and chose to do it himself.

Zhu Tongyi frowned and asked: "Ling Ran, what do you mean by doing it yourself..."

"I just noted the location of the blood vessels and planned to peel off the Achilles tendon while avoiding the blood vessels as much as possible." Ling Ran tilted his head and said, "After I peel it out, I will follow the same process as last time."

This was the idea that Ling Ran came up with after he made Plan A for Liu Weichen last time and looked back to analyze it.

From Ling Ran's point of view, many of the blood vessels that were cut last time can be avoided. In other words, the complexity of rebuilding the blood vessel network can be reduced by avoiding small blood vessels, or it can be the same.

The complexity of the vascular network is high, but there are more blood vessels providing blood supply.

However, this kind of operation is more difficult, especially the understanding of nuclear magnetic resonance. You have to be quite proficient, otherwise, it will be impossible to explain clearly.

Ji Tianlu thought for a while before he understood what Ling Ran meant, and he was shocked: "You can't write down the locations of all the blood vessels, can you?"

"How is that possible..." Ling Ran smiled.

"I just said..."

"I just took note of the area around the Achilles tendon." Ling Ran smiled.

Ji Tianlu laughed twice and was too lazy to speak.

Zhu Tongyi also coughed twice, trying hard to adjust the atmosphere, and said: "Director Ji, don't look at Ling Ran's young age. His professional course results are among the top three in Yunhua University. If he has a bad memory, he can't do it.

right?"

Doctors are different from other professions. Even if they have left school for many years, a doctor's academic qualifications are still valuable. Especially for medical students from well-known universities, not only is it easy to find a job, but they are also promoted smoothly. After many years, the so-called

People who are from Xiehe, Xiangya, overseas returnees, etc. are still very concerned by the hospital.

Of course, by that time, it may not be because of academic qualifications, but maybe because of factions.

Zhu Tongyi had just read Ling Ran's file and remembered it clearly, so he took the opportunity to gossip.

Ji Tianlu was interrupted, so he stopped worrying and stared at Ling Ran's operation, thinking silently.

Ling Ran slowly cut the knife, the movement was very slow, but the knife was very accurate, going around the edge, slowly peeling off the ruptured tendon.

It took Ling Ran 30 minutes to accomplish this step.

But when this step was completed, everyone breathed a sigh of relief.

What comes next is Plan A, which everyone has already done before, and it is even simpler. Compared with what Ling Ran did just now, it makes people feel more relaxed.

Ling Ran threw off his arms and sewed quickly.

The total number of Achilles tendons he has sutured these days is seventy or eighty, if not one hundred. With the addition of perfect Achilles tendon repair surgery, he has accumulated a lot of information from the cases he has accumulated.

Apart from anything else, Ling Ran has more experience in the familiarity, toughness and hardness of the tissues and organs around the Achilles tendon of the human body.

It's the same thread, but people with different experiences handle it in different ways. This is like calligraphy works appearing differently on different types of rice paper.

Ling Ran became a little familiar with the tissue conditions in the surgical area, and the rest of the surgical work became a matter of steady reconstruction.

It is still a vascular anastomosis.

Still an excellent anastomosis technique.

However, Ling Ran never came up with anything particularly outstanding, he just completed all the processes step by step.

When it came time to suture the layers, many young doctors in the demonstration classroom did not realize that Ling Ran's operation was already completed.

"It's done." Ling Ran dropped the equipment and gave up his position.

"How do you feel?" Zhu Tongyi was in an extremely good mood. Two cases in a row were successful, greatly increasing the value of Plan A.

Ling Ran just thought he was asking about the contents of the operation, thought for a moment, and said, "Liu Weichen should make a better recovery."
Chapter completed!