Ling Ran put on gloves and pinched the patient's calf after disinfection, then pinched again, and pinched hard. After pinching enough, he said, "Count down to 20 minutes."

He only has twenty minutes of skill potion left. If the operation can be completed within 20 minutes, the entire operation will be performed during a legendary Achilles tendon rupture repair surgery.

Of course, even if the operation cannot be completed in 20 minutes, there will be no loss.

When Ling Ran underwent surgery at the Bone, Joint and Sports Medicine Center, the average operation time for Achilles tendon rupture repair was just over 30 minutes. Now that the preliminary preparations have been completed and it is not a particularly complicated surgery, Ling Ran's mentality is

Extremely relaxing.

As for the doctors at Yunyi Orthopedics, their moods and expressions were not so calm.

Normally, the time it takes for a doctor to repair an Achilles tendon rupture is about an hour. Taking into account various bad habits of dawdling, it is common to spend an hour and a half doing the surgery.

Occasionally, there are doctors who pursue the speed of surgery and shorten the time of Achilles tendon rupture repair to less than 50 minutes, but no one really likes to compete and limits the time of an operation to a short time.

Inside.

It was even said to be 20 minutes.

What can be done in 20 minutes? For an operation, 20 minutes is not necessarily enough time to sew the skin. Especially for a new doctor, it is normal for it to take dozens of minutes to sew the skin casually.

Even skilled orthopedic surgeons have no concept of performing an operation for 20 minutes. It takes more than 20 minutes to remove the patient's bones suffering from bone cancer and cook them.

Ling Ran didn't care what other orthopedic surgeons thought.

He is not a person who is good at taking into account other people's thoughts. If he wants to make everyone around him happy, Ling Ran should be kissed by 166 dolls when he was in kindergarten. That is the number of all the girls in the kindergarten, plus the teacher

The number of daughters in the family, plus the sum of the number of daughters in the families of parents who come and go.

Therefore, at a very young age, Ling Ran understood that it was impossible for a person to please the whole world by pleasing everyone.

It is more likely that you will please one person and offend the other.

After growing up, Ling Ran learned to treat things differently than people.

Just like the operation in front of him, he can complete it within 20 minutes, and if it needs to be completed within 20 minutes, he will complete it within 20 minutes. As for whether other orthopedic surgeons are embarrassed or embarrassed, Ling Ran has no way to resolve this.

It's like someone confesses their love to you on the street, but you don't like this person at all. So, is there any solution other than rejection?

"Knife." Ling Ran stretched out his hand, got the scalpel, and used the bow position to cut an S-shape on the drawn line.

With the addition of skill potions, his bow-holding techniques have been upgraded from specialization to master level.

Specialized-level skills are the norm in top regional hospitals like Yunyi.

If an attending doctor cannot even master one specialty-level skill, it will be very difficult for him to stay in Yunyi. There is no problem in using mixed words to evaluate him. Of course, most attending doctors only master two or three kinds.

, three or four kinds of professional-level skills, which can barely be regarded as unique skills.

However, the master level is the real unique skill.

Let alone attending doctors in their thirties, deputy chief physicians without talent still cannot develop master-level skills. In other words, even if they are talented, doctors still need time and opportunities to develop master-level skills.

Skill.

Just like Director Pan of Yunyi Medical Hand Surgery Department, his Tang method suturing has not yet reached the master level. It is not that his talent is not good, but that Yun Medical did not have the ability to do Tang suturing, at least before Ling Ran arrived.

, Tang method suturing is not available at Yunyi. Director Pan developed the Tang method from scratch, which is time-consuming and labor-intensive, and is also very difficult to learn.

Therefore, Director Pan is very powerful in being able to master Tang suturing to a strong level of specialization. However, it will still take one or two years or two or three years of continuous training for him to reach the master level before he can break through.

In the hospital, deputy directors like Director Pan are already among the elites.

The average level of Yunyi Orthopedics is not up to the level of hand surgery. Most of the doctors present are attending doctors and residents, and none of them have master-level skills.

However, a certain deputy director who wandered over was a bit knowledgeable. He tapped the doctor next to him on the shoulder and said, "Take a picture of it."

The resident doctor who was named said "Oh" and quickly took out his mobile phone and put it into photography mode.

The deputy director nodded and said: "Mobile phones are not allowed in and out of the operating room. This will not happen next time."

"Oh, yes..." The young resident doctor looked at the screen with a frustrated look.

Mobile phones, socks and slippers are the biggest sources of pollution in the operating room.

The chief surgeon, assistants and instrument nurses can only promise not to touch them. Very few people do not carry them. Even if the hospital gives repeated orders, it has no effect. The doctors are willing to abide by various rules and regulations, but they are unwilling to leave their mobile phones and work diligently.

Change into slippers and give up socks.

Therefore, mobile phones are also called Schrödinger's mobile phones in hospitals. When you ask and observe doctors, they do not have mobile phones on them. When you close the black box, you have no idea how many calls they have made with their mobile phones.

, how many levels has Xiaoxiaole reached.

The deputy director naturally has a mobile phone with him, but if he doesn't take it out, he doesn't have a mobile phone with him.

The criticized junior resident was pushed to the operating table. The attending patted him on the shoulder and said with a smile: "It's okay. We often forget to put down our mobile phones before. You will know after you work for another two years."

.”

The young resident pointed the cell phone at the operating surface, hummed twice, and whispered unconvincedly: "If you didn't bring your cell phone, what would you be holding against my waist?"

"Whose cell phone would be placed in that position?"

"Huh?"

…

Ling Ran quickly cut open the Achilles tendon of the white-collar worker and looked at it carefully.

At this moment, what Ling Ran saw in his eyes was the Achilles tendon, but what appeared in his mind were various parameters in the MRI.

With the perfect ability to read MRI scans (limbs), Ling Ran did not need to write down the specific values. Instead, he had a perceptual understanding of the key parameters while reading the scans.

My own opinion.

For example, the hardness of the tendon, the toughness and thickness of the ligament around the Achilles tendon, whether there are calcification points, the density of the muscle and the thickness of the fat layer, etc.

When most people read an MRI, they only look at the problematic parts. Even when Ling Ran read the MRI with a master level, he only looked at the problematic parts.

However, Ling Ran's perfect MRI reading ability allowed Ling Ran to have a corresponding understanding of the problem-free parts.

It is equivalent to saying that his reading of nuclear magnetic resonance has been expanded ten to a hundred times.

Just like the Achilles tendon of the white-collar worker in front of me, the strength of the ligament that binds it is on the high side, and the toughness of the ligament is also on the high side. However, both are within the normal range, so doctors usually do not

Will pay attention to it.

Even if doctors before surgery have the ability to read images, they will not read to such an in-depth level. Even if doctors in the imaging department have such ability to read images, they will not know how to tell surgeons that the imaging department serves the entire hospital.

Yes, most of them will not delve into or understand how a specific orthopedic surgery is performed.

As for the impact of a flexible ligament on surgery, it is not within the scope of the radiologist's knowledge.

In fact, even Ling Ran's current ability to read images is beyond the reach of most imaging doctors around the world.

Ling Ran felt that if he were to perform surgery on Liu Weichen now, just by improving his MRI reading ability, Liu Weichen's ligament recovery would be greatly increased. I can't say that he would get 100% recovery, but in the recovery time, the degree of trauma

There will be more advantages in other aspects.

As for the legendary Achilles tendon repair...

Ling Ran held the knife like a pen and gently slid it down. In just a few strokes, he freed the patient's Achilles tendon.

"There are old plaques, they should have been cracked." Ling Ran grabbed it and looked at it, making an easy judgment.

"If you listened to his nonsense and thought someone else had cut it off, it would be interesting to cut it open now." Lu Wenbin was a little funny, but also a little unhappy.

Ling Ran said "En" and said, "I thought it was some interesting medical record."

The Achilles tendon rupture shown in the MRI is unevenly layered. If someone had picked it apart, the subsequent development would be very unexpected. Unfortunately, the result is that some of the patients who are least excited about the doctor are talking nonsense, which is better than lying.

, but even more boring than lying.

"Do you want to cut it all off?" Lu Wenbin has performed hundreds of Achilles tendon repairs with Ling Ran. In the hospital, such an assistant can try to suture them by himself. Naturally, he is familiar with the various steps in the operation.

It's also that it can't be cooked any more.

Ling Ran looked at the old plaque, thought for a moment, and said: "He must have torn it before and left it untreated, so that the Achilles tendon's mobility and toughness were relatively poor. It only happened this time."

Broken."

"Many people don't know when their Achilles tendon is broken, thinking it's a sprained ankle. His case was partially torn, so I guess he just thought it was a more serious sprained ankle."

"Well, since everything is open, let's do an old Achilles tendon repair." Ling Ran quickly made a decision.

Lu Wenbin looked at his watch and asked, "How about adjusting the time again?"

"No, 20 minutes is enough." Ling Ran said, "Scissors."

The instrument nurse handed over the scissors.

Ling Ran found the right spot, cut off the Achilles tendon, and said to Lu Wenbin: "I cut off the torn Achilles tendon and used it to repair the old part."

The biggest difference between old Achilles tendon repair and fresh Achilles tendon repair is that the former often requires transplantation.

Cut off a part of the good tendon to fill in the missing part of the Achilles tendon. If it is an old Achilles tendon repair after a complete rupture, after the Achilles tendons on both sides shrink, the Achilles tendon to be transplanted is often very long.

However, Ling Ran's patient at this time only had a partial old Achilles tendon lesion, and he only needed to make partial repairs.

The hair tips of the Achilles tendons that were cut off were used, which fell into the category of waste recycling, but in terms of difficulty, it was at least an order of magnitude higher.

Ling Ran didn't say much and operated in a leisurely manner.

It is difficult for normal doctors to perform this kind of operation, and the strength of the torn Achilles tendon cannot be guaranteed. Repairing it can easily cause secondary injuries.
To be continued...