Tendon suturing is a delicate task. A flexor tendon in a pig's hind foot can be used for a long time.
Ling Ran was not in a hurry, he just operated slowly, not only to practice for himself, but also to give the other two a chance to understand the Tang method.
The master-level tang suture is very strong, but there is still a considerable distance from the perfect level. The main difference lies in the success rate and the recovery of hand function after surgery.
Of course, for a typical flexor tendon injury, the difference between the master level and the perfect level is not too big. After following the fixed process, the chance of failure is extremely low. Moreover, even if it fails, it is relative, and it is nothing more than the degree of recovery. It's not ideal, it's 20 to 30 percent lower than the expected value, and the degree of recovery is higher than most doctors' successful cases.
However, Ling Ran cannot expect that all the cases he encounters are typical cases.
The vast majority of failure cases occur in atypical cases.
Atypical cases are also the biggest challenge for doctors. The development of clinical medicine can be seen as a process of gradually classifying atypical people, atypical anatomical structures, atypical physical conditions, and atypical traumas into typical cases.
Take appendicitis, which is considered the simplest by modern people, as an example. In the past hundreds of thousands of years, there have been more recorded deaths than recorded poets. The conquest of appendicitis by modern medicine is also a step-by-step summary of experience. Yes, for example, Olins collected data on 50,000 cases of appendices by the end of 1995, summarized the location of the appendix, and determined that 95.48% of people's appendices were in the lower right abdomen, and 0.% of the people were in the upper right abdomen, thus telling the surgeon Doctors, first look for the lower right when cutting the appendix. If you can’t find it, look for the upper right, and then go to the lower left.
Nowadays, surgeons already know that there are eight cases of ectopic appendix, six cases of dysplasia, four cases of deformity, and four cases of ectopic tissue, so that the former atypical cases are classified into typical cases. situation.
The method of cutting the appendix has also gradually progressed from the arm-length laparotomy to the finger-length laparotomy, and then to the three holes under the laparoscope...
The same is true for tang sutures.
Since its appearance in the 1990s, it has been aimed at typical flexor tendon injuries, and then slowly expanded.
Ling Ran reckons that if the perfect tang method is sutured, it should be able to treat most of the flexor tendon injuries in zone II. The scope of the master-level suture is similar, but for some atypical cases of marginalization, the success rate and good rate will be worse. some.
However, doctors cannot guarantee what kind of patients they encounter.
Since Director Huo hopes to win the surgery business, he will definitely send a large number of patients with flexor tendon injuries in the next period of time. As long as the number is piled up, atypical cases will inevitably appear, it just depends on how atypical it is .
Ling Ran also didn't expect the system to send him a perfect-level Tangfa suture.
So far, he has only opened the "Level 1 Skill Book" from the intermediate-level treasure chest, and he has obtained perfect-level skills, and the range of choices is still basic skills.
The master-level tang suture is developed from a single skill book, and it is a type of surgery. Whether there will be a similar skill book, so as to obtain the perfect tang method or other tendon sutures, Ling Ran can't guarantee it at all. No.
In fact, even if the system gave him a new skill book, the most likely thing for him was to expand his skill pool, instead of promoting the already master-level tang method to the perfect level.
The cost-effectiveness of doing that is too low. As long as his IQ is fine, he will not make this choice, and his IQ is indeed fine. Ling Ran tested it himself.
As long as you analyze it carefully, you can get the answer. The best way for Ling Ran to move forward now is actually to improve his technical level.
He is already the strongest suturing doctor in Yunhua, as long as he continues to perform operations one by one, the improvement will be obvious.
Reading a book a hundred times is self-evident, and the same is true for surgery.
If the same technique has been practiced hundreds of times, no matter how weak a player is, he can reach an above-average level.
Any doctor who can perform the same operation thousands of times must be a leader in this field.
Ling Ran sewed up the flexor tendon of the pig's trotter that he had cut open in a very orderly manner, and occasionally said:
"After the tendon is transversal, the needle is inserted on the opposite side, and it goes right back into the tendon longitudinally..."
"Proximal knot."
"The second loop is locked into the knot of the first loop in the center of the palm and then threaded longitudinally through the tendon."
"The distal end can be knotted again. The center of the palm is better."
Ling Ran hung up his microscope glasses, and looked at the center of his field of vision without looking back.
However, Lu Wenbin knew that he was talking to himself.
Unconsciously, Lu Wenbin's left and right hands also silently danced.
He still has a long way to go before he can learn how to suture Tang. He even said that even after Ling Ran explained it to him, he didn't know what Ling Ran was doing or why he was doing it.
However, the spells are all learned step by step in this way.
The stitching process is not a martial arts secret book, and those who want to read it can easily find the information.
However, those who have the opportunity to watch live, even if they are hands-on as assistants, are a very small number of people, and this is the fastest way to learn and the way to learn the truth.
Lu Wenbin's mood suddenly became a little excited. If he could really learn the Tang method, what kind of scene would it be like
Since the emergency department wants to win the surgical business, it is impossible to rely on Ling Ran alone. Ling Ran is the first to fire the first shot and is at the forefront. After him, Huo Congjun will definitely find a way to replenish new strength.
At that time, it is possible to recruit people from other hospitals, transfer people from the hand surgery department, or train people in the emergency department.
Regardless of the model, there are countless opportunities for residents like Lu Wenbin.
Most importantly, Lu Wenbin found that Ling Ran was willing to teach him.
Although it's not like some doctors teach by example, but it's still very good, especially his own skills are excellent, which can easily raise Lu Wenbin's expectations.
In contrast, the embarrassment of beating an intern seems to be less intense.
As a young doctor, learning things with a thick skin can be said to be the foundation.
"Doctor Ling." Wang Jia answered a phone call and said, "Director Huo is ready to come back, and it will take four hours."
"Oh, then it's time to get off work." Ling Ran thought for a moment and said, "We have to think about dinner."
For the nth time, Lu Wenbin looked up at the pig's trotters in the air, and blurted out: "I can cook pig's trotters."
Ling Ran and Wang Jia looked at Lu Wenbin together.
"When I was training, I often brought rice, and occasionally bought pig's trotters to cook..." Lu Wenbin said with a little embarrassment.
"Remember to remove the stitches while cooking." Ling Ran smiled slightly, making Kecao feel like a spring breeze, and his actions became more active.
Wang Jia helped to disassemble the pig's trotters, and said uncertainly while dismantling: "If the patient and his family members come and find us holding a pig's trotter and gnawing on it, will we turn around and run away?"
Ling Ran said leisurely behind him: "The patient is injured and can't run fast, so he can be caught."
The western sun was strong and anxious.
In the old warehouse with white walls and white roofs, the pigs' knuckles are shaking randomly, bringing dazzling light and shadow effects.