Ling Ran observed the exposed flexor tendon, but didn't act immediately.
Although he has watched the video materials several times, but with his weak level of watching movies, he still needs to be intuitive.
Huo Congjun waited quietly, he knew what Ling Ran was doing.
Surgeons like to be intuitive
If you pay attention to the development of surgical operations, you can see that the development of all intuitive operations is very fast. For example, organ transplantation, including heart transplantation, is performed under very difficult conditions from the perspective of the 21st century. However, Surgeons are still being followed or patients are being followed.
All in all, visual manipulation is a hobby of surgeons, and it is also their favorite surgical method, such as laparoscopy or da Vinci, etc., which are second only to heart stents, which are even more discriminated against by heart bypass...
"Cut it bigger." Ling Ran seemed to mutter something to himself, and then moved his hands.
Hearing what he said, Lu Wenbin couldn't help but widen his eyes: Is it okay
Huo Congjun held back and did not speak.
It seems a bit embarrassing to say that it has been operated twice.
However, Ling Ran did not have a similar understanding.
Before that, he spent most of his time in the treatment room and emergency room. He had never stayed in other departments, nor had he visited the operating room of the emergency room a few times.
His judgment was inaccurate when he opened the knife. If he wanted to expose a little more vision at this time, he should naturally cut the knife edge longer.
Only in this way, the next operation will be easier. Although the patient will have a little more scars, scars are obviously not the primary issue to be considered in the operation of tendon rupture.
He will pay attention to the scar during debridement and suturing, but he will not think too much about the scar at this time. Anyway, the scars always have to stay, longer ones and shorter ones, there will be no essential difference.
However, the suture of the tendon will make a big difference.
In the best case, the postoperative total range of motion (tam) reaches 100%, that is, the range of motion of the fingers is the same as that of ordinary people, and the evaluation of tam is excellent. More than 75% of the activity is good, and daily life can be guaranteed.
The master-level tang suture can achieve an excellent rate of 85%, that is, if 100 people are sutured, 85 people can return to normal life. This data, not to mention no man's land, is very rare even for tendons in other positions that are less difficult to suture.
However, in the hands of ordinary excellent doctors in most ordinary hospitals, it is very satisfactory if the suture of flexor tendon can reach the "OK" standard, that is, the activity range reaches 50% to 75%. With this data, it can only be said that fingers can still be used, and many things will become more difficult, such as sweeping the floor, serving bowls, and peeling eggs, which are almost impossible to complete.
But even so, in many hospitals, the number of flexor tendon sutures that can meet the "acceptable" standard is not as high as 85%.
Ling Ran didn't care what ordinary doctors in ordinary hospitals did.
His goal is not only this.
However, he wasn't sure what the result would be after suturing, so he could only increase the success rate as much as possible.
"Pull the skin to both sides." Ling Ran grabbed the opened skin with pliers, and handed it to Lu Wenbin.
"Oh, good." Lu Wenbin was a little nervous, but he successfully hung the cortex on the side.
After repeating the same steps several times, the tendons were completely exposed to Ling Ran's field of vision.
Judging by the master-level skills he acquired, the exposure is actually a bit too much, but it will reduce the difficulty and increase the fault tolerance rate.
The patient's tendon had been ruptured for nearly 20 hours, and tendon contusion or injury was basically inevitable, which would inevitably reduce the success rate and good rate, so Ling Ran would rather make a big opening.
Of course, it's also because his surgical skills are too rudimentary.
Ling Ran observed the exposed tendons again, but still did not move.
The flexor tendons of the human body are the key to the flexion and extension of the fingers. Each person has five flexor tendons from the wrist, all the way to the front of the five fingers. If you look at the anatomical diagram, it looks like five rubber bands are pressed on the wrist, and then connected to the five fingers.
The thickness of each flexor tendon is about the thickness of an Apple mobile phone charging cable, but it has excellent elasticity and strength.
The difficulty of suturing the flexor tendon lies in ensuring its strength and elasticity.
Strength is to ensure that the tendon will not break, and elasticity is to ensure its function.
Losing the former is a surgical failure, and losing the latter is also a surgical failure.
Ling Ran looked at the bloody, white tendons, and had several plans in his mind.
His level is not enough, it is impossible to think about how to do it before the operation, but it doesn't take much time now.
Within a short time, Ling Ran stretched out his hand:
"Needle pliers."
Wang Jia breathed a sigh of relief, and quickly handed over the needle-holding forceps with the thread loaded. If Ling Ran asked for a scalpel again, she would be worried about him.
Ling Ran found the exact position, and inserted the needle without any hesitation, his movements were hundreds of times more skillful than when performing the operation.
To describe it, surgery is equivalent to raising cattle for Ling Ran. And stitching is equivalent to eating beef.
When holding the needle forceps, Ling Ran even felt refreshed.
Glittering needles...
There is no room for needles…
When Ling Ran raised the needle forceps, he finally showed the level of a master, and it was also the level of convincing Huo Congjun.
Huo Congjun stood aside, watching Ling Ran's operation, he felt a little enjoying, a little proud, and a little satisfied...
It was at this level that it was worth Huo Congjun's trip to Lantai County in person.
Lu Wenbin trembled even more.
He heard about Ling Ran's first suture method of tang, and in the old warehouse, he saw Ling Ran's skill of sewing pig's trotters. Considering the suturing steps, the suturing is also very "primary".
At this moment, Ling Ran would no longer consider Lu Wenbin.
If Lu Wenbin can cooperate, let him cooperate and reduce some work intensity.
Ling Ran would take over the part that Lu Wenbin could not cooperate with without saying a word, and in the following surgery, he would complete the whole process by himself.
In just a few minutes, Lu Wenbin felt the heavy pressure.
He had known for a long time that he would be marginalized, but when he really stood on the operating table and faced patients, doctors and nurses, Lu Wenbin would never be willing to be a marginalized person.
As for whether it would be embarrassing to be an intern, Lu Wenbin didn't take it seriously. Would it be more embarrassing than beating an intern and being marginalized
Furthermore, technology is technology, and technology will not change because of identity.
Lu Wenbin stared at the exposed tendons, hoping to write down more details.
Ling Ran naturally noticed the change in Lu Wenbin.
Having done so many cases of debridement in the treatment room, he has long been used to observing the movement around him all the time.
The corner of Ling Ran's mouth twitched, and he said, "It's about the same as a pig's flexor tendon."
"Ah? Ah... It's different, it's so different." Lu Wenbin didn't know what to say, and kept shaking his head.
Ling Ran said "Oh", but did not continue to ask, which made Lu Wenbin quite disappointed.
In the operating room, it became quiet.
Only occasionally did Ling Ran's orders sound:
"Scissors."
"pliers."
"Pad it with gauze."
Anesthesiologist Su Jiafu moved his body a little unaccustomed, and the chair under him creaked.
Su Jiafu let his mind fly, thinking: I really have to lose weight this year, at least 60 catties, and pack a handful of fresh meat. It doesn't work either, losing too much at one go is not good for your health, just lose 50 pounds.
After thinking about it, he boredly raised his head and looked in the direction of the operating table.
Su Jiafu immediately met Huo Congjun's eyes.
What kind of gaze was that
Su Jiafu quickly analyzed it with his logical thinking of more than 600 points in the college entrance examination: Director Huo liked to chat when he was the surgeon, but today Ling Ran was the surgeon. Ling Ran didn't like to talk, and Director Huo was worried that chatting would affect Ling Ran, so he didn't talk. So... Director Huo is also very boring... So, I turned around, with such fierce eyes, he must want my stool.
Su Jiafu stood up silently, he straightened his chest, trying to pretend to be stretched, so as to appear more natural.
laugh…
The small round stool with wheels, before it could even roll up, was dragged away abruptly, making the sound of being rubbed.
Director Huo jumped forward and pressed him under his crotch, showing the long-lost smile of the old leader.
Su Jiafu sighed in pain, he was too lazy to stretch, and thought in a dazed way: If this continues, I'm afraid that I'll lose 80 catties, that's not okay, if I'm too thin, there will be problems, oh, I'll talk to the itinerant nurse next time Good word, move an extra stool.
"It's finished." Ling Ran said something, and then checked it by himself.
Huo Congjun stood up suddenly, and kicked the small round stool into the corner of the operating room.
…