Chapter 223 Intraoperative Decision

"Doctor Ling, I think the passage you sutured is enough. Should we consider ending the operation early? Shortening the operation time will also have a lot of benefits." Ji Tianlu said very euphemistically.

From his point of view, one passage is not only enough, but also more than enough in terms of Ling Ran's suture allowance.

Now that the operation is over, it can be said that the operation time is short and the effect is good. In terms of the patient's income, it is simply the best node. As for what Ling Ran said about rebuilding a backup channel, in Ji Tianlu's view, it was already suspected of over-medication.

If Ling Ran hadn't been reminded of the completion of the system, he might have hesitated.

In fact, even now, he is not sure that building a second pathway will definitely improve the function of Liu Weichen's Achilles tendon.

The plan made by Academician Zhu Tongyi is itself an experimental plan. Before this, there is no precedent. It can even be said that whether the construction of the first channel will be useful or not, no one can say. We have to wait for Liu Weichen to recover from his injuries before we can guess. one two.

To really judge the clinical value of this program, it may be necessary to perform some more operations, and then compare it with conventional operations.

However, this plan is not aimed at ordinary people, but athletes who have great needs for recovery time and Achilles tendon strength. At least they must be soldiers and other professionals to have similar needs. Therefore, even It will take a while to increase the blueprint.

In time, some blue-collar workers or sports enthusiasts might benefit, too, if the scheme proves worthwhile. But at this stage, they can't afford the huge health and economic risks—the experimental surgical plan is not reimbursed, the domestic medical insurance is not reimbursed, and foreign countries don't count on it. Sustained health risks are also a problem. Liu Weichen is currently even willing to take the risk of not being able to run and jump after a few years. It is better for ordinary people to wait a few years to see the results.

"The blood supply capacity of the blood vessels we sutured is at most equivalent to the blood supply capacity of two fingers. Are you sure it is enough?" Ling Ran spoke in a probing tone. It is normal to recover the Achilles tendon function to 75%, and to advance to a higher degree of recovery, suturing more blood vessels is not the only way.

Theoretically, Ling Ran can continue to strengthen the Achilles tendon, and he can also consider the problems of the bones and surrounding muscles. In addition, the possibility of infection also exists. Adhesion is always a big problem for tendon sutures, and it may even be caused by Liu Weichen. Genetic problems – there are always some people who recover better after invasive surgery, and some people who recover worse. For example, people with hemophilia genes are very unsuitable for surgery.

However, from Ling Ran's judgment, he was more inclined to the problem of blood supply ability.

Academician Zhu Tongyi's plan was approved by him,

Based on this plan, the blood supply network connected by the access he just sutured cannot provide sufficient nutrition—it is more than enough for ordinary recovery, but it may not be enough for miraculous recovery.

This is like an army's demand for logistics supplies. A small amount of logistics is the basis for survival. A large amount of supply is enough to deal with defense in a state of war. Only sufficient supply can satisfy the attack.

Ji Tianlu was a bit stunned by the question, frowned and considered for half a minute before saying: "From our experience, the current blood supply has greatly exceeded the previous level."

"Not necessarily." Ling Ran had been thinking about this issue before, and said: "It seems that we use the median incision to destroy fewer blood vessel networks. In the past, patients with Achilles tendon ruptures did not pay special attention to blood supply. Some people Maybe the condition of the injury and the wound is better, so the degree of recovery is better?"

"Well...it's also possible." Ji Tianlu had to admit the problem, but said: "However, it will take more than 90 minutes to continue suturing. Can the patient get positive benefits? An open wound for three or four hours is not a small wound." Surgery."

The longer the wound is open, the greater the chance of complications. Surgery that takes more than three or four hours will basically cause complications. For sprinters, long-term edema or inflammation is a huge trouble.

Ji Tianlu was also worried about putting the cart before the horse.

Ling Ran had done replantation of amputated fingers before, and his obsession with blood supply is natural. Coupled with previous thinking, Ling Ran said without hesitation: "Blood supply is always the first priority. If you are worried about complications, It can be treated with medication in the later stage, if the blood supply is insufficient, is there any remedy?"

This answer hit Zhu Tongyi's psychology.

Without waiting for Ji Tianlu to speak again, Zhu Tongyi immediately said: "The idea of ​​ensuring the blood supply is the core of the whole plan, continue with the operation."

In today's operation, Ling Ran's position as the chief surgeon is ranked second, and the final decision-making power is still in the hands of Academician Zhu Tongyi. If he wants to continue, Ji Tianlu can't say anything more, so he can only say: "I will change it too." Gloves."

"Well, Lu Wenbin is going to change it too, I'll do it myself first." Ling Ran paused for a moment, then sat down in front of the microscope, and said, "Wipe your sweat."

The equipment nurse wearing a little gray rabbit surgical cap grabbed the gauze with tweezers, dabbed it lightly on Ling Ran's forehead, and then whispered: "It's not sweaty, it's because a hair fell out, so I feel that Itch, wait a minute..."

The little nurse wearing the little gray rabbit surgical cap put down the gauze, changed another pair of tweezers, got close to Ling Ran, stood on tiptoe, carefully pinched a hair on Ling Ran's forehead, and said, "I'll check it for you again." one time."

Hair and the like are very troublesome, Ling Ran stood still obediently, and asked the little nurse to scan his face.

The little nurse's face became redder the more she swept. If she hadn't been taught the principle of asepsis countless times, she would have stuck it on her body at this time.

...

The doctors and nurses in the demonstration classroom were all smiling, and everyone's attention began to shift from Liu Weichen to Ling Ran.

"I didn't expect Doctor Ling to be so tough."

"If you dare to fight with Director Ji like this, you should have some confidence."

"What are you sure about? It's nothing more than youthful vigor."

"Young and energetic? Then why does Academician Zhu agree to his plan? Isn't it obvious to support Director Ji?"

"It's not a question of who supports whom, right? You haven't noticed that Dr. Ling is going to have a second access? This is the scariest thing."

When it comes to specific techniques, many doctors are dumbfounded while excited.

"Hey, if you let me do it, a set of pathways will be able to do it tomorrow." A resident doctor made fun of himself and immediately opened the topic.

"I can do it tomorrow night too."

"I guess I can't finish it before I pass out."

Everyone shouted one by one.

Microsurgery is notoriously tiring. In comparison, Achilles tendon surgery is relatively easy. No one thought that such a complicated surgery that has been designed can be doubled in complexity.

"Wipe your sweat." Ling Ran's voice came from the screen. It could be seen that his physical exertion was also very high, and beads of sweat gushed out of his forehead again.

The little nurse wearing the little gray rabbit hat wiped the gauze under Ling Ran's little yellow rabbit hat again.

Surgery continues.

The little doctors continued their discussion.

"Wipe your sweat." Ling Ran's voice was a little tired.

The little nurse wearing the little gray rabbit hat was still looking radiant.

The 204-pound fat man was hospitalized, and he squeezed the half-drinked mineral water tightly. Just when he was about to drink it up, the phone rang suddenly: "I don't have that kind of life, and the wheel won't turn." to me..."