The incision Ling Ran made today was only one-third of the usual size, which was about five centimeters in length.
Compared with minimally invasive surgery, such an incision was still a big trauma, and it was still very difficult to control the scar after the surgery. However, compared with the large incisions of more than 13 centimeters in the Zhu-Ling Achilles Repair Technique, a five-centimeter incision could at least be covered up in various ways.
Of course, the most important thing was the strength of the Achilles tendon after the surgery.
If it were not for the strength of the Achilles tendon to ensure the corresponding athletic ability, the patient would not need to challenge the Zhu-Ling Achilles Repair Technique with a large incision. They could just use minimally invasive surgery.
It was precisely because of this that Ling Ran had always been dealing with patients of two extremes. One was the athletes and sports enthusiasts who prioritized sports abilities, while the other was the non-professionals who cared more about their wounds and appearance, and they were willing to give up on part of their sports abilities.
Meanwhile, Pei Baoer showed Ling Ran another kind of compromise request.
On one hand, she needed the Achilles tendon to have strong athletic ability, because dancing really needed it. On the other hand, she needed the scar on her leg to be as small as possible, and the skin to be as smooth and complete as possible, because dancing really needed it.
Achieving only one of these goals was extremely disadvantageous to Pei Baoer's career. This was a contradiction that was rarely seen in other patients.
Ling Ran had performed Achilles tendon repair on many female athletes, and there were many young female athletes with smooth and beautiful skin. But even if they were unwilling, they would still choose the Zhu-Ling Achilles Repair Technique rationally in the end, or they would just retire.
However, Pei Baoer would rather escape in a wheelchair than undergo surgery, and she endured the pain and voluntarily returned to the operating table. Her actions showed that she was in a dilemma.
Ling Ran never cared about what others said, but he cared more about what others did.
Pei Baoer's actions made Ling Ran realize the direction of improvement for the Zhu-Ling Achilles Repair Technique, or rather, another kind of requirement for the Achilles tendon repair technique. The Zhu-Ling Achilles Repair Technique was originally designed for Liu Weichen's needs. Liu Weichen was a world-class male track and field athlete. He had high requirements for the strength of the Achilles tendon, and he had no requirements for the shape of the calf. Therefore, a 10cm or 14cm incision was not a problem for him, as long as the strength of the Achilles tendon was guaranteed. Even if the strength of the Achilles tendon was only increased by 1%, he was willing to make an additional 5cm incision.
However, for a dancer like Pei Baoer, she obviously needed a balance.
In other words, dancers like Pei Baoer could use new design methods and concepts to redesign the surgery.
This was unimaginably difficult for a normal doctor, but for Ling Ran and Academician Zhu, it was not that complicated.
It was just improving a surgical method. Did it take time? Of course. Was a little difficult? Of course. Could be done? Of course!
Ling Ran lowered his head and gently sued the blood.
The core of the new surgical method was still blood supply. More accurately speaking, this was the core of the Achilles tendon repair technique. Only by ensuring blood supply could the strength of the Achilles tendon be guaranteed. For ordinary doctors, only by ensuring blood supply could they ensure the vitality of the Achilles tendon and ensure the success of the surgery.
However, different tactics differed greatly in terms of how to ensure blood supply.
Minimally invasive surgery was the pinnacle of minimally invasive surgery to reduce damage. The blood vessels that had already been lost were given up by default. As long as the Achilles tendon was reconnected, the remaining blood vessels could maintain a certain degree of motor ability and ensure that the patient could live a normal life, that was its goal.
It was, and surgery was more. It was more surgery. It Invasive surgery. to. It It It It was to with. Ach. If the Achilles tendon ruptured, he would have to suture it all. If there was insufficient blood supply, he would have to suture the blood vessels or even transplant the blood vessels …
The Zhu-Ling Achilles Repair Technique was one of the best among all the surgeries. It did not even let go of the small blood vessels. This made it very effective, but at the same time, it was also very difficult to perform. It had almost become Ling Ran's unique surgery. Doctors who could perform this level of suturing would rather use their skills in neurosurgery. They would not be bothered to suture every single stitch.
Ling Ran and Academician Zhu discussed the design of the surgery again, and they adopted a more compromising plan.
In the case of an open surgery with a small incision, they still had to suture as many blood vessels as possible, but they had to be more selective and focused. It was equivalent to turning the sweet dew of the Zhu-Ling Achilles Repair Technique into core irrigation.
This was the safest plan that Ling Ran and Academician Zhu came up with within a short period of time. However, if one were to look deeper into it, it didn't have much to do with time. Clinical medicine was not like natural science, where time could be used to come up with all kinds of best plans. Most of the time in clinical medicine, it was a last resort. The time spent waiting for a suitable patient was often longer than the time a doctor took to design a plan. It was not uncommon to change a plan when it came to the last minute.
Pei Baoer was very suitable for this modified version of the Zhu-Ling Achilles Repair Technique. Not only did she have a real need, but from the information of MRI scans and other imaging, her Achilles tendon and other physical conditions were also suitable.
Ling Ran grabbed the broken end of Pei Baoer's Achilles tendon and nodded in satisfaction as he trimmed it.
The broken Achilles tendon was hairy. In professional terms, it looked like a ponytail. However, Pei Baoer's Achilles tendon was not completely broken. Less than a quarter of it was still connected. The rest of the broken part was not hairy, so it did not really look like a ponytail. It was more like a chicken feather. Some were as thick as feathers, and some were as thin as fluff. It was a mess.
Ling Ran tidied it up patiently and sutured it. Then, he sutured the blood vessels of different sizes one by one, and he focused on protecting a few key points …
With a five-inch incision, whether it was suturing the Achilles tendon or suturing the blood vessels, it was a little difficult. To a certain extent, this actually increased the difficulty of the surgery.
However, because there were fewer blood vessels sutured, the total surgery time could be reduced. From this point of view, the difficulty of the surgery was reduced.
After all, no matter how difficult it was, it was just an orthopedic surgery. Other than paying attention to infection, the overall difficulty of orthopedic surgery was not that high. The difficulty of suturing blood vessels was high, but it was not as difficult as craniocerebral surgery. The time needed to suture blood vessels was long, but it was not as long as craniocerebral surgery. Suturing blood vessels was troublesome, but it was not as troublesome as craniocerebral surgery …
Ling Ran set the standards of craniocerebral surgery for himself. When he performed the Achilles tendon repair, the corresponding equipment was not as good as the craniocerebral surgery, the assistant's skills were not as good as the craniocerebral surgery, and the people around him were not as cautious as the craniocerebral surgery …
Ling Ran stroked the Achilles tendon with one hand and sutured the blood vessels with the other. He operated quietly.
It was a little lonely …
This was especially so in the operating theater. It always lacked a sense of seriousness.
Ma Yanlin, who was already used to Ling Ran's operating theater, was now talking about Lu Wenbin's pig trotters. "It's true that pork is expensive, but the price of Lu Wenbin's pig trotters has increased too quickly. The price is adjusted once a week, and the increase is not low either. He really doesn't want to suffer any losses."
"The pig trotters have also become a little smaller. The big pig trotters in the past are no longer available."
"He does sell a lot of them, but with such a large scale, he can't just increase the price just because he wants to. Besides, if he increases the price now, will he lower it later? I don't believe it. "
"Let's eat hotpot tonight." Ling Ran suddenly interrupted Ma Yanlin's complaints.
"Okay, okay, I'll go and make a reservation later." Ma Yanlin quickly agreed and asked, "Do you want to order in advance?"
"I want to eat two brain pudding." Ling Ran patiently threaded the needle. All that appeared in his mind were brain pudding.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
