"Great saphenous artery dissection. Let's start directly." Ling Ran chose a new position and went to the patient's leg.
Using the Perfect Level Great Saphenous Vein Dissection Technique to observe the patient in front of him, he could easily analyze the direction and state of the great saphenous vein.
Of course, the exact position still depended on the previous imaging films.
These were all very basic steps. To ensure that his first great saphenous vein stripping surgery would be successful, Ling Ran did not hesitate to take out the Virtual Human for three seconds. He cut the great saphenous vein from head to tail and extracted it on the spot. He also took the opportunity to test its flexibility. It could be said to be a very crude test method.
After this step was done, he was completely relieved.
Yes, the patient in front of him was a standard normal human from Earth. With his skills, he could be said to be stable.
Ling Ran's lips curled into a smile. He was very satisfied with the situation in front of him.
Surgeons were actually not always as calm as they appeared to be. However, they were very decisive when they used a small knife.
It was impossible not to be decisive. The surgery had to be carried out, and hesitating would not make the situation better.
However, it would naturally be better if he could have more information and could really confirm the situation.
Ling Ran felt that his current state was quite good.
He felt that everything was ready, and he felt that the surgery in front of him was fresh.
This was a very rare experience. Usually, everyone would only have this sense of stability and control when they performed thoracic surgeries that they were very familiar with.
But it was too difficult to match it with "freshness" to spice it up.
Ling Ran decided to enjoy today's surgery.
"Knife." Ling Ran reached out and picked up an endotherm knife.
The young doctor who accompanied him looked at Ling Ran strangely.
Ling Ran's movements were clearly very unique. If it were not for Ling Ran's good looks and reputation, he would have treated it as a shaman's behavior.
Naturally, he did not dare to talk nonsense now, but the young doctor still carefully asked in a low voice, "Doctor Ling, why did you dance in the air just now?"
"I didn't touch the contaminated area, did I?" Ling Ran's thought process was completely different.
The young doctor quickly said, "No, no. I just felt that your movements were a little special, and it looked quite good. It was a little like dancing?"
"It's okay to dance." As Ling Ran spoke, he lowered his head and cut open the patient's leg skin.
He chose the side near the arch of the foot, where there were many blood vessels. Even if one was removed, it would not affect the patient's normal life.
The resident doctor of the cardiac surgery department also often accompanied surgeries. When he saw Ling Ran's movements, he knew that Ling Ran was very confident.
This made the young doctor look at Ling Ran even more strangely and thought, 'It's good to be handsome. Not only are his movements beautiful, his confidence seems to be stronger than others.'
The nurse who cooperated with Department Director Kang by the side could not help but glance at them a few times. She could not help but say, "Doctor Ling's movements are really beautiful. Can Doctor Ling dance?"
She could not help but say, "Doctor Ling Ling's Dance, Doctor." Ling "of her." Kang's Ling, Ling's Doctor, "Ling's Surgery.
"Doctor" s Doctor. "Ling's Surgery, Doctor in," Ling "s" s Ling Him., "Ling Ling" Doctor ","'s Ling's Performing Ling Doctor. "Doctor"
Department Director Kang could not do anything about it. He would not scold the nurse unless the surgery was not going well and he was in a bad mood.
Department Director Kang could only shake his head and use Ling Ran to speak. "Don't interfere with Doctor Ling's Surgery. No matter how thick the Great Veins are, it's still a blood vessel. If it's mixed with the nerves, it's very easy to tear."
"Department Director, don't scare us. We've performed so many surgeries with you, but less than 20% of the blood vessels mixed with nerves."
"Only 10% or 20%," the circulating nurse beside him said.
"Besides, Doctor Ling's skills are so good, and he's so lucky. He definitely won't encounter this kind of trouble …"
"It's said in the horoscope books that handsome people have good luck."
Department Director Kang rolled his eyes as he listened, but it was very unwise to argue with the married women when they were united. Even if it was his direct superior who did this, it would be very dangerous. Moreover, Department Director Kang did not have that much authority in the department.
Department Director Kang shook his head. While he handled the work in his hands, he said, "Didn't your horoscope books mention how to avoid this kind of situation?"
"Don't perform surgeries at night. It's easy to be in danger when the planets are connected."
"You also can't perform surgeries at noon. The sun will affect your luck."
"It's not suitable to perform surgeries in the morning, because …"
"It's not suitable to perform surgeries all day, right?" Department Director Kang chuckled a few times and said, "If you say that, I'd rather have all the Great Veins touch the nerves …"
"This one did," Ling Ran answered, and it could be considered as him reporting the situation of the surgery to the chief surgeon.
Department Director Kang was stunned for a moment. "It did?"
"Yes, this great saphenous vein has two nerves that are wrapped together." Ling Ran confirmed.
"It just started and it touched the nerves …" Department Director Kang raised his head and looked in Ling Ran's direction. He was surprised to find that a long blood vessel had been pulled out.
Stripping blood vessels was easy to say, but it required a lot of meticulous work. Simply put, it was to follow the direction of the vein and cut open the outside of the blood vessel to expose the blood vessel. Then, it was necessary to strip the surrounding small blood vessels one by one, and the core was to ligate the interface.
Imagine the great saphenous vein as a main artery, and the process of stripping it was the process of blocking all the auxiliary arteries.
This process was not difficult, and ordinary young attending physicians could complete it smoothly. But in terms of speed, even experienced chief physicians might not be able to do it quickly and well.
Department Director Kang was busy with his own work just now, and he deliberately slowed down to wait for Ling Ran to practice. He believed that Ling Ran would definitely be able to successfully complete the vascular resection. A doctor who could perform hepatectomy would definitely be able to do it easily, but it was very surprising that he could do it so quickly.
"Doctor Ling, where did you learn this technique …" Department Director Kang was full of doubts. 'Did he go to other hospitals, practice his skills, and then come back to export it and sell it in the domestic market?'
The more Department Director Kang thought about it, the more he felt that it was possible, and his expression became more and more serious.
Ling Ran's fingers were nimbly stripping the nerves. For the sake of the patient's postoperative life, it was very necessary to preserve the nerves. And to preserve the nerves, they could only be handled carefully bit by bit.
Department Director Kang watched with a serious expression. He finally turned his head and heard the attending physician say in a low voice, "It seems to be a no-touch."
"Hmm?" Department Director Kang immediately turned his head.
The so-called no-touch meant that during the process of harvesting the great saphenous vein, the great saphenous vein would not be touched, but the surrounding tissues of the great saphenous vein would be preserved about one centimeter.
The advantage of this was that the damage to the vein would be reduced, and the occurrence of venous spasm would be avoided. The three layers of tissue of the entire vascular wall could also be preserved intact, and after transplantation, the long-term inflation rate would be increased.
According to the reports in the literature, the long-term patency rate of the venous vein bridge was 50%, and the long-term patency rate of the venous vein bridge obtained by the no-touch technique could reach 85%, which was comparable to the arterial bridge.
However, compared with the simple resection of the great saphenous vein, the no-touch technique was much more complicated. It was a whole set of technical systems, and it was a high-end technique that had not been developed in the Department of Cardiovascular Surgery of Yun Hua Hospital …
Department Director Kang was still hesitant about whether he should learn the technique being used by Ling Ran, and he felt very … panicked!
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