"Adjust the thread."
Before Doctor Qu could finish his words, Ling Ran rolled the thread and put it aside.
"Moisten it."
As soon as Doctor Qu finished speaking, he saw that Ling Ran had already asked for the saline solution.
"Inhale … inhale …"
Before Doctor Qu could finish his sentence, Ling Ran had already started to inhale.
Doctor Qu had just cut open the skin, dealt with the subcutaneous tissue, and protected the mesentery, small hidden pulse, sural nerve, and so on. Then, he felt uncomfortable … Uncomfortable and comfortable. His body was comfortable, but he felt uncomfortable.
When he thought about it carefully, he, Old Qu, had never scolded anyone since he started the surgery.
The surgery was so smooth that Doctor Qu did not even think of scolding anyone.
Basically, Doctor Qu had just thought of something, but before he could make a request, Ling Ran had already done it.
This kind of surgery could be said to be extremely comfortable.
As a normal surgeon, Doctor Qu had never even thought that surgery could be so comfortable.
It was as if when he wanted to pick up food, someone would send the food he wanted to eat to his mouth.
However, even though the surgery was comfortable, Doctor Qu's heart was not happy.
What he pursued was not a comfortable surgery.
What he pursued was a surgery that was difficult, and then he would conquer it bit by bit, giving him a sense of accomplishment.
Doctor Qu, who was only in his forties, was bald, and had his goals. He was different from Wang Haiyang.
Wang Haiyang was old and weak, and his favorite thing was to be fed. Wang Haiyang could always perform surgeries and enjoy being fed.
Doctor Qu looked forward to at least some chewy surgeries.
In today's surgery, he even looked forward to seeing Ling Ran make a small mistake.
The authority of senior doctors over junior doctors was built on mistakes.
In the operating theater, seniority was never the core consideration. Perhaps the seniority and identity of the department director would make everyone a little hesitant, but other than the department director, any doctor who wanted to scold had to find a suitable opportunity.
When junior doctors made mistakes, it was a good opportunity for senior doctors to scold and vent their anger.
If junior doctors did not make a single mistake in the entire surgery? That meant that the authority of senior doctors did not exist. Perhaps, the two of them were already on par with each other, and their skills were even reversed.
If there was no technical gap, no surgical method, and no control over the operating theater, then how could senior doctors show their superiority?
They could not be unreasonable, right?
Although surgeons were hot-tempered, there were almost none who were rude and unreasonable.
Doctor Qu raised his head and glanced at Ling Ran before he said, "I'm going to suture it."
"Alright." Ling Ran's eyes did not leave the lens of the two-headed microscope. He held the forceps in his hand, and he got into a posture where he could pinch the Achilles tendon at any time.
Doctor Qu furrowed his eyebrows when he saw this. Indeed, his next step was to suture the Achilles tendon, and he planned to use an enhanced suture method, so he needed an assistant to pinch out the slightly atrophied Achilles tendon.
Doctor Qu was sure that as soon as he started, Ling Ran would start massaging the Achilles tendon, because this was the procedure to strengthen the suture.
So, I don't need to strengthen the suture?
A thought flashed in Doctor Qu's mind, but he immediately rejected it.
Although he could indeed use other sutures to suture the Achilles tendon, a sudden change of plan during the surgery would require a series of changes. Doctor Qu was more worried that he would become confused because of this.
There were many ways to repair the Achilles tendon. If they were to be described in words, they would not be too complicated. But if they were to be carried out, especially when they were carried out on an uncertain living person, it would not be that easy.
If he were to describe it with a question, it would be like there were four ways to solve a math problem in Orsay, but no matter how many times the teacher taught them, most people could only master one or two ways to solve it.
Doctor Qu had already mastered two kinds of Achilles tendon repair techniques, the simple end-to-end repair technique and the enhanced repair technique. The latter was already a complicated technique compared to the former. If Doctor Qu was asked to change to a more difficult surgical method at the last minute …
He was not mentally weak to such an extent.
"Pull out the Achilles tendon." Doctor Qu sighed in his heart. He then watched Ling Ran pull out the Achilles tendon in a second.
The corners of Doctor Qu's eyes twitched a few times, and he started suturing without saying a word.
He used the modified Kessler suture method, which was the tendon suture method most commonly used by doctors in the Hand Surgery Department of Yun Hua Hospital.
The Achilles tendon was also a tendon, and it was the thickest tendon in the human body. Therefore, the more common tendon suture method was more than enough. On the contrary, the M-Tang technique that Ling Ran was familiar with could not bring into play any advantage when it came to this super thick and super hard tendon.
Ling Ran quietly watched Doctor Qu's operation, and he gave real-time assistance according to his speed and progress.
He now had the Perfect Level Achilles tendon suture method, and it naturally covered the modified Kessler suture method perfectly. In fact, for a basic tendon suture method like this, there was no need to wait for the system to ship it to him. He could get the hang of it by just practicing.
Now that he did not need to carry out the operation, it was even easier.
The pressure and responsibility of a first assistant was much lower than that of a chief surgeon. Ling Ran had plenty of time to observe and understand Doctor Qu's operating habits, think about the purpose of his operation, and sort out the sequence of his operations.
In a normal team of doctors, the first assistant would be sweating profusely as he studied. It would be good if he could keep up with the chief surgeon's rhythm. There was no time for him to predict the chief surgeon's work.
Doctor Qu did not raise his head to look at Ling Ran, but he could feel Ling Ran's relaxed aura.
Relaxed.
Relaxed.
With ease.
For a chief surgeon, it was a sin not to make full use of the first assistant.
"Tendon stripper." Doctor Qu took it from the scrub nurse and asked, "Ling Ran, do you know what this is used for?"
"Free tendon extension," Ling Ran's answer was simple and powerful.
"Yes. Do you know how to use it? "Doctor Qu asked.
"Yes."
"You do it." Doctor Qu did not want to risk his life alone, and Ling Ran would laugh at him.
As a chief surgeon, the way to turn the tables was to let the first assistant perform the surgery. If the first assistant did not perform well, he could scold the first assistant and take back his power.
If the first assistant did well … well, he deserved it. Whether he praised or not, the chief surgeon would still be there …
Ling Ran reached out and took the tendon stripper. Under Doctor Qu's expectant gaze, he made a few clicks and separated the extension tendon. Then, he operated madly and cut off the proximal end of the extension tendon. Then, he put it in a wet gauze to preserve it.
Even a surgeon would need to read four or five pages of a surgery book to do this, but Ling Ran finished it in a few minutes.
"4/0 nylon." Ling Ran took the thread from the young nurse and began to suture the tendon bundle at the stump of the Achilles tendon.
He used the 4/0 interrupted suture method to comb through the ponytail-like tendon bundle at the stump, and the whole set of tendon stripping was completed.
Ling Ran threw the instrument on the plate and looked at Doctor Qu.
"Hmm … well done." Doctor Qu was silent for a few seconds before he stretched out his hand and said, "No. 2 thread."
The scrub nurse passed the needle holder with the No. 2 thread to Doctor Qu.
Doctor Qu began the formal suture. His goal was to suture the distal extension tendon to the ruptured Achilles tendon. Finally, he had to spread the ponytail-like tendon bundle over to form a smooth membrane surface …
For Doctor Qu, this was a relatively familiar operating process. There was not much fancy talk about it. He just had to suture each leg properly to ensure the strength of the patient's Achilles tendon.
For Ling Ran, this was also a very familiar operating process.
The medical feeding technique had been activated, and this standard operation was even more accurate.
After ten minutes, Doctor Qu was full.
However, he could not rashly stop. The surgery plan could still be changed in the middle, but now, there was no room for change. At least, with Doctor Qu's ability, he could not change it.
It was also because of the same reason that Ling Ran's judgment of Doctor Qu's operation was more timely.
It gave Doctor Qu the feeling that he was running a marathon with all his might, and Ling Ran was always in front of him, and he kept giving him water and bread.
Doctor Qu was someone who could hold a stable position in the Orthopedic and Sports Medicine Center. How could he accept such handouts …
He sped up the suture …
He slowed down the suture …
He operated in the normal order, and he operated in the reverse order …
Slowly, Doctor Qu became familiar with Ling Ran's feeding.
As the saying went, it was easy to go from frugal to extravagant, but difficult to go from extravagant to frugal.
When there was someone who prepared for every step of the surgery, dealt with the follow-up, and paid attention to the details, the chief surgeon would gradually like this feeling.
Doctor Qu sutured desperately, and he finished suturing the Achilles tendon at an extremely fast speed.
Then, he asked for a 3/0 absorbable suture thread and sutured the skin himself.
Ling Ran became his first assistant without saying a word. He did not fight for anything, and he followed the rules. Just like what Doctor Qu requested, he did everything according to the standard.
After the last stitch was done, Doctor Qu threw away the needle holder and looked at the thin thread on the wound. He did not say anything for a long time.
There was a strange feeling in his heart. He felt that his skills had improved, that his skills had become stronger, and that his skills had changed from quantitative to qualitative.
However, reason pulled Doctor Qu to the other side.
Doctor Qu's expression changed constantly due to his conflicting thoughts.
"That's it." After an unknown amount of time, Doctor Qu turned and opened the door of the operating theater.
"Be careful." Xue Haochu, who was about to enter, rushed over and bumped into Doctor Qu.
Doctor Qu only frowned, turned, and left.
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