"Doctor Ling, I think that the vascular channel you sutured is enough. Should we consider ending the surgery earlier? Shortening the surgery time will also bring us a lot of benefits," Ji Tianlu said in a very tactful manner.
From his point of view, not only was one vascular channel enough, but it was also more than enough based on the amount of space Ling Ran had to suture.
If they ended the surgery now, it could be said that the surgery time was short, and the effect was good. Based on the analysis of the patient's benefits, it was practically the best time to end the surgery. As for Ling Ran's suggestion of building an alternate vascular channel, in Ji Tianlu's opinion, it was already suspected of overtreating the patient.
If Ling Ran did not have the system's notification of the completion rate, he might also be hesitant.
In fact, even now, he was not sure that building a second vascular channel would definitely improve the function of Liu Weichen's Achilles tendon.
The plan made by Academician Zhu Tongyi was itself an experimental plan, and there was no precedent for it before this. It could even be said that no one could say whether the first vascular channel would be useful or not. They had to wait for Liu Weichen to recover before they could make a guess.
To really judge the clinical value of this plan, they might need to perform a few more surgeries and then compare it with conventional surgeries.
However, this plan was not targeted at ordinary people. Instead, it was targeted at athletes who had a great need for recovery time and the strength of their Achilles tendons. At the very least, they had to be professional people like soldiers to have similar needs. So, even if they wanted to add more blueprints, they would need some time.
At that time, if the value of this plan was really proven, some blue-collar workers or sports enthusiasts might also benefit from it. But at this stage, they still could not bear the huge health and financial risks. Experimental surgical plans were not reimbursed, and the medical insurance in the country did not reimburse them. They could not count on it from other countries either. The follow-up health risks were also a problem. At present, Liu Weichen was even willing to bear the risk of not being able to run or jump with weights in a few years. It was better for ordinary people to wait for a few years and 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's enough?" Ling Ran used a probing tone. It was very normal for the Achilles tendon's function to recover to 75%. However, suturing more blood vessels was not the only way to achieve a higher recovery rate.
Theoretically, Ling Ran could still continue to strengthen the Achilles tendon, and he could also consider the problem of the bones and the surrounding muscles. Besides, there was also the possibility of infection. Adhesion was always a big problem when it came to tendon sutures, and it might even be a problem with Liu Weichen's genes. There were always people who recovered better after they underwent invasive surgery, and some people who recovered worse. For example, people with hemophilia genes were not suitable for surgery.
However, based on Ling Ran's judgment, he was more inclined to the problem of blood supply.
He agreed with Academician Zhu Tongyi's plan. Based on this plan, the blood supply network connected to the passage he just sutured could not provide enough nutrition. It was more than enough for ordinary recovery, but it might not be enough for a miraculous recovery.
This was just like the logistical requirements of an army. A small amount of logistical support was the foundation for survival. A large amount of logistical support was enough to deal with defense during war. Only with sufficient supply could the army be able to attack.
Ji Tianlu was a little stumped by the question. He frowned and thought for half a minute before he said, "Based on our experience, the current blood supply has already greatly exceeded the previous level."
"Not necessarily." Ling Ran had been thinking about this problem before this. He said, "It's just like how we use a median incision to destroy fewer vascular networks. In the past, patients with Achilles tendon ruptures did not pay special attention to the blood supply. Maybe some people's injuries and wounds are better, so the degree of recovery is better? "
"Hmm … it's also possible." Ji Tianlu had to admit this problem, but he said, "But if we continue suturing, it will still take more than ninety minutes. Will the patient benefit from it? It's not a minor surgery if the wound is open for three to four hours. "
The longer the wound was open, the higher the probability of complications. Surgery that lasted more than three to four hours would basically have complications. For sprinters, edema or inflammation over a long period of time was a huge problem.
Ji Tianlu was also worried about putting the cart before the horse.
Ling Ran had previously performed finger replantation surgeries, so he was naturally attached to blood supply. Coupled with his previous thinking, Ling Ran said without hesitation, "Ensuring blood supply is always the first priority. If you're worried about complications, you can use medication to deal with it later. If the blood supply is insufficient, is there any way to make up for it? "
This answer hit Zhu Tongyi's point of view.
Without waiting for Ji Tianlu to speak again, Zhu Tongyi immediately said, "Ensuring blood supply is the core of the entire plan. Continue the surgery."
In today's surgery, Ling Ran's position as the chief surgeon was ranked second. The final decision was still in Academician Zhu Tongyi's hands. If he wanted to continue, Ji Tianlu could not say anything else. He could only say, "I'll change my gloves too."
"Okay, Lu Wenbin, go and change too. I'll do it myself first." Ling Ran paused for a moment before he sat in front of the microscope and said, "Wipe my sweat."
The scrub nurse who wore a gray rabbit surgical cap grabbed the gauze with a pair of forceps and gently wiped it on Ling Ran's forehead. She then said in a low voice, "There's no sweat. A strand of hair fell down, and that's why you feel itchy. Wait a minute …"
The young nurse who wore a gray rabbit surgical cap put down the gauze and changed to a pair of forceps. She moved closer to Ling Ran, stood on her tiptoes, and carefully pinched a strand of hair on Ling Ran's forehead. She said, "I'll help you check again."
Hair and the like were very troublesome. Ling Ran obediently stood still and let the young nurse scan his face.
The more the young nurse scanned his face, the redder her face became. If she had not been taught the principle of asepsis countless times, her face would have stuck to her body.
…..
The doctors and nurses in the demonstration room talked and laughed. Everyone's attention began to shift from Liu Weichen to Ling Ran.
"I didn't expect Doctor Ling to be so stubborn."
"If he dares to fight with Chief Physician Ji like this, he should have some confidence."
"What confidence? He's just young and aggressive. "
"Young and aggressive? Then why did Academician Zhu agree to his plan? Isn't it obvious that he supports Chief Physician Ji? "
"This isn't a question of who supports who. Didn't you notice that Doctor Ling is going to perform the second vascular channel? That's the scariest thing, okay? "
When it came to the specific technique, many doctors were excited, but they were speechless.
"Sigh, if I were to do it, I would be able to perform the first vascular channel until tomorrow." A resident doctor made fun of himself and instantly started a conversation.
"I can also do it until tomorrow night."
"I don't think I'll be able to finish it before I faint."
Everyone shouted one by one.
Microsurgeries were notoriously tiring. In comparison, Achilles tendon surgery was considered relatively easy. No one expected that the surgery that had been designed to be so complicated could be made even more complicated.
"Wipe my sweat." Ling Ran's voice came from the screen. It could be seen that he had also used up a lot of his strength. Beads of sweat appeared on his forehead again.
The young nurse who wore a gray rabbit surgical cap wiped the gauze under Ling Ran's little yellow rabbit surgical cap again.
The surgery continued.
The young doctors continued to discuss.
"Wipe my sweat." Ling Ran's voice sounded a little tired.
The young nurse who wore a gray rabbit surgical cap was still in high spirits.
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