The patient was placed on a dark green treatment towel.
A large light blue sterile sheet covered the patient, and only the knee was exposed.
Although the patient was awake, he was covered under the sterile sheet. He could only look at the sterile sheet in boredom and listen to the music in the operating theater. It was extremely boring.
"It's better to do general anesthesia." Zuo Cidian knew that Ling Ran did not like to chat with patients, so he took the initiative to take this task. Of course, it was also because he liked to chat and was afraid of being bored.
Today's patient was a sixty-two-year-old old man. He shook his head nervously and persistently behind the sterile sheet. He said, "We can't do general anesthesia. We know someone who didn't wake up after general anesthesia. He died."
"Death from anesthesia? That's not common. "Zuo Cidian was surprised.
"The hospital said that he died from a heart attack, and they didn't even pay for it. We all know Old Liu. Although he had high blood pressure and heart disease, he didn't die from it." The old man paused for a moment and said in a certain tone, "General anesthesia is too harmful."
Zuo Cidian looked at Ling Ran and suddenly felt that it was not a good idea to chat with the patient.
"Inflate the tourniquet and check it," Ling Ran said to Yu Yuan while drawing on the knee.
Knee arthroscopic meniscoplasty originally only needed one assistant, but the doctors in Zhucheng Hospital could not let him operate alone. However, the doctors from Zhucheng Hospital could not let him operate alone. Zhang Pengyi, who was originally an attending physician, became the first assistant, and Yu Yuan became the second assistant. Zuo Cidian had always been observing, so he stood by the side and watched.
"Both sides of the anterior patellar ligament approach." Ling Ran basically explained to his assistants. He then observed the position, extended his hand, and said, "Scalpel."
* Slap. *
The highly nervous scrub nurse immediately threw a scalpel into Ling Ran's hand, and she became even more nervous in an instant.
Ling Ran raised his head and glanced at her. He flashed a smile, then turned his head to the position where he drew with the marker. He made a 0.5-inch incision.
The scrub nurse's body tensed up, and her mind started to imagine endlessly.
"Puncture awl," Ling Ran reminded her again.
* Slap. *
The scrub nurse used everything she had learned in her life to place the needle into Ling Ran's hand at the best speed, the most accurate angle, and the most suitable strength. When she was about to place the needle into Ling Ran's hand, she even held back a little.
For surgeons, this was the best cooperation they could get.
Ling Ran smiled again. He immediately lowered his head and inserted the puncture awl into the knee joint.
Then, Ling Ran inserted the arthroscopy and ordered, "Add saline."
Zhang Pengyi breathed a sigh of relief and immediately began to add saline.
He was a little worried that Ling Ran's maneuvers were flawed.
Even though he praised the specialists outside the hospital, it was inevitable that different professions were worlds apart in the medical industry. Even an internationally renowned cardiologist might not know the knee joint like the back of his hand.
Take Atsushi Amano, who performed heart bypass surgery for the Emperor of Japan, for example. He was praised for being the chief surgeon for 6,000 heart bypass surgeries and guiding 10000 heart bypass surgeries. On average, he performed 500 surgeries every year, which was nearly 10 times that of a normal Japanese doctor and five times that of a Chinese doctor.
However, other than that, Atsushi Amano did not perform any other surgeries. He did not need to know anything about knee arthroscopy or ankle arthroscopy. Perhaps the basic anatomical structure was clear, but that was all there was to it.
Zhang Pengyi obediently gave up his position because he saw that Ling Ran had experience in operating arthroscopies and that Ling Ran was an expert from another hospital hired with a lot of money. However, his name was written on the surgery list, so it was impossible for him not to be worried.
However, Zhang Pengyi was relieved when he saw how skilled Ling Ran was.
It might seem like a simple maneuver with a puncture awl, but it required a lot of practice and a person's comprehension. The puncture awl was like an extra-large needle. The depth of the needle that was inserted into the knee had to be controlled, and the strength had to be enough to avoid a bad prognosis due to repeated attempts.
One could guess a nurse's skill level by looking at her level of insertion of needles. The puncture awl was also a good standard to judge a doctor's skill in performing arthroscopies.
Zhang Pengyi was certain that Ling Ran's skill level was not bad, so he cooperated with him with ease.
The arthroscopy entered the knee joint, and the 42-inch screen above the operating table displayed the contents of the video in real time. It was much more direct and clearer than X-rays or even MRI scans.
Theoretically, the diagnosis rate of arthroscopy, especially when it came to meniscus injuries, could reach 98% accuracy. In terms of medical diagnosis, this was a very high number. It was especially so in the diagnosis of Western medicine. It had to categorize the disease, unlike traditional medicine, which only needed to point out the problem.
Of course, the probability of misdiagnosis still existed. A hundred percent certainty could only mean that the doctor was conceited, but not confident.
Ling Ran spent a few more minutes to check the meniscus injury. He then said, "It is estimated that the meniscus can be preserved by about seven millimeters …"
Zhang Pengyi was still looking at the screen. When he heard Ling Ran's words, he did not answer immediately. Based on his experience, he still needed a longer time to think and make a judgment.
Ling Ran had already started operating on his own.
The core of meniscoplasty was to repair the meniscus of the patient with meniscus injury to a normal or near-normal state.
The meniscus had to be bitten off with a pair of blue forceps, the uneven edges had to be tidied up, and the worn meniscus had to be flattened … The patient Ling Ran encountered right now was a patient whose meniscus was severely worn after long-term conservative treatment.
"The meniscus is uneven." Zhang Pengyi finally snapped out of his daze. He looked at the meniscus on the screen and sighed.
The patient could not help but shout, "Does uneven mean it's not good?"
"It's not good," Zhang Pengyi said. "The result of your conservative treatment is that the meniscus is constantly being worn down, and it's more difficult to treat now."
"My doctor also asked me to do conservative treatment."
"You don't have regular check-ups, do you?"
"Sigh, everyone knows what's going on. What's the point of a check-up?" The patient lay on the hospital bed. He did not dare to move, and he was stubborn.
Zhang Pengyi shut up.
Ling Ran finished the arthroscopic surgery in one go. When he looked at the time, it had only been fifteen minutes.
"Next?" Ling Ran took off his gloves and walked out of the operating theater.
"How was it?" The department director and a group of doctors surrounded him.
"Better than me." Zhang Pengyi chuckled. There was no need to hide it.
"Better than you?" The department director repeated his words and nodded slightly.
They had just started doing arthroscopic surgery, and the demand for specialists was much higher than before.
Due to the good effect of arthroscopic surgery and the small trauma, the number of patients who were willing to undergo the surgery was also increasing, and the hospitals in Zhucheng City did not train enough arthroscopic surgeons.
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