Ling Ran observed the exposed flexor tendon and did not start immediately.
Even though he had seen the video materials several times, he still needed to read it with his own eyes because he was not good at reading scans.
Huo Congjun waited quietly. He knew what Ling Ran was doing.
Surgeons liked to read with their own eyes.
If one paid attention to the development of surgeries, one could see that the development of all direct surgeries was very fast. For example, organ transplants, including heart transplants, were carried out under very difficult conditions from the point of view of the 21st century. However, surgeons were still taking over — or rather, it was the patients who were taking over.
All in all, visual manipulation was the hobby of surgeons, and it was also their favorite surgical method. Laparoscopy, da Vinci, and the like had to wait. Cardiac stents were even looked down upon by people who performed cardiac bypass surgery …
"Cut it a little bigger." Ling Ran seemed to be mumbling to himself before he started to work.
When he heard what he said, Lu Wenbin could not help but widen his eyes. 'You can do that?'
Huo Congjun forced himself not to speak.
It was a little embarrassing to say that he had to make two incisions.
However, Ling Ran did not have such an understanding.
Before this, he spent most of his time in the treatment room and resuscitation room. He did not stay in other departments, and he only came to the operating theater of the Emergency Department a few times.
His judgment when he made the incision was wrong. At this time, if he wanted to expose a little more of his field of vision, he should naturally make the incision longer.
Only then would the subsequent operations be easier. Although the patient would have more scars because of this, scars were obviously not the main consideration in a surgery like tendon rupture.
He would pay attention to scars during debridement and suturing, but he would not think too much about scars at this time. Anyway, scars would always be left. There would be no essential difference whether it was longer or shorter.
However, the difference in the suturing of the tendon would be very big.
In the best case, the Total Range of Motion (TAM) after the surgery reached 100%, which meant that the range of motion of the fingers was no different from that of ordinary people, and the TAM evaluation was excellent. If the range of motion exceeded 75%, it would be good, and daily life could also be guaranteed.
The Master Level M-Tang Technique could achieve an 85% excellence rate, which meant that 85 out of 100 people could be sutured back to normal life. Forget about the No Man's Land, this data was very rare even for tendons in other parts of the body that were less difficult to suture.
In the hands of ordinary and excellent doctors in most ordinary hospitals, they would be very satisfied if their flexor tendon sutures could reach the standard of "acceptable". In other words, the degree of flexor tendon mobility had to reach 50% to 75%. With this data, it could only be said that the fingers could still be used, but many things would become difficult. For example, sweeping the floor, carrying bowls, and peeling eggs were almost impossible to complete.
But even so, the number of flexor tendon sutures performed by many hospitals that could reach the "acceptable" standard would not be as high as 85%.
Ling Ran did not care about what ordinary doctors in ordinary hospitals would do.
His goal did not stop there.
However, he was not sure of the results of his suturing, so he could only try his best to increase the success rate.
"Pull the skin to both sides." Ling Ran used a pair of pliers to pull out the opened skin and passed it to Lu Wenbin.
"Oh, okay." Lu Wenbin was a little nervous, but he still managed to hang the skin on the side.
After repeating the same steps a few times, the tendon was completely exposed to Ling Ran's field of vision.
Judging from the Master Level skill he obtained, he had actually exposed a little too much, but it would reduce the difficulty and increase the rate of error.
The patient's tendon had been ruptured for nearly twenty hours. Tendon contusion or injury was basically unavoidable, and it would definitely reduce the success rate and excellent recovery rate. Because of this, Ling Ran would rather make a big incision.
Of course, it was also because his skills in incision were too rudimentary.
Ling Ran observed the exposed tendon again, but he still did not make a move.
The human flexor tendon was the key to the flexor tendon of the fingers. Every person would have five flexor tendons at the wrist, and they would go all the way to the front of the five fingers. If one looked at the anatomical diagram, it would look like there were five rubber bands pressed on the wrist, and then they were connected to the five fingers.
The thickness of each flexor tendon was about the thickness of an iPhone charging cable, but its elasticity and strength were excellent.
The difficulty in suturing the flexor tendon was to ensure its strength and elasticity.
The strength was to ensure that the tendon would not rupture, and the elasticity was to ensure its function.
If the former was lost, the surgery would fail, and if the latter was lost, the surgery would also fail.
Ling Ran looked at the bloody and white tendon, and a few plans went through his mind.
His skills were not good enough, and it was impossible for him to think about what to do before the surgery. However, he did not have much time now.
In a very short period of time, Ling Ran extended his hand.
"Needle holder."
Wang Jia breathed a sigh of relief and quickly handed over the needle holder with the thread attached. If Ling Ran asked for a scalpel again, she would be worried for him.
Ling Ran found the right position and inserted the needle in without hesitation. His movements were hundreds of times more skillful than when he made an incision.
If one were to describe it, for Ling Ran, making an incision was equivalent to raising a cow. And suturing was equivalent to eating beef.
When he held the needle holder, Ling Ran even felt comfortable.
The needle shone …
There was no room for a needle …
When Ling Ran raised the needle holder, he finally showed his Master Level skills, and it was also the level that convinced Huo Congjun.
Huo Congjun stood by the side and watched Ling Ran's operation. He was a little enjoying, a little proud, and a little satisfied …
Only this level was worth Huo Congjun personally making a trip to Lan Tai County.
Lu Wenbin's entire body trembled.
He heard about Ling Ran's first M-Tang technique, and he also saw Ling Ran's skill in suturing pig trotters in the old storeroom. The latter was slightly more intuitive, but he was suturing a dead object, after all. Ling Ran's suturing was also very "basic" for the sake of letting him understand the suturing steps.
At this moment, Ling Ran would no longer consider Lu Wenbin.
If Lu Wenbin could cooperate, he would let him cooperate and reduce the workload.
If Lu Wenbin could not cooperate with him, Ling Ran would take over without saying a word, and he would complete the entire surgery on his own for the rest of the surgery.
In just a few short minutes, Lu Wenbin felt a heavy pressure.
He knew that he would be marginalized, but when he really stood on the operating table and faced patients, doctors, and nurses, Lu Wenbin was not willing to be marginalized.
Lu Wenbin did not care whether it would be awkward to be an assistant to an intern. Would it be more awkward than being an assistant to an intern and then being marginalized?
Besides, skills were skills, and skills would not change because of one's status.
Lu Wenbin stared at the exposed tendon, hoping to remember more details.
Ling Ran naturally noticed the change in Lu Wenbin.
After performing so many debridement cases in the treatment room, he was used to observing the movements around him at all times.
Ling Ran's lips twitched a little and said, "It's about the same as suturing a pig's flexor tendon."
"Huh? Ah … It's different, too different. "Lu Wenbin did not know what to say, and he kept shaking his head.
"Oh," Ling Ran said, but he did not continue to ask, which made Lu Wenbin quite disappointed.
The operating theater became quiet.
Only Ling Ran's orders could be heard occasionally.
"Scissors.
"Forceps.
"Pad it with gauze."
Su Jiafu, the anesthetist, was not used to it. He moved his body a few times, and the chair he sat on creaked.
Su Jiafu let his thoughts run wild. 'I really have to lose weight this year. I should at least lose 60 pounds and pretend to be a young hunk. That won't do. Losing too much weight in one go is not good for the body. I'll just lose 50 pounds. '
As he thought about it, he raised his head out of boredom and looked in the direction of the operating table.
Su Jiafu immediately met Huo Congjun's gaze.
'What kind of gaze is that?'
Su Jiafu quickly analyzed the situation with his logical thinking, which scored more than six hundred marks in his college entrance examination. 'Department Director Huo likes to chat when he's the chief surgeon. But today, Ling Ran is the chief surgeon, and Ling Ran doesn't like to talk. And Department Director Huo is worried that chatting will affect Ling Ran, so he doesn't talk either. So … Department Director Huo is also very bored … So, what the hell? His gaze is so fierce. He must want my stool.'
Su Jiafu stood up quietly. He puffed out his chest and pretended to stretch to look more natural.
* Shick … *
The small round stool with wheels did not even have time to roll. It was dragged away by force, and there was a sound of friction.
Department Director Huo pounced on it and pressed it under his crotch. He showed a long-lost smile as an old leader.
Su Jiafu sighed in pain. He did not even bother to stretch. He thought absentmindedly, 'If this continues, I'm afraid I'll lose more than 60 pounds. That won't do. If I'm too thin, there will be problems. Sigh, next time, I'll talk to the circulating nurse and ask her to bring an extra stool.'
"It's done," Ling Ran said, and he started to check it himself.
Huo Congjun suddenly stood up and kicked the small round stool to the corner of the operating theater.
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