Chapter 61： Needle Mountain (1/2)

Ling Ran observed the flexor tendon that was exposed, and did not start immediately.

Although I have seen the video data several times, at the level of weak chicken he watched, he still needs to read it intuitively.

Xiu Huo waited quietly, he knew what Ling Ran was doing.

Surgeons like to read intuitively.

If you pay attention to the development of surgery, you can see that all intuitive operations have developed rapidly, such as organ transplants, including heart transplants. From a 21st century point of view, they are performed under very difficult conditions. However, Surgeons continue to follow-or patients are followed.

In short, visual operation is the hobby of surgeons, and their favorite surgical method, such as laparoscopy or Da Vinci, etc., must be followed, and heart stents are discriminated by heart bypass ...

”Let's make it bigger.” Ling Ran seemed to be mumbling to himself, then started.

When I heard what he said, Lu Wenbin could not help but widen his eyes: can this be the case?

The soldier Huo Huo had to endure and didn't speak.

I opened the knife twice or something, and it seemed to be a shame.

However, Ling Ran did not have a similar understanding.

Before that, he spent most of his time in the treatment room and the rescue room, neither in other departments nor in the operating room of the emergency room.

The judgement of his operation was inaccurate. At this time, if he wanted to expose a little more field of vision, he should naturally cut the blade longer.

Only in this way, the next operation will be easier. Although the patient's scar will be a bit more, in the operation of tendon rupture, scar is obviously not the first consideration.

He will pay attention to scars during debridement and suture, but he will not think about scars at this time. Anyway, scars are always left, longer and shorter, there is no essential difference.

The palate is a suture of the tendon, and the difference is not small.

最好 The best situation is that the total range of motion (TAM) after operation reaches 100%, that is, the range of motion of the finger is no different from that of ordinary people. The evaluation of TAM is excellent. More than 75% activity is good, and daily life can be guaranteed.

Master-class tang suture can achieve an excellent rate of 85%, that is, suture 100 people, and 85 people can return to normal life. This data, let alone the no-man's land, is also very rare to sew tendons in other locations with lower difficulty.

In the hands of ordinary and excellent doctors in most ordinary hospitals, the flexor tendon suture can be satisfied with the standard of ”may”, that is, the activity is 50% to 75%. This data can only be said that the fingers can still be used, and many things will become difficult, such as sweeping the floor, serving the bowl, and peeling eggs, which are almost impossible to complete.

But even so, 85% of the flexor tendon sutures in many hospitals can reach the ”can” standard.

Ling Ran does not care what ordinary doctors do in ordinary hospitals.

His goal is more than that.

However, he is not sure what the results will be after suture, so he can only increase the success rate as much as possible.

”Tear the skin to both sides.” Ling Ran grabbed the opened cortex with pliers and handed it to Lu Wenbin.

”Oh, okay.” Lu Wenbin was a little nervous, but still hung the cortex to the side.

Repeat the same steps several times, and the tendon is completely exposed to Ling Ran's field of vision.

Judging by the master-level skills he obtained, there is actually a little more exposed, but it will reduce the difficulty and improve the fault tolerance rate.

The patient ’s tendon has been ruptured for nearly 20 hours. A tendon contusion or injury is almost inevitable, and it will inevitably reduce the success rate and the excellent rate. Ling Ran would rather open a big mouth.

Of course, his operation level is too basic.

Ling Ran observed the exposed tendon again, but still did not do it.

The flexor tendon of the human body is the key to the flexion and extension of the fingers. Everyone will divide five flexor tendons from the wrist to the front of the five fingers. If you look at the anatomy, it is like pressing five rubber bands on the wrist and then connecting to the five fingers.

的 The thickness of each flexor tendon is about the thickness of an Apple mobile phone charging cable, but the elasticity and strength are excellent.

The difficulty in suturing the flexor tendon lies in ensuring its strength and elasticity.

The strength of the crest is to ensure that the tendon no longer breaks, and the elasticity is to ensure its function.

Losing the former is a surgical failure, and losing the latter is a surgical failure.

Ling Ran looked at the blood, the white tendons, and his brain wandered through several schemes.

His level is not enough, it is impossible to think about how to do it before the operation, but it doesn't take much time now.

然 Within a short time, Ling Ran stretched out his hand:

”Needle Pliers.”

Wang Jia was relieved and quickly handed the needle holding forceps with the thread installed. If Ling Ran wanted another scalpel, she would worry about him.

Ling Ran pinpointed the position, and passed the needle in without hesitation. His movements were hundreds of times more skillful than when he opened the knife.