Chapter 106： Nerve bundle anastomosis (2/2)

Ling Ran watched the film for a while.

A large number of magnetic resonance films and x-ray films were inserted into the backlight, which seemed quite confusing to the layman, and Ling Ran looked with interest.

The reading ability and experience brought about by master-level magnetic resonance films are, to the clinician, like opening the eye of the sky, without anatomy but the clearness of anatomy. Once used, it is inseparable. This is much more useful than just a few words from an imaging doctor. Even the imaging doctor himself cannot get a lot of information that Ling Ran can get without knowing his specialty.

In the future medical environment, the requirements for doctors' reading ability will definitely be higher and higher, but for now, popularization is still very difficult.

Undergraduate medical students do not do special training, they must look at magnetic resonance, such as heavenly books.

Ling Ran's master reading ability is stronger than most imaging doctors.

In order to do his first case of nerve bundle anastomosis, Ling Ran looked for a long time and looked very carefully.

Ling Ran was thinking about the order of suture of tendons and nerves, the development direction of the incision, and so on.

In the past, the tang method was a fixed technique and a fixed order, which did not involve anything else. It was done step by step.

Adding nerve anastomosis is different.

This is like the original plan to build a bridge, but now an overpass should be built. The bridge can be designed step by step, and the overpass must be considered according to local conditions.

Although Lu Wenbin and others were a little strange, they were still as quiet as cats.

”Let's get started.” Ling Ran returned to the operating table, expressing expressionlessly, ”Reconstruction of flexion function, combined with ulnar nerve anastomosis. Today's surgery is different from usual, and you need to get up.”

Ling Ran gave a special reminder, and began with a bow-like opening, gently opening a large twelve-centimeter-long mouth.

Lu Wenbin's eyes were fixed.

The resident doctor has been doing this for a long time. Looking at the opening of the main knife, sometimes you can guess a lot.

Regardless of personal habits, the same main knife in the same operation, the larger the opening, the more difficult the operation.

Ling Ran was a doctor who paid great attention to the beautiful appearance of the mouth. At this time, a super-standard mouth was drawn, and Lu Wenbin was immediately awakened.

Needless to say, Ran Wenbin rushed into the battle with gauze.

Ling Ran opened the patient's muscle layer steadily and slowly, without speed.

Lu Wenbin was more competitive and actively participated in ~~ Familiar flexor tendon suture, even though Ling Ran deliberately stabilized, it was quickly completed, followed by the nerve bundle anastomosis.

The nerves of the human body are structured like a network cable.

The core is multiple bundle membranes. They are the parts that play a role, like the twisted-pair wires in the network cable, and the outer membrane is like the skin of the network cable.

The difference is that because of the biological nature of the nerve, it is capable of self-healing.

Based on this, there are usually three types of nerve anastomosis, namely adventitia anastomosis, fascia anastomosis, and adventitia anastomosis at the same time. The most commonly used is anastomosis, which is to sew up the skin and grow inside.

Good or bad, the doctor can have some control, but not full control.

Beam membrane anastomosis is more controllable, but more difficult. Outer membrane sutures can often be made with the naked eye, and beam membrane sutures are completely impossible.

Lu Wenbin looked worriedly at Ling Ran wearing microscope glasses.

He didn't wear a microscope, so he couldn't understand Ling Ran's operation. He couldn't even see the connection, and the 10-0 sutures were really elusive.

”The beam membrane is really tough.” Ling Ran said suddenly.

Lu Wenbin froze for a moment, and asked curiously, ”Tougher than pig skin?”

Ling Ran thought about it and said, ”It's much tougher. It's like pigskin.”

Lu Wenbin knew it.

”Okay.” Ling Ran tied the knot quickly with a needle holder and announced that the suture was complete.

Lu Wenbin was surprised: ”Just sewn? There are several beam membranes.”

”It's all stitched up.” Ling Ran sighed, and then began to close the wound.

Lu Wenbin, who had been ready to sew the skin, stayed for a while, and then he continued to beat her obediently, comforting herself: Today's surgery is more important, and Dr. Ling attaches more importance to it. Don't be afraid. It's a technical adjustment. Don't be afraid.