Chapter 1200: Chapter 1199, don’t panic
Translator: 549690339
“Great saphenous vein dissection, let’s begin immediately.”Ling ran chose a new position and went to the patient’s leg.
When he observed the patient before him using the “Perfect level”great saphenous vein dissection technique, he could easily analyze the direction and condition of the great saphenous vein.
Of course, the exact location would still depend on the previous images.
These were all very basic steps. In order to ensure the success of his first great saphenous vein stripping technique, ling ran did not hesitate to take out a virtual human for three seconds. He cut it from the beginning to the end, he pulled out the great saphenous vein on the spot and tested its flexibility. It could be said that it was a very rough test method.
After he completed this step, he was completely relieved.
That’s right. The patient in front of him was a standard normal human from Earth. With his own skills, he could already be said to be stable.
The corners of Ling ran’s mouth curled up into a smile. He was very satisfied with the situation before his eyes.
As a surgeon, he was not always as confident as he looked on the surface. However, he was very decisive when it came to small scalpels.
It was impossible not to make a decision. The surgery had to go on, and hesitating would not make the situation better.
However, it would naturally be better if he had more information and could truly confirm the situation.
Ling ran felt that his current situation was pretty good.
He had the feeling that everything was ready, but he also felt that the surgery before his eyes was new.
This was a rare experience. Usually, everyone would perform upper surgeries that they were familiar with so that they would have the sense of security and control that everything was ready.
However, it would be too difficult to add “Fresh”to the mix.
Ling ran decided to enjoy today’s surgery.
“Scalpel.”Ling ran reached out and picked up an electric scalpel.
The young doctor who served as a foil to him looked at Ling ran strangely.
Ling ran’s action of gesticulating just now was obviously very special. If it were not for Ling ran’s good looks and reputation, he would have regarded it as the act of a dancing god.
Naturally, he did not dare to talk nonsense now, but the young doctor still carefully asked in a low voice, “Doctor Ling, why did you dance in the air just now?”
“You didn’t touch the contaminated area, right?”Ling ran’s line of thinking was completely different from the young doctor’s.
The young doctor quickly said, “No, no. I just thought that your movement was quite special and looked quite good. It looked a little like dancing?”
“It’s okay to dance.”As Ling ran spoke, he lowered his head and pulled open the skin on the patient’s leg.
He chose one of the blood vessels close to the arch of the foot. There were many blood vessels on this side. Even if he removed one, it would not affect the patient’s normal life.
The resident doctors in the department of cardiac surgery often accompanied Ling ran in surgeries. When they saw Ling ran’s movements, they knew that Ling ran was very confident.
This made the young doctor look at Ling ran even more strangely. He thought to himself, ‘he’s really good-looking. Not only is his movements good-looking, but his confidence in performing surgeries also seems to be stronger than the others.’.
The nurse beside department director Kang, who was cooperating with Ling ran, could not help but cast a few glances at Ling ran. She could not help but say, “Doctor Ling’s movements are really beautiful. Does Doctor Ling know how to Dance?”
When department director Kang heard this, he said unhappily, “What does whether or not he knows how to dance have anything to do with the movements of the surgery? All of you should perform the surgery well.”
“Yes, Department director. All of us are performing the surgery well. We’re just worried that Doctor Ling won’t be used to using our things.”The young nurse randomly found an excuse to brush off department director Kang.
The department director could not do anything about it. The surgery would not go smoothly until it was time for the surgery to go smoothly, so much so that department director Kang would not pull down his face and scold the nurse when he was in a bad temper.
Department director Kang could only shake his head and use Ling ran’s words to speak. “Don’t interfere with Doctor Ling’s surgery. No matter how thick the great saphenous nerve is, it’s still a blood vessel. If It’s mixed with the nerves, it’s very easy for it to be torn.”
“Department director, don’t scare us. We’ve followed you for so many surgeries, but there’s not even twenty percent of the blood vessels that are mixed with the nerves, right?”
“It’s only about 10% or 20% ,”the circulating nurse beside him chimed in.
“Besides, Doctor Ling’s skills are so good, and his luck is so good. He definitely won’t encounter such trouble…”
“It’s said in the astrology books that handsome people won’t have bad luck.”
Director Kang rolled his eyes when he heard that. However, when married women were united, it was not wise to debate with them. It was very dangerous even for a direct superior to do so, not to mention that Chief Kang’s authority in the department was not that high.
Chief Kang shook his head. While he was dealing with the task at hand, he said, “Didn’t your horoscope book mention how to avoid this kind of situation?”
“Don’t do the surgery at night. It’s easy to have a crisis when the planets are connected.”
“You can’t perform the surgery at noon either. The Sun Will Affect Your Luck.”
“It’s not suitable to perform the surgery in the morning either, because…”
“So, it’s not suitable to perform the surgery all day long?”Department director Kang chuckled and said, “If you put it that way, I’d rather have all the great saphenous veins touch the nerves…”
“I did touch this one,”Ling ran answered. He could also be considered as reporting the situation during the surgery to the chief surgeon.
Department director Kang was stunned for a moment. “You bumped into it?”
“Yes, there are nerves winding together in this great saphenous vein,”ling ran confirmed.
“I bumped into nerves at the beginning…”department director Kang raised his head and looked in Ling ran’s direction. He was surprised to find that a long blood vessel had already been peeled off.
Peeling off blood vessels was an easy task, but it required a lot of attention. In simple terms, it was to follow the direction of the vein, cut open the external part of the blood vessel, and expose the blood vessel. Then, it was necessary to strip off the small blood vessels in the surrounding branches one by one. The core of the job was to ligate the joints.
Imagine the great saphenous vein as a main road. The process of stripping it off was the process of sealing off all the auxiliary roads.
The difficulty of this process was not high. Even a normal junior attending physician could successfully complete it, but in terms of speed, even a veteran chief physician might not be able to do it quickly and well.
Department director Kang was busy with his own work just now, and he deliberately slowed down his speed. He was also waiting for Ling ran to practice his skills. He believed that Ling ran would definitely be able to successfully complete the vascular dissection. A doctor who could perform hepatectomy would definitely be able to do it easily, but it was very surprising that he could do it so quickly.
“Doctor Ling, where did you practice this move…”department director Kang was full of suspicion. ‘did you run to another hospital and learn the technique before you came back here to sell it at home?’?
The more department director Kang thought about it, the more likely it was. His expression also became more serious.
Ling ran’s fingers lightly peeled off the nerves. For the sake of the patient’s postoperative life, it was very necessary to preserve the nerves. And to preserve them, he could only deal with them carefully bit by bit.
Director Kang’s expression was serious. When he finally turned his head around, he heard the attending physician say in a low voice, “It seems to be no-touch.”
“HM?”Director Kang quickly turned his head around.
The so-called no-touch meant that during the process of obtaining the great saphenous vein, it did not touch the great saphenous vein. Instead, it retained about one centimeter of the surrounding tissue around the great saphenous vein.
The benefit of doing so was to reduce the damage to the vein and avoid the occurrence of vein spasms. The three layers of good news tissue on the entire blood vessel wall could also be preserved intact, and after the transplant, it would increase the long-term inflation rate.
Using the reports in the literature as a comparison, the long-term patency rate of venous bridges was 50% , while the long-term patency rate of venous bridges obtained by no-touch could reach 85% , which was comparable to that of arterial bridges.
However, compared to simply intercepting the great saphenous vein, no-touch was much more complicated. It was a complete technical system, and it was a relatively high-end technique that had yet to be developed in Yun Hua Hospital’s heart surgery department..
When department director Kang saw that the technique he was still hesitating about whether he should learn or not was easily used by Ling ran, he felt very… flustered!
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