Those years when I hung up and upgraded in the hospital

Chapter 40 Theory and Operation (Please collect and read)
"Director Long, some of the most popular methods for Achilles tendon suture are recommended, namely Kessler suture, Bunnell suture, Krakow suture, Bastard-Navarro suture, and Achilles tendon reinforcement. Technique."

Fang Yun raised his fingers while answering Long Quan's question.

Then cautiously added: “Of course there are other suture methods for Achilles tendon suturing, but some surgeons use their own methods based on their own understanding of the Achilles tendon.”

"The principles of suturing are not much different, but the forms of expression are different and the applicability is also different."

"I mean as long as the proficiency in operating suturing is the same."

After hearing this, Long Quan was amazed: "Can you please tell me in detail, how can this single Achilles tendon be separated into so many branches?"

Achilles tendon suturing is a relatively entry-level operation in trauma surgery.Basically, when encountering similar cases, we just sew them up directly and then give the patient functional exercises.

This is also a treatment concept commonly used in Longxian People’s Hospital.

"The Kessler suture method is suitable for general Achilles tendon ruptures, especially when the Achilles tendon injury is relatively minor. This suture method can provide higher stability and strength and is suitable for cases that need to withstand greater pressure and tension. Condition."

"The Bunnell suture is often used in moderate to severe cases of Achilles tendon rupture, especially if the distal end of the Achilles tendon is injured. It helps ensure that the distal end of the Achilles tendon remains in contact, aiding in post-Achilles tendon surgery. heal."

"The Krakow suture is suitable for internal Achilles tendon ruptures, especially in the case of injuries to the middle part of the Achilles tendon. It helps reduce scabbing and scarring after surgery because the sutures are mostly inside the Achilles tendon. "

"The Buster suture is often used for complex Achilles tendon ruptures or situations where additional support is needed, such as multiple tendon tears. It can provide more structural support and stability.

"Achilles tendon reinforcement is indicated for severe Achilles tendon injuries or other special situations, such as repair after a partial Achilles tendon resection. The use of methods such as nails, screws, or implants can increase the stability of the Achilles tendon, but usually requires a longer recovery period. time."

Fang Yun listed them one by one, which belongs to the level of theoretical cognition.

Fang Yun just knows that there are so many suturing methods, and each suturing method has its corresponding and appropriate degree of damage, but Fang Yun's operating proficiency is not high.

Fang Yun then said: "Director Long, this is only true in theory, but in practical applications, if we put aside big data and just apply suturing to a single patient, the impact on postoperative functions will not be very big. big."

"That's it." Long Quan suddenly became thoughtful.

To be honest, Longquan didn't pay much attention to such a minor disease at first. He thought that clinically, if the Achilles tendon is ruptured, it can be sutured directly. Even if the patient's postoperative function is slightly limited, as long as the rupture does not occur again, That’s it.

Achilles tendon rupture is inherently an elective surgery, and the patient's prognosis and residual function are basically outside the scope of consideration by county hospital doctors.

As long as it works.

"I'll see how you sew later. I only know that nowadays tendon sutures and Achilles tendon sutures use multi-strand braided sutures to enhance the stability of the sutures." Long Quan thought for a moment and replied.

Fang Yun quickly replied: "Director Long, a patient usually only chooses one suture method."

In an operation, you will not be shown so many suturing methods at the same time.

……

Soon, a small private hospital arrived.

Although it is a private hospital, it is still covered by medical insurance, and the patient is from another hospital. The signing of the conversation and the cost have nothing to do with Long Quan and Fang Yun.

They are just here for surgery, so they can go directly to the operating room, collect the cost of the knife and leave.

After entering the operating room, both Fang Yun and Long Quan discovered that this patient did not even undergo an MRI, but was diagnosed with Achilles tendon rupture through a physical examination. Therefore, there was no way to classify the extent of the injury in advance.There are only three doctors in the surgery department here, and the oldest one is the attending physician.

However, trauma surgery is rarely performed. It can only be said that after the patient is hospitalized, someone is hired to perform the operation, and the hospital earns some anesthesia fees and bed management fees.

This doctor is very familiar with Long Quan: "Director Long, the patient has been anesthetized. It's spinal anesthesia. It should take about two hours, right?"

"That's enough, if there are no other questions?"

"No MRI, have you taken any films? Are there any fractures?" Long Quan also asked cautiously.

"This is Dr. Fang Yunfang. He may come with me to perform surgeries frequently in the future." Long Quan introduced Du Linquan.

"Doctor Fang is welcome to come more." Du Linquan smiled, knowing that Longquan could bring him either the attending doctor or a new doctor that Longquan liked very much. Then when he grows up, he might also be the hospital's surgical assistant.

"The film has been filmed and there are no fractures." Du Linquan said.

"Let's talk after reading it." Long Quan was still very cautious, obviously not believing in Du Linquan's film reading ability.

The violence that can cause the Achilles tendon to rupture can easily break the patient's bones.

After entering the operating room, Long Quan and Fang Yun read the films at the same time and found that fractures could indeed be ruled out. For safety reasons, Long Quan and Fang Yun did another physical examination before starting disinfection.

Unfortunately, the physical examination this time was done after the patient was anesthetized, so there was no way to determine whether there was longitudinal percussion pain.

However, in the diagnosis of large fractures, in addition to longitudinal percussion pain, there is also bone friction and bone friction, but there are no such physical examination results for small fractures.

If the patient feels pain, a physical examination may reveal an occult fracture.

After Long Quan and Fang Yun completed their physical examinations, they had no other choice but to undergo surgery first and then look at it.

Another doctor in the hospital quickly disinfected and spread the drapes with the nurse.

In this small hospital, there is only one nurse in the operating room, who carries the circuit and instruments. There is basically no equipment nurse, and she is only responsible for the transportation of instruments.

"Have you discussed the possibility of fracture with the patient's family? You should make it clear in advance that if a fracture is found during the operation, it must be dealt with as well." Long Quan tilted his head and confirmed again.

"We have talked about it. The patient was injured at work and will be fully reimbursed." Du Linquan replied, which reassured Longquan.

After Long Quan realized it, he immediately signaled Fang Yun to start applying the outer membrane of the skin.

At the same time, Long Quan walked to the opposite side of Fang Yun. Under the slightly astonished eyes of Du Linquan and others, he said, "Doctor Fang, let's get started. Make a note of the operation time."

When Du Linquan saw this, although his eyes were slightly strange, he did not dare to refute Long Quan's words.

Since Long Quan dared to let Fang Yun take the stage, he must have his reasons.

And Fang Yun didn't refuse. Longquan took this operating room with him, and he could start steadily without letting go.

(End of this chapter)