Of course, there are not only the above two methods for tendon suturing, but also Bunnell burial suture, double cross suture, fishmouth suture, buttonhole suture, Tsuge (Tsushita Kenya) ferrule suture, and so on.

Different types of methods are used flexibly for different tendon rupture situations.

For example, the "8" stitch method is suitable for tendons that are flat and wide, with the same thickness at the two broken ends, especially the tendons of the hand.

Like Yi Xinyu at this time, the tendon is ruptured outside the tendon sheath, and the thickness of the two broken ends of the tendon is equal, so it is more suitable to use the weaving method for suture anastomosis!

The operation began.

Zhang Haoyu is an assistant.

Epidural anesthesia, after the anesthesia takes effect, Ruan Bin first uses a hemostat to clamp the broken end of the tendon and tighten it. Take a 30cm long, 0.25mm diameter soft stainless steel wire, and wear a slender straight round needle at both ends.

Insert the needle across the tendon at a distance of 1.5cm from the broken end, withdraw so that the lines on both sides are of equal length, and then insert the needle immediately next to the needle exit point, cross the tendon diagonally and symmetrically across the broken end, and cross the needle 3 times, and finally penetrate it at 3mm proximal to the hemostat.

Then, use a sharp knife to cut the tendon along the proximal side of the hemostat, flip the hemostat to expose the section, insert the needle in the same method, and lead out symmetrically from both sides of the tendon section, remove the tendon stump, and tighten the sutures.

Then the weaving ...... begins

At this time, tendon wound anastomosis and sutures like this are not the most stable with more sutures, not the more dense the sutures, the better. In fact, the angle of the suture, the tightness of the suture, and the method have a great relationship.

For example, if you don't stitch well enough, not stable enough, not strong enough, and you stitch twice the number of wires, you won't be able to hit the strongest degree.

If the sutures are not rigorous enough, too hard or too loose, it will also lead to the inability of the tendon to recover most of the time when it comes.

Here, it's about how well you've reached that level of stitching.

Now Ruan Bin's approach is to simplify this weaving method, simplifying it to make the tendon recover and gain toughness, but it can be firm.

Here it is about how many weaves, how many weaves, and the best effect of stitching and anastomosis.

Half an hour later, Ruan Bin's stitching was completed.

This time it took longer, after all, it was a slightly improved version of his tendon weaving method, which used one-third less wire than the original weaving method, and the number of weavings was also one-third less.

In this way, the density of weaving is greatly reduced, and the tendon will be preserved to a certain extent.

Of course, generally speaking, less than one-third of the amount of steel wire and one-third less of the braiding density may lead to unstable and prone to a second fracture in the future.

However, Ruan Bin used his world-class stitching strength to simplify, and used two-thirds of the original steel wire to achieve the firmness of the original steel wire volume stitching!

That's why he dared to judge and guarantee that he had a 98% success rate!

"Whew...... The sutures are complete, and we are waiting for the recovery after the surgery. Ruan Bin said lightly.

"Ruan Bin, your suturing method makes me feel like a simple way. Zhang Haoyu next to him could also see that Ruan Bin's weaving method had been cut and some other new stitching methods had been added.

"Hehe, have you read too many online novels?"

Zhang Haoyu: ......

I praise you, but you hurt me......

After the operation, the rest of the work was handed over to Zhang Haoyu, and Ruan Bin went back to the dormitory to rest.

The next day, Nguyen Bin was on the night shift.

The people on duty in the emergency department tonight are Jiang Yurong, Huang Hongwen, two interns, and him. Of course, there are 2 internists and 2 obstetricians and 2 paediatricians, as well as a number of nurses and interns in these departments, etc.

After all, they belong to general hospitals, and the types of doctors in the emergency department are still very complete.

Several of them belong to general surgeons, and they rely on them to perform emergency surgeries anyway.

In fact, the most challenging thing in the emergency department is the night shift, the night shift is small, and sometimes when there are many patients, it is really busy that you doubt your life!

As soon as seven o'clock in the evening, it began to rain heavily, and it rained heavily until eight o'clock, and then it turned into a drizzle and continued to fall.

"It's because of the rain that there are a lot fewer people coming to see the doctor tonight than usual. Ruan Bin rarely stole an idle way.

"Director Jiang, there is a patient's family member calling for help at Vantaa Square, the patient is a 68-year-old man, with a history of coronary heart disease, and is currently feeling depressed, heartache, sweating, and pale!" said the nurse at the front desk to Jiang Yurong.

"It should be a myocardial infarction, Ruan Bin, you go to the doctor!" Jiang Yurong said without hesitation.

As the deputy director, she must be in charge of the emergency department, so she can only let the reliable Ruan Bin go. As for Huang Hongwen and the two interns, she didn't bother to think about it, they were all unreliable!

"Okay!" Ruan Bin secretly cursed in his heart at this moment that he should not be a crow's mouth just now, just said that there is no patient, you see that there is one who needs to go to the clinic for emergency treatment now.

Also on the clinic with Ruan Bin was nurse Zhao Yaxue.

From the patient's family to the ambulance, the car starts and drives out within three minutes.

It's still raining outside!

To be honest, when he came here to study, Ruan Bin was on the clinic for the first time, and he was originally in his county hospital, and he didn't go to the clinic very often.

In addition to him and Zhao Yaxue, there were two stretcher masters and drivers in the car.

The driver was a middle-aged bald guy in his 40s, surnamed Tao. Ruan Bin's eyes were on the top of his bare head, and he didn't need to look because he was often on night duty. He thought he wouldn't be like that in the future......

"Brother Tao, how many minutes will it take?" asked Ruan Bin. The patient is estimated to have a myocardial infarction, and if he goes late, he may have a burp, so time is of the essence!

"No traffic jams, 15 minutes, traffic jams...... It's hard to say. After Tao Ge finished speaking, he stepped on the accelerator again, and the car flew forward.

Seeing this posture, Ruan Bin didn't have to remind the other party to drive faster, he was an old driver, and he didn't know that time was life?

"Tick, tick......"

The ambulance's whistle sounded loud all the way, running a red light, and quickly overtaking.

Of course, it's all built on the premise of safety!

"Damn! these private cars in front of you don't give way!" a sudden brake, Tao Ge scolded. At this point, they stopped in front of the traffic light intersection.

I wanted to turn right, but there were 3 private cars in front of me, and I didn't seem to see the ambulance behind me in a hurry, so I stopped in place and waited for the red light!

Honk the horn, it's useless!

"Don't these people have their driver's licenses taken on their behalf? Don't you know how to give way to an ambulance!" Ruan Bin frowned.

"Hehe, my Lao Tao has been driving an ambulance for twelve years, and I can count the number of times I encounter courtesy!" Lao Tao shook his head and said helplessly.

Well, the facts are in front of you!