Doctor’s Life Simulator

Chapter 30: If you look at the door, it's simply art!

Soon the group rushed to the conference room, and the video of the operation was quickly retrieved.

The entire video starts with the initial debridement. Although I watched it once in the live broadcast, watching it on the big screen in the conference room is another experience.

Looking at Shen Fang's original state, even Tian Hua and Wei Guoqiang looked solemn.

"Shen Fang's condition is really bad. The rest of the burnt part of the limb can be healed after some time, but this hand is really badly injured. Due to being cut by pollutants, the flexor pollicis longus tendon is completely ruptured. I want to To repair, we must first debride the wound and ensure smooth blood flow of the blood vessels.”

Dean Hang also frowned. This is really a special patient, but unfortunately, it was originally a very good publicity case. Cooperating with experts from the military hospital across the hospital can make a good talk.

It's just a pity, because of Dr. Wu's recklessness.

"Hopefully, Director Tian Hua and Director Wei can save it."

Dean Hang prayed secretly in his heart.

It can be said that in the conference room, Wang Youming was the most anxious, always observing the reactions of the doctors, praying that the situation would not be too bad.

The continuous advancement of the surgical screen, the perfect debridement technique, and the efficient and neat escharectomy.

I have to say, at least at this moment, the two chief directors are still very shocked and recognized.

"Such excellent preliminary work, if we don't have traffic jams on the road, and connect my tendon suture and nerve anastomosis technology, it will basically be cured."

Tian Hua sighed and looked at the surgery scene with a complicated mood.

Soon, it came to the step of vascular anastomosis, only to see in the picture, all kinds of pure and blue operations, blood vessels were sutured one by one.

"It's really pleasing to the eye."

Slowly, Tian Hua and Wei Guoqiang also watched quietly. Especially, Tian Hua took out his mobile phone to take pictures of some key pictures.

"Director Wei, regardless of the tendon suture and nerve anastomosis behind, can you send me a copy of the first half of the operation video if possible. This is a very good teaching video. Under such a complex situation, it can be quickly The ability to deal with all kinds of situations is really amazing.”

Because of these operations, Tian Hua's anger has dissipated a lot.

Wei Guoqiang also nodded again and again, indeed, everything that has been accomplished so far couldn't be better.

Finally, the picture came to the stage of nerve anastomosis, and the two directors felt heavy.

After three minutes, the two directors were stunned.

"This..."

Tian Hua stared at the screen in disbelief. In the surgery screen, the operator's operation was too skilled, and the control of various strengths was so wonderful.

Wei Guoqiang was also unbelievable: "Director Tian, ​​this nerve anastomosis is too accomplished."

On the side of Wu Youtu, his face was full of pride. Of course, he was also appreciating Qin Lang's excellent operation again. Moreover, after watching Qin Lang's operation again, his mood was much calmer, so he found the first operation again. , no details were found.

And, there are a few more doubts. During the operation, Qin Lang's operation was too fast, and he didn't have time to react.

And when Wu Youtu discovered this doubt, Tian Hua's eyesight was of course sharper.

There was a trace of trembling and excitement in Director Tian's hands: "Director Wei, I really did not expect that such a cutting-edge nerve anastomosis technique has been widely used in the burn department of your city's first hospital."

Wei Guoqiang was puzzled when he saw Tian Hua's gaffe. After all, he was mainly in the field of burns, so he was not so deep in nerve anastomosis.

"Adjust the video to 0.5 times the speed, you see, when this nerve is anastomosed end-to-end, a piece of autologous venous cannulation is used. This technique, in fact, I communicated from Union Hospital only two months ago. come over."

"Because the venous wall is thin and has a certain permeability, it can block the invasion of surrounding connective tissue, reduce the formation of scars, and at the same time obtain the supply of nutrient solution that penetrates the venous wall without affecting the blood supply. The venous wall contains The basement membrane is similar to the basement membrane of Schwann cells, and both contain laminin, fibrin and collagen, which can promote the growth of nerve axons and shorten the repair process of nerve damage..."

Wei Guoqiang nodded again and again and echoed: "Yes, yes, Director Tian praised it, but the first hospital in our city has always followed the cutting-edge medicine. Director Tian's vision is as sharp as ever."

"Haha, that's also because the doctors in the city's first hospital are very skilled."

"Each each other."

Wang Youming, who was on the side, didn't realize that the two directors praised each other, so it seems that the situation is not bad?

"Director Tian, ​​Director Wei, I'm a rough man, and I can't understand it well. Do you mean that this operation is okay?"

Wang Youming asked eagerly.

There was a hint of relief on Tian Hua's face: "Yes, this nerve anastomosis is very good, it can't be better, even if it is me. Now let's see the final tendon suture."

"With such a good foundation, I believe that even if the tendon suture is slightly worse, after my rehabilitation treatment, there is still a good chance of recovery."

Tian Hua was in a much better mood, and while talking, he filmed the process of nerve anastomosis, especially Qin Lang's secret operation of venous vascular grafting!

Wu Youtu, who was on the side, suddenly realized: "I said, why can't I understand it suddenly? It turned out to be the recent clinical results of Xiehe Hospital. But, how did Qin Lang learn?"

As for this, Qin Lang is naturally very calm. He has performed operations in the simulated world for so many years. Isn't this technique of meridian and blood vessel sleeves a routine operation?

Soon, the nerve anastomosis process is complete, and next, the most tense suture of the tendon.

"Tendon injury is a common clinical trauma. In order to ensure that the patient's hand function returns to normal after surgery, the most important thing is to reduce the probability of tendon adhesion in the injured tendon."

"As long as the tendon has a sliding degree of 3-5mm after surgery, the occurrence of adhesion can be prevented. Therefore, functional exercise after surgery is particularly important. Tendon activity is particularly important. This puts forward requirements for tendon suture. The core is to improve Repair the tensile strength of the tendon, as far as possible through the proper suture method, to provide additional strength to the tendon stump and prevent tendon slippage."

Director Tian Hua, worthy of being a top expert in hand surgery, pointed to the core from the very beginning.

Hearing Director Tian Hua's introduction, Wu Youtu and Wei Guoqiang nodded.

Qin Lang also recognized it very much. This is also his experience gained from simulations in several lifetimes, and this is the focus of his stitching this time.

As soon as the expert makes a move, he will know if there is any.

As the video played, Tian Hua stared at the screen intently, and various surprises continued to appear on his face.

"This tendon is weaker and flatter, with a double-pass modified Kessler tendon suture... Clever!"

"This tendon is injured in an oblique way. The modified Kessler method combined with the Cruciate method is used to suture the tendon, which can greatly increase the tensile strength of the repaired tendon..."

Director Tian Hua became more frightened and excited the more he looked at it. This was exactly the same as the ideal plan he had imagined in his mind. Moreover, in terms of operation, it was more meticulous and delicate than him.

"Beautiful, wonderful!"

As the operation continued, Director Tian Hua actually felt a sense of reluctance. This is the art of suturing!

Listening to Tian Hua's analysis and explanation, Wu Youtu opened his mouth wide, so he just watched it for a long time, what was he looking at!

It turns out that there is so much attention to it. It turns out that Qin Lang has used so many improved techniques and combined stitching methods!

After another ten minutes, the entire operation screen ended.

In the conference room, everyone was waiting for Director Tian Hua's final comment.

"Director Wei, Captain Wang, everyone, this operation is so perfect. Even I can't do it so well."

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