Doctor’s Life Simulator

After Qin Lang's words fell, the three of them were all convinced by his aura.

Director Xie and Director Tian Hua were a little unfamiliar with photochemical tissue bonding technology and amniotic membrane wrapping, so Shen Jiamo introduced them to the whole process.

"The first time I saw Qin Lang using this improved suture method, I was also amazed. This is a combination of the latest scientific research results of Professor Shen Xi in the field of tumor prevention and treatment, and Qin Lang's improved suture method. It is a very remarkable results.”

This time, Xie Yuhua really had a little admiration for Qin Lang, and praised the new systematic solution for glove detachment:

"Doctor Qin, your "Qin method" today really opened my eyes, it's amazing!"

It's really that Qin Lang is too young. At such an age, they are still learning with the teacher and practicing basic skills.

Shen Jiayang was also full of emotion. Qin Lang really brought surprises and shocks to him every time he met.

"You are really young and promising. At a young age, you have already led the team to study such high-level results. Moreover, your systematic treatment plan for hand glove dislocation, once popularized, can really make a case. of!"

Tian Hua also looked at Qin Lang with admiration, and his heart was full of jealousy. This Wei Guoqiang, how strong and powerful, accepted Qin Lang, such a clinical genius.

Now, relying on the core surgical procedures carried out by Qin Lang, a nationwide wound treatment center has been launched. Over time, Hecheng's burn and plastic surgery department will reach a remarkable position.

Thinking of Wei Guoqiang's Versailles remarks in a group of several people:

My wife made me an expensive British suit, but I was obviously on the radio station's "Morning Rush". Really losers.

Tian Hua became more and more depressed and envious.

The three directors and Qin Lang systematically sorted out the plan. In addition to their admiration, they determined the candidates for surgery. After all, it was Hecheng's territory.

Qin Lang was the chief surgeon and presided over the entire operation, Director Tian Hua personally acted as an assistant, and Director Shen was in charge of the preparation of the amniotic membrane.

Director Xie watched and guided the gates.

High Emotional Intelligence: The expert demeanor of guidance and gatekeeping.

Low EQ: The salted fish who will only call 666 to Qin Lang.

An hour later, the whole operation began.

After the patient's hand was removed from the abdominal wall pocket flap, the reconstruction and repair of the tendon and nerve began.

Director Tian Hua and Director Xie Yuhua saw the half-knot locking tendon suture method pioneered by Qin Lang for the first time.

On the operating table, Qin Lang's hands stably controlled the needle and thread, and the needle was inserted vertically from the broken end of the tendon. The strength and angle of Huo Chunqing's control were parallel to the tendon fibers, and the margin was a quarter of the tendon's diameter. At 6mm from the broken end, the needle is drawn out from the side.

The whole set of movements went smoothly, and Xie Yuhua finally understood why Tian Hua and Shen Jiacheng so admired Qin Lang's stitching technology.

"It is indeed the top level in the country!"

Xie Yuhua's qualifications and experience, the weight of these words, if it gets out, Qin Lang will definitely have a place in the national tendon suture repair field.

Tian Hua and Shen Jiamo, although they have seen Qin Lang's stitching art, but watching it live again, they are also enlightened.

Through Qin Lang's operation, even they can learn some micro-manipulation skills.

Soon, Qin Lang was the core technique of starting this suture method. Centering on the needle exit, the needle was inserted and exited horizontally in the direction of the equidistant perpendicular to the tendon, including tendon fibers that were about 1/6 of the cross-sectional area of ​​the tendon, and the suture was not tightened. A small loop is formed between the exit of the first needle and the entry of the second needle.

"Amazing."

Xie Yuhua was also amazed when she saw Qin Lang's quick operation.

Tian Hua, who was on the side, also had an idea. If you want to find more opportunities, in the name of inspecting Yang Yi and Yang Yue's learning progress, to watch Qin Lang's surgery, you can also learn a few tricks secretly.

Soon, under the cycle of this step, Qin Lang has completed all the half knots, and one tendon is completed.

At the same time, Director Shen Jiamo has also prepared the amniotic membrane section. After repeated washing with normal saline and PBS liquid, it was placed in DPBS solution supplemented with penicillin and amphotericin B for immersion and washing, and then On the ultra-clean bench, the amniotic membrane was spread on the sterile PVDF membrane, cut into a size of 3cmX3cm, and then delivered to Qin Lang.

Qin Lang nodded, and Xiao Mozi stepped aside and reconciled Xianyu side by side.

Both hands meticulously wrapped the tendon injury area with amniotic membrane, and then used the Iridex Ocu Light TX laser machine from the United States. Qin Lang gave instructions to the instrument nurse:

"...The output wavelength is 532 nm, the irradiation density is 0.5 W·cm-2, and the optimal illumination parameter is adjusted to 200 J·cm-2..."

"...The photosensitizer is Rose Bengal, Sigma, USA, concentration: 1 g·L-1 (0.1%)..."

Under Qin Lang's command, he irradiated the amniotic membrane wrapping area for 400 seconds. After this step was completed, the most critical flaps were cut, transplanted and sutured.

After a rubber tourniquet is placed on the patient's ankle, the first flap is taken.

Qin Lang controlled the silver scalpel with one hand, and used his thumb and index finger to hold the skin on both sides of the incision, securing it, controlling the blade to be perpendicular to the skin, and cutting down with even force.

After the silver light is passed, the required length and depth of the incision are precisely achieved.

"Beautiful!"

Xie Yuhua was refreshed. She had to say that Qin Lang's operation gave her a huge surprise. It would be great if her team had such an excellent member.

Soon, Qin Lang precisely cut off the second toenail flap, the thumb flank flap, the dorsal foot flap, and the anterolateral thigh flap.

After that, a second toe flap combined with the medial dorsum of the foot, the tri-leaflet tissue flap of the lateral leaflet, the nail flap combined with the medial dorsum of the foot, and the lateral leaflet...

Seeing Qin Lang's pleasing operation, several directors also admired it.

Twenty minutes later, all the flaps were removed by Qin Lang, and the next step was the more difficult comprehensive suture.

First of all, Qin Lang chose the simplest flank flap of the thumb, and used simple intermittent suture, which is also the most simple and most widely used suture method.

After completing the first suture, according to the characteristics of the flap, Qin Lang naturally chose a continuous suture as the transition.

After the first stitch is knotted, the entire wound is sutured with this suture, the end of the previous stitch is completed, and the end of the heavy thread is pulled out and left on the opposite side to form a double thread and the end of the heavy thread, which is more firm.

After completing the flap, Qin Lang sutured a trimmed nail flap combined with the inner dorsal leaflet.

In this piece, the continuous overlock suture method is used again. This operation has a good hemostatic effect, and the threads are staggered each time during the suture process.

"Dr. Qin's suture level is too powerful. Almost according to the characteristics of each flap and its recovery, he adopts the best method and can connect naturally. This computing power is also too strong."

Xie Yuhua had seen the big scene before, but before Qin Lang's most basic stitching operation, she lost her temper.

And this is only a third of the way through. It is really this composite flap that, when reorganized, there will be various joints.

"It's so aura, how did you learn this basic skill?"

On the operating table, facing the suture of the fascia, Qin Lang changed it to the best figure-8 suture method, which consisted of two interrupted sutures. This method was firm and time-saving.

The next moment, for the suture of the vascular pedicle, Qin Lang used the penetration suture method. Due to the large amount of tissue, it was difficult to simply ligate, and the knot was easy to fall off.

In the face of the repair of large blood vessels, Qin Lang also used a simple horizontal mattress valgus suture method to ensure the smooth inner surface of the blood vessels.

...

...

As Qin Lang's stitching progress increased, the three directors also understood why Qin Lang dared to call this systematic method "Qin Fa"!

The best suture method for this step alone is enough for a general physician to learn for a year or two.

Half an hour later, Qin Lang completed the suturing of all the flaps, and then the first auxiliary solution was to use flunarizine to prevent vasospasm.

Flunarizine is a new type of selective calcium ion anti-caking agent, which can selectively prevent the formation of calcium ion influx and prevent vasospasm.

At the same time, it can also improve the color, elasticity, hardness, and scar control of the skin flap after transplantation. It can be said that the effect is remarkable.

After that, hyperbaric oxygen therapy was performed on patients, using a domestically produced large air pressurized cabin with 2 cabins and 4 doors.

Qin Lang clearly issued various technical parameter requirements:

"...Therapeutic pressure is 2.2ATA, 25 minutes of pressure and pressure, 60 minutes of pure oxygen with a mask after the pressure is stabilized, 1 time/d, so three consecutive days is enough..."

The basic principle of this scheme is:

First, it can increase the oxygen content of the body tissue, second, the diffusion distance of blood oxygen increases, and third, HBOT has a vasoconstrictive effect, reducing local blood volume, which is conducive to reducing edema. Fourth, HBOT can significantly increase the partial pressure of oxygen in tissues, inhibit the occurrence of infection, and have the effect of broad-spectrum antibiotics.

Therefore, after the combination of drugs and surgical techniques, the entire operation was successfully completed.

The three directors also breathed a sigh of relief.

Xie Yuhua was the first to applaud, paying tribute and encouragement to Qin Lang.

Tian Hua and Shen Jiacheng also felt happy and admired for Qin Lang from the bottom of their hearts.

Xie Yuhua said to Shen Jiaqi beside him:

"Director Shen, I don't think we need to wait any longer. It's more than enough to recommend him a standing committee of the Burn Professional Committee of the Huaguo Medical Association based on Dr. Qin's pioneering "Qin Fa"."

"Dr. Qin's clinical talent and basic surgical skills are among the best among the young doctors I have ever met. Even among those top directors, they can still occupy a place."

"Now, I finally understand how you feel. It's really regrettable and regretful to lose such a student."

Xie Yuhua sympathized with Shen Jiamo, and then prepared for Qin Lang's operation to join the Huaguo Medical Association Burn Professional Committee.

This trip to Hecheng was really rewarding.

Tian Hua on the side was thinking: I am not as promising as you are.

Lao Tian, ​​I am going to go to the First City Hospital to learn this "Qin Method" from Teacher Qin Lang!

ps: Thank you for the reward of 100 starting coins at Mingyuetianxingyeye, thank you~