Doctor’s Life Simulator

Deputy Director Qian Dongyu said to the crowd:

"As one of the most important fingers, the thumb accounts for 50% of the function of the hand, and the flexion function of the thumb accounts for 20% of the function of the thumb. A good flexion function of the thumb is the basis for the thumb to complete fine movements..."

In the conference room, everyone nodded their heads in acquiescence. Obviously, Deputy Director Qian's sharing, although not as stunning as Qin Lang's Qin Fa, was very clinically meaningful.

The dedication, earnestness, and humility of the doctors made Director Ling and Deputy Director Qian feel respect and sincerity.

The academic atmosphere of the first hospital treatment center in the city is really good!

Deputy Director Qian also said more and more cheerfully:

"Therefore, thumb flexor tendon injury leads to thumb dysfunction, and its effective repair is extremely important. Because of the complex tendon sheath system, the injury of zone 2 tendon is prone to adhesion after surgery. Therefore, the repair of zone 2 tendon injury has always been a difficult point in clinical treatment."

As Qian Donglai said, Qiao Yiyi, who was on the side, cooperated tacitly. Obviously, he was not less a tool person.

"The ideal flexor tendon repair needs to have enough tension to resist the early rehabilitation training, so I adopted the modified kessler method and proposed a core idea of ​​peritendon suture, which completely preserves the flexor tendon sheath to avoid bow suspension deformity. Appear..."

When Qian Dongyu was talking about his plan, he was still in a state of ecstasy, and he soon exchanged photos of his previous surgical procedures, as well as the ideas and advantages and disadvantages of the entire operation.

"...I used a 6/0 proline suture around the tendon to keep the suture of the tendon smooth...If there is trochlear compression during the operation, a vascular forceps can be used to penetrate the trochlear for proper expansion..."

After introducing the entire operation plan, Deputy Director Qian reported the results of his plan again:

"The wounds of the patients under this operation were all healed by primary intention, no tendon rupture occurred, and 1 case of tendon adhesion occurred. All 35 cases were followed up after the operation, and the follow-up time was 3 to 9 months, with an average of 5.5 months. According to klei tendon surgery According to the evaluation criteria, 18 cases were excellent, 14 cases were good, 2 cases were fair, and 1 case was poor, with an overall excellent and good rate of 91.4%.

After listening to the results, Deputy Director Qian Dongyu, Huang Kaihang, Yang Yi, Yang Yue and other senior physicians in hand surgery all admired the results. This data is really far beyond the general surgery.

"Director Qian's technique is really effective."

Deputy Director Huang sighed.

Yang Yi and Yang Yue also praised: "Director Qian's improvement is really eye-catching and has great promotion significance. This suture around the tendon is indeed a new idea, which can narrow the gap between the fingers of the stump of the tendon, and at the same time let the tendon suture. The stitching is smoother."

Several people communicated, and Qian Dongyu was also a little ashamed:

"Speaking of which, before I came to the First Hospital of the City, I was really confident, especially the suture around the tendon, in addition to effectively increasing the tensile strength of the tendon, which is conducive to early functional training, However, in order to balance the suture strength of the tendon and the blood supply of the tendon, we still have to learn from Dr. Qin's "Qin Method"."

"I really didn't expect that, in addition to the innovation of suture methods, someone could think of using photochemical tissue bonding technology to reduce inflammation and enhance tensile strength, while improving blood supply. The most amazing thing is that the amniotic membrane's Under the wrap, it can also retain the synovial fluid secreted by the tendon sheath, which not only has a nutritional effect, but also acts as a pulley.”

After listening to Deputy Director Qian's heartfelt analysis, everyone nodded in agreement.

To a certain extent, the peri-tendon suture proposed by Deputy Director Qian and Qin Lang's improved half-knot locking suture method are comparable in terms of ideas and principles, but Qin Lang combined photochemical tissue bonding technology with amniotic membrane wrapping. After that, a qualitative change occurred.

And this is only one of the skills of "Qin Fa". It can be seen that in front of Qin Lang, Deputy Director Qian is really far away.

For Deputy Director Qian, such a generous acknowledgement and appreciation for Qin Lang, the doctors of the treatment center of the city's first hospital also had a good impression on Deputy Director Qian.

The exchange and study between the two hospitals requires this kind of good atmosphere, healthy competition, and mutual learning and progress.

After several doctors put forward their own ideas, Dr. Qian Dongyu also looked at Qin Lang, hoping that he could say a few words.

Qin Lang, whose tendons are sutured to perfection, also thinks Qian Dongyu's plan is very good. After thinking about it, he is ready to give him some optimization suggestions.

"Director Qian, I think your improved suture method is unique, very representative and clinically meaningful. The overall idea is also the same as the Qin method I created. Qin method can be appreciated and praised by Director Qian and Director Ling. , I am also very honored.”

"After reading Director Qian's plan, I think there is still room for improvement."

When they heard Qin Lang's words, everyone was slightly surprised. Deputy Director Qian had such a mature plan, and there was still room for improvement.

Director Ling Zhongyu and Qian Dongyu also couldn't believe it:

"Doctor Qin, please advise?"

Qian Dongyu really wanted to know this time, what omissions were there in his plan, Qin Lang's eyes were so poisonous?

Ling Zhongyu also thought it was a bit absurd. If Qin Lang could really take Qian Dongyu's plan a step further, wouldn't it mean that his realm and level far surpassed everyone present.

In the anticipation of everyone holding their breaths, Qin Lang stood up, walked to the small whiteboard, and began to draw:

"Because of its unique anatomy, the flexor pollicis longus tendon is free of lumbrical muscles and other tendons, so the proximal end of the flexor pollicis longus tendon is easily retracted after injury, which increases the difficulty of surgical repair. Director Qian also used Extensive thenar myotomy, due to Director Qian’s superb skills and top level in the industry, most cases avoid damage to the recurrent branch of the median nerve during incision clamping, but there are always negligence, which is why there are Several patients had poor outcomes, including damage to the recurrent branch of the median nerve and aggravation of postoperative tendon adhesions."

Hearing Qin Lang's analysis, Qian Dongyu recalled it, and he was really hit by Qin Lang.

This is indeed his operation, the most risky step, but he has never been able to think of a better way.

Is there really a more effective incision?

Qian Dongyu became excited: "Doctor Qin, do you have a better way?"

Ling Zhongyu also looked at Qin Lang with a slightly changed expression. This young doctor has the air of a great doctor.

Pointing the country, stimulating the text ah.

Qiao Yiyi, who was on the side, watched Qin Lang's performance in shock. Just after reading Director Qian's plan, he was able to propose a better way to improve it. It was amazing.

At the same time, her heart is also hot, this doctor Qin can really work with her on the preservation of allogeneic tendons!

"Doctor Qin, I know I'm wrong, can you accept me again!"

Qiao Yiyi said something secretly in her heart, looking at Qin Lang with longing in her eyes.

And Qin Lang also calmly began to improve Qian Donglai's plan, which is also a benefit given to them in this exchange activity.

Draw stroke by stroke on the whiteboard and watch the new way of incision gradually taking shape.

Qian Donglai's whole body fluttered, and it turned out, it can still be like this!

Ling Zhongyu also suddenly realized: "I admire it!"

ps: Thank you for the reward of 100+100 coins in Mingyue Xingye Night, alright~

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