MTL - Doctor’s Life Simulator-Chapter 26 Tian Hua: The Burn Department of City 1 Hospital is really crouching tiger, hidden dragon

Hearing Qin Lang's words, Wu Youtu nodded and continued to let him operate. So far, the operation has been very good, even he can't do it so well.

However, after all, he had seen Qin Lang do the scab-removing surgery, the usual debridement, and he had never done the more difficult blood vessel debridement.

Wu Youtu thought for a while: "Qin Lang, if you can't do it, just say it, and leave the rest to me."

It was Qin Lang who answered him, with smart and smooth movements and calm instructions:

"... gauze tape, thin soft rubber tube..."

For vascular debridement, the most important step is to control the bleeding. In the permitted areas, Qin Lang used tourniquet compression and bandages to temporarily stop the bleeding.

And because Shen Fang's wound was quite special and he couldn't use a tourniquet, Qin Lang made a small incision above the wound.

Looking at Qin Lang's ability to adapt to changes, Wu Youtu praised again in his heart:

"This kid is so talented. This vascular debridement technique seems to have decades of skill. It shows the near section of the injured artery, which is even more precise and beautiful."

"...hemostatic forceps..."

Seeing Qin Lang's next operation, Wu Youtu's eyes widened: "Is he going to use hemostatic forceps and gauze to control the blood flow directly!"

Under normal circumstances, doctors will use the most convenient non-invasive vascular clip to control blood flow, but Shen Fang's affected area is relatively special, there is no particularly suitable vascular clip, no matter what type of vascular clip, there will be some problems.

Therefore, Qin Lang directly wrapped the gauze band around the blood vessel and then lifted the blood vessel, pinched it with his fingers, and controlled the blood flow with the strength of the fingertips.

This is an operation that only experienced doctors who are very confident in their own skills dare to do, even Wu Youtu dare not try it easily.

"This guy is amazing!"

Next, Qin Lang entered the routine debridement to clean the wound and surrounding skin.

"...tweezers, surgical scissors..."

The action is very fast, Qin Lang is to remove the foreign body, stop the bleeding, and rinse cleanly.

After completing this step, it is time to enter the exploration vessel.

"...scalpel..."

Qin Lang moved along the blood vessels, extending the previous incision up and down, so that the blood vessels were fully exposed, and soon the ends of the blood vessels were not fully exposed and controlled.

"...10mg of heparin in 100ml of normal saline..."

Qin Lang's brain quickly calculated the type, degree and scope of damage to the blood vessels, as well as the damage to the adjacent tissues, and soon decided a repair plan.

Seeing Qin Lang's neat operation, Wu Youtu was completely relieved.

Moreover, he began to think in his mind that Qin Lang's comprehensive debridement can definitely be used as a classic teaching video.

There is a special camera in the operating room, which will record the operation process. One is to keep it as evidence to prevent various disputes. Cases for the rest of the doctors to observe and study.

Undoubtedly, Qin Lang's operations today are at the textbook level. In addition to the standard movements themselves, at each stage, Qin Lang's choices and ideas are also worth promoting and learning.

"It's really a talented person from generation to generation."

Wu Youtu quietly admired Qin Lang's operation.

Since the repair of blood vessels must be carried out on the healthy vessel wall, the damaged tissue of the vessel wall should be fully removed from contamination and damage.

Therefore, the surgeon needs to be very careful and precise. After Qin Lang completed the external debridement, he also carefully inspected the intima of the blood vessel, and even the incomplete intima was removed cleanly.

In order to prevent the formation of thrombus, Qin Lang excised about 5mm in addition to the visible damage part.

"The length is really good. Any longer will affect the end-to-end anastomosis of the blood vessels."

The more Wu Youtu looked, the more frightened he became. It was inevitable that he also felt a sense of sadness. He really lived to a dog at such an old age.

Next, Qin Lang also performed debridement on the remaining blood vessels. Since one blood vessel was suspected to be damaged, in order to prevent the formation of thrombosis and the rupture of the anastomotic wound in the later stage, he directly removed it.

"This kid is really decisive. When I was like him, I was worried that there would be too many excisions and it would be difficult to fit end to end, so I often hesitated."

However, although Qin Lang removed the hidden danger, it also added a lot of difficulty to the anastomosis of the blood vessels.

"Fortunately, Director Tian Hua and Director Wei Guoqiang will follow up with the anastomosis."

Wu Youtu felt fortunate in his heart, if he was allowed to accept Qin Lang's debridement of the blood vessels, he would really have some difficulty.

"It's almost time, and our task is about to be completed. The next step is to wait for the two directors to come."

Wu Youtu breathed a sigh of relief and said to Qin Lang: "Qin Lang, you have done a great job. You will watch and learn the operation of the two directors. This is a rare opportunity."

...

...

Outside the operating room, Wang Youming was also constantly paying attention to the time, and was very nervous.

While he was waiting, the phone rang, and after looking at it, it was Director Tian Hua.

Wang Youming picked it up immediately, and then heard Director Tian Hua's very apologetic and frustrated voice on the phone.

The absolute journey from Hangcheng to Hecheng No. 1 Hospital really only took a little more than an hour, but they encountered a traffic jam on the ring road.

A big truck rolled over in front of them, causing a serious traffic accident, so they couldn't come back for a while.

Even if they can get to the first city hospital, they are likely to miss the best time for treatment.

"Then what should I do? Dr. Wu has already gone in to start the debridement operation in the early stage. He said that the tendon and nerve anastomosis will be performed later."

Wang Youming suddenly became anxious.

However, on the phone, Tian Hua was still calm.

"Captain Wang, don't worry, I'll have a video call with Dr. Wu in a while to see how they're done, and ask him to send a photo of Shen Fang's current surgery progress. I'll analyze and judge together with Director Wei. "

"On the one hand, we want to find a way to get back as soon as possible. If it really doesn't work, we can only command Zhuzhi Wu from a distance to carry out the operation."

"Okay, Director Tian, ​​you must heal Shen Fang's hand. The child is only 19 years old, so he can't be disabled."

Wang Youming is a lot of years old, and he said to Director Tian, ​​who he didn't know before, almost begging.

"Okay, Captain Wang, let's do this first. We will contact Dr. Wu now to direct the next operation."

After hanging up the phone, Wei Guoqiang got on the phone with the department. The current operating room of the Burns and Plastic Surgery Department of the First City Hospital has an advanced remote consultation platform system, which can be accessed through the mobile phone. Conduct remote surgery guidance and live online surgery.

For the first time, Wu Youtu's operating room established a connection with Wei Guoqiang.

In desperation, Wei Guoqiang and Tian Hua could only temporarily judge the progress of the operation and formulate the next operation plan remotely.

In the operating room, the preparatory work has almost been completed.

Therefore, when the remote consultation platform system was connected, Wu Youtu reported the situation one by one.

At the same time, the photos of Shen Fang's affected area before the operation and the photos of the debridement completed now were sent to Director Wei together.

On the ring road, the two directors frowned when they saw the initial photo of Shen Fang.

"This Shen Fang's situation is really not optimistic. It is really very difficult to completely restore his functions."

Tian Hua is very knowledgeable about tendon suture and nerve anastomosis, even he is only 80-90% sure.

"Also, debridement is particularly important before tendon sutures and nerve anastomosis. I don't know how Dr. Wu has done it."

After analyzing Wan Chenfang's condition, the two directors immediately clicked the photo of debridement.

Seeing the debridement scene near the end, the two chief directors were slightly stunned, especially Wei Guoqiang, who had the feeling of knowing Wu Youtu for the first time.

Director Tian Hua also looked at Wei Guoqiang: "Director Wei, the burn department of your city's first hospital is really hiding dragons and crouching tigers. No wonder you have the confidence to build a national-level wound treatment center."

ps: Thank you for moving bricks in the desert, the humble gentleman and the humble and self-herding reward~ Thank you boss~