MTL - Doctor’s Life Simulator-Chapter 29 The two directors arrived, and the operation has been completed!

Wu Youtu watched Qin Lang's operation nervously. The nerve anastomosis was much more difficult than the vascular anastomosis, and the requirements for strength and accuracy were higher.

All I could see was that Qin Lang was now suturing two stitches of traction fixation on both sides of the nerve stump, so that the nerve stump could be accurately aligned.

This step is very important, only alignment, preventing twisting, can make the following suture.

"It's really good to control the force."

Wu Youtu only felt that in a flash, Qin Lang had completed the first operation, which was several times faster than he thought, and it was very smooth.

"How to feel the nerve anastomosis doesn't seem to be difficult."

Wu Youtu felt absurd. Of course, he knew that it was just his mind, not his hands.

Brain: Hey, I will.

Hand: Slightly, you won't!

Between the two traction lines, Qin Lang used interrupted sutures with very gentle movements to avoid sutures of nerve bundles.

Wu Youtu quickly understood Qin Lang's meticulous operation, using different numbers of stitches for nerves of different thicknesses, and the knotting of the sutures was just right, neither tight nor loose.

"Without thousands of exercises, can it really be so easy to do?"

Wu Youtu felt that even if he practiced for a lifetime, he would not be able to achieve such purity.

"How did this kid Qin Lang do it? This clinical talent is too amazing."

In order to avoid the twisting of the nerve and the generation of tension, the control of the force is very subtle, and the best situation between the cross-sections of the nerve bundles is to keep just contact.

Obviously, Qin Lang's stitching has reached this perfect state.

Wu Youtu had truly believed that Qin Lang could restore Shen Fang to his original state.

"I really want to see the two directors for a while and see Qin Lang's reaction after completing the operation."

Wu Youtu's mood became much more relaxed.

After completing one epineurium suture, the second perineurium suture is started. Because the nerve is very slender, it requires excellent eyesight.

Qin Lang smoothly cut off the epineurium within 1cm of the proximal end to expose the nerve bundles. The next step is to start with the nerve bundles and bundles of the nerve stump.

This kind of feeling is like the connection of network cables, the nerve bundles correspond one by one.

After the matching, Qin Lang sutures each pair of nerve bundles. One pair is basically done with 1~2 stitches.

The suture of the bundle group will be doubled, and the entire suture process will be sutured sequentially from deep to shallow.

Under Qin Lang's operation, the entire movement is very elegant and orderly, giving people a spiritual enjoyment.

Seeing that the nerve bundles were stitched together, Wu Youtu nodded again and again. In particular, some extremely fine nerve bundles, like the thin copper wires in the wires, returned to their positions one by one under Qin Lang's wonderful hands!

After ten minutes, Qin Lang completed the entire nerve anastomosis.

The patrol nurse obediently wiped the sweat off Qin Lang's forehead.

After this step, Qin Lang did not choose to rest, but continued to the next step, tendon suture!

There are many ways to suture the tendon, such as the common figure 8 contralateral suture, Kessler method, Kleinert method, Tsuge method and so on.

With the perfect tendon suture, Qin Lang is familiar with these techniques and can deal with different situations, making it the best choice.

Therefore, without a little bit of jerky, at first glance, after a few minutes, a comprehensive suture plan is formed.

"...straight needle size 5, non-invasive suture monofilament cotton thread size 5..."

Qin Lang took the lead in suturing the two ends of the tendon with the same diameter. The needle was inserted 0.5cm away from the broken end of the tendon, and the opposite broken end was sutured in a figure-eight shape.

The entire movement is smooth and smooth, and then a clean and even knot is completed, and a tendon is sutured.

Next was the operation, the most difficult suture, the tendon of the first segment of Shen Fang's thumb was cut off.

Like a severed rubber band, the proximal end of his flexor pollicis longus tendon retracted to the palm of his wrist.

Therefore, Qin Lang needed to make an incision to expose the distal flexor joint.

The next step is to look for the proximal end of the tendon. With Qin Lang's rich experience, he quickly found it.

"...syringe needle..."

Hearing Qin Lang's words, Wu Youtu on the side was obviously puzzled: "What is this for?"

The next moment, he saw Qin Lang's adaptability. He inserted a syringe needle into the tendon, stuck it, and fixed it to prevent it from retracting.

"Smart!"

Wu Youtu had a sense of gain from watching a superior doctor's surgery, and wrote down this little trick.

Qin Lang started the end-to-end anastomosis of the stump of the flexor pollicis longus tendon. After the suture was completed, another incision was made at the volar transverse crease, and the proximal end of the flexor pollicis longus tendon was guided with a probe. into the incision.

"Is this adjusting the tension?"

Seeing Qin Lang's slight hovering action, Wu Youtu felt a little uncertain in his heart. After all, he is not very good at tendon suturing, but after all, he is so much older than Qin Lang, so he is embarrassed to ask for advice.

Twenty minutes later, Qin Lang completed the most difficult tendon suture.

By this time, the surgical task has basically been completed, and the next step is the finishing work.

...

...

In the waiting area of ​​the operating room, Wang Youming waited anxiously, checking his phone every five minutes, waiting for the arrival of the two chief directors.

One hour and twenty minutes later, the two directors finally arrived at the burn department building.

When Tian Hua and Wei Guoqiang rushed to the operating room, the vice president of the First Hospital of Hecheng City and the president of Hang also came to hear the news.

Dean Hang was of course honored to see the director of the hand surgery department of the military hospital, and he greeted him cordially. However, he also stood aside very wisely because the matter was urgent.

And Wang Youming, one of the parties, also looked through the autumn waters and hoped for a savior.

"Two directors, you are finally here."

Seeing Wang Youming, Tian Hua also greeted him with a smile and comforted:

"Captain Wang, don't worry, Director Wei and I have checked the results of Dr. Wu's debridement and escharectomy in the car before, as well as the subsequent vascular anastomosis, and they were all done very well. According to my current judgment, although we The traffic jam took a little time, but there is still 80-90% hope of recovery."

Tian Hua asked himself in the entire Hecheng City, in terms of tendon sutures and nerve anastomosis, no more than three people could be compared. Even if he was sent to the provincial hospital, there was not necessarily a doctor who had stabilized him.

Therefore, he is still very confident, and his postoperative rehabilitation is a must, which can recover some of the losses due to missing the best operation time.

"Captain Wang, the time is short, so I won't say much about it. Now I'm going to prepare with Director Wei and carry out the operation."

When the two directors were about to go to the operating room, they saw a familiar figure walking over, and beside him was an unfamiliar little doctor.

The two walked over talking and laughing, and their relationship was like an equal.

Wei Guoqiang looked over and remembered that this little doctor was not Qin Lang, who performed well in the last round of wards.

Then, Wei Guoqiang was a little puzzled, and said directly: "Dr. Wu, you are not in the operating room, why did you come out earlier?"

When Wu Youtu saw the two chief directors and Dean Hang beside him, his face showed a smile, and he explained to Wei Guoqiang:

"Because the two directors have not returned for a long time, we are afraid of delaying the best operation time. We have completed Shen Fang's comprehensive operation. The operation is very successful..."

However, before Wu Youtu finished speaking, Tian Hua was like a thunderbolt:

"You said that you have finished the operation?"

Wei Guoqiang's expression also changed drastically. He knew Wu Youtu's level very well. He was not good at such difficult tendon sutures and nerve anastomosis.

The two chief directors ~www.novelbuddy.com~ were dumbfounded.

The suture itself is not difficult, but the difficult part is the recovery after suture, and there is no adhesion. There is a big difference here.

Wei Guoqiang's heart skipped a beat, knowing that he was in trouble now:

"Wu Youtu, what's your situation? I'm not taking care of you. Director Tian and I will come back for the operation. How can you do this in advance?"

Tian Hua also had a bad tone: "Doctor Wu, you can't wait for a while."

Wang Youming, who was still in a good mood, looked ugly after listening to the words of several people, but after all, he was asking for help, so it was not easy for him to have a direct attack, but he was already worried in his heart, after all, it was about Shen Fang's future. half a lifetime.

After all, Wei Guoqiang is Wu Youtu's leader. Although he is angry with his ignorance, he still has to take the overall situation into consideration. After all, Wu Youtu's operations are not illegal.

Hopefully, not too badly stitched.

"Director Tian, ​​I'm really sorry. However, it is indeed our fault that we wasted time, and that was why Dr. Wu made such a decision. Let's hurry up to see Shen Fang's situation and see if there is any room for recovery."

Tian Hua didn't have a bad seizure after hearing it, so he could only reply in a muffled voice: "Then go take a look first."

The two chief directors did not lose face because of Wu Youtu's disobedience, but they were really worried about Shen Fang's injury.

"Two directors, the operation was very successful. We can go to the conference room to watch the entire operation video together, and you can comment on it."

Wu Youtu said calmly from the side, holding his breath in his heart, waiting for you to watch the video to see what you have to say.

Moreover, he really wanted to know what the expressions of the two chief directors would be if they told them that it was Qin Lang who was in charge.