MTL - Doctor’s Life Simulator-Chapter 58 Who teaches whom? Wu Youtu: The clown is actually me

You Daren continued the operation very rigorously and seriously:

"Qinlang, the next step is to roll the pedicle of the flap into a 5-7cm leather tube. The root of the leather tube should be left 2-3cm and not directly sutured to the opposite edge. It should be done with the donor area at the root of the skin tube. Type suture treatment..."

Wu Youtu, who was on the side, looked at Qin Lang silently, thinking that he couldn't understand the secrets. After all, he was still young and saw a lot of things, and he couldn't understand the secrets. He thought he had learned all of them.

When you really do it, you will find that you are just swallowing the dates whole, and the details are still far away!

Wu Youtu reminded softly, "Qin Lang, after seeing Dr. You's operation, did you think that's the case?"

As a matter of course, Qin Lang nodded. It was indeed quite ordinary. Didn't expect Wu Youtu to have this kind of vision?

Seeing Qin Lang's seemingly ignorant reaction, Wu Youtu thought so, and said sternly: "Xiao Qin, in fact, the operation of Doctor You just now was very mysterious, and the relative edge suture was not directly performed to avoid strangulation of the blood vessels at the root of the skin. Affects the survival of the flap..."

Qin Lang's expression changed slightly, oh, he really overestimated Wu Zhizhi.

Seeing that Qin Lang was silent, Wu Youtu continued to output following You Daren's operation:

"Xiao Qin, let me tell you, you should also pay attention to this step of Dr. You's operation in the future. When the diameter of the artery is small, in order to improve the chance of successful vascular anastomosis, you can cut the femoral artery at the beginning of the artery. The pulse disc is 0.5-1.0cm, or a common stem vessel is used to form a disc and the recipient vessel for disc-side anastomosis..."

Qin Lang continued to be silent, thinking of a famous saying in his heart:

"The stinky chess basket and the stinky chess basket are playing chess, and the more they play, the more stinky they are... Although Dr. You's level is not bad, it is obvious that all of them are flawed in the past. If it wasn't for the fact that he had done hundreds of millions of surgeries, Wu Youtu would have been fooled. past."

After a long half hour, Dr. You finally completed the entire operation, quite satisfied, and looked at Qin Lang with a cold expression:

"Qin Lang, basically this is the whole process of free flap transplantation. After that, it's post-operative care. Post-operative observation of the flap is particularly important, and it should be carried out from the aspects of fixation, oozing and blood supply."

"The quality of the flap fixation directly affects the success or failure of the operation. If the flap is not fixed firmly and the position moves, it will cause the pedicle to twist, hinder the blood circulation, and delay the healing time. The valve failed. So you have to remember this point, and it is also what I learned from the painful lessons."

Qin Lang nodded. Indeed, he was in the simulation world and encountered this problem at the beginning.

"In addition, the bleeding of the skin flap is also abnormal. When there is a small amount of bleeding, sandbags can be used to compress the bleeding to stop the bleeding. If there is a large amount of bleeding, it is easy to harden the skin flap and cause skin flap necrosis due to compression. Therefore, ligation should be performed immediately."

Qin Lang hummed softly. Through You Daren's experience, he could basically judge his level. Ruzi can be taught. No wonder he was able to comprehend breakthroughs after his master-level operation in the simulated world.

In order to better judge You Daren's stage, Qin Lang took the initiative to inquire. He had already judged his surgical operation, but the extent of the postoperative treatment was not clear, so he asked:

"What about the blood flow of the flap?"

"For the blood supply of the skin flap, the blood supply of the wound should be checked 6-7 hours after the operation, especially the most important 1d-2d after the operation. When checking, it is necessary to check whether the suturing part of the distal end of the flap has pedicle reflex, torsion, or compression. Wait."

You Daren answered meticulously. After Qin Lang listened to it, he nodded slightly. It was still solid, so he continued to ask:

"Then how to observe the skin condition of the flap?"

You Daren was secretly surprised. Qin Lang asked such a detailed question. Remembering that Director Wei also inspected him in such a comprehensive and systematic manner, he couldn't help but smile:

"For the skin flap skin color, temperature, redness test, and skin elasticity, if the skin color is ruddy, the skin temperature is normal, the redness test is good, and it is elastic, it means that the blood supply is good. If the skin color is pale or Bruising, low skin temperature, exudation or peculiar smell of the wound dressing, measures should be taken in time..."

After listening to Qin Lang, he was also interested, and was ready to help You Daren go further, so he asked in a targeted manner:

"Doctor You, I still have a few questions. During the flap removal process, if the flap is too small to completely cover the wound, how should I remedy it?"

Hearing Qin Lang's question, Wu Youtu on the side was a little puzzled, what is this little guy asking?

When he arrived, You Daren was stunned for a moment. He had just made a small negligence in the process of cutting the skin flap, and the cut was too small. However, he took an incision to extend the lateral edge of the pedicle of the skin flap in time, thinking it was covered up. very good.

Looking back now, it is true that the solution just now is not the best way. You Daren recalled:

"In addition to extending the incision at the outer edge of the pedicle of the skin flap, we can also use the skin flap to cover the exposed bones, joints, nerves, blood vessels, and tendons in the wound surface as much as possible, and then treat it as appropriate according to the residual wound surface. A single pedicle flap was cut on one side for transfer..."

After Qin Lang listened to it, You Daren's handling method was quite satisfactory, but it was still a little short. When there is a chance, he will show it for himself.

"Then, Dr. You, when separating the flap, how can we avoid damaging the aortic arch and its communicating branches at the upper edge of the abductor muscle?"

When You Daren heard this, UU Reading www.uukanshu.com was startled again, and he also thought about it in his head, and he didn't seem to have thought about this question.

Suddenly, a cold sweat broke out on his back, recalling his operation, he had almost damaged the artery at the upper edge of the abductor muscle just now, Qin Lang asked by coincidence, or was he keenly aware of the small flaw in my operation ? Can't.

When You Daren was thinking about it, Wu Youtu, who was beside him, was a little unclear. So, what questions this little Qin asked were not on the point.

"Xiao Qin, you can't chew as much as you want. Okay, you'll have to try the second one. Doctor You and I will give you some pointers."

You Daren glanced at Wu Youtu gratefully, and he really couldn't answer this tricky question from Qin Lang.

Taking a deep breath, You Daren also regained his self-confidence: "Yes, our task is still very heavy today, and there are still several operations to be done. Qin Lang, you must master the most basic operations first, and then we will discuss these details."

"Well then, there are two of Laos."

Qin Lang thought about it, then waited for a while, and then showed his skills in a targeted manner, hoping that You Daren could learn the essence from it.

As for Wu Youtu, from his Wu Yan Wu language, we know that he has not yet reached this level and can't understand it.

Soon the three of them were ready for the operation. This patient was a patient with a skin defect on the back of the ankle joint of the foot with Achilles tendon and exposed calcaneus. It has to be said that Wu Youtu and You Daren chose this patient for Qin Lang. The patient is very targeted.

[Ding, the new task, through the operation of the patient, showing the details of the operation, let You Daren and Wu Youtu make breakthroughs. Mission reward: 1 life simulation point. 】