MTL - Doctor’s Life Simulator-Chapter 67 The director's unforgettable operation!

Looking at Qin Lang's operation, in addition to their admiration for Qin Lang's technology, several directors also saw the potential and clinical significance of this improved technique.

As the president of the branch of the Modu Hand Surgery Society, Qian Mubai has such a shrewd vision:

"Director Wei, this procedure in your department is very imaginative. The perforators of the superficial palmar branch of the radial artery are superficial and convenient to cut, and can accurately repair the defect area according to the needs of the wound reconstruction of the affected finger..."

Director Shen Jiali on the side also nodded and greatly appreciated this improved technique:

"Yes, although conventional local pedicle transfer flap repair is performed, although revascularization is not required, due to factors such as flap compression and bottom channel stripping, flap necrosis is often caused and the affected finger is injured. This scheme, because the position of the subcutaneous artery at the wrist striated part of the superficial palmar branch of the radial artery is relatively constant, which is very beneficial for superficial separation, and the diameter of the blood vessel at this part is the same as the diameter of the digital artery, which has a strong match, which reduces the difficulty of surgery and ensures the success rate of repair. Amazing..."

Director Wu Xin also praised: "Moreover, there is less fat under the skin flap of the wrist crease, which can reduce the bloated feeling of the affected finger after repair, and the skin color of the affected area is similar to that of the recipient area. This is not only repair, but also plastic surgery. director!"

In the opinion of the plastic surgery department, hand surgery is not a "rough guy". Director Wu Xin appreciates this surgery very much, and he is also thinking about introducing this surgery.

Hearing the praise of several directors, Wei Guoqiang was also radiant, regaining some face, looking at the operation on the screen, and said humbly:

"The directors are very praised. Don't pay attention to this very clinically significant improvement. The main thing is to watch Qin Lang's basic skills. After all, this operation compares the basic surgical skills."

Hearing Wei Guoqiang's reminder, the directors remembered that this operation is compared to the surgeon's basic surgical skills, but, is this a bull's knife?

Moreover, in Wei Guoqiang's words, why is it so Versailles.

Tian Bo's face on the side was ugly. After all, in addition to the technique itself, Qin Lang's basic skills also crushed Li Lian'an in all directions.

Whether it is debridement, suture, incision, tendon suture, vascular anastomosis, or nerve anastomosis, Qin Lang is textbook level.

Soon, Qin Lang completed the entire operation. The whole process was smooth and smooth, and there was no flaw at all.

In the observation room, several directors were still unfulfilled, and Li Lianan who was on the side had been completely ignored at this moment.

In the operating room, Li Lian'an has started his second operation: open reduction and fixation for avulsion fractures of the distal phalanx.

The patient's volar avulsion fracture requires incision, reduction and fixation, so this operation is still very comprehensive.

The operation requires the use of standard hand surgical instruments and equipment, such as Kirschner wires, implants such as screws and steel plates, as well as small C-arm X-ray machines, non-sterile balloon tourniquets, etc.

Seeing Li Lian'an's preoperative preparations, in the observation room, several directors also recognized and respected Li Lian'an.

Being able to master these instruments and equipment proficiently, Li Lianan is indeed a very mature and excellent chief surgeon in hand surgery.

After a brachial plexus block is performed on the patient, the patient's forearm is rotated onto the operating table.

Li Lianan is very skilled to make an S-shaped incision with the dorsal side of the distal interphalangeal joint as the center.

It has to be said that Li Lianan still worked hard. Although the one-handed incision cannot be compared with Qin Lang, it is quite organized. After cutting the skin very neatly, he began to separate the subcutaneous tissue and quickly completed the exposure of the fracture. .

Looking at Li Lian'an's operation, in the observation room, several directors also affirmed:

"Director Tian, ​​Dr. Li is already very proficient in various operations of hand surgery. He is indeed a young doctor worthy of training."

Director Qian Mubai gave a timely performance. Due to his relationship with Tian Bo, he is also quite familiar with Li Lian'an in private. His surgical style is similar to his appearance, clean and fresh, which makes people very fond of him. .

In the observation room, Li Lianan revealed the fracture. After learning about the situation, he directly issued an order. Because the fracture fragment was large, he used two Kirschner wires.

The first Kirschner wire secures the distal interphalangeal joint in extension, while the second Kirschner wire secures the fracture fragment, with the Kirschner wire implanted nearly perpendicular to the fracture line.

Seeing the skillful cooperation of Li Lian'an and his assistants, several directors nodded silently. In general, this operation fully demonstrated the surgical characteristics of hand surgery, as well as Li Lian'an's skills and experience.

Basically, another ninety!

Director Tian Bo was also quite satisfied with Li Lian'an's performance so far today, but when he looked at the other half of the screen, he felt uneasy again.

Due to the first operation, Qin Lang underwent an extremely complicated operation, so the overall speed was obviously behind Li Lian'an. When Li Lian'an had completed the second operation, his second operation had just begun.

Before Qin Lang's second operation started, the information about the patient's condition was also sent to the directors.

After opening the information and seeing the patient's condition, the directors were all in disbelief:

The procedure performed by Qin Lang turned out to be a very special patient who underwent free flap repair for the external carotid artery.

Moreover, this time, Qin Lang's preparations for the surgery were a little confusing.

"Philips monitors, post-vascular catheters, pressure sensors. What is this Qin Lang doing?"

Several directors all looked at Wei Guoqiang, but Wei Guoqiang also looked at the screen silently, not knowing what he was thinking, and did not want to explain. UU reading www.uukanshu.com

The directors quietly looked at the screen, no longer speaking, but also curious about what Qin Lang would do next.

And Wei Guoqiang is also in a complicated mood at the moment. After making the preliminary arrangements, he is busy with other things.

The follow-up preparations were fully handed over to Qin Lang, Wu Youtu, and You Daren, so the follow-up patient screening was done by them.

Therefore, even he is not very clear, what kind of flowers will be produced by Qin Lang's free flap transplantation.

However, it is certain that with You Daren and Wu Youtu checking in, he is still relieved.

As a chief director, Wei Guoqiang still has some kung fu for cultivating qi, so he simply pretended to be deep.

For a while, the entire observation room fell into silence, only to see the young doctor on the screen begin to operate.

Soon, Qin Lang completed the removal of the free skin flap very neatly. The whole process was pleasing to the eye, and several directors were amazed.

However, looking at the length of the vascular pedicle of the skin flap prepared by Qin Lang, in the observation room, a huge problem was discovered.

"No, there is a problem with the length of the vascular pedicle of Qin Lang's skin flap. It is too short. It is impossible to use the contralateral blood vessel to continue the transplant operation. You will face the dilemma of no suitable recipient arteries!"

Shen Jiamo, deputy director of the Department of Burn and Plastic Surgery at the First Affiliated Hospital of Zijingang University, reacted immediately.

The directors also discovered the problem, Wei Guoqiang's face changed greatly, the secret was not good!

However, before Shen Jiacheng could speak out to stop it, all the directors in the observation room saw a scene that they will never forget:

"He is anastomosing the flap artery to the distal stump of the lower extremity recipient artery? This..."