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MTL - Doctor’s Life Simulator-Chapter 70 Operating Room Legends: Bone Broth and Bulgogi
In the operating room, Li Lianan continued to operate, with certainty in his heart, the big guys in the observation room must be bright.
"After this operation, you can get the weaving. It is worthy of the persistence and practice over the years."
Of course, Li Lian'an would also like to thank his stocky wife, otherwise he wouldn't spend most of the time in the hospital, either on duty or performing operations.
Soon, Li Lian'an began the next step very skillfully, revealing the superficial dorsal vein under the dermis, protecting and separating it under the microscope.
At the same time, the first dorsal extension artery was exposed between the first and second extension bones, and along the direction of the blood vessel, the distal end of the peroneal phalangeal artery and the accompanying peroneal phalangeal nerve were freed. The vascular nerve bundles are all included in the within the flap.
In the observation room, seeing Li Lian'an accurately freeing the flap, he affirmed it with a hollow eye.
"Director Tian, Dr. Li's technique is still very skilled, and the future can be expected."
Qian Mubaimi took the last bite of the candy, and praised him objectively, Li Lian'an is indeed excellent, if you compare it alone.
The other directors also fully affirmed Li Lian'an and Director Tian Bo's improved technique.
However, there was no surprise and high emotions in his tone, so Tian Bo could only smile awkwardly and not politely.
"Sure enough, with Qin Lang's perfect performance, Li Lian'an was completely reduced to a green leaf, which is optional."
Tian Bo was a little unwilling, but there was nothing he could do. He continued to scan the screen. Li Lianan had already started to transplant the skin flap.
I saw him, cut the nail bed briskly along the design line, used the periosteum to peel off the bone surface, and lifted the skin flap on the bottom side of the extension... Spring breeze~
In the observation room, the eyelids of all the bigwigs are a little heavy.
Wei Guoqiang habitually, like in the operating room, in order to clear everyone's dullness, he began to tell a little joke:
"Seeing the exposed bones of this patient reminded me of when I was still an orthopaedic intern... At that time, I was very impressed by a bone tumor surgery. Tumors grew on human bones, and they were cut out. It's gone, there is nothing to support the skin, but filling it with artificial bone is obviously not as good as my own. So, that time, I saw a magical skill: autologous bone deactivation and replantation..."
Hearing this, everyone pricked up their ears curiously.
After all, this inactivation method, the Eight Immortals cross the sea, in layman's terms, is to cut off the bone with a tumor, inactivate it at high temperature, kill the good cells and the bad tumor cells, and make this bone completely a dead bone. Then transplant it back.
Wei Guoqiang lowered his voice and said mysteriously:
"At that time, the boss of our department, Huali, invented the boiling method for inactivation. When the operating table was busy, in a corner under the operating table, there was an induction cooker, a small iron pot, a pot of soup, no, it was a pot Sterile saline, in soup, no, in sterile saline, a pile of bones bubbling under a small fire, a group of people squatting around, watching the stewed bones..."
"Have you seen the stewed bones at home? I didn't know what happened back then. I was tired from the operation. When I smelled this, I actually thought (╯▽╰) it was very fragrant~~, especially the stomach rumbling in a timely manner.. ."
Hearing Wei Guoqiang's joke, several directors also smiled knowingly, this is really a secret that is not passed on in the operating room.
Director Tian Hua also interjected:
"Your bone broth is nothing. Back then, as an excellent medical student, I definitely didn't sleep for a few hours at night. In the morning, I rushed to the department in a hurry, barely catching up with the shift, and had surgery without breakfast. A high-frequency electrocautery was used in that operation!"
The so-called high-frequency electrosurgery, the principle is to release high heat through the high-frequency current on the iron sheet in front of the electrosurgical knife, which can cut the patient's flesh cleanly without bleeding, and also block blood vessels through electrosurgical hemostasis to keep the surgical field of vision clear. .
Tian Hua recalled the scene back then and covered his face with one hand:
"At that time, under the high heat, the meat smoked under the heating of the iron sheet. It was really white smoke that rose up. Although there was a special suction device to **** it away, how could smoke be all that? Suck it clean. At that time, I was lying on the top of the surgical field of vision, and I was shocked. I swear, this smoke is hot + meat, it is disgusting, but I am the tool person who is pulling me, how dare I move..."
"Who knows, the more I smell, the more fragrant, and the sound of the electric knife scalding the meat, it is still sizzling, and after a while, I am actually hungry, the more I think about it, the more hungry I feel, at that time I felt like I didn't put cumin Barbecue without peppers! My stomach groaned in cooperation. It was like I was looking for a drill. At this time, the main knife came with another knife, the electric knife floated past, and there was still a black spot on the meat. I actually made up my mind. Crunchy taste..."
Hearing this youthful embarrassment of Director Tian Hua, all the directors also laughed.
It was Wei Guoqiang who was thoughtful and said coldly: "No wonder, I said that I made an appointment for a late night snack and went to a barbecue stall, you guy, never go!"
I have to say that each of these main surgeons is a joker, and in the midst of such gags, Li Lian'an's dreary surgery has also come to an end.
Finally, the foot donor area is trimmed and pressure bandaged. After a few minutes, the entire operation is completed.
In the observation room, Director Tian Bo smiled without a smile~www.novelbuddy.com~ His heart was dripping blood, he worked so hard to create such a technique, you thick-eyed and big-eyed Wei Guoqiang will give me a bone broth stew?
This Tianhua is not a good thing, Korean BBQ?
Tian Bo took a deep breath, barely maintaining his self-restraint, and when he glanced at Li Lian'an's half of the screen, he also frowned, and a few words flashed in his mind: Food is tasteless, it's a pity to abandon it.
At this time, on the screen, Qin Lang's third operation began.
To Tian Bo's despair, everyone looked at it in unison, for fear of missing even a single scene.
The patients of Qin Lang's operation were a little surprised to several directors.
"It turned out to be a patient with deep wounds at the distal end of the foot!"
After the tissue of the distal end of the foot is injured, it is very easy to expose the tendon and bone, which is very difficult to handle. It is not only necessary to repair the wound, but also to meet the wear resistance of the patient for long-term walking and various activities.
Looking at Qin Lang's operation, Tian Bo, the director of the hand surgery department, couldn't look away.
He also wanted to know what measures Qin Lang would take. Currently, the use of skin **** is a better choice in clinical practice, but there are few soft tissues available for repair around the wound on the distal end of the foot, and the skin on the dorsal side of the foot is thin. , Postoperative bloated appearance is also a common problem encountered in clinical practice, and reoperation is often required to smooth the flap.
The first-stage skin flap repair and the second-stage skin flap Shuping, this is Director Tian Bo's routine plan, so what about Qin Lang?
Director Qian Mubai was also itching in his heart, this Qin Lang was really tempting.
PS: This is a real thing, stewed bone soup, barbecued meat with an electric knife, a secret that is not passed on in the operating room~ This is not a doctor's abnormality, it is really... Really good smell? (?'??')?