MTL - Doctor’s Life Simulator-Chapter 85 Shocked by the heavens and the despised Director Yang!

[You were expelled from the First City Court. Yang Yi and Yang Yue were also targeted and excluded by Director Tian Bo and Director Sun. Hand surgery has once again become one of the core departments of the treatment center. Yang Yi and Yang Yue returned to the hand surgery department of the military hospital. 】

[You followed your twin sister Hua to the military hospital. Surprisingly, you went to oral surgery. With perfect basic surgical skills, you successfully established a foothold in oral surgery. Next, extensive practice of neck dissection was performed. 】

[Thirty years old, Tang Yue will never forget you. You rejected her. Continue to be a general attending physician in oral surgery. 】

[Forty years old, Tang Yue will never die for you. You rejected her. Continuing in Oral Surgery, your neck dissection is getting better by the day. 】

[At the age of fifty, Tang Yue returned from the United States and became a top female professor in China and a leader in the field of scientific research. Tang Yue came to you again. You rejected her. Continue in Oral Surgery, where your skills are blissfully activated. You have improved the placement of the negative pressure drainage tube during neck dissection for tongue squamous cell carcinoma, simplifying the surgical steps, without deliberately avoiding the major blood vessels and vascular pedicle anastomosis, the placement method is simple, and the secondary damage to the patient is less. The drainage effect is sufficient. 】

[At the age of fifty-five, you retired from the military hospital. Tang Yue finally took you down. You have ended your career as a doctor. 】

[Simulation ends, doctor career evaluation, attending physician 39/40]

【You can keep one of the following abilities】

[155-year-old doctor skills]

【2. The clinical experience of fifty-five years old】

[3. The wisdom of practicing medicine at the age of fifty-five]

Qin Lang watched the simulation of this life, but he didn't expect that he would refuse in such a variety of ways, but Tang Yue still loved her deeply and missed her for a lifetime.

The **** charm!

In addition, it is the **** Director Tian Bo and Dean Sun, who are really haunted. It seems that we need to strike first to clear this scourge.

However, good planning is needed. With the advantage of the simulator, Qin Lang believes that his new hatred and old hatred will be settled together.

"Choose the second item."

[Ding, congratulations to the host for obtaining the 55-year-old clinical experience. 】

[Host: Qin Lang

professional skills

Grade: Deputy Chief Physician 48/60

professional skills:

Ward rounds: master class

Tube bed: master class

Debridement: Master Class

Basic surgical operations (incision, suturing, exposure, etc.): perfect

Escharotomy: The Master Class

Skin Grafting: The Master Class

Rhinoplasty: The Master Class

Double Eyelid Surgery: The Master Class

Fascial Grafting: Advanced

Mucosal Transplantation: Advanced

Tracheostomy: Advanced

Long Bear Technique: Master Class

Free Flap Transplantation: Master Class (Creating a New Technique)

Neck dissection: master class (creating an improved procedure)

Other burn tech abilities (omitted): Advanced

Negative Pressure Drainage (VSD) Technology: The Master

...

Special Skills:

Blessed Mind: A certain chance to create (improve) spells (real or simulated world)

Pain relief: debridement, there is a certain chance to relieve the patient's pain during dressing change

Black Heart: The Bodhisattva bows his eyebrows, the vajra eyes are angry, and he is no longer soft-hearted towards the wicked]

For Qin Lang, two worlds were simulated, but in the operating room, it was only between lightning and flint.

Just when Director Yang made up his mind and was about to start separating the vagus nerve, Qin Lang walked out from Shen Jiamo's side.

"Director Yang, I have confidence in neck dissection. Besides, I am young and strong, and I have confidence in the separation and force control of the scalpel, as well as the ability to sustain it. Leave it to me!"

Hearing Qin Lang's words, Deputy Director Shen Jiayang and Wei Guoqiang were stunned for a moment. When they thought of Qin Lang's previous perfect surgical skills, as well as the calmness and meticulousness in the operating room, Shen Jiachang said:

"Director Yang, I believe he can do it!"

With Shen Jiayang's words, Director Yang chose to believe it, but he would watch the whole process: "Okay, then I will help."

Director Yang is also a decisive person, and directly ceded the position of the main knife to Qin Lang.

With the information in his mind and the repeated refusal of the lymphatic dissection technique that Tang Yue obtained, Qin Lang quickly got started.

The precise start of separation with the scalpel, the perfect separation technology, and the incision technology are really a good deal.

"Great control."

Recently, Director Yang was shocked. The Director Wei of the First Hospital of Hecheng City was so powerful?

Due to the deliberate ambiguity of Deputy Director Shen Jiaqi and Qin Lang, these people now think that the chief swordsman is Director Wei Guoqiang.

Tang Yue followed at the back, and was in a trance for a while, but she praised the figure in front: "Qin Lang, your director is very powerful."

However, that figure didn't seem to care about her, and took a step forward.

Tang Yue frowned, this Qin Lang was quite cold, but now she didn't have the heart to talk, so she began to pay attention to the operating table.

Qin Lang descended directly from the anterior side of the internal carotid artery, and gradually moved to the front of the common carotid artery through the outside of the carotid sinus. After that, he began to carefully separate the vagus nerve along the walking variation.

"This, how does it feel, he seems to have foreseen it in advance, and this ability to react and control is too powerful."

Director Yang looked at Qin Lang's operation and felt as if he had isolated his normal vagus nerve.

"Slow down, slow down, let's be safe."

After all, Director Yang still reminded a little uneasy.

Qin Lang didn't care about this, and continued to separate in one go.

"...electrosurgery, vascular clamps..."

Qin Lang unceremoniously turned against the guests, and loudly summoned the equipment nurses from the First Hospital of Zijingang.

After a while, Qin Lang used a vascular forceps to separate the internal jugular vein, cut it off after ligation, and performed double ligation at the lower end.

Five minutes later, Qin Lang completely separated the vagus nerve with everyone's unbelievable expressions.

In the observation room, Vice President Lin watched Qin Lang's smooth operation and blinked: "That's it?"

Does this Yang Tangjue want to play me? This separation is not a matter of hands!

"But then again, the operation process of the Director Wei invited by Shen Jiamo is really pleasing to the eye."

Seeing that Qin Lang completed the first difficulty, the separation of the vagus nerve, Vice President Lin felt a little relieved, but he knew that the operation had just begun.

In the operating room, so did Director Yang and Director Yu.

"Would you like me to do the neck dissection instead?"

Having solved the first hurdle of the vagus nerve, Director Yang felt that he could do it again.

However, where Qin Lang could hand over power, he directly began to separate the supraclavicular and posterior triangular tissues of the neck, cut off the supraclavicular fascia with an electric knife, and separated the fat connective tissue in the supraclavicular fossa along the surface of the prevertebral fascia upwards.

With the perfect level of basic surgical skills, Qin Lang is very handy, and the whole operation is extremely beautiful.

"Bravo."

Tang Yue sighed again, and then found that the figure in front of him was just like him, and fell into shock.

"It seems that Director Wei is also hidden, and even his confidant younger brother does not know the true face of Lushan."

Next, Qin Lang was skilled in dissecting the transverse carotid artery, and kept it after separation...

Three minutes later, Qin Lang found and cut off the accessory nerve deep to the front edge of the trapezius muscle according to the two horizontal lines on the upper clavicle...

Ten minutes later, Qin Lang cut off the sensory nerve of the cervical plexus at the branch of the phrenic nerve, and protected the muscle branches that emanate from the cervical plexus and travel deep...

Fifteen minutes later, the cervical sheath was dissected upward along the lateral side of the ligament muscle, and the veins in the thyroid, superior thyroid vein, common facial vein, etc. were cut and ligated.

The next step is to dissect the submandibular region. The scalpel is located on the edge of the mandible, before the masseter muscle, to find the external maxillary artery and vein, and cut and ligate it.

After that, the separation and protection of the facial nerve... The scalpel is dancing!

Looking at Qin Lang's skillful operation~www.novelbuddy.com~ Director Yang was amazed: "It's really amazing, the video of this operation, after that, I must let the doctors in my department study hard."

Twenty minutes later, Qin Lang had found and protected the hypoglossal nerve on the superficial surface of the artery above the carotid bifurcation... Soon, the internal jugular vein was ligated and cut off, and the upper end was double ligated.

Mercury was generally poured out, and the entire neck specimen was completely removed.

Due to the large neck wound after neck dissection, there is a lot of blood and exudate in the postoperative wound, so it is necessary to place a negative pressure drainage tube in time to remove the exudate and exudate in time.

The conventional placement plan is to place a negative pressure drainage tube before and after the common carotid artery, and one is located in the submandibular area, which is responsible for draining the front of the common carotid artery and submandibular to the submental area.

The other one is located at the back of the neck and is responsible for draining the posterior triangle of the neck. Both drainage tubes keep a certain distance from the great vessels of the neck and the pedicle of the skin flap.

Moreover, in order to prevent the position of the drainage tube from moving after the operation, special fixation is also required during the operation. Generally, the drainage tube suture is fixed to the nearby soft tissue. These steps also lead to time-consuming and inconvenient surgical operations.

Therefore, Director Yang is carefully prepared to complete this work:

"Director Wei, you have a break, and I will place the drainage tube."

However, Qin Lang directly stopped him, motioned him not to move, and issued a strange order to the equipment nurse:

"...Kejibang Medical Collagen Sponge...two drainage tubes..."

Director Yang was stunned, a little confused, and a little wronged. Was he just being rejected?

PS: The good news is that it will be on the shelves on Friday, and the manuscripts will start to be archived. Everyone should keep reading for the past few days, and there will be more updates on Friday to repay everyone!