MTL - Doctor’s Life Simulator-Chapter 91 Qin Lang's Confidence: A Solution Far Beyond Hand Surgery

After Qin Lang's confirmation, Director Cui and Qin Lang decided the operation plan together.

"Qin Lang, I also worked with Huang Kaihang, the deputy director of the hand surgery department. Director Huang has often worked with patients undergoing syndactyly. However, he used z-plasty, triangular valve, or four-valve plastic surgery before. The web reconstruction uses a pentagon? Moreover, it is based on the perforating vessels of the dorsal palmar artery, how come I have never seen it before.”

Qin Lang lightly closed the document, with a strong aura, calm and confident:

"The surgical procedures of our wound treatment center are naturally not comparable to those of ordinary hand surgery. The pentagonal flap reconstruction is the most advanced and improved surgical procedure. I worked with Professor Qian Mubai of Huashan Hospital Affiliated to Aurora University. , and Director Tian Hua of the Military Hospital, and Deputy Director Shen Jiamo of Zijingang First Hospital, when they exchanged and studied together, the design was improved."

Hearing the names of Qian Mubai, Shen Jiacheng, and Tian Hua, Cui Jianguo didn't realize that he was a serious doctor.

"That's great. I'm going to explain the operation to the patient now. Qin Lang, you really gave me a big surprise."

These days, Qin Lang has been favored and valued by Shen Jiamo, Qian Mubai, and Tian Hua, and the matter of going to Zijingang No. 1 Hospital to participate in the consultation and surgery has long been spread by the gossip team headed by Cheng Yunfeng. All know.

Wei Guoqiang's attention, the official establishment of the exception, all told Cui Jianguo that Qin Lang was extraordinary and fortunate, and he was looking forward to Qin Lang, a new and improved surgical plan with nose and eyes.

Soon, Cui Jianguo found Wen Yongqin and had a preoperative conversation.

"Ms. Wen, I have consulted with the experts in the department. This time, our department will give your daughter a modified pentagonal valve reconstruction plan... This plan is the latest cutting-edge plan, after military Hospital, Huashan Hospital Affiliated to Aurora University, Zijingang No. 1 Hospital, the top experts have demonstrated and created a new surgery..."

Cui Jianguo can become the Deputy Chief Physician in the field of plastic surgery. Of course, he is not a liar, especially in the face of various women who come for plastic surgery. The ability to persuade and inspire is not something to brag about.

Said Wen Yongqin was stunned for a moment, then slapped her thigh:

"Director Cui, that's really good. I'll just say it, otherwise, how could Dr. Li from the hand surgery be ashamed, saying that the director outside the hand, Director Tian Bo, has always been self-aware, and he also used his reputation as a guarantee to treat The level of the center is much better than their director. At first, I thought Director Tian was humble, but it turned out to be true. The treatment center has launched a new and improved technique, which was created by the top team in Zhejiang Province and Magic City. We Xinxin is really lucky to have caught up."

Hearing Wen Yongqin's words, Cui Guoqiang also suddenly realized, thinking to himself, this Qin Lang really didn't lie, and even Director Tian Bo was convinced by his improved technique and bowed his head.

The layout is really small.

No wonder Director Wei is so confident. It turns out that he has the support of the Zijingang First Hospital and the Huashan Hospital of the Magic Capital.

"OK!"

Director Cui raised his eyebrows and his confidence greatly increased:

"That's right, Ms. Wen, since Director Tian Bo has used his reputation as a guarantee and has the support of a top team, I believe your daughter will soon be able to have a pair of flexible and beautiful hands."

"Okay, then thank Director Cui very much."

"Well, then you just wait and wait. Our nurses will come to inform you about the preoperative preparations in a while."

...

...

In hand surgery, Li Lian'an kept an eye on the trend of the wound treatment center, and soon reported the latest progress to Director Tian Bo, who was attending an academic conference far away in Jin City.

"Director Tian, ​​as you expected, the wound treatment center admitted Pang Xinxin because of its face, and has already scheduled the operation in the afternoon."

"Fine, I see."

After Tian Bo hung up Li Lian'an, he called Pang Yuan.

"Hello, Mr. Pang, I'm Tian Bo, the director of hand surgery... It's like this, I checked today, the latest patients admitted to the department, and the list of surgery appointments. See your daughter, come to me Consultation appointment made in the department...”

"Yes, yes, because our hand surgery ward and operating room are full, so Dr. Li recommended your daughter to the wound treatment center without knowing it. Due to the authority, Dr. Li is not aware of the specific situation. The wound treatment center, It is indeed a big project carefully created by Director Wei and fully supported by the leaders of the hospital, but after all, it is still in the early stage of operation, and the doctor configuration in the field of hand surgery is still very weak..."

"That's right, Mr. Pang. That's right. So, I came here to say hello to you. After all, we are all friends, and I hope that Xinxin can get the best treatment. I could have come to perform surgery on Xinxin in person, but One is that I was in Jinshi today to attend an academic conference. The other one, after all, Director Wei's wound treatment center has already taken over, and the chief surgeon has been arranged. Du's junior brother, Director Ling Zhongyu is here to perform surgery on Xinxin."

Director Tian Bo, an old river and lake, is naturally able to grasp the mentality of patients.

After a while, Pang Yuan was worried and pleaded:

"Director Tian, ​​she also blames me. I'm too busy. I took care of my orders before and asked her to bring Xinxin to the first hospital in the city for hand surgery. He also said that it was the wound treatment center recommended by your department, which was more suitable for Xinxin. I didn't care too much about the symptoms. Now, I have understood the situation. You said that, I am really worried about this newly opened wound treatment center. Can you help me contact the magic capital? expert."

After all, Pang Yuan is an entrepreneur with a rich family background, flexible mind, and generous shot:

"Director Tian, ​​you don't have to be embarrassed about this. I will personally go to the leadership of the hospital to request and appoint the chief surgeon. For the sake of my daughter's health, although it is a little rude, but Director Wei Guoqiang, I will make amends when I look back, I believe him I can also understand the concerns of a family member. As for you and the experts in Magic Capital you introduced, I will definitely send them to you."

Tian Bo's eyes lit up, and this Pang Yuan is really transparent, a smart man.

"Okay, since that's the case, then I'll immediately contact Ling Zhongyu, the director of the Department of Hand Surgery at the Ninth People's Hospital Affiliated to Modu Jiaotong University. I'll explain to him later, you can just give him a call. The operation in the treatment center starts in the afternoon. When Director Ling arrives, there will be enough time."

"Then I am very grateful to Director Tian. Director Tian, ​​the doctors are benevolent. This time is really thanks to you. Otherwise, if the doctors in the treatment center are not very skilled and there are sequelae, I will definitely regret it. Director Tian, ​​you I will remember the favor, and if you need it in the future, even if you tell me."

After Tian Bo hung up the phone, he explained to Ling Zhongyu again that everything was ready, just waiting for the final closing.

"As long as Ling Zhongyu performed this operation on Pang Xinxin, after that, at the hospital's regular meeting, I'd like to see how Wei Guoqiang, who has thick eyebrows and big eyes, resists. If you want to get rid of my surgery and start a new one, don't even think about it. "

Tian Bo naturally does not think that there are doctors in the treatment center who can beat Ling Zhongyu.

"This first step has been completed, and the next step is the second step."

Tian Bo is at every step, everything is under his control.

Surgery was on time in the afternoon.

In the operating room, Qin Lang and Cui Jianguo performed the operation together.

For the preoperative preparation, according to Pang Xinxin's syndactyly type, an operation was determined. According to Qin Lang's new plan, the incision line was first designed.

The patient was then given hand cleaning and preparation of the donor site.

Since the patient was only a two-year-old child, general anesthesia plus local anesthesia was used. The patient was placed in a supine position with the affected limb abducted.

Cui Guoqiang was also curiously watching Qin Lang's operation. For congenital syndactyly, after the traditional rectangular or triangular **** were used to repair the webs, two approximately diamond-shaped or triangular wounds were left at the base of the fingers.

In this modified procedure created by Qin Lang, two triangular **** are attached to the two waists of the traditional rectangular flap or triangular flap.

Looking at Qin Lang's skin flap design, Cui Guoqiang has the style of watching the surgery performed by the top experts in Magic Capital or Hangzhou.

I saw that Qin Lang designed a pentagonal perforator pedicle flap on the north side of the proximal segments of the adjacent two fingers, that is, the area corresponding to the normal finger webs.

The entire flap is divided into five corners, namely a distal apical corner, two lateral corners, and two base corners.

The apex of the distal angle of the flap is roughly flush with the plane of the midpoint of the proximal phalanx, that is, the plane of the volar margin of the normal web. The vertices of the two lateral corners of the flap are on the plane connecting the vertices of the far corners and the midpoint of the back of the metacarpophalangeal joint, that is, just the dorsal edge of the web of the hidden finger. point.

Looking at Qin Lang's unique design line in the patient's hands, Cui Guoqiang secretly admired it, it seems that this operation will become a classic case of publicity.

The next step is to separate the finger body. UUkanshu www.uukanshu.com designs a serrated incision between the two fused fingers. The proximal end of the dorsal incision is connected to the distal corner of the flap, and the proximal end of the volar serrated incision is On the midline of the **** near the transverse crease of the metacarpophalangeal joint.

The next step is the reconstruction of the webbed. According to the design, the skin flap is first cut and separated!

Cui Jianguo was also nervous, watching Qin Lang's operations carefully.

"...scalpel...vascular forceps..."

Qin Lang's calm and calm voice sounded in the operating room. After taking the knife in the hands of the instrument nurse, he started the first incision!

"This..."

Cui Jianguo widened his eyes and saw a scene that made him astounded.