Doctor's Life Simulator

Chapter 103 Sincerely convinced, tame two little fans (fifth update, reward plus update)
Qin Lang was very pleased to see the sincerity of the twin sisters, so he picked up a pen on the whiteboard and began to explain:
"According to the position of the affected finger when the patient is injured, the flexor tendon is damaged in the flexed position of the affected finger, so the incision is made at a distance of 0.5 cm from the distal end. The Tsuxia method and the modified Kessler method are used. Bruner incision is used."

Qin Lang has various professional knowledge points and surgical skills at his fingertips, especially various complex tendon suture methods, combination, switching, it is easy in Qin Lang's tone, and various incision techniques make Yang Yi and Yang Yue fascinated .

"Doctor Qin's theoretical knowledge is so powerful and systematic."

Yang Yi Yang Yue completely put away her doubts about Qin Lang.

Yang Yi continued to ask: "Doctor Qin, I would like to ask, is there any special attention to this minimally invasive surgery other than the operation process you mentioned?"

Yang Yue was also a little embarrassed. After all, they were hand surgeons, and in the end they had to ask Qin Lang for advice. However, in front of knowledge and skills, face is not important at all.

"Doctor Qin, to be honest, this is the first time we've heard of this kind of surgery plan, so we still don't quite understand many details, and some principles are half-understood."

When Qin Lang saw the attitude of the two young ladies to study, he also appreciated them very much. He was not ashamed to ask questions, which is very important for a doctor.

Only by constantly maintaining a learning attitude can we continue to bring better treatment solutions to patients.

Nowadays, many old doctors are stuck in their ways, unable to listen to opinions and tolerate dissenting opinions. This is very frightening.

However, fortunately, Qin Lang recently made friends with top experts.For example, Shen Jiachen, Qian Mubai, Ling Zhongyu, Wei Guoqiang, and Tian Hua are all modest, open-minded people.

Otherwise, she would not have sent her two disciples to learn from her.Apparently, Yang Yi and Yang Yue are also fellows.

Naturally, Qin Lang will not hide his secrets. Medicine is never a one-person business, and personal abilities are very limited. Therefore, it is Qin Lang who is most willing to see the experience and techniques that can be spread and carried forward.

Qin Lang explained in detail:

"In minimally invasive surgery, pay attention to the following points to get better results:"

"First, the repair time should be within 8 hours of the injury. Second, if the deep and superficial tendons are ruptured at the same time, the deep and superficial tendons must be sutured at the same time. Third, try to maintain the integrity of the tendon sheath through repair, repair the defective tendon sheath, and play the role of the tendon. The endogenous healing ability. Fourth, avoid too tight external fixation, and carry out functional rehabilitation training early in time."

Hearing Qin Lang's point of view, which was quite different from the traditional treatment plan, Yang Yi Yang Yue looked ashamed, like a bird waiting to be fed.

With his mouth open, he waited for Qin Lang to continue feeding.

Qin Lang smiled and explained further:
"According to the research of Professor Qian Mubai's team from the Department of Hand Surgery of Huashan Hospital Affiliated to Aurora University in Shanghai, it is found that early functional rehabilitation training is conducive to increasing the tension of the tendon, avoiding local edema of the injury, and controlling adhesion to a minimum."

"That's why I used the Tsushita method and the improved Kessler method to repair the tendon. According to this enhanced repair method, I can start to passively control the affected finger on the second day after surgery."

"The mechanism of its prevention of adhesion is that the early passive control activity limits the exogenous healing of the tendon, prevents the adhesion activity between the tendon and the surrounding tissue, and mild adhesion occurs in time. Passive control of functional training activities can also change its biological performance and avoid It may have an adverse effect on the restoration of normal sliding function of the tendon."

Hearing Qin Lang's detailed analysis of theoretical knowledge, the two sisters were mesmerized.

The deputy director Cui Jianguo beside him was also full of emotion. This is the pattern and vision of being friends with top professors.

I think he has never heard of this kind of cutting-edge theoretical knowledge. Director Cui said with envy and admiration:
"Doctor Yang, speaking of it, this is really a unique advantage of Dr. Qin. Director Shen Jiayu of Zijingang Hospital, Professor Qian Mubai of Huashan Hospital in Shanghai, and Professor Ling Zhongyu of Jiaotong University in Shanghai are all Dr. Qin's friends who have forgotten their age. .”

"So, under the influence of our ears and eyes, Dr. Qin's acquisition of cutting-edge theoretical knowledge is beyond the reach of the physicians in the Department of Burns and Plastic Surgery of our city's No. [-] Hospital."

Director Cui licked his old face and said half-jokingly and half-seriously:

"Doctor Qin, if you don't dislike me, I also want to be your outer disciple, to supplement the cutting-edge theoretical knowledge, so that I can shine for the big plan of my treatment center, and follow in the footsteps of you young people."

Director Cui intentionally or unintentionally pointed out the personal relationship between Qin Lang and various top experts, which once again gave the sisters confidence, and their trust in Qin Lang continued to grow.

Qin Lang laughed aloud: "Director Cui was joking, you are our seniors, and it is we who want to learn more from you seniors."

Yang Yi and Yang Yue flattered Director Cui perfunctorily, then continued to chase after Qin Lang and asked:

"Doctor Qin, also, I found that you are very concerned about the integrity of the tendon sheath. Why?"

Qin Lang continues to output:

"Because the integrity of the tendon sheath is very important for the normal function of the tendon."

"The first choice, it can effectively prevent the excessive proliferation of granulation tissue and prevent the adhesion caused by excessive fibrosis."

"Second, the synovial fluid within the tendon sheath is important for the normal sliding of the tendon."

"Third, in addition to the blood supply, the synovial fluid also provides certain nutrients for the tendon."

"Therefore, the minimally invasive operation preserves the natural structure of the tendon to the greatest extent, promotes the endogenous healing of the tendon, and will greatly improve the postoperative recovery effect."

After hearing that Qin Lang had finished dissecting everything, the twin sisters were completely convinced.

"Thank you, Doctor Qin. You have been educated."

[Ding, congratulations to the host for completing the task. As a senior physician, I will teach your two little assistants the first lesson.Through detailed and rich arguments, let them be convinced.Rewards: 1.1 life simulation points. 2. Fracture reduction and fixation techniques: entry level]

Fracture reduction and fixation technique?
This time, it is safe to make a profit, Qin Lang watched the two twin sisters become more and more pleasing to the eye.

Soon, the entire program was demonstrated.

An hour later, Qin Lang took Yang Yi and Yang Yue started the operation.

In the operating room, Qin Lang said to the two assistants:
"Due to minimally invasive techniques, the requirements for proficiency are very high, so I will demonstrate it to you first, and you will come to the next similar operation."

"Okay, Doctor Qin."

After block anesthesia of the brachial plexus tissue, a balloon tourniquet was placed on the arm.

After that, Qin Lang began to expose the wound and thoroughly debride it.

Seeing Qin Lang's solid basic skills, the two little girls were shocked again.

"Doctor Qin, you are really amazing."

At the same time, Qin Lang adjusted the operation according to the patient's intraoperative exposure:
"Next, I will fine-tune the plan. In the future, you should also pay attention to the flexibility in the operation. The specific situation of the patient is different, and the subtleties are ever-changing."

"You see, the patient's peripheral blood supply is insufficient, so it is necessary to anastomose the blood vessels with microsurgical instruments first, and then anastomose the tendon nerves."

Seeing Qin Lang's operation, the two twin sisters were in awe, and they were also engrossed in Qin Lang's operation, afraid of missing a step.

PS: Thank you again for the 200 coin reward from the boss of YY, this chapter is a big reward plus update~ The readers are happy to read it, and the author is also happy to write it~ Crazy hints!

(End of this chapter)