Doctor's Life Simulator

Chapter 107 The regular meeting of the court is coming soon, and another great contribution has been made (seeking subscription)
Wei Guoqiang has been going back and forth between Shanghai and Hangzhou for the past few days to handle various matters of the treatment center. It is a lie to say that he is not tired.

Until he saw these photos, he suddenly felt that it was all worth it.

The fact that such a rare, acute and bursting Fornier's gangrene can be treated and controlled so well is enough to show the strength of the treatment center.

In a few days, it will be the regular meeting of the hospital, and it will also be the start-up meeting for the application and preparation of the Wound Treatment Center.

In addition to various external conditions, various relationships with the society, Zijingang First Hospital, and the full support of Huashan Hospital Affiliated to Aurora University in Shanghai, what Wei Guoqiang needs most now is this kind of treatment that can show that the treatment center can deal with various diseases. , the treatment case of the ability of the situation.

"Even if the First Affiliated Hospital of Zijingang University treats the rare Fornier's gangrene in the early stage, it is at this level."

Wei Guoqiang is very happy and proud of his junior physician team.

"Dr. Wu, tell our planning consultation team, surgery team, I, Wei Guoqiang, wish you a successful operation in Hangzhou. For this rare Fornier's gangrene, our treatment center's response and treatment are better than I imagined. .”

"Your case today also reminded me. The hospital meeting is about to start. We also just collected the typical cases of admission, consultation, and surgery in the past few days. I plan to present them at the hospital regular meeting. Make a short report on the Internet to show the characteristics and capabilities of our treatment center."

After Wei Guoqiang finished sending the message, he was in a good mood and prepared to return to the City First Hospital.

In the operating room of the city's first hospital.

Qin Lang marked the patient's internal arterial flap with methylene blue, located in the ischiorectal fossa between the steel portal, the eagle's capsule, and the ischial tubercle.

".Handheld Doppler, Scalpel"

Qin Lang gave the order again. It has to be said that the equipment list compiled by Tian Bo Laotie is really cutting-edge and advanced, and it played a vital role in this operation.

Qin Lang controlled the hand-held Doppler instrument to determine the position of the perforating vessels of the eagle's internal artery and measure the area of ​​the defect.

Soon, Qin Lang completed the design of the skin flap. The area of ​​the entire flap is 12cmX8cm, which shows how large the patient's ulcerated area is.

Seeing Qin Lang's flap design and cutting, Wu Youtu and You Daren felt a sense of envy again.

"Sure enough, geniuses are different from mortals."

Wu Youtu has one idea now, before Qin Lang grows up, he will try his best to shelter him from the wind and rain, and give him an environment for his smooth growth.

On the operating table, Qin Lang has already made an incision on the upper edge of the flap, precisely controlling the deep fascia contained in the flap, while the epimysium remains on the bottom.

After that, there is another perfect separation until reaching the previously marked perforator point, the origin of the perforator is located in the intermuscular septum of adductor longus and gracilis.

"It's such a powerful technique, it's really pleasing to the eye."

Seeing Qin Lang's unusual skin flap separation technique, You Daren was very excited. Isn't this the ultimate micro-manipulation technique he has been longing for.

"This Qin Lang really came here for the wound treatment center of our department!"

Wu Youtu and You Daren are convinced that as long as Qin Lang stays in this wound center for a day, he will be the magic needle in the field of skin flap repair, debridement and suture.

"As long as this operation is successfully completed, it will definitely become a classic case. It will also be the most brilliant display of medical ability since the opening of my treatment center."

Wu Youtu has a big picture. At this point, he has already started to use Qin Lang's operation to increase the popularity and influence of the treatment center.

And Qin Lang in the surgery center was still carefully separating the flaps, and made an incision at the lower edge of the flaps.

The gracilis muscle is found here, and the deep fascia is still contained in the flap, which is peeled upward and advanced to the intermuscular septum.

Cut the intermuscular septum from distal to proximal to the perforator point and rotate the flap sufficiently.

".3/0 absorbable suture, needle forceps, hemostatic electrosurgical unit"

Qin Lang started the next operation non-stop, and soon completed the suture of the flap.

". There are 2 drainage tubes, one is placed under the cake to drain the eagle's capsule area, and the second is placed under the donor area."

Under Qin Lang's order, You Daren, the first assistant, obeyed and completed the operation peacefully.

Soon, under the leadership of Qin Lang, the first phase of closed donor area was completed.

The suprapubic local flap is a rotation flap, and the skin defect is 3cmX4cm, but there is a 12cmX8cm subcutaneous subcutaneous area toward the head of the groin and the head side, so Qin Lang designed a very special bilateral partial rotation flap with an area of ​​about 6cmX8cm and 8cmX8cm.

Seeing You Daren was a bit puzzled, Qin Lang added:
"In this way, the dead space can be eliminated while covering the defect."

You Daren seems to understand, but he is going to wait until the operation is over, and then go back and forth to study the operation video.

".4/0 non-absorbable thread."

Qin Lang then completed the final skin suturing, so far, the whole operation was finished perfectly.

It wasn't until this moment that everyone was completely relaxed, and the patient's various signs also showed that the operation was effective.

"Dr. Wu, the next step is to pay attention to the adjustment of the patient's general state, improve immunity and systemic supportive treatment. In particular, for the anemia and hypoproteinemia caused by the consumption of the patient's systemic infection, it needs to be actively corrected. The next 12 hours , always pay attention, and use broad-spectrum antibacterial drugs."

Wu Youtu naturally accepted the order happily: "Qin Lang, thank you for your hard work, the next thing will be left to us."

After all, it is a team. Qin Lang has already had such continuous operations, and of course they will not lose the chain in the follow-up follow-up.

"Qin Lang, how did you diagnose Fornier's gangrene and successfully carry out such an effective treatment plan?"

After all, You Daren still asked out the puzzlement in his heart.

Wu Youtu also pricked up his ears, and he also wanted to know how Qin Lang turned the tide and solved the biggest difficulty since the opening of the treatment center.

Qin Lang shrugged, and said with some embarrassment:

"Everyone knows that our community hospitals are very busy. We either dispense medicine for the aunt or measure the blood pressure of the uncle. Therefore, when we are free, we will look through the latest medical impurities and international journals."

"On the bookshelf in the office, Dr. Zhou regularly purchases various periodicals and magazines. I will take them to look at them when I have nothing to do. I have seen one case in my impression. Then, the two of us chatted casually when we were free. Just last time, I Went to the First Hospital of Zijingang, and talked with Deputy Director Shen and Professor Qian about the case of Fornier's gangrene."

Qin Lang continued half-truthfully and half-falsely:
"At that time, Deputy Director Shen proposed that the main treatment principles for Fornier's gangrene were: systemic state adjustment, including active fluid resuscitation and application of broad-spectrum antibiotics; rapid debridement of necrotic tissue expansion; postoperative local wound closure and repair. "

"Of course, the connection and integration of negative pressure suction therapy is thanks to Director Tian Bo's equipment purchase list. This latest equipment can play a key role."

You Daren and Wu Youtu, of course, have never practiced it, so they asked: "How do you say it?"

Qin Lang saw that the two of them were successfully diverted from the subject, so he added fuel and vinegar and said:

"The principle of wound negative pressure suction treatment: First, it can cause changes in the microenvironment of the wound through mechanical-biological effects, thereby promoting the growth of granulation tissue and accelerating wound healing."

"Second, reduce the tissue edema of the wound and eliminate the dead space."

"Third, close the negative pressure environment to prevent the invasion of bacteria and prevent cross-infection."

"Fourth, mechanical stress induced by negative pressure can promote cell proliferation and tissue repair."

"Fifth, reduce post-traumatic immunosuppression, cell apoptosis, promote repair cell proliferation, and the formation of microvessels. In summary, I think this can be a new auxiliary method and idea for the treatment of Fornier's gangrene!"

As he spoke, Qin Lang's eyes lit up.

Wu Youtu and You Daren are also full of praise. What their wound treatment center lacks most now is the research topic besides the power of doctors!
"Qin Lang, I think we made a great contribution again if we were not careful!"

PS: Thank you book friend 2022026150807969 for the reward of 500 coins~
(End of this chapter)