Doctor's Life Simulator

Chapter 127 This operation needs a backbone (please subscribe)

"Hi, Qin Lang, I'm Han Hu. Are you still at Zijingang University today? I have a patient with a hand injury. The situation is complicated. I need a top surgeon to assist in the treatment. I will contact Lu Min later. If you are an assistant, Director Zhou of our department will also help check it out."

After yesterday's test, Han Hu knew very well that Qin Lang's tendon suture level was at the top level in Zhejiang Province, better than him, so he immediately called to invite him.

After all, now Qin Lang is a graduate student of Professor Shen Xi, and he can be regarded as his little nephew.

"No problem, Director Han, I happen to be at the music festival, and I'll come over now to assist in the treatment."

Naturally, Qin Lang would not refuse. Healing patients is a doctor's job. Moreover, in the field of hand injury and tendon repair, he is also confident in giving patients the best surgical treatment.

Qin Lang took Tang Yue directly, and the two squeezed out of the crowd together, and went to the general surgery department of Zijingang No. [-] Hospital together with President Kong and the others.

In the clinical teaching room of general surgery.

Lu Min was in front of the table, doing tendon suturing training.

He was accompanied by a junior junior sister who kept the time for him.

After Qin Lang, Professor Shen Xi and others left, Lu Min specially took the tendon sutured by Qin Lang and analyzed it in detail. As Director Han's proud disciple, after Director Han's point and explanation, Coupled with the observation of Qin Lang's sutured tendons, he soon understood the entire suture method of Qin Lang.

Therefore, he began to try to use Qin Lang's interlocking suture method for practice.

Eight tendons, using this interlocking suture method, is obviously one dimension more complicated than his previous modified Kessler method. Even the golden hands of the General Surgery Department of Zijingang No. After the lockstitch.Still much slower than the modified Kessler method.

After the eight tendons were sutured, Lu Min wiped the sweat from his forehead, and looked at his junior sister expectantly: "How is it?"

The little junior sister looked at the stopwatch, looked at the senior brother, felt distressed in her eyes, and shook her head with a wry smile: "Ten six minutes and eight seconds"

Lu Min punched with both hands, and lightly smashed it on the table, obviously he was very dissatisfied with his time.

With the same stitching method, Qin Lang was able to do it for a little over ten minutes, but it took him so long:

"He is so strong!"

After that, Lu Min and his junior sister conducted a data test together. After the data of the first tendon came out, Lu Min knew that not only the speed, but even the tensile strength, he was far behind.

"Director Han is right. Only doctors with enough experience can use this kind of interlocking suture flexibly. Although I have already dominated the general surgery department of Zijingang No. .”

Just have a goal!
Before, Lu Min had always been arrogant and felt that his sewing skills were invincible among his peers, but now he stumbled and gave him new fighting spirit.

"Junior Sister, if you give me another chance, you must record Dr. Qin's suturing process properly, analyze and study it in detail."

Lu Minmin sighed, ready to continue practicing stitching.

At this moment, Han Hu called.

"Lu Min, I'm having an operation outside the hospital right now, and I can't make it back. Principal Kong will bring a patient over in a while. It's Chen Mu, a well-known musician in China. There was a major stage accident at the music festival. She The palm of his hand has been seriously injured and needs immediate tendon and blood vessel repair, and there may even be nerve damage. I have asked Director Zhou to preside over the consultation, and you should rush over to assist immediately."

Hearing Director Han's words, Lu Min naturally responded immediately.

He is very experienced in hand tendon repair and suturing of blood vessels. Although he can't compare with Qin Lang, he is still very confident in Zhejiang Province.

He also knew very well that Director Han's personal call to him was an absolute trust and entrustment to him.

Deputy director Zhou Jiaping, although he is the deputy chief physician of the general surgery department, his research field is external abdominal hernia and gallbladder system diseases, so the repair of hands is not his main field. Let him come, but borrow his qualifications and prestige, Just preside over the overall situation.

Afterwards, he, Director Han's most proud elite disciple, will be the one to do the stitching!
"Junior Sister, tidy up for me. I'm going to attend a consultation and perform a hand repair operation on Chen Mu, a well-known musician in China."

When the little junior sister heard that it was Chen Mu, she also let out a soft sigh, really wishing that she could also be the chief surgeon for such a celebrity.

"Brother Lu, come on!"

The little junior sister looked at senior brother Lu adoringly, and worked harder to do odd jobs for senior brother.

Lu Min received Director Han's order in the face of danger, regained his confidence, and ran to the ward with big strides.

When he arrived at the general surgery ward, Director Zhou, Principal Kong, the school doctor, the patient Chen Mu, and the manager of the insurance company had all arrived.

Although Director Zhou does not specialize in the field of hand repair, he still has the basic quality and judgment ability that he should have.

Seeing Lu Min coming over, he introduced to President Kong and the patient:
"This is Lu Min, Director Han's most proud disciple in our department, and he is also the top doctor in our department in suturing. He is very experienced and capable."

Lu Min was very helpful to Director Zhou's factual introduction, so he checked the patient's condition.

When Lu Min read the information, Director Zhou explained:

"Chen Mu was mainly stabbed and cut by sharp objects on the acrylic board. The skin and muscle injuries are minor problems. The most serious injury is the tendon injury of his fingers. If the recovery is not good after suturing, it will affect the function of his fingers. .So, we need to formulate a plan that is as lossless as possible.”

Principal Kong interrupted: "It's not as much as possible, but it must be restored to its original function. Chen Mu is a musician, and her fingers are a second life for her."

The manager of the insurance company on the side also had an ugly face, begging Director Zhou and Dr. Lu:

"The two doctors must perfectly restore the function of Chen Mu's hand. Her hand is insured. If the function cannot be restored, she will be compensated 2000 million yuan!"

Everyone was a little surprised when they heard the words of the insurance company manager.

However, thinking about Chen Mu's level of well-known domestic musicians, they are all relieved, the claims are high, and the annual insurance premium is also staggering.

Just like the pianist Lang Gina's insurance coverage is as high as [-] million, and the insurance premium needs to be tens of millions.

Mo Wenwei endorsed shampoo products in the early years, and the advertiser also bought nearly ten million Hong Kong dollars of insurance for her. If her hair was damaged during the production of the advertisement, such as hair loss caused by dyeing and perming, the insurance company would make corresponding compensation .

When Fan Huohuo participated in "Walking Man", it is said that the program team also bought a [-] million insured insurance for her face. As long as her face is slightly damaged, the program team can get [-] million in compensation for Fan Huohuo.

The master of time management, Luo Bishi, once bought an insurance with a coverage of NT$3 million for his pair of electric eyes, and so on.

Therefore, for Chen Mu's hands, whether it is from her career, or from the loss of the school, the reputation of the Affiliated Hospital of Zijingang University needs to be healed perfectly and without damage.

All of a sudden, the list on Lu Min's shoulder suddenly became heavy. Director Han used to carry it, but today it was only him, so he was a little flustered.

However, Lu Min’s professional quality is still very good, and the equipment of Zijingang First Hospital is also the most advanced, using the latest 3.0T MRI and the use of special coils, Siemens Trio 3.0T superconducting magnetic resonance imager , 4-channel small flexible coil, with good soft tissue contrast, and the advantages of multi-directional imaging.

Looking at the fine anatomical structure that clearly shows the tendon and ligament of the fingers, Lu Min quickly evaluated the location and degree of the injury, and synthesized the conclusions of the doctors who are specialized in bone and muscle imaging diagnosis.

The interlocking suture method before Qin Lang came to Lu Min's mind. After yesterday and today's assault, although the speed and suture quality are not as good as Qin Lang's, I believe it can deal with this patient.

The structure of the finger extensor tendon mainly includes the sagittal bundle, the central bundle, the medial and lateral bundles, and the terminal tendons. After careful inspection, Lu Min breathed a sigh of relief. Generally speaking, it is still possible to have a perfect repair.

This time I really want to thank Qin Lang, and of course I also have my own hard work and hard work!

However, the surgical plan needs further design and optimization.

"Principal Kong, Dr. Huang, and Manager Wu. In this way, we have a basic understanding of the patient's condition and have a general direction. However, since the patient is a musician, tendon repair is much more demanding than ordinary people, so we need it internally. Let's have another consultation to discuss the plan. So."

Principal Kong, the school doctor, the insurance company manager and others are naturally very sensible, and they also recognize Lu Min's professionalism:

"Should be, should be, then let's wait for good news from Director Zhou, Dr. Lu."

"Director Zhou, I need to look at the patient's situation again, and then I will go to the meeting room to conduct a plan demonstration."

Zhou Jiaping nodded, and asked Lu Min to check again and watch it.

Lu Min came to Chen Mu, asked again, and looked carefully at the affected hand, and suddenly found an unexpected detail.

"Chen Mu, there is a scar on your left arm!"

A very bad premonition hit my heart.

Chen Mu endured the pain and said to Lu Min:

"This scar was accidentally scratched by me again before. It could have been sutured, but who knows that I have a very special keloid physique. So I left such a small caterpillar."

Hearing Chen Mu's words, Lu Min's whole head roared: "Oops!"

The suture of the tendon will inevitably bring new damage to the tendon. At the same time, the suture exists as a foreign body in the tissue, which will cause excessive inflammation, which will increase the degree of adhesion between the repair area and the surrounding tissue, and will also delay the speed of tendon tissue repair.

For ordinary people, through extreme suturing skills and early functional training, it is possible to restore function without affecting playing musical instruments.

Originally, through Qin Lang's interlocking suture method, the tensile strength could be doubled, but through early and timely training, he was confident that she could recover her functions.

The interlocking suture is based on the Kessler grasping suture, supplemented by a buckle-lock structure at the tendon heart, using the interlock structure and sutures running in the tendon fibers to provide greater tension to enhance tensile strength.

But with Chen Mu's keloid body, the increase in sutures will only aggravate the damage to the tendon, and her inflammatory reaction will only become more severe, and severe adhesions will appear.

However, if the modified Kessler method is used, firstly, the inflammatory response cannot be ensured, and secondly, the strength is not as good as the interlocking suture. As for other suture methods, the strength is even less.

What to do, now there is a need for a two-way solution that can meet the tensile strength and reduce the inflammatory response due to keloid constitution.

Lu Min was a little helpless, this operation needs a backbone.

(End of this chapter)