Doctor's Life Simulator

Chapter 129 The Genius Plan Standing on the Shoulders of Giants (Subscribe)

[After everyone's discussion, we still can't come up with the best solution.You're perfect at suturing tendons, but you can't do anything about inflammation control.You can only do your best to suture.During the operation, you were lucky enough to activate your spiritual talent, and improved the method of interlocking sutures, using half-knot locking sutures, which to a certain extent achieved the tensile strength of early rehabilitation, and to a certain extent reduced the sutures. Damage to the tendon by the thread. 】

[Everyone greatly appreciates your improved half-knot lock method.After a bold idea, Professor Shen Xi and Deputy Director Shen Jiachen proposed a general idea, which is to use photochemical tissue bonding technology, combined with a medium, to wrap the wound of the tendon, combined with your suture method. 】

[It's just that the time is too tight, and the two of them couldn't think of a suitable medium in a short time, as well as a mature processing method of the system.As the best time for surgery approaches, you still haven't come up with a solution, so you can only bite the bullet and perform surgery with a flawed plan. 】

[In the end, due to Chen Mu's keloid physique, the re-injury after suturing destroyed the blood supply and nutrition of the synovium, resulting in severe inflammatory reactions, foreign body (suture) rejection, abnormal hyperplasia of scars, adhesion of surrounding tissues, etc. , resulting in limited finger movement. 】

【Chen Mu had to transform and gave up his best musical instrument performance. He soon lost the support for his life and livelihood in the highly competitive entertainment industry, and gradually withdrew from the entertainment industry.However, due to a stage accident, his hand movements were restricted. As the sponsor, Zijingang University and the Zijingang No. [-] Hospital of the treatment team were all reduced to a joke.The dignified Zijingang No. [-] Hospital couldn't even do a single tendon repair operation.As for the keloid physique behind her, no one cares. 】

[For this reason, Professor Shen Xi and Deputy Director Shen Jiachen were very self-blaming and annoyed, and then they also set up a special project to break through the tendon repair of patients with keloid constitution. However, it is very difficult to treat such patients. It took more than ten years, but there was still no decisive breakthrough. As Shen Xi was ordered to deal with another major national medical project, it was stranded. 】

[End of this simulation, there are contingencies and specificities in the solutions to these problems, which cannot be overcome by time accumulation.Gaining medical wisdom for the condition? 】

Qin Lang naturally chose the wisdom of practicing medicine, and he also understood the settings of the simulator. Some specific topics and research fields can no longer be broken through by the accumulation of time alone, but can only be broken through by extraordinary doctor wisdom.

[Congratulations to the host for obtaining the medical wisdom for the case. 】

[Through the bold design of Deputy Director Shen Jiachen and Professor Shen Xi, you follow their ideas, use photochemical tissue bonding technology, combine amniotic membrane, and your improved semi-knotted locking suture method, which can perfectly solve the early complications. The tensile strength required for health, as well as the severe inflammation of the keloid body and the problem of tissue adhesion. 】

[Remarks: Laser machine: Iridex Ocu Light TX in the United States, the output wavelength is 532 nm, the irradiance density is 0.5 W cm-2, and the energy is the best light parameter 200 J cm-2 (400 s).The photosensitizer is rose bengal (Rose Bengal, RB), Sigma Company, USA, concentration: 1 g·L-1 (0.1%). 】

[Amniotic membrane: taken from a puerpera who excluded infectious diseases, the amniotic membrane was bluntly separated from the placenta under aseptic conditions and wrapped with the tendon injury area after special treatment. 】

The corner of Qin Lang's mouth was slightly smiling, and he finally came up with a perfect solution. Sure enough, it was a very complicated and delicate solution. If he hadn't acquired the medical wisdom through the simulator and explored it by himself, it would have been futile to spend his whole life.

As Qin Lang walked, he said to Dr. Lu Min: "According to the patient's condition, I really have an immature plan, which needs to be demonstrated by Professor Shen and Director Shen later."

Hearing that Qin Lang said he had a plan, Lu Min was overjoyed. It may be that Qin Lang showed his extraordinary suturing skills yesterday, and he had a great affection and trust for Qin Lang.

Soon, several people rushed to the conference room.

Shaoqing, Deputy Director Shen Jiachen and Professor Shen Xi also came to the meeting room. Seeing that Qin Lang was also here, the two bosses were also a little surprised. However, after thinking about it, they felt that Qin Lang was here, which was very reasonable. After all, with his suturing skills, he is indeed the best candidate for the main surgeon right now.

"Professor Shen, Director Shen, please sit down."

Director Zhou presided over a multi-disciplinary expert consultation. After some politeness, he waited for Director Han Hu to connect remotely, and then went straight to the point and brought up the difficulties encountered.

Lu Min also brought up the serious consequences he would have for Chen Mu's keloid physique.

After listening to Lu Min's analysis, Shen Jiachen nodded again and again. In the field of burns and plastic surgery, keloids are also a very difficult topic, and there is no good solution yet. However, Deputy Director Shen Jiachen still put forward some ideas of his own and ideas:
"The occurrence of scars is inseparable from the healing of tissue damage. The repair process of tissue damage is also the process of scar formation, and damage is the initiating factor of scars. Therefore, in order to solve the damage of keloids, the root cause is to solve the damage of tissues. Therefore, I think that in the suturing process of the patient's tendon, the first element is to reduce damage as much as possible through the design of the suture method while ensuring the tensile strength of the early exercise."

Professor Shen Xi also took Shen Jiachen's words and continued to add:

"In my many years of research on cancer prevention and treatment, I have seen a theory of tumor origin of keloids in foreign countries, that is, keloids and tumors have similar clinical manifestations, pathogenesis and methods of diagnosis and treatment. The bad side is that The research on keloids, like tumors, is more complex and arduous, and cannot be accomplished overnight."

"However, from another perspective, we can learn from the oncology treatment plan to try to weaken the keloid after tendon suturing this time. Combined with Director Shen's non-destructive point of view, I am currently studying a brand new photochemical tissue adhesion technology."

"That is, after the photosensitizer is used on the wound surface, after the photosensitizer molecules are activated by the laser light, the internal conformation changes, electron transfer occurs between the excited state photosensitizer and the collagen molecules, and collagen molecules with positive or negative polarity are formed. Polar collagen molecules are covalently bonded and cross-linked, so that the tissues can be quickly and effectively connected and bonded to achieve the effect of closing the wound."

"So, I think it is possible to design a new suture method that can guarantee the tensile strength of early exercise, combined with photochemical tissue bonding technology, to form a closed protective film through a medium, so that the tendon position at the suture is less likely to occur, or even not Inflammation and birth scarring occurs."

Listening to Professor Shen Xi's thoughts and ideas, everyone in the conference room was in admiration. Shen Xi is indeed a research leader and an academician!

Qin Lang is also cast in all directions. In the simulated world, he stood under the top-level design of Professor Shen Xi before he created the final plan.

People like Professor Shen Xi are the ones that the development of human medicine relies on.

This is the crystallization of the real doctor's wisdom!

Regarding the ideas and design directions proposed by Professor Shen and Director Shen, Lu Min and Director Zhou were also lost in thought. The two big brothers have given a very feasible direction, and the next step is to test them.

Director Han Hu is also thinking, which suture method can meet Professor Shen Xi's assumption?
"Teacher, I thought of a brand new stitching method, which can be adapted to your idea!"

When everyone was in trouble, Qin Lang was ready to control the rhythm and guide step by step to the perfect plan obtained by standing on the shoulders of giants.

(End of this chapter)