Doctor's Life Simulator

Chapter 130 Perfect control of the field, Qin Lang is awesome (for subscription)
Hearing that Qin Lang had a proposal, Dr. Shen Jiachen and Dr. Lu Min's eyes lit up, and they looked at Qin Lang expectantly.

On the contrary, Deputy Director Zhou was a little surprised. Director Han Hu and Dr. Lu Min didn't have any ideas. Such a little doctor actually said that there was a suture plan, and, just now, his name was Professor Shen Xi?

He is a student of Shen Xi!
Only then did Director Zhou understand why Director Han would invite this little doctor to participate in such an important consultation, so what constructive suggestions could he offer?

Han Hu, who had a remote consultation, was also a little surprised. Originally, he was only interested in Qin Lang's suturing ability, but he did not expect his clinical thinking to be so divergent and sharp:

"Doctor Qin, tell me in detail."

Tang Yue, who was sitting in the farthest corner, was also shocked at the moment, how much ink was in his stomach, and how could he face any difficulties so calmly.

Professor Shen Xi also admired Qin Lang's proactive state, blinked a pair of beautiful eyes, and looked at Qin Lang encouragingly.

In order to let everyone understand the stitching method he designed more clearly, Qin Lang got up, picked up a pen, and drew on the small whiteboard.

"Yesterday we conducted a tendon suture test in the clinical teaching room of the General Surgery Department. At that time, I used an interlocking suture method. After yesterday's instrument test, it was also confirmed that it has nearly double the tensile strength , the only disadvantage is that the interlocking structure will increase the number of sutures and increase the damage to the tendon.”

"So, this time, I am going to improve it and use the semi-knot locking method, that is, using a lock structure to lock part of the tendon fibers, relying on the friction between the suture of the loop and the tendon to lock the tendon. Moreover, the tendon The cross-linked collagen fibers will not only generate an upward pulling force on the suture, reducing the chance of slippage and tendon splitting, but also have less tension at the broken end, which is conducive to promoting the repair of the tendon."

Qin Lang's voice fell, and on the whiteboard, a very clear analysis of the stitching diagram was also reflected in everyone's eyes.

"Wonderful! Compared with the internal lock suture method, the semi-knot locking suture greatly reduces the number of knots in the tendon heart, reduces the risk of knot loosening and suture breakage, and is also conducive to promoting tendon healing. repair."

Lu Min looked at Qin Lang's design with excitement, and was amazed. From the improved Kessler method, to the internal lock suture method, and to today's half-knot locked suture, Qin Lang's practice is not a fool's way, but a real one. Flexible use, adapt to changing circumstances.

"too strong!"

Director Han Hu of the teleconsultation also praised again and again:
"Dr. Qin, this way of thinking is really flexible. You can flexibly modify the plan according to the specific patient's situation. In addition to solid basic skills and flashes of talent, it is also a master's demeanor that returns to nature. Doctor Qin, your tendon suture level makes me feel ashamed and admiration."

"To be on the safe side, Lu Min, go to the teaching room immediately, follow Dr. Qin's design plan, suture the tendon and test the specific tensile data."

According to the theoretical design, Qin Lang's plan is not a problem, but it is a rigorous medical consultation after all, so, now that the conditions are available, it is ready to verify it.

"Okay, Dr. Qin, I'm going to test for you now, the data of this new and improved half-knot locking suture method."

After Lu Min left in a hurry, he entered the next step of discussion.

Shen Jiachen had great trust in Qin Lang, and said directly:

"Now that there is a suitable suture method, the next step is to deduce a suitable medium together to form a protective film, combined with the photochemical tissue adhesion technology proposed by Professor Shen."

"Yes, as long as this last step is resolved, our plan will be completely perfected."

Professor Shen Xi is also very excited at the moment. What she is best at is the ability to control the macroscopically from a strategic height, build a framework, propose a top-level design, and then implement it step by step. This process fascinates her.

But today, as soon as she put forward the idea, Qin Lang tacitly proposed the first solution, which made her very comfortable.

"Qin Lang, you've done a good job. Director Shen, Director Han, and Director Zhou, let's continue to conceive. Do you have any good ideas and specific media solutions?"

Tang Yue, who was sitting on the edge of the seat, also turned her little head, but after a while, she chose to give up, because this topic was too difficult!

At the level of a graduate student, it is impossible to think of it.

Shen Jiachen and Director Zhou also fell into hard thinking, various clinical cases flashed in their minds, and then they found sadly that they had followed the teachings of superior doctors or the various guidance of textbook guides along the way. are all executors.

Few have their own groundbreaking ideas and unique ideas.

Qin Lang controlled the rhythm of the conference room, and when it was almost done, he raised some questions:
"Teacher, can I understand that this medium can form a protective film to wrap the stump tissue treated by photochemical tissue bonding technology, so that the medium and the tendon stumps on both sides can form a tighter collagen connect?"

Professor Shen Xi fully affirmed Qin Lang's understanding:

"Yes, in my idea, I think this kind of medium can seal the stump in a space. On the one hand, the growth-promoting factors released by the stump tissue are not easy to be lost and degraded. How can we better promote endogenous growth? Sexual healing."

"On the other hand, this airtight space can significantly block the excessive infiltration of inflammatory cells in the local damaged tissue and the release of a large number of inflammatory factors, thereby weakening or even eliminating the influence of old wood keloids, thereby realizing the role of exogenous healing .”

"Endogenous and exogenous healing are two-pronged, so as to completely achieve the purpose of restoring hand function."

Listening to the questions and answers of Professor Shen Xi and Qin Lang, it is obvious that the other directors are very envious. This is their ideal teacher-student relationship.

Instead, they put forward a sentence, the little doctor would just bow his head and his mind would go blank.

This kind of feeling is like a master's trick. When a man faces an experienced sister, you pat her, and she will understand, and all kinds of actions will be unlocked immediately, but if you meet a sister who doesn't understand anything, you pat her. , she will only hit you.

After Shen Xi finished speaking, Qin Lang understood the best posture that Shen Xi wanted:
"Teacher, you also know that I like to read various cutting-edge magazines very much. In a recent study in the United States, I saw a case report of a similar principle, which used human amniotic membrane as a biological material to repair the surrounding area. Nerve injury. It can reduce the adhesion of the damaged nerve to the surrounding tissue and reduce the scar formation of the nerve anastomosis, promote the regeneration of nerve fibers, increase the diameter of the axon, thicken the myelin sheath, and effectively reduce the inflammatory reaction at the nerve incision. immune response."

"So, through this case, can we use human amniotic membrane to follow the example and use it as the ideal medium you proposed to achieve the ideal biological material for reducing adhesion and scar formation?"

"This"

Professor Shen Xi looked at Qin Lang, took a deep breath, and felt enlightened all over his body.

At the same time, Lu Min hurried back from the teaching room, with surprise and admiration that couldn't be hidden on his face.

"Professor Shen, directors, Doctor Qin, the results are out!"

(End of this chapter)