Doctor's Life Simulator

Chapter 131 The operation was successful and the guitar talent was acquired (Happy May Day! Please subscribe)

"After testing, the tensile strength of Dr. Qin's improved half-knot locking suture for a 2mm gap is (53.7±6.0) N, and the tensile strength at break is (53.7±6.0) N. It is slightly worse than the inner locking suture, but far exceeds the modified Kessler Seamed, fully meeting the tensile strength required for early workouts."

Listening to the accurate data reported by Lu Min, everyone was also very happy.

"Dr. Lu is in your test, and Dr. Qin also discussed this comprehensive plan with Professor Shen Xi. Another key medium element is the use of human amniotic membrane!"

"In other words, we have designed a perfect treatment plan."

Director Zhou was very excited. He looked at the little doctor in the conference room with some admiration, and then scanned around again:
"Everyone, let's start the patient's operation now!"

"it is good!"

Everyone was very excited. It can be said that this operation combined the techniques of general surgery, the experience of the burn and plastic surgery department, and the cutting-edge theory of the Cancer Prevention and Treatment Center. Finally, under the series and unity of Qin Lang, a classic plan was formed.

"Then let's arrange the surgery task."

Director Zhou looked at Lu Min, and Lu Min received Director Zhou's gaze. Before that, he still had the intention of taking the lead, but at this moment, no matter from the technical or psychological level, he dared not do it for him.

"Director Zhou, I will assist Dr. Qin and cooperate with Chen Mu's tendon repair surgery."

In the remote screen, Han Hu was also very pleased to see Lu Min's awareness: "Director Zhou, let's assign according to this. Doctor Qin will be the chief surgeon, and Doctor Lu will be the first assistant. You will be on the sidelines to guide and guide."

"Lu Min, although Dr. Qin is much younger than you, I hope you can realize the gap with Dr. Qin. This time, you will operate under Dr. Qin and study hard."

Han Hu has high hopes for Lu Min. In addition to medical skills, being a human being is more important. He also took this opportunity to dispel his arrogance. Knowing that there are others, he needs to maintain humility and the motivation to continue learning.

After confirming the surgical team, Professor Shen Xi on the side also said:

"Our cancer prevention and treatment center will also be carried out at the same time. I will lead the team now to prepare the laser machine and photosensitizer. And prepare the amniotic membrane. Qin Lang, in the paper you read before, are there any specific steps and parameters for processing the amniotic membrane? I need a reference."

Qin Lang nodded: "Teacher, like this, I will pass on the relevant processing steps and parameters to you through prestige while taking advantage of the gap between the preparations for the operation."

Seeing the responsive Qin Lang, all the directors were very moved. It would be great if such a good seedling was his disciple.

The same is true for Shen Jiachen, knowing that the plan to directly recruit Qin Lang as a student is impossible, so he can only hope that Tang Yue will work hard and win Qin Lang as soon as possible.

Soon, on the surface, under the assignment of Director Zhou, but in fact, under Qin Lang's core control field, the soldiers split into two groups to start this classic operation.

On the way to the operating room, Lu Min specifically said to Director Zhou:
"Director Zhou, we must record Dr. Qin's operation in a while, remember."

Director Zhou nodded: "Understood, this interdisciplinary composite restoration plan is indeed worth recording, and it will be a very classic case."

Lu Min shook his head and pointed out the important point: "Director Zhou, it's not the plan itself, but Dr. Qin's operation process. You'll understand when it's done."

"It's so powerful?"

Director Zhou was a little surprised that Dr. Qin was so admired by Lu Min, which made him a little curious.

In the preparation of the operating room, Professor Shen Xi personally led the team in the laboratory of the Cancer Prevention and Control Center to prepare the amniotic membrane according to the method provided by Qin Lang.

Under the strong influence of Professor Shen Xi, the placenta was obtained from the mother who was ruled out of infectious diseases in the hospital, and the amniotic membrane was bluntly separated from the placenta under sterile conditions.

After repeated washing with normal saline and PBS liquid, place it in the DPBS solution added with penicillin and amphotericin B for soaking and washing, then spread the amniotic membrane on the sterile PVDF membrane on the ultra-clean bench The size is 3cmX3cm, and then it is safely transported to the operating room for standby.

In the operating room, all the doctors are also in place.

Since the patient's hand has been debrided early in the Zijingang University Hospital, the next step can be performed directly.

After the brachial plexus block anesthesia was performed on the patient, the formal operation began. Chen Mu was in the supine position, and the injured limb was abducted and placed on the operating table.

Qin Lang's main knife began to cut and expose. Under Qin Lang's precise operation, the severed end of the tendon was soon exposed.

".Needle holding forceps, 4/0 non-invasive line."

Listening to Qin Lang's instructions, Lu Min was excited, and personally prepared equipment for Qin Lang, presented it, and then began to watch it carefully.

This time, it is not a demonstration, so Qin Lang is operating at a normal speed, very smooth and fast.

With the perfect level of tendon sutures, Lu Min was still shocked even though he was mentally prepared.

Meanwhile, Director Zhou watched Qin Lang's operation, and finally understood why Lu Min specifically ordered to record the video. This is really a textbook-level operation.

I saw Qin Lang's hands, powerfully and stably controlling the needle thread to enter the needle vertically from the end of the tendon. Under precise control, the needle is parallel to the tendon fibers, with a side distance of about a quarter of the diameter of the tendon and 6mm from the end of the tendon. Needle sideways.

"The needle is lifted and inserted as lightly as possible. The strength and accuracy are really admirable."

Lu Min finally understood why his suturing speed and suturing effect couldn't keep up with Qin Lang's operation. The reason was that every time he controlled it almost mechanically, the strength of each stitch was just right, which minimized the damage to the tendon. damage.

Afterwards, it is the core technique of this suture method. I saw that Qin Lang takes the needle exit as the center, equidistantly enters and exits the needle horizontally in the direction of the vertical tendon, and the tendon fiber is about 1/6 of the cross-sectional area of ​​the tendon. The suture is not tightened. A small loop is formed between where the first needle exits and the second needle enters.

"What dexterous hands. In a blink of an eye, they have completed such a complicated operation that ordinary doctors need to be careful about."

Lu Min was intoxicated again, and after returning, he must study Qin Lang's subtle operations and coherent skills.

Director Zhou at the side was also amazed, it turns out that a simple suture can achieve this level.

If he had such an assistant to suture the wound for his abdominal external hernia operation and gallbladder operation, the postoperative recovery and the aesthetics of the wound would be improved to a higher level.

Deputy Director Shen Jiachen was also very impressed. Qin Lang was simply a real genius born for clinical practice. He was wondering whether his clinical talent was wasted by letting him do scientific research with Professor Shen Xi.

However, thinking about it, Qin Lang might be able to cultivate both internally and externally.

Next, Qin Lang inserted the needle in the direction perpendicular to the tendon to the opposite side of the tendon at a point 2 mm away from the direction where the first needle exited from the first needle in the small ring, and stretched the small ring tightly. The suture wrapped around the tendon side. tendon fibers and form half of the surgical knot.

And so, cycle through, completing all the half-knots.

"Pretty!"

Lu Min couldn't help but let out a sigh.

Afterwards, it entered the extraordinary photochemical tissue bonding technology. Qin Lang took the amniotic membrane prepared by Professor Shen Xi himself.

The amniotic membrane treated with rose bengal dye was used to wrap the tendon injury area in two layers.

After that, 200 J·cm-2 laser was used to irradiate the tendon injury area wrapped with amniotic membrane. After 200 seconds, the skin was sutured and closed with 4-0 suture.

At this point, the most critical tendon injury repair of the whole operation is completed.

".Plaster cast, rubber band."

"Dr. Lu will leave the rest of the plaster cast fixation and the follow-up treatment to you."

After all, it was in someone else's territory, Qin Lang looked at Lu Min eagerly, and gave him some small jobs, and became the shopkeeper himself.

"Hey, good!"

When Lu Min heard that Qin Lang had assigned him a job, he was flattered and immediately stepped forward to take over the chief surgeon's position. In this way, he and Qin Lang had completed an operation together.

For example, Papa Ma and I are each billionaires.

After taking over the job, Lu Min also showed his quality of the golden hand of general surgery. He fixed the plaster cast on the hand and wrist joints in flexion position. A rubber band is fixed on the fingertips, and the other end is fixed on the palm side of the forearm near the wrist joint. The rubber band is removed every day and night for traction to prevent flexion and contracture of the knuckles.

"On the second day after the operation, start functional exercises in the morning, noon, and evening every day, actively extend the fingers, passively flex the fingers 10-20 times, stop passively extending the fingers after 2 weeks, and remove the splint-level traction after 4 weeks, every hour Perform active finger extension and flexion."

After Lu Min confidently issued the doctor's order, he declared that the operation was successfully completed.

[Ding, congratulations to the host for completing the task: through single-case simulation and the improvement of clinical wisdom, a perfect solution is proposed that can preserve the strength of tendon sutures and solve the inflammatory reaction caused by scar constitution.Obtaining task rewards: 1.1 life simulation points, 2. Chen Mu's guitar level]

PS: Thank you for the reward of 1500 coins from Yunyouya. Happy May Day everyone~
(End of this chapter)