Doctor's Life Simulator

Chapter 155 Admire!Subject exchange, Qin Lang proposed improvement suggestions (seeking subscription)

Deputy Director Qian Dongyu said to everyone:

"As one of the most important fingers, the thumb accounts for 50% of the hand function, and the flexor function of the thumb accounts for 20% of the thumb function. Good flexor function of the thumb is the basis for the thumb to complete fine movements"

In the conference room, everyone nodded in agreement. Obviously, although Deputy Director Qian's sharing was not as amazing as Qin Lang's Qin Fa, it was still very clinically meaningful.

Director Ling and Deputy Director Qian also felt respect and sincerity from the concentration, seriousness and humility of the doctors.

The academic atmosphere in the treatment center of the first hospital in the city is really good!

Deputy Director Qian also talked more and more freely:
"Thus, thumb flexor tendon injury leads to thumb dysfunction, and its effective repair is extremely important. Because of the complex tendon sheath system, the tendon injury in area II is prone to adhesion after operation, so the repair of tendon injury in area II has always been a difficult point in clinical treatment."

While Qian Donglai was talking, Qiao Yiyi on the side cooperated tacitly. Obviously, he was no less a tool person.

"The ideal flexor tendon repair needs to have enough tension to resist early rehabilitation training, so I used the modified Kessler method, and proposed a core idea of ​​peritendon suture, completely retaining the flexor tendon sheath to avoid arch suspension deformity Appear."

When Qian Dongyu was talking about his plan, he still entered a state of ecstasy, and soon he exchanged photos of his previous surgical procedures, as well as the ideas, advantages and disadvantages of the entire operation with everyone.

".I used 6/0 Proline suture around the tendon to keep the suture opening of the tendon smooth. If the trochlear is trapped during the operation, you can use vascular forceps to go deep into the trochlear to expand it appropriately."

After introducing the entire surgical plan, Deputy Director Qian reported the results of his plan:
"All patients under this operation had primary wound healing, no tendon rupture, and 1 case of tendon adhesion. All 35 cases were followed up for 3 to 9 months, with an average of 5.5 months. According to Kleinert tendon postoperative According to the evaluation standard, 18 cases were excellent, 14 cases were good, 2 cases were fair, and 1 case was poor, with an overall excellent and good rate of 91.4%.

After listening, Deputy Director Qian Dongyu's achievements, Huang Kaihang, Yang Yi and Yang Yue and other senior physicians in hand surgery all admired them very much. This data is really far beyond the general surgery.

"Director Qian's technique is really effective."

Deputy Director Huang said with emotion.

Yang Yi Yang Yue also praised: "Director Qian's improvement is really eye-catching and has great significance for promotion. This suture around the tendon is indeed a brand new idea, which can narrow the gap between the fingers at the end of the tendon. It also makes the tendon suture smoother."

Several people exchanged, and Qian Dongyu was also a little ashamed:
"Speaking of which, before I came to the First Hospital of the city, I was really confident about this operation, especially the way of suturing around the tendon. In addition to effectively increasing the tensile capacity of the tendon, it is conducive to early functional training. However, in order to balance the suture strength of the tendon and the blood supply of the tendon, we still need to learn from Dr. Qin's "Qin method."

"I really didn't expect that in addition to the innovation of the suture method, someone could think of using photochemical tissue bonding technology to reduce inflammation and enhance tensile strength, while improving blood supply. The most amazing thing is that the amniotic membrane Under the wrapping, the synovial fluid secreted by the tendon sheath can also be preserved, which not only provides nutrition, but also acts as a pulley."

After hearing Deputy Director Qian's heartfelt analysis, everyone nodded in agreement.

To some extent, the peritendinous suture proposed by Deputy Director Qian and Qin Lang's improved semi-knot locking suture method are similar in terms of ideas and principles, but Qin Lang combines photochemical tissue bonding technology with amniotic membrane wrapping After that, a qualitative change occurred.

And this is just one of "Qin Fa's" skills. It can be seen that in front of Qin Lang, Deputy Director Qian is really far away.

For Deputy Director Qian, the lack of acknowledgment so generously and his appreciation for Qin Lang, the doctors in the treatment center of the city's first hospital also had a good impression of Deputy Director Qian.

The exchange and study between the two hospitals requires such a good atmosphere, healthy competition, and mutual learning and progress.

After several doctors put forward their ideas, Dr. Qian Dongyu also looked at Qin Lang, hoping that he could say a few words.

Qin Lang, who has perfect tendon sutures, also thinks Qian Dongyu's plan is very good. After thinking about it, he is going to give him some optimization suggestions.

"Director Qian, I think your improved suturing method is unique, very representative and clinically significant. The overall idea is also similar to the Qin method I created. Qin method can be appreciated by Director Qian and Director Ling. It is a great honor for me, too.”

"After reading Director Qian's plan, I think there is still room for improvement."

Hearing Qin Lang's words, everyone was slightly surprised. Deputy Director Qian had such a mature plan, and there was still room for improvement.

Director Ling Zhongyu and Qian Dongyu couldn't believe it:
"Doctor Qin, please advise?"

Qian Dongyu really wants to know this time, where is there any omission in his plan, Qin Lang's eyes are so poisonous?

Ling Zhongyu also felt a little absurd. If Qin Lang could really take Qian Dongyu's plan a step further, wouldn't it mean that his realm and level were far superior to everyone present.

In the anticipation of everyone holding his breath, Qin Lang stood up, walked to the front of the small whiteboard, and began to draw:

"Because of its unique anatomy, the flexor hallucis longus tendon is not bound by lumbrical muscles and other tendons, so the proximal end of the flexor hallucis longus tendon is easily retracted after injury, which increases the difficulty of surgical repair. Director Qian also used Extensive thenar myotomy, due to Director Qian’s superb skills and top level in the industry, most cases avoid damage to the recurrent branch of the median nerve when the incision is clamped, but there are always negligence, which is why few The poor prognosis of one patient was due to damage to the recurrent branch of the median nerve and aggravated postoperative tendon adhesions."

Hearing Qin Lang's analysis, Qian Dongyu recalled it, and Qin Lang really hit the mark.

This is indeed his technique, the most risky step, but he has never thought of a better way.

Could it be that there is really a more effective incision?

Qian Dongyu became excited: "Doctor Qin, do you have a better method?"

Ling Zhongyu also looked at Qin Lang with a slightly changed expression. This young doctor already had the bearing of a great doctor.

Give pointers to the country and inspire words.

The same is true for Qiao Yiyi, who watched Qin Lang's performance in shock, and was able to come up with a better way of improvement just after watching Director Qian's proposal, which is amazing.

At the same time, her heart became hot. Dr. Qin can really carry out the project of allogeneic tendon preservation with her!
"Doctor Qin, I know I was wrong, can you accept me again!"

Qiao Yiyi said something secretly in her heart, looking at Qin Lang with longing eyes.

As for Qin Lang, he also calmly began to improve Qian Donglai's plan, which was also considered a benefit for them in this exchange event.

Draw stroke by stroke on the whiteboard, and watch the new cutting method gradually take shape.

Qian Donglai's whole body was covered with hairs, it turned out that this is still possible!
Ling Zhongyu also suddenly realized: "I admire it!"

PS: Thank you for the reward of 100+100 coins in the bright moon and starry sky night, okay~
(End of this chapter)