Doctor's Life Simulator
Chapter 168 A Classic Surgery (for Subscription)
Chapter 168 A Classic Surgery (for Subscription)
Director Long just hung up the phone when Ling Zhongyu's phone rang, and it was Qian Mubai who called.
"Hey, Director Ling, Director Long contacted me just now. You have an allogeneic tendon repair operation here. I suggest that you transfer it to the First Hospital of Hecheng City. I have read the content and experimental data of Qin Lang's paper. , perfectly solved the difficulties of immune response and allogeneic tendon preservation. This vitrification method is very meaningful for clinical promotion, and I have arranged this paper for the next issue of "Hua Guo Hand Surgery Journal."
"If it is confirmed to be sent to a treatment center in Hecheng City, I will arrange the affairs of the department and go to the city's first hospital to participate in the entire operation process together."
After talking with Qian Mubai, Ling Zhongyu conveyed Qian Mubai's attitude to Dean Ma in every detail.
Dean Ma couldn't understand, when did a treatment center in Hecheng possess such authoritative strength, even Ling Zhongyu and Qian Mubai praised it in every possible way.
Dean Ma was very depressed. After all, this was something that would make the Ninth People's Hospital look good, but now it has to be transferred to Hecheng.
Of course, Ling Zhongyu also understood Dean Ma's thoughts. If word spread that the hand surgery department of the top hospital in Shanghai sent unsure patients to Hecheng, it would make people laugh out loud.
After thinking about it, Ling Zhongyu changed his angle:
"Dean Ma, in fact, it can't be said that it is completely sent to the treatment center of the First Hospital of Hecheng City. It should be said that it is the latest cutting-edge research achievement jointly carried out by our department and the Treatment Center of the First Hospital of Hecheng City. In fact, apart from this topic, We have also carried out many other procedures together, as well as regular expert exchanges and learning."
Qian Donglai also confirmed: "Dean Ma, we are indeed cooperating with the Municipal First Hospital on this project, and Dr. Qiao's project funding application has also been approved."
When Ling Zhongyu and Qian Donglai said this, Dean Ma's face finally softened a little, and it turned out that it was also a project that his hospital participated in.
Dean Ma looked at Qiao Yiyi with great satisfaction: "Doctor Qiao, you are young and promising, this subject is very good."
Qiao Yiyi was also very excited to be praised by Dean Ma. Their achievements were finally reaped and affirmed. Their hard work these days finally paid off.
"Director Long, then we"
Dean Ma asked cautiously.
Since Ling Zhongyu and Qian Mubai were backing it, and it was a subject of cooperation between the two houses, he had no objections.
"Director Ling, then follow your arrangement. We will transfer Captain Xiang to the First Hospital of Hecheng City immediately."
"okay!"
Ling Zhongyu immediately had a phone call with Director Wei Guoqiang. For this, Wei Guoqiang naturally wished for it and was extremely honored.
When the team from the Ninth People's Hospital Affiliated to Jiaotong University in Shanghai went to the First Hospital of Hecheng City, the treatment center also started methodical preparations with the personal participation of Wei Guoqiang and the presidency of Qin Lang.
Hearing that Ling Zhongyu, Qian Mubai, and Director Long were all rushing to the treatment center of the Municipal No. [-] Hospital, Wei Guoqiang also specially contacted Director Hang to accompany him.
This is a very publicized operation for the treatment center of the city's first hospital.
Moreover, the object of the operation was a brave and fearless fire chief, which further increased the significance of promotion and positive energy.
Gathering a team of several top doctors to treat and operate on the heroes of the people is also a consolation to these selfless people.
After more than an hour, Captain Xiang, Ling Zhongyu and others arrived at the City No. [-] Hospital.
Dean Hang, Director Wei, and Qin Lang greeted the team together.
Dean Hang is also honored and proud of this. This is the first time that a top team from Shanghai City has been transferred to the city's first hospital for support.
This is undoubtedly a milestone event for the Wound Treatment Center.
And the creator of all this is the young Qin Lang.
Dean Hang has also discussed with Wei Guoqiang. Once Qin Lang's thesis is published and his rotation in the emergency department is completed, a green channel will be opened for him to be directly promoted to attending physician.
Qin Lang will also become the youngest attending physician in the history of Hecheng First Hospital.
Seeing the famous Qian Mubai, Ling Zhongyu, and the team from the Modu, Wei Guoqiang was also very excited, and immediately led everyone to the ward.
Under the auspices of Wei Guoqiang, Qin Lang proposed a complete and systematic operation plan, and after everyone unanimously approved it, the preparations for the operation began.
This operation is undoubtedly groundbreaking.
After performing a brachial plexus block on the captain, place him in a supine position.
Qin Lang was the chief surgeon of this operation, and Huang Ping of the research team also got what he deserved. In such a major operation, Qin Lang asked him to be in charge of the preparation of the allogeneic tendon.
When Huang Ping saw Ling Zhongyu and Qian Mubai, he was in a daze. He, a little doctor, had the opportunity to show it in front of them.
Qian Mubai and Ling Zhongyu were characters that appeared in textbooks when he was in school.
However, seeing Qin Lang sitting on an equal footing with them, even made the two of them transport patients from thousands of miles away to watch their operations.
It was also the first time Huang Ping realized that what Cheng Yunfeng said in the group before was too conservative!Brother Qin is more vigorous than he imagined!
On the operating table, Huang Ping was slightly nervous.
"Relax, it's just like the usual preparation in the laboratory. You can do it."
As the leader of the research group, Qin Lang is of course responsible for soothing the mood of the team members. Under his comfort, Huang Ping also took a deep breath. His mind was full of hundreds of operations on weekdays, and he started the recovery before transplantation. Temperature, and sucrose D-Hank's solution elution treatment.
After the tendon elasticity recovers, it is soaked in dexamethasone for use.
Seeing Huang Ping's impressive operations, Wei Guoqiang was also a little surprised.
Unexpectedly, under the leadership of Qin Lang, even a small doctor like Huang Ping can show his demeanor in front of this level of observation group.
"In addition to his own strength, this kid also admires his ability to lead a team."
Wei Guoqiang is very clear that, apart from this research group, Tang Yue has already completed the publication of the paper.And Yang Yi and Yang Yue are also able to carry out Qin Fa's spell development on their own.
Seeing Huang Ping's operation, Ling Zhongyu and Qian Mubai also nodded repeatedly. This will be a classic operation in the field of tendon allograft transplantation, and they are also important participants and witnesses.
Soon, Qin Lang completed the routine pre-debridement and various treatments, and then entered the exciting allogeneic tendon transplantation.
Apply a balloon tourniquet to the captain's affected limb.
According to the number and location of tendons to be transplanted and repaired, Qin Lang began to design the incision, and exposed the distal and proximal end of the total loss of tendon in the recipient area, and cleaned the channel of the transplanted tendon.
The whole process was very clean and neat.
Qian Mubai, Ling Zhongyu, Qian Donglai and others were amazed: "Doctor Qin's basic clinical skills are really solid."
After selecting the allograft tendon of appropriate length and thickness, the suturing of the extensor tendon begins.
For the extensor tendon, Qin Lang used the braided suture method, which is suitable for the suture of tendons of different thickness.
Qin Lang first poked the thick tendons with a knife, and prepared the thinner key strips for insertion.
Looking at Qin Lang, the silver light of the scalpel flashed, and everyone held their breath.
With one cut, without unnecessary movements, Qin Lang began to sew the thin tendon through the opening.
At intervals slightly perpendicular to the plane of the previous poke, make another poke, and continue to weave and merge the thin tendons.
Afterwards, cut off the thin tendon that is too long, suture the broken end and hide it in the thick tendon, then poke a hole in the thin tendon, and insert the end of the thick tendon.
Pass the thick tendon through the poking opening and suture, cut off the excess tendon, and suture the end to hide the thin tendon,
The whole movement was smooth and smooth, and soon the two tendons were woven together, making it difficult to separate each other.
"Watching Dr. Qin's stitches is always so enjoyable."
Qian Mubai was full of admiration, and it was not in vain that he rushed over specially.
After completing the suture of the extensor tendon, it is time to enter the suture of the flexor tendon. Qin Lang used a ferrule.
Seeing Qin Lang's adaptable suture selection, Ling Zhongyu, Qian Mubai and the others admired it a little.
"The stitching method chosen every time is unexpected and reasonable."
Ling Zhongyu is also ashamed of himself, if it were him, he would directly weave and sew all the way to the end.
Next, Qin Lang changed another suture method, which is the simplest figure-of-eight suture method, which is suitable for end-to-end sutures of tendons of the same thickness.
In this suture method, the sutures and knots are both within the tendon bundle and between the tendon ends, thus helping to reduce peritendon adhesions.
"Amazing."
Wei Guoqiang sighed with emotion and felt proud at the same time, this is the soul of his treatment center.
After that, Qin Lang began to suture the tendon to the bone, and removed the cortical bone in the insertion area with a scalpel to form a rough surface.
"Where did you learn all these little tricks from Qin Lang?"
Allogeneic tendon transplantation is rarely carried out, so Director Ling and Director Qian didn't pay much attention to this small detail.
On the operating table, Qin Lang is to lead out both ends of the tendon suture from the end of the tendon, and then pass it out from both sides of the phalanx to the back of the finger.
".Rolls of fine yarn."
With the obedient cooperation of the equipment nurse, Qin Lang quickly put the spun gauze roll on the nail, then tightened the tendon suture and tied it, so that the end of the tendon was close to the rough bone surface.
After completing these steps, Qin Lang began to use the "Qin method" of amniotic membrane wrapping and photochemical tissue bonding technology.
Looking at Qin Lang's operation, Ling Zhongyu and others had to admire it.
"This Qin method can really be applied to various techniques, and can greatly improve the early tensile strength and adhesion."
Qian Mubai's heart was also moved. Do you want to invite this Qin Fa to "Hua Guo Hand Surgery Journal"?
Seeing Qin Lang's excellent performance, Wei Guoqiang almost wanted to laugh. The vitrification preservation method of the allogeneic tendon and the birth of Qin Fadu will truly make the National Wound Treatment Center of the First Hospital of the city famous. rise up!
He sent Peng Yun to the side early to record the operation process and the scenes watched by top experts, and then put it into the development history of the treatment center.
After Qin Lang completed all the operations, he adjusted the patient's fingers to the resting position.
You're done.
"Clap clap~"
In the operating room, Qian Mubai and Ling Zhongyu took the lead in applauding, Wei Guoqiang, Qian Donglai and others also sincerely admired them.
PS : Thanks to Mingyuetianxingkongye for another 100 coin reward, happy~
(End of this chapter)
Director Long just hung up the phone when Ling Zhongyu's phone rang, and it was Qian Mubai who called.
"Hey, Director Ling, Director Long contacted me just now. You have an allogeneic tendon repair operation here. I suggest that you transfer it to the First Hospital of Hecheng City. I have read the content and experimental data of Qin Lang's paper. , perfectly solved the difficulties of immune response and allogeneic tendon preservation. This vitrification method is very meaningful for clinical promotion, and I have arranged this paper for the next issue of "Hua Guo Hand Surgery Journal."
"If it is confirmed to be sent to a treatment center in Hecheng City, I will arrange the affairs of the department and go to the city's first hospital to participate in the entire operation process together."
After talking with Qian Mubai, Ling Zhongyu conveyed Qian Mubai's attitude to Dean Ma in every detail.
Dean Ma couldn't understand, when did a treatment center in Hecheng possess such authoritative strength, even Ling Zhongyu and Qian Mubai praised it in every possible way.
Dean Ma was very depressed. After all, this was something that would make the Ninth People's Hospital look good, but now it has to be transferred to Hecheng.
Of course, Ling Zhongyu also understood Dean Ma's thoughts. If word spread that the hand surgery department of the top hospital in Shanghai sent unsure patients to Hecheng, it would make people laugh out loud.
After thinking about it, Ling Zhongyu changed his angle:
"Dean Ma, in fact, it can't be said that it is completely sent to the treatment center of the First Hospital of Hecheng City. It should be said that it is the latest cutting-edge research achievement jointly carried out by our department and the Treatment Center of the First Hospital of Hecheng City. In fact, apart from this topic, We have also carried out many other procedures together, as well as regular expert exchanges and learning."
Qian Donglai also confirmed: "Dean Ma, we are indeed cooperating with the Municipal First Hospital on this project, and Dr. Qiao's project funding application has also been approved."
When Ling Zhongyu and Qian Donglai said this, Dean Ma's face finally softened a little, and it turned out that it was also a project that his hospital participated in.
Dean Ma looked at Qiao Yiyi with great satisfaction: "Doctor Qiao, you are young and promising, this subject is very good."
Qiao Yiyi was also very excited to be praised by Dean Ma. Their achievements were finally reaped and affirmed. Their hard work these days finally paid off.
"Director Long, then we"
Dean Ma asked cautiously.
Since Ling Zhongyu and Qian Mubai were backing it, and it was a subject of cooperation between the two houses, he had no objections.
"Director Ling, then follow your arrangement. We will transfer Captain Xiang to the First Hospital of Hecheng City immediately."
"okay!"
Ling Zhongyu immediately had a phone call with Director Wei Guoqiang. For this, Wei Guoqiang naturally wished for it and was extremely honored.
When the team from the Ninth People's Hospital Affiliated to Jiaotong University in Shanghai went to the First Hospital of Hecheng City, the treatment center also started methodical preparations with the personal participation of Wei Guoqiang and the presidency of Qin Lang.
Hearing that Ling Zhongyu, Qian Mubai, and Director Long were all rushing to the treatment center of the Municipal No. [-] Hospital, Wei Guoqiang also specially contacted Director Hang to accompany him.
This is a very publicized operation for the treatment center of the city's first hospital.
Moreover, the object of the operation was a brave and fearless fire chief, which further increased the significance of promotion and positive energy.
Gathering a team of several top doctors to treat and operate on the heroes of the people is also a consolation to these selfless people.
After more than an hour, Captain Xiang, Ling Zhongyu and others arrived at the City No. [-] Hospital.
Dean Hang, Director Wei, and Qin Lang greeted the team together.
Dean Hang is also honored and proud of this. This is the first time that a top team from Shanghai City has been transferred to the city's first hospital for support.
This is undoubtedly a milestone event for the Wound Treatment Center.
And the creator of all this is the young Qin Lang.
Dean Hang has also discussed with Wei Guoqiang. Once Qin Lang's thesis is published and his rotation in the emergency department is completed, a green channel will be opened for him to be directly promoted to attending physician.
Qin Lang will also become the youngest attending physician in the history of Hecheng First Hospital.
Seeing the famous Qian Mubai, Ling Zhongyu, and the team from the Modu, Wei Guoqiang was also very excited, and immediately led everyone to the ward.
Under the auspices of Wei Guoqiang, Qin Lang proposed a complete and systematic operation plan, and after everyone unanimously approved it, the preparations for the operation began.
This operation is undoubtedly groundbreaking.
After performing a brachial plexus block on the captain, place him in a supine position.
Qin Lang was the chief surgeon of this operation, and Huang Ping of the research team also got what he deserved. In such a major operation, Qin Lang asked him to be in charge of the preparation of the allogeneic tendon.
When Huang Ping saw Ling Zhongyu and Qian Mubai, he was in a daze. He, a little doctor, had the opportunity to show it in front of them.
Qian Mubai and Ling Zhongyu were characters that appeared in textbooks when he was in school.
However, seeing Qin Lang sitting on an equal footing with them, even made the two of them transport patients from thousands of miles away to watch their operations.
It was also the first time Huang Ping realized that what Cheng Yunfeng said in the group before was too conservative!Brother Qin is more vigorous than he imagined!
On the operating table, Huang Ping was slightly nervous.
"Relax, it's just like the usual preparation in the laboratory. You can do it."
As the leader of the research group, Qin Lang is of course responsible for soothing the mood of the team members. Under his comfort, Huang Ping also took a deep breath. His mind was full of hundreds of operations on weekdays, and he started the recovery before transplantation. Temperature, and sucrose D-Hank's solution elution treatment.
After the tendon elasticity recovers, it is soaked in dexamethasone for use.
Seeing Huang Ping's impressive operations, Wei Guoqiang was also a little surprised.
Unexpectedly, under the leadership of Qin Lang, even a small doctor like Huang Ping can show his demeanor in front of this level of observation group.
"In addition to his own strength, this kid also admires his ability to lead a team."
Wei Guoqiang is very clear that, apart from this research group, Tang Yue has already completed the publication of the paper.And Yang Yi and Yang Yue are also able to carry out Qin Fa's spell development on their own.
Seeing Huang Ping's operation, Ling Zhongyu and Qian Mubai also nodded repeatedly. This will be a classic operation in the field of tendon allograft transplantation, and they are also important participants and witnesses.
Soon, Qin Lang completed the routine pre-debridement and various treatments, and then entered the exciting allogeneic tendon transplantation.
Apply a balloon tourniquet to the captain's affected limb.
According to the number and location of tendons to be transplanted and repaired, Qin Lang began to design the incision, and exposed the distal and proximal end of the total loss of tendon in the recipient area, and cleaned the channel of the transplanted tendon.
The whole process was very clean and neat.
Qian Mubai, Ling Zhongyu, Qian Donglai and others were amazed: "Doctor Qin's basic clinical skills are really solid."
After selecting the allograft tendon of appropriate length and thickness, the suturing of the extensor tendon begins.
For the extensor tendon, Qin Lang used the braided suture method, which is suitable for the suture of tendons of different thickness.
Qin Lang first poked the thick tendons with a knife, and prepared the thinner key strips for insertion.
Looking at Qin Lang, the silver light of the scalpel flashed, and everyone held their breath.
With one cut, without unnecessary movements, Qin Lang began to sew the thin tendon through the opening.
At intervals slightly perpendicular to the plane of the previous poke, make another poke, and continue to weave and merge the thin tendons.
Afterwards, cut off the thin tendon that is too long, suture the broken end and hide it in the thick tendon, then poke a hole in the thin tendon, and insert the end of the thick tendon.
Pass the thick tendon through the poking opening and suture, cut off the excess tendon, and suture the end to hide the thin tendon,
The whole movement was smooth and smooth, and soon the two tendons were woven together, making it difficult to separate each other.
"Watching Dr. Qin's stitches is always so enjoyable."
Qian Mubai was full of admiration, and it was not in vain that he rushed over specially.
After completing the suture of the extensor tendon, it is time to enter the suture of the flexor tendon. Qin Lang used a ferrule.
Seeing Qin Lang's adaptable suture selection, Ling Zhongyu, Qian Mubai and the others admired it a little.
"The stitching method chosen every time is unexpected and reasonable."
Ling Zhongyu is also ashamed of himself, if it were him, he would directly weave and sew all the way to the end.
Next, Qin Lang changed another suture method, which is the simplest figure-of-eight suture method, which is suitable for end-to-end sutures of tendons of the same thickness.
In this suture method, the sutures and knots are both within the tendon bundle and between the tendon ends, thus helping to reduce peritendon adhesions.
"Amazing."
Wei Guoqiang sighed with emotion and felt proud at the same time, this is the soul of his treatment center.
After that, Qin Lang began to suture the tendon to the bone, and removed the cortical bone in the insertion area with a scalpel to form a rough surface.
"Where did you learn all these little tricks from Qin Lang?"
Allogeneic tendon transplantation is rarely carried out, so Director Ling and Director Qian didn't pay much attention to this small detail.
On the operating table, Qin Lang is to lead out both ends of the tendon suture from the end of the tendon, and then pass it out from both sides of the phalanx to the back of the finger.
".Rolls of fine yarn."
With the obedient cooperation of the equipment nurse, Qin Lang quickly put the spun gauze roll on the nail, then tightened the tendon suture and tied it, so that the end of the tendon was close to the rough bone surface.
After completing these steps, Qin Lang began to use the "Qin method" of amniotic membrane wrapping and photochemical tissue bonding technology.
Looking at Qin Lang's operation, Ling Zhongyu and others had to admire it.
"This Qin method can really be applied to various techniques, and can greatly improve the early tensile strength and adhesion."
Qian Mubai's heart was also moved. Do you want to invite this Qin Fa to "Hua Guo Hand Surgery Journal"?
Seeing Qin Lang's excellent performance, Wei Guoqiang almost wanted to laugh. The vitrification preservation method of the allogeneic tendon and the birth of Qin Fadu will truly make the National Wound Treatment Center of the First Hospital of the city famous. rise up!
He sent Peng Yun to the side early to record the operation process and the scenes watched by top experts, and then put it into the development history of the treatment center.
After Qin Lang completed all the operations, he adjusted the patient's fingers to the resting position.
You're done.
"Clap clap~"
In the operating room, Qian Mubai and Ling Zhongyu took the lead in applauding, Wei Guoqiang, Qian Donglai and others also sincerely admired them.
PS : Thanks to Mingyuetianxingkongye for another 100 coin reward, happy~
(End of this chapter)
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