Doctor's Life Simulator

Chapter 26 Tian Hua: The Burn Department of the First Hospital of the City is Crouching Tiger, Hidden Dragon
Hearing Qin Lang's words, Wu Youtu nodded and continued to let him operate. So far, the operations have been very good, even he can't do it so well.

However, after all, he had seen Qin Lang perform scab removal and ordinary debridement, but he had never done the more difficult vascular debridement.

Wu Youtu thought for a while: "Qin Lang, if it doesn't work, just tell me and leave the rest to me."

It was Qin Lang who answered him, with chic and smooth movements, and calm instructions:
".Gauze belt, soft rubber tube."

For vascular debridement, the most important step is to control bleeding. Qin Lang uses a tourniquet to compress and bandage temporarily to stop bleeding where allowed.

Since Shen Fang's wound was quite special, he couldn't use a tourniquet, so Qin Lang made a small incision above the wound.

Seeing Qin Lang's ability to adapt to changes, Wu Youtu admired again in his heart:
"This kid is so talented. This technique of blood vessel debridement seems to have decades of skill. This reveals the near section of the injured artery, which is even more precise and beautiful."

".Hemostat."

Seeing Qin Lang's next operation, Wu Youtu's eyes widened: "Is he going to directly use hemostatic forceps and gauze to control the blood flow!"

Under normal circumstances, doctors would use the most convenient non-damaging vascular clips to control the blood flow, but Shen Fang's affected area was quite special, and there was no particularly suitable vascular clip, so there would be some problems regardless of the model.

Therefore, Qin Lang directly put the gauze tape over the blood vessel and then lifted the blood vessel, pinched it tightly with his fingers, and controlled the blood flow through the strength of his fingertips.

This is an operation that only experienced doctors who are extremely confident in their skills dare to do. Even Wu Youtu dare not try it lightly.

"This guy is amazing!"

Next, Qin Lang entered the routine debridement, cleaning the wound and the surrounding skin.

".tweezers, surgical scissors"

The action was very quick, Qin Lang removed the foreign body, stopped the bleeding, and rinsed cleanly.

After completing this step, it is time to enter the blood vessel.

".Scalpel"

Qin Lang followed the direction of the blood vessels, extended the previous incision up and down, fully exposed the blood vessels, and soon controlled the two ends of the blood vessels that were not fully exposed.

".100ml normal saline contains 10mg heparin"

Qin Lang's brain quickly calculated the damage type, degree and scope of the blood vessels, as well as the damage to the adjacent tissues, and quickly decided on a repair plan.

Seeing Qin Lang's neat operation, Wu Youtu was completely relieved.

Moreover, he began to think in his heart that Qin Lang's comprehensive debridement surgery can definitely be used as a classic teaching video.

There are special cameras in the operating room, which will record the operation process. One is to keep it as evidence to prevent various disputes. The other is to be reviewed by superior doctors, and excellent operation videos can also be used as evidence. Cases for other doctors to observe and learn from.

Undoubtedly, Qin Lang's operations today are at the textbook level. In addition to the standard movements themselves, Qin Lang's choices and ideas at each stage are also worth promoting and learning.

"It's really talented people from generation to generation."

Wu Youtu quietly admired Qin Lang's operation.

Since the repair of blood vessels must be carried out on the healthy vessel wall, the damaged tissue of the vessel wall must be fully and completely removed from the contaminated and damaged parts.

Therefore, the surgeon needs to be very careful and precise in operation. After completing the external debridement, Qin Lang also carefully inspected the intima of the blood vessel, and completely removed the incomplete intima.

In order to prevent the formation of thrombus, Qin Lang resected about 5mm beyond the visible damage.

"This length is really good. If it is longer, it will affect the end-to-end anastomosis of blood vessels."

The more Wu Youtu looked at it, the more frightened he became, and it was inevitable that he also felt a sense of sadness. At his age, he really lived on a dog.

Next, Qin Lang also performed debridement on the remaining blood vessels. Since one blood vessel was suspected to be partially damaged, it was directly removed in order to prevent the formation of thrombus in the later stage and the anastomotic wound dehiscence.

"This kid is really decisive. When I was like him, I was worried about cutting too much, and it was difficult to anastomose, so I was often hesitant."

However, although Qin Lang removed the hidden danger, it also added a lot of difficulty to the anastomosis of blood vessels.

"Fortunately, Director Tian Hua and Director Wei Guoqiang will come to perform the anastomosis soon."

Wu Youtu rejoiced in his heart. It would be really difficult for him to accept the blood vessels that Qin Lang had created.

"It's almost time, and our task is about to be completed. The next step is to wait for the two directors to come over."

Wu Youtu breathed a sigh of relief, and said to Qin Lang: "Qin Lang, you did a great job. You will watch and learn from the two directors' operations after a while. This is a rare opportunity."

Outside the operating room, Wang Youming also kept an eye on the time, feeling extremely nervous.

While he was waiting, his cell phone rang, and after looking at it, it was Director Tian Hua.

Wang Youming picked up the phone immediately, and then heard Director Tian Hua's very sorry and frustrated voice on the phone.

The absolute journey from Hangcheng to Hecheng No. [-] Hospital was indeed just over an hour, but they encountered a traffic jam on the expressway around the city.

A large truck rolled over in front of them, causing a serious traffic accident, so they couldn't get back for a while.

Even if they can get to the city's first hospital, it is very likely that they will miss the best time for treatment.

"Then what to do, Dr. Wu has already gone in to start the initial debridement operation. He said that he will wait for you to perform the tendon and nerve anastomosis operation later."

Wang Youming suddenly became anxious.

However, Tian Hua remained calm on the phone.

"Captain Wang, don't worry. I'll make a video call with Dr. Wu in a while to see how they're done, and ask him to send photos of Shen Fang's current surgery progress. Director Wei and I will analyze and judge together. "

"On the one hand, we try to find a way to get back as soon as possible. If it really doesn't work, we can only remotely command Wu Zhizhi and carry out the operation."

"Okay, okay, Director Tian, ​​you must heal Shen Fang's hand. The child is only 19 years old, so he can't just become disabled."

Wang Youming was quite old, and he almost begged and said to Director Tian who had never met him before.

"Okay, Captain Wang, let's do it first, we will contact Dr. Wu now to direct the next operation."

After hanging up the phone, Wei Guoqiang got on the phone with the department. The operating room of the Department of Burns and Plastic Surgery in the No. [-] Hospital of the city now has an advanced remote consultation platform system, which can provide remote surgical guidance through mobile phones, online surgery live streaming.

Immediately, the operating room where Wu Youtu was located established contact with Wei Guoqiang.

In desperation, Wei Guoqiang and Tian Hua could only temporarily judge the progress of the operation remotely and formulate the next operation plan.

In the operating room, the preparatory work has almost been completed.

Therefore, when the remote consultation platform system was connected, Wu Youtu reported the situation in detail.

At the same time, the photos of Shen Fang's affected area before the operation and the photos of the debridement completed were sent to Director Wei together.

On the ring road, the two directors frowned when they saw the initial photo of Shen Fang.

"The situation of Shen Fang is really not optimistic. It is really very difficult to completely restore the function."

Tian Hua has a lot of research on tendon suture and nerve anastomosis, even he is only [-] to [-]% sure.

"Besides, debridement is particularly important before tendon suture and nerve anastomosis. I don't know how Wu's work is done."

After the two directors analyzed Wan Chenfang's condition, they immediately clicked on the debridement photo.

Seeing the debridement scene nearing the end, the two chief directors were slightly taken aback, especially Wei Guoqiang had the feeling of meeting Wu Youtu for the first time.

Director Tian Hua also looked at Wei Guoqiang: "Director Wei, the burn department of your city's No. [-] Hospital is really a hidden dragon and a crouching tiger. No wonder you have the confidence to build a national-level wound treatment center."

ps: Thanks for moving bricks in the desert, humble gentleman and self-effacing reward~Thank you boss~
(End of this chapter)