Doctor's Life Simulator

Chapter 29 The two directors arrived, and the operation has been completed!

Wu Youtu nervously watched Qin Lang's operation. Nerve anastomosis is much more difficult than blood vessel anastomosis, and the requirements for strength and accuracy are higher.

I only saw that Qin Lang is currently suturing a traction and fixing line on both sides of the nerve stump to make the nerve stump accurately aligned.

This step is very important, and only when it is aligned to prevent twisting can the following sutures be performed.

"This strength control is really good."

Wu Youtu only felt a flash in front of his eyes, and Qin Lang had completed the first step, which was several times faster than he imagined, and it was very smooth.

"No matter how you feel the nerve anastomosis, it seems that there is no difficulty."

Wu Youtu felt absurd, of course, he knew it was just his brain thinking this way, not his hands.

Brain: Hey hey, I will.

Hand: slightly slightly slightly, you can't!
Between the two traction lines, Qin Lang used interrupted sutures very gently to avoid suturing the nerve bundles.

Wu Youtu quickly understood Qin Lang's fine manipulation, different thicknesses of nerves, different numbers of stitches were used, and the knotting of the sutures was just right, neither tight nor loose.

"It's not a practice with thousands of cases, can it really be so easy?"

Wu Youtu felt that even if he practiced for a lifetime, he would not be able to reach such a level of proficiency.

"Qin Lang, how did you do it? This clinical talent is too amazing."

In order to avoid nerve twisting and tension, the control of strength is very subtle. The best situation is to keep just contact between the sections of nerve bundles.

Obviously, Qin Lang's stitching has reached this perfect state.

Wu Youtu has truly believed that Qin Lang can restore Shen Fang to his original state.

"I really want to see the reaction of the two directors after seeing Qin Lang complete the operation."

Wu Youtu felt a lot more relaxed.

After one epineurium suture is completed, the second perineurium suture is started. Since the nerve is very thin, excellent eyesight is required.

Qin Lang smoothly cut off the epineurium within 1cm of the proximal end to expose the nerve bundle.The next step is to start matching the nerve bundles and bundle groups of the nerve stumps.

This feeling is like the connection of network cables, and the nerve bundles correspond one by one.

After matching, Qin Lang sutures each pair of nerve bundles, one pair, basically 1~2 stitches.

The bundle group suture will be doubled, and the whole suture process will be sutured sequentially from deep to shallow.

Under Qin Lang's operation, the whole movement is very elegant and orderly, giving people a kind of spiritual enjoyment.

Seeing that the nerve bundles were stitched together, Wu Youtu nodded again and again, especially, some extremely fine nerve bundles, like thin copper wires in electric wires, returned to their place one by one under Qin Lang's skillful hands!

Ten minutes later, Qin Lang completed the entire nerve anastomosis.

The patrolling nurse obediently wiped the sweat off Qin Lang's forehead.

After finishing this step, Qin Lang did not choose to rest, but continued to the next step, tendon suturing!

There are many ways to suture the tendon, such as common figure-eight contralateral suture, Kessler method, Kleinert method, Tsuge method and so on.

As for the perfect tendon suture, Qin Lang is familiar with these techniques and is able to deal with different situations, which is the best choice.

Therefore, there is no jerk in the slightest. At first glance, a comprehensive suture plan will be formed after a few minutes.

".No.5 straight needle, No.5 non-invasive suture monofilament cotton thread"

Qin Lang took the lead in suturing tendons at both ends with equal diameters, inserting a needle at a distance of 0.5 cm from the tendon stump, and suturing the opposite ends in a figure-of-eight pattern.

The whole movement is smooth and smooth, and then a clean and even knot is completed, and a tendon is sutured.

Next came the operation, the most difficult suture, the tendon of the first joint of Shen Fang's thumb was severed.

Like a severed rubber band, the proximal end of his flexor hallucis longus tendon snapped back into the carpus.

Therefore, Qin Lang needs to make an incision to expose the flexor joint at the distal end.

The next step is to find the proximal end of the tendon, which is very critical. With Qin Lang's rich experience, he quickly found it.

".Syringe needles."

Hearing Qin Lang's words, Wu Youtu on the side was obviously a little puzzled: "What is this for?"

The next moment, he saw Qin Lang's adaptability, and even inserted a syringe needle into the tendon, stuck it, and fixed it to prevent it from retracting.

"Smart!"

Wu Youtu felt a sense of reward from seeing a superior doctor perform an operation, so he memorized this little trick.

Qin Lang took advantage of the opportunity to start the end-to-end anastomosis of the stump of the flexor hallucis longus tendon. After the suture was completed, another incision was made at the horizontal crease on the palm side, and the proximal end of the flexor hallucis longus tendon was introduced with a probe. into the incision.

"Is this adjusting the tension?"

Seeing Qin Lang's slight hovering action, Wu Youtu felt a little uncertain. After all, he was not very good at suturing tendons, but after all, he was so much older than Qin Lang, so he was embarrassed to ask for advice.

Another 10 minutes later, Qin Lang completed the most difficult tendon suture.

By this time, the surgical task has basically been completed, and the next step is the finishing work.

In the waiting area of ​​the operating room, Wang Youming waited anxiously, checking his mobile phone every 5 minutes, waiting for the arrival of the two chief directors.

An hour, two and 10 minutes later, the two directors finally arrived at the burn department building.

When Tian Hua and Wei Guoqiang rushed to the operating room, the deputy dean of Hecheng No. [-] Hospital, Dean Hang, also came after hearing the news.

Dean Hang was of course honored to see the director of hand surgery at the military hospital, and he greeted him cordially. However, the matter was urgent, so he also stood aside tactfully.

And Wang Youming, one of the parties involved, also hoped through the autumn water, hoping for a savior.

"Two directors, you are finally here."

Seeing Wang Youming, Tian Hua greeted him with a smile, and comforted him at the same time:

"Captain Wang, don't worry, Director Wei and I have checked the results of Dr. Wu's debridement and scab removal, as well as the subsequent anastomosis in the car, and they have all been completed very well. According to my current judgment, although we The traffic jam delayed a little time, but there is still [-] to [-] percent hope of recovery."

Tian Hua asked himself in the entire city of Hecheng that there were no more than three people who could match him in tendon suture and nerve anastomosis. Even if he was sent to the provincial hospital, there might not be any doctor who had been able to control him steadily.

Therefore, he is still very confident, and his postoperative rehabilitation is a must, and he can recover some losses due to missing the best time for surgery.

"Captain Wang, time is running out, so I won't say much. Now I will go with Director Wei to prepare and carry out the operation."

When the two directors were about to go to the operating room, they saw a familiar figure walking over, and beside him was a strange little doctor.

The two walked over talking and laughing, and their relationship was like that of peers.

Wei Guoqiang looked over and remembered that this little doctor was not Qin Lang who performed well in the last big rounds.

Then, Wei Guoqiang was a little puzzled, and said directly: "Doctor Wu, you are not in the operating room, why did you come out early?"

When Wu Youtu saw the two directors and Dean Hang beside him, a smile appeared on his face, and he explained to Wei Guoqiang:

"Because the two directors have not come back late, we are afraid of delaying the best time for the operation. We have completed Shen Fang's comprehensive operation, and the operation was very successful."

However, before Wu Youtu finished speaking, Tian Hua heard a thunderbolt:
"You said that you have already finished the operation?"

Wei Guoqiang's face also changed drastically. He knew Wu Youtu's level very well. He was not good at this kind of difficult tendon suture and nerve anastomosis. Just because he was afraid of delaying time, he did it himself?
The two directors were dumbfounded.

The suture itself is not difficult, but what is difficult is the recovery after suture and no adhesion. There is a big difference in this.

Wei Guoqiang's heart skipped a beat, knowing that something was wrong:

"Wu Youtu, what's your situation? I'm not taking care of you. Director Tian and I will come back for surgery. How can you do this in advance?"

Tian Hua also had a bad tone: "Doctor Wu, you can't wait a little longer."

Wang Youming, who was in a good mood at first, became ugly when he heard the words of several people, but after all, he was asking for help from others, and he couldn't just get angry directly, but he was already worried in his heart. After all, it was about Shen Fang's future. half a lifetime.

After all, Wei Guoqiang is Wu Youtu's leader. Although Nu Qi is ignorant, he still has to take the overall situation into consideration. After all, Wu Youtu's operation did not violate the rules.

Hope, not too badly stitched.

"Director Tian, ​​I'm really sorry. However, it's also our fault that Dr. Wu made such a decision. Let's hurry to see Shen Fang's situation and see if there is any room for recovery."

Tian Hua didn't feel like having a seizure after listening to it, so he could only reply in a muffled voice: "Then go and have a look first."

The two chief directors didn't lose face because of Wu Youtu's disobedience, they were really worried about Shen Fang's injury.

"Both directors, the operation was very successful. We can go to the conference room to watch the entire operation video, and you can comment on it."

Wu Youtu said calmly from the side, holding his breath in his heart, waiting for you to watch the video and see what you have to say.

Moreover, he really wanted to know what the expressions of the two directors would be if they were told that Qin Lang was the chief surgeon.

(End of this chapter)