Doctor's Life Simulator

Chapter 64 This Little Doctor Qin Is So Scary

"Hello, Doctor Qin. Welcome to the military hospital for guidance and exchange."

The twin sisters, Yang Yi and Yang Yue, followed Tian Hua and Wei Guoqiang when they walked side by side, and greeted Qin Lang.

Yang Yi Yang Yue, 36 years old, looks very good, especially when two people stand together, they have a very visual impact.

Qin Lang's eyesight looked down, and he quickly recognized the difference. Yang Yi's superficial temporal artery moved more clearly, Yang Yue's orbicularis oris muscle was slightly stronger, Yang Yi's lip beads were slightly smaller, and Yang Yue's skin dermal collagen fibers Arrangement is more compact
Along the way, the twin sisters were very chatty, and they also had a good impression of the handsome Qin Lang, and wanted to observe Qin Lang's skills immediately.

Soon, under the arrangement of director Tian Hua, the first operation was changed.

In the observation room, Tian Hua and his team of doctors waited expectantly.

After all, Wei Guoqiang is a very famous burn and plastic surgery expert in Zhejiang Province, especially this operation, which claims to be an improved repair of composite soft tissue defects in fingers.

The first patient to undergo surgery was a 23-year-old woman with severe hand injuries and arterial damage.

Before Wei Guoqiang started, the cooperating medical staff had completed the brachial plexus block anesthesia, and completed the debridement after applying the tourniquet.

Before the operation, the defective finger arteries, nerves and tendon stumps have been explored in detail, and the length and area of ​​the defect have been accurately measured.

Wei Guoqiang led Qin Lang to quickly formulate the operation plan. Standing in the operating room, I have to say that Director Wei is indeed very powerful, and he is very familiar with this kind of operation: "Qin Lang, the whole I will demonstrate the operation to you first, and then you will do the next one."

"Okay, Director Wei."

Since this is an improved technique created by Wei Guoqiang, Qin Lang can only learn it on the spot, but now under the master-level free flap transplantation, Qin Lang is still very calm.

"Let's start with the design and selection of the flap first, so watch carefully."

Wei Guoqiang started the operation. First, he entered the flap at the branch point near the scaphoid joint, and took the 1.0cm proximal nodule parallel to the wrist crease as the axis.

In order to let Qin Lang see clearly, Wei Guoqiang deliberately slowed down his movements, and at the same time explained carefully:
"In order to ensure that the donor area can be effectively closed, the largest cut area should be selected as much as possible. The calculation method is to mark the corresponding skin flap that needs to carry the superficial branch of the radial artery at the palmaris longus tendon level according to the patient's skin tightness, and locate it according to the color Doppler ultrasound and defect area enlarged by 10% for flap design”

When Wei Guoqiang taught Qin Lang all his money, Tian Hua kept nodding in the observation room, and said to his department team:
"This is Director Wei, everyone cheer me up, listen carefully, and learn."

The little doctors in the Hand Surgery Department of the Military Hospital listened carefully, feeling deeply in their hearts. They deserved to be the old David Guoqiang, who is known as the most powerful burn and plastic surgery department in Hecheng. This is his understanding and summary of the operation. It is incisive.

It is one thing to be able to do it, but it is another realm to be able to summarize it concisely and make it easy for people to understand.

Obviously, Wei Guoqiang's operation this time has benefited everyone a lot.

Qin Lang also listened carefully to the lecture. Wei Guoqiang, a talented and well-accumulated chief director, made him step up to the master level of free skin flap transplantation and improve again!

"Qin Lang, remember to pay attention to the free SPBRA end and ensure a sufficient length for patients with bridging venous flaps with blood flow. After the donor site is cut, hemostasis and sutured."

Wei Guoqiang once again passed on his experience to Qin Lang. Before he knew it, half an hour passed and he soon entered the stage of skin flap transplantation.

Seeing Wei Guoqiang's operation, Qin Lang was also very impressed. As expected of the Chief Physician of the First Hospital of the city, if this operation skill is calculated on the basis of 100 points, at least 91 points.

Another 10 minutes later, Wei Guoqiang's operation came to an end.

[Ding, you watched and learned Wei Guoqiang's operation techniques at close range, inspired Fuzhi's spiritual skills, your comprehension ability improved, and your original master-level free skin flap transplantation went a step further. Congratulations to the host's free skin flap transplantation for achieving: perfect class! 】

Qin Lang's eyes lit up, it turns out that Fuzhi's spiritual skills can be stimulated in this way, by watching Wei Guoqiang, a top doctor like Wei Guoqiang's surgery.

However, if you think about it, you can understand that in the simulated world, you have already experienced tens of thousands of surgeries, accumulated a lot of time, and broke through the final bottleneck.

With the end of Wei Guoqiang's operation, in the observation room, the doctors in the military hospital, from Tian Hua to the small doctors, have all gained a lot.

Especially Tian Hua, the director of the hand surgery department, was shocked: "What a Wei Guoqiang, this improved finger soft tissue defect repair will usher in a small change in the industry, it is simply a cross-border attack from the burn and plastic surgery department Ah. Afterwards, we must send doctors to the city’s first hospital to study and learn from the scriptures, so as to introduce this technique.”

Looking at Qin Lang in the operating room, everyone was envious. This little doctor is really lucky to be the first to learn this improved technique.

Under normal circumstances, when a department develops a new technique, the first batch of doctors who master this technique are all direct descendants of the chief director, and they are also the most promising elite doctors.

Afterwards, this surgery was also in a monopoly position. In the future, this type of patients will be performed by them. Over time, the technical level is also far ahead. Under the virtuous circle, it is getting stronger and stronger, and it has been on the rise ever since.

"I don't know, how much of Director Wei's essence can this little doctor learn?"

In the observation room, these doctors became curious.

Of course, there are senior attending physicians who know the facts. In fact, the purpose of this guidance and learning activity this time is to admit and treat patients for this little doctor and train him in this technique.

So for the next operation, Qin Lang's chief surgeon, they didn't have much expectation. They just planned to take advantage of Qin Lang's practice time to rest and wait for Director Wei's second guidance operation before feasting their eyes.

Yang Yi and Yang Yue, the twin sisters, pose exactly the same, looking at the big screen, also looking forward to the strength of this little doctor Qin, whether it is an embroidered pillow or a real clinical genius.

Soon, the second operation began. This patient was basically the same as the previous one. She was also a 25-year-old girl. Her finger injury, combined with tendon injury, blood vessel injury, and nerve injury were obviously worse than the previous operation. The patients are more serious.

Looking at the patient's condition, the doctors in the observation room also began to discuss.

"No way, this patient's condition is so complicated, so it's a bit exaggerated for such a young doctor to practice!"

A senior attending physician couldn't believe it. Even when he saw such a serious compound injury, his scalp felt numb.

"This finger injury is too serious, especially the nerve anastomosis, vascular anastomosis, and tendon suture need to be performed simultaneously, and free skin flap transplantation will be performed afterwards. Is it really possible for a small doctor to do it?"

Yang Yi and Yang Yue also opened their mouths at the same time, and they were very surprised. It was the patient's situation that scared them.

In the observation room, only Director Tian Hua was very calm, and said softly: "All of you have taken a good look at the basic skills of this little doctor Qin, learn from his debridement techniques, blood vessel anastomosis, nerve anastomosis, and tendon suture Technology! Let me tell you first, last time, he had an injury of this level and combined with a severe burn!"

After listening to Tian Hua's words, everyone gasped, so strong?
When everyone couldn't believe it, in the operating room, Qin Lang started his Xiaolu technique.

After the patient underwent brachial plexus block anesthesia, a tourniquet was applied, and Qin Lang began debridement.

The whole movement is smooth and flowing, especially the incision technique, separation technique, and the treatment of the broken ends of blood vessels and tendons, all of which are as perfect as fire.

(End of this chapter)