Doctor's Life Simulator

Chapter 65 Stop the competition, come to the military hospital, and give me the preparation directly!
In the observation room, Director Tian Hua was also very excited. This is simply a textbook-level surgical teaching.

Tian Hua's words were full of appreciation and admiration for Qin Lang:
"You all have a good look and learn from it. Take a look at how Dr. Xiao Qin controls the tension of tissue sutures. The precise strength avoids ischemia and necrosis in the later stage."

"And for debridement, how to properly remove the tissue that has lost its vitality, and how to protect and preserve the surviving tissue as much as possible, you should learn from Dr. Xiao Qin's treatment method. This kind of treatment can avoid wounds. Infection, promote healing, preserve function as much as possible!"

Listening to Director Tian Hua's further explanation, all the doctors in the observation room also reflected on their own surgical operations, and there was indeed a huge gap.

"This doctor Xiao Qin is really good. He is as good as a director who has been operating for decades."

"Yes, besides debridement, Doctor Xiao Qin's blood vessel exploration is also amazing. Before the ends of the blood vessels are fully exposed and controlled, he can precisely stop the bleeding with hand pressure, and the wounded After the proximal and distal ends of the arteries and veins are separated in the healthy tissue of the area, they can relax and restore blood flow in time. This calm control is really amazing!"

With the passage of time, the senior attendings who were contemptuous before were all stunned now. Compared with Director Cai Wei who explained the slowing down of the movements just now, Qin Lang's operation was done in one go, which made people feel relaxed and happy.

"Especially his method of cutting, the control of the skin knife is too delicate."

"That's right. Generally, large and medium-thick skin slices are usually cut with a drum skin harvester. The technique is often not ideal, but Doctor Xiao Qin is too vigorous. I admire it!"

Director Tian Hua was also thinking about it. Before, he just thought that Qin Lang was good, but this time he saw that such a complicated free flap transplantation operation was performed flawlessly, and he was really moved by his love for talent.

"For such a talent, the city's No. [-] hospital is still stingy. You have to pass a competition to get the establishment. Is it true that the city's No. [-] hospital is populated by a group of gods?"

Tian Hua was going to pass a message to Qin Lang directly: "No need to compare, come to the military hospital, I will give you the surgical preparation directly!"

In the operating room, Wei Guoqiang was also shocked at the moment. The surprise Qin Lang gave him was too great. This is a difficult free flap transplantation. If he didn't know that Qin Lang had never learned it before, he would have thought he was Like myself, I have been a top chief physician for decades.

In this one-handed operation, many details and skills far surpassed him, which can only be said to be extraordinary talent.

Next, Qin Lang continued to operate, placing the skin graft on the wound surface of the recipient area, so that the skin graft and the wound margin could be aligned accurately.

Seeing Qin Lang's movements, done in one go, Wei Guoqiang felt a burst of admiration in his heart:
"This stinky boy really has aura. Once in place, he will keep the direction of the skin patch and the skin pattern of the recipient area in the same direction."

In the observation room, Director Tian Hua also specially instructed that because Qin Lang's operation was too fast, there was no fine-tuning step, for fear that his little doctors would be so reckless in the future if they were misplaced.

"Pay attention, all of you. In fact, there is an intermediate fine-tuning process in this step. When you do it, you must pay attention to keeping the directions of the two skin lines consistent."

Hearing Director Tian Hua's reminder, everyone suddenly realized, Yang Yi and Yang Yue also pursed their lips, this little doctor Qin is too bad, this action is so fast and covert, no one else has reacted.

Immediately afterwards, the two saw the precision of Qin Lang's method of fixing the skin and the wound, and soon completed the surrounding stitches, and then sutured intermittently, leaving long thread ends.

"Wait, something seems wrong. Just now I remembered that Director Wei didn't do this!"

Yang Yi was the first to discover the nuances. Yang Yue squinted her eyes, thought about it, and suddenly realized.

"I understand. It's about the cutting of the skin. Do you still remember that Director Qian Wei specially reminded that in the first step of cutting, the size should be enlarged by 10%. In this step, after the four weeks are fixed, press the The skin donor area should be cut off the excess skin first, and then intermittent sutures should be started. Dr. Xiao Qin cut out not one more piece of skin, not one centimeter less, so the operation of removing the excess skin piece was omitted. "

After listening to Yang Yue's analysis, in the observation room, these doctors were also thinking carefully and terrified.

"This little doctor Qin is too bold. He is really brave. If it were me, I wouldn't dare. I'd better honestly take more. Otherwise, if it's not enough, I'm not dumb at this step."

Director Tian Hua also summed it up:
"What everyone said is good. Therefore, through the observation of Dr. Qin's surgery, everyone should also pay attention to the methods and methods. You can't just copy them mechanically. You can learn Director Wei's well-regulated operations, but some of Dr. Qin's operations should be avoided, especially It was before you had such profound comprehension and basic skills as him!"

Listening to Tian Hua's words, the doctors felt so frustrated. They were not even qualified to learn Doctor Xiao Qin's method.

This is like driving a Ferrari with one hand. Everyone has hands, but they don't have the financial strength.

While everyone was depressed, Qin Lang had already entered the next step of operation, starting the anastomosis of the subcutaneous vein with the dorsal digit vein, and 5 minutes later, the bridge anastomosis of the superficial palmar branch of the median nerve with the proper nerve in the recipient area.

Qin Lang quickly cut off the epineurium in the range of 0.5-1.0cm near the end, exposing the nerve bundle.

"Doctor Xiao Qin's basic skills are too solid. The nerve bundles and bundles are paired together, and each group completes the sutures cleanly and accurately, from deep to shallow. This carefulness and endurance are really admirable!"

"No, especially his suturing of the thinner nerve bundles, the control of the microscopic forceps is too detailed!"

In the amazement of everyone, Qin Lang quickly completed the entire operation.

"After the operation, the patient was raised, immobilized, and light-baked to keep warm, given antibiotics and anticoagulant drugs, observed the blood supply of the flap for 24 hours, and fixed the tendon and nerve defects with plaster for 3-4 weeks after the repair, and carried out timely Recovery status guides functional recovery exercise”

At the same time, Qin Lang gave follow-up instructions to the cooperating medical staff in the military hospital.

It was the first time for these little nurses to be commanded at such high speed by the little doctors from outside. Just after they got used to this rhythm, they stopped abruptly, and the whole operation was completed, all of a sudden empty.

"Okay, Doctor Xiao Qin."

The medical staff have been completely impressed by Qin Lang's technology, and follow up the follow-up care he ordered.

In the observation room, Tian Hua also nodded slightly. He is a great expert in the follow-up rehabilitation of the hand, and Qin Lang's instructions are exactly the same as his judgment.

"This little guy is really making rapid progress."

Tian Hua sighed and took the lead in applauding. In the observation room, there was thunderous applause. Everyone was impressed by Qin Lang's skills.

And this special training activity, in a real sense, became an expert from the city's first hospital to guide and communicate.

(End of this chapter)