Doctor's Life Simulator

Chapter 69 Operations that the directors will never forget!

Watching Qin Lang's operation, in addition to admiring Qin Lang's technique, several directors also saw the potential and clinical significance of this improved technique.

Qian Mubai, as the president of the branch of the Society of Hand Surgery in Shanghai, has such a sharp vision:

"Director Wei, the surgical procedure in your department is very imaginative. The perforating branch of the superficial palmar branch of the radial artery is superficial and easy to cut. It can achieve precise repair of the defect area according to the wound reconstruction needs of the affected finger."

Director Shen Jiachen on the side also nodded, appreciating this improved technique:

"That's right. Although there is no need for revascularization for conventional local pedicled transfer flap repair, due to factors such as flap entrapment and dissection of the bottom channel, it often causes flap necrosis and aggravates the injury of the affected finger. However, using This plan, because the position of the subcutaneous artery at the transverse carpal crease of the superficial palmar branch of the radial artery is relatively constant, it is very conducive to superficial separation, and the diameter of the blood vessel at this part is the same as that of the digital artery, which has a strong match, which reduces the difficulty of the operation and ensures the success rate of repair. Amazing"

Director Wu Xin also praised: "Moreover, there is less fat under the skin flap in the transverse wrist crease. After the repair, the bloated feeling of the affected finger can be reduced, and the skin color of the affected area is close to that of the recipient area. This is not only repair, but also plastic surgery. director!"

From the point of view of plastic surgery, hand surgery is not a "rough guy". Director Wu Xin appreciates this technique very much, and he is also planning to introduce this technique in his heart.

Hearing the compliments from several directors, Wei Guoqiang was also radiant, regained some face, looked at the operation on the screen, and said modestly:
"The directors praised it. Don't pay attention to this improved surgical technique that is very clinically meaningful. The main thing is to watch Qin Lang's basic skills. After all, this operation is more about the basic skills of surgery."

Hearing Wei Guoqiang's reminder, all the directors remembered that this operation was compared to the surgeon's basic surgical skills, but, is this a sledgehammer?

Moreover, in Wei Guoqiang's words, why is it so Versailles.

Tian Bo's face on the side was ugly. After all, apart from the technique itself, Qin Lang's basic skills also crushed Li Lian'an in all aspects.

Whether it is debridement, suture, incision, tendon suture, vascular anastomosis, or nerve anastomosis, Qin Lang is at the textbook level.

Soon, Qin Lang completed the entire operation, and the whole process was smooth and smooth, without any flaws.

In the observation room, the several directors were still full of ideas, and they had completely ignored Li Lian'an at the side at the moment.

In the operating room, Li Lian'an has started his second operation: open reduction and fixation of avulsion fracture of distal phalanx.

The patient's volar avulsion fracture required incision, reduction and fixation, so this operation is very comprehensive.

Surgery requires the use of standard hand surgical instruments and equipment, such as implants such as Kirschner wires, screws, and steel plates, as well as small C-arm X-ray machines, non-sterile balloon tourniquets, etc.

Seeing Li Lian'an's preoperative preparations, in the observation room, several directors also recognized and respected Li Lian'an.

Being able to master these instruments and equipment proficiently, Li Lian'an is indeed a very mature and excellent hand surgeon.

After a brachial plexus block is performed on the patient, the patient's forearm is rotated on the operating table.

Li Lian'an made an S-shaped incision centered on the dorsal side of the distal interphalangeal joint very skillfully.

It has to be said that Li Lian'an has put in a lot of effort. Although the one-handed incision cannot be compared with Qin Lang's, it is already quite methodical. After incision of the skin very neatly, he began to separate the subcutaneous tissue, and quickly completed the exposure of the fracture. .

Looking at Li Lian'an's operation, several directors in the observation room also gave affirmation:

"Director Tian, ​​Dr. Li is already very proficient in various operations of hand surgery, and he is indeed a young doctor worthy of training."

Director Qian Mubai gave a performance at the right time. Due to his relationship with Tian Bo, he is quite familiar with Li Lian'an in private. His surgical style is just like his appearance, clean and refreshing, which makes people very fond of him. .

In the observation room, Li Lian'an showed a fracture. After learning about the situation, he gave the order directly. Since the fracture was relatively large, he used two Kirschner wires.

The first K-wire fixes the distal interphalangeal joint in extension, while the second K-wire fixes the fracture fragment, and the orientation of the K-wire insertion is nearly perpendicular to the fracture line.

Seeing the skillful cooperation of Li Lian'an and his assistants, several directors nodded silently. Generally speaking, this operation fully demonstrated the characteristics of hand surgery, as well as Li Lian'an's skills and experience.

Basically, another ninety!

Director Tian Bo was also quite satisfied with Li Lian'an's performance so far today, but when he looked at the other half of the screen, he felt uneasy again.

Because of the first operation, Qin Lang adopted an extremely complicated operation, so the overall speed was obviously behind Li Lian'an. When Li Lian'an had completed the second operation, his second operation had just started.

Before Qin Lang's second operation began, the information about the patient's condition was also sent to the directors.

After opening the information and seeing the patient's condition, all the directors were a little unbelievable:
The operation carried out by Qin Lang turned out to be a very special case of free flap repair of the external carotid artery.

Moreover, Qin Lang's preoperative preparations for this operation were a bit confusing.

"Philips monitor, post-vascular tube, pressure sensor. This Qin Lang, what is this for?"

Several directors all looked at Wei Guoqiang, but Wei Guoqiang also looked at the screen silently, not knowing what he was thinking, and he didn't mean to explain.

All the directors looked at the screen quietly, without saying a word, and were also curious about how this Qin Lang would operate next.

And Wei Guoqiang is also in a complicated mood at the moment. After making the preliminary arrangements, he is busy with other things.

Qin Lang, Wu Youtu, and You Daren were all in charge of the follow-up preparations, so they were the ones to prepare for the follow-up screening of patients.

Therefore, even he didn't know exactly what kind of flowers Qin Lang's free skin flap transplantation would produce.

However, what is certain is that with You Daren and Wu Youtu guarding the gate, he is still at ease.

As a major director, Wei Guoqiang still has some skills to nourish his spirit, so he simply pretended to be deep.

For a moment, the entire observation room fell into silence, only to see the young doctor on the screen start to operate.

Soon, Qin Lang completed the work of cutting the free flap very neatly. The whole process was pleasing to the eye, and several directors were amazed.

However, looking at the length of the vascular pedicle of the flap prepared by Qin Lang, in the observation room, a huge problem was discovered.

"No, there is a problem with the length of the vascular pedicle of Qinlang's flap. It is too short, and it is impossible to use the contralateral blood vessel. If we continue the transplant operation, we will face the dilemma of having no suitable artery in the recipient area!"

As the deputy director of the Department of Burns and Plastic Surgery at the First Affiliated Hospital of Zijingang University, Shen Jiachen immediately reacted.

The directors also discovered the problem, Wei Guoqiang's face changed drastically, and the secret path was not good!
However, before Shen Jiachen could speak to stop it, all the directors in the observation room saw a scene they would never forget:
"Is he anastomosing the flap artery to the distal stump of the recipient artery of the lower extremity?"

(End of this chapter)