Doctor's Life Simulator

Chapter 70 Potential for Top Journals!
In the observation room, deputy director Shen Jiachen stood up straight away, excited:
"In conventional free tissue transplantation, the proximal end of the flap artery is anastomosed to the proximal stump after the artery in the recipient area is severed. This centripetal acceptance comes from the perfusion of cardiac blood flow, also known as the antegrade blood supply mode. But , due to the special situation of this patient, there is no suitable antegrade artery in the recipient area due to trauma to the external carotid vessel.”

"This is also the reason why I stopped Qin Lang's operation just now. However, I didn't expect him to find another way and boldly anastomose the flap artery to the distal stump of the lower limb recipient artery. This is a kind of 'upside down' The blood supply mode of the free skin flap with blood vessels connected! It is also a brand-new free skin flap with telecentric blood supply!"

As the head of the Department of Burns and Plastic Surgery, countless information passed through his mind in an instant, and Shen Jiachen was really excited and excited.

He understands very well the clinical significance of this retrograde blood supply model if it is successfully developed.

"Gentlemen, in many of our recurrent cases of oral and maxillofacial head and neck tumors, many of the neck dissections or radiation treatments destroy and block the vessels in the neck, resulting in a so-called vessel-depleted neck, or frozen neck ( frozen neck), in the second surgical repair and reconstruction, there is often no suitable antegrade recipient vessel. If this model of Qinlang can be promoted, it will not only provide a new opportunity for the selection of the recipient vessel for the second reconstruction, but also provide The mismatch of blood vessels in the donor and recipient regions, and the incoordination of the spatial location of the donor and recipient provide the possibility to adjust, which has important potential value!"

Shen Jiachen is a famous doctor in Zhejiang Province, so he immediately extended the meaning of the whole operation, reflecting his clinical sense of inferring other cases from one instance.

Hearing that Deputy Director Shen was so excited that he lost his composure, the other directors also showed a hint of excitement on their faces!

The birth of each new surgical method is a progress of the entire industry, and the most direct is to bring hope of healing to more patients.

What's more, Qin Lang's introduction of the retrograde blood supply mode this time is not just a single branch of the external carotid artery, the distal stump of the external carotid artery retrogradely supplies blood to nourish the free skin flap.He provided a brand new way of thinking for many similar types of spells.

"I'm really honored, Director Wei, you really gave us a big surprise."

Deputy Director Shen Jiachen looked at Director Wei Guoqiang with admiration. Obviously, in his opinion, this improved technique must be the cutting-edge achievement completed by Director Wei and his team.

When Wei Guoqiang saw several major directors and looked at him with fiery eyes, he was also stunned. When did he lead the team to create such an improved surgery with clinical potential?
However, Wei Guoqiang's reaction was still very fast, the corner of his mouth raised slightly, and he waved his hand calmly:
"Director Shen is amazing. In fact, this time, we invite you to come here. Our burn and plastic surgery department is as good as Director Tian Bo's hand surgery department. We have already made a lot of preparations. This model of retrograde blood supply free skin flap is what we will carry out later. It is one of the core procedures of the National Wound Treatment Center. Just in time, I would like to take this opportunity to let everyone evaluate and give suggestions.”

Wei Guoqiang's thoughts are also a little confused now, so he pointed to the screen: "Everyone, don't be impatient, and observe the operation first."

"Okay, okay, what Director Wei said is right."

After Shen Jiachen calmed down, he continued to observe. With his eyesight, he already understood the purpose of the equipment Qin Lang had just prepared, but he still needed further observation and verification.

"It's an unbelievable surgery observation. If this model proves feasible, it will be enough to be listed in the only JCR 1 area in the field of plastic surgery, the Chinese Academy of Sciences 1 area, and the top journal of the Chinese Academy of Sciences "Plastic, Reconstructive Surgery"!"

In addition to Shen Jiachen, the two directors Qian Mubai, Tian Hua, Dean Hang, and Dean Sun were also shocked.

In the observation room, only Tian Bo's face seemed to have eaten shit.

"When did Wei Guoqiang carry out this surgical research, as well as the previous free flap repair of the superficial palmar branch of the radial artery and the transverse wrist crease? Damn it, it was completely manipulated by him."

Tian Bo began to regret it in his heart. It was only a small establishment, even if it was given to Qin Lang, it didn't matter, but now that Wei Guoqiang rebelled against his army, he would lose a lot.

"Damn, damn it!"

In Tian Bo's frustration, Qin Lang's operations on the screen never stopped.

Under the command of Qin Lang, Wu Youtu and You Daren cooperated and began to use the Philips monitor with half understanding.

Qin Lang issued a calm and clear order:
".After exposing the blood vessel to be tested and inserting the tube, connect the pressure sensor, measure the arterial pressure every 5 minutes, measure 1 times in total, and take the average pressure value as the initial MAP"

After the two were ordered to complete their respective tasks, Qin Lang ligated the proximal side of the catheter with sutures to block the blood flow, and at the same time quickly issued another order:
"Dr. You, start to measure the arterial pressure of the stump. After I block the blood flow, there will be an instant drop in blood pressure. Therefore, the MAP reading of the stump will be recorded 5 minutes after the blood vessel is blocked, and the arterial pressure will be measured every 5 minutes. Measured 1 times, take the average pressure value as the stump MAP"

"Okay, Doctor Qin."

You Daren is now full of respect and admiration for Qin Lang, so he strictly implements his instructions, and he is not dissatisfied at all because Qin Lang is his subordinate doctor.

And in the operating room, during the rigorous measurement, in the observation room, Deputy Director Shen Jiachen also confirmed the purpose of Qin Lang's operation, and explained to the rest of the people:

"Qin Lang, what I'm doing now is: stump arterial pressure ratio = stump MAP/initial MAPX100%. As long as it is greater than the pressure ratio of the lower extremity vessel distal to the heart stump recorded in the literature, it can be demonstrated that after occlusion of the external carotid artery branch vessels, The distal stump can maintain sufficient stump arterial pressure, and the retrograde blood supply to nourish the free skin flap is feasible!"

After the deputy director Shen Jiachen finished his explanation, he also waited nervously.

Wei Guoqiang secretly pricked up his ears, listening to the explanation of Deputy Director Shen Jiachen, he thought so, but when the rest of the people looked at him, they looked like they were holding wisdom pearls:

"Deputy Director Shen is indeed well-read and knowledgeable, and what he said is absolutely correct."

"Director Wei laughed at me. This time, my trip was really worthwhile. After the observation this time is over, I must invite Director Wei to come to Zijingang No. [-] Hospital to have a good exchange."

Deputy Director Shen Jiachen admired Wei Guoqiang's low-key and steady style.If he had come up with such a spell, he would have shown it at the International Society Exchange.

Where would it be? On such a small occasion to fight for the establishment of Qin Lang, Director Wei really can hold his breath.

Dean Hang's eyes are full of appreciation for Wei Guoqiang:

"This Wei Guoqiang can really bear it. If these two techniques were used earlier, the National Wound Treatment Center would have already received financial support from the hospital. However, it is not too late now. Hitting the gun, this time, diverting resources to the Department of Burns and Plastic Surgery, and other hand surgery, Dean Sun can only eat Coptis chinensis in silence."

Dean Hang took a sip of tea: "It's comfortable!"

And when everyone was full of thoughts, in the operating room, Qin Lang led Wu Youtu and You Daren to obtain the measurement results.

PS: Oops, the new book list has been squeezed out of the tenth place. Everyone follow up, vote for it, and you can also comment and comment. Tuesday is a critical period, and it is decided whether the next round of recommendations can be made.Don't raise books, everyone~
(End of this chapter)