Doctor's Life Simulator

Chapter 94 Qin Lang's Confidence: A Solution Far Beyond Hand Surgery (Part [-])

After Qin Lang's confirmation, Director Cui and Qin Lang made a surgical plan together.

"Qin Lang, I have also cooperated with Huang Kaihang, the deputy director of the hand surgery department. Director Huang often refers to patients with deformity revision. However, he used Z-shaping, triangular flaps, or quadruple flaps before. Your finger The web reconstruction uses pentagons? Moreover, it is based on the perforating vessels of the dorsal metacarpal artery, why have I never seen it.”

Qin Lang closed the file lightly, with a strong aura, calm and confident:
"The surgical procedure in our Wound Treatment Center is naturally not comparable to that of ordinary hand surgery. The pentagonal flap reconstruction is the most cutting-edge improved surgical procedure. It was taught by me and Professor Qian Mubai from the Huashan Hospital Affiliated to Aurora University in Shanghai. , and Director Tian Hua of the Military Hospital, and Deputy Director Shen Jiachen of Zijingang No. [-] Hospital exchanged and studied together, the design was improved."

Hearing the names of Qian Mubai, Shen Jiachen, and Tian Hua, Cui Jianguo didn't know what to do. He deserved to be the elite doctor that Director Wei relied on.

"That's really great. I'm going to explain the operation to the patient now, Qin Lang, you really gave me a big surprise."

These days, Qin Lang has been favored and valued by Shen Jiachen, Qian Mubai, and Tian Hua, and the matter of going to Zijingang No. [-] Hospital to participate in consultation and surgery has long been spread by the gossip group headed by Cheng Yunfeng to the entire department. All know.

Wei Guoqiang's attention, and the official establishment of the exception, all told Cui Jianguo about Qin Lang's extraordinaryness and opportunity, and he was looking forward to Qin Lang's new and improved surgical plan with a nose and eyes.

Soon, Cui Jianguo found Wen Yongqin and had a pre-operative talk.

"Ms. Wen, I have already consulted with the experts in the department. This time, our department will give your daughter a modified pentagonal flap reconstruction plan. This plan is the latest cutting-edge plan. After going through the military hospital, A brand-new technique demonstrated and created by the top experts of Huashan Hospital Affiliated to Aurora University and the First Hospital of Zijingang”

Cui Jianguo's ability to become the deputy chief physician in the field of plastic surgery is of course not covered by his lip service, especially when he often has to face all kinds of women who come for plastic surgery, his persuasion and agitation skills are not boastful.

Wen Yongqin was taken aback for a while, then slapped her thigh:
"Director Cui, that's really great. Let me just say, otherwise, Dr. Li in the hand surgery department, how could he be ashamed of himself, saying that Director Tian Bo, the director of the hand surgery department, is always self-aware, and he even pledged his reputation to treat The level of the center is much better than their directors. At first, I thought Director Tian was modest, but it turned out to be true. The treatment center launched a new improved technique, which was created by the top teams of Zhejiang Province and Shanghai. We Xinxin is really lucky to have caught up."

Hearing what Wen Yongqin said, Cui Guoqiang also suddenly realized, thinking, this Qin Lang really did not lie, and his improved technique even director Tian Bo would be convinced, and bowed his head.

His layout is really small.

No wonder Director Wei is so confident. It turned out that he had the support of Zijingang No. [-] Hospital and the Huashan Hospital team in Shanghai.

"Okay!"

Director Cui raised his eyebrows and his confidence increased greatly:

"That's right, Ms. Wen, since Director Tian Bo has used his reputation as a guarantee and has the support of the top team, I believe your daughter will soon have a pair of flexible and beautiful hands."

"Okay, okay, then I am very grateful to Director Cui."

"Well, then you just wait and wait, our nurse will come to inform the preoperative preparations later."

During hand surgery, Li Lian'an was always following the trend of the Wound Treatment Center, and soon reported the latest progress to Director Tian Bo who was attending an academic conference in Jin City.

"Director Tian, ​​as you expected, the Wound Treatment Center admitted Pang Xinxin because of their face, and the surgery has been scheduled for the afternoon."

"Fine, I see."

After Tian Bo hung up on Li Lian'an, he called Pang Yuan.

"Hello, Mr. Pang, I'm Tian Bo, the director of the hand surgery department. Today, I checked the status of the patients admitted to the department and the list of surgery appointments. I saw your daughter and came to my department for consultation and appointment. Pass."

"Yes, yes, because our hand surgery ward and operating room are saturated, Dr. Li recommended your daughter to the Wound Treatment Center without knowing it. Due to the authority, Dr. Li does not know the details of the development. The Wound Treatment Center, It is indeed a big project carefully crafted by Director Wei and fully supported by the leaders of the hospital, but after all, it is still in the early stage of operation, and the doctor allocation in the field of hand surgery is still very weak there."

"That's right, Mr. Pang. That's it. So, I came here to say hello to you. After all, we are all friends, and I also hope that Xinxin can get the best treatment. Originally, I could come to perform the operation on Xinxin myself, but One is that I was in Jinshi to attend an academic conference by accident today. The other, after all, Director Wei’s wound treatment center has already taken over and arranged for a chief surgeon. It’s a bit difficult to bring it up now, otherwise, I can ask my junior brother in Shanghai Director Ling Zhongyu came to operate on Xinxin."

Director Tian Bo, an old man like him, is naturally able to grasp the patient's mentality.

After a while, Pang Yuan was worried and begged:
"Director Tian, ​​I also blamed me because I was too busy. Before, I told her to bring Xinxin to the city's No. [-] Hospital for hand surgery. He also said that the wound treatment center recommended by your department is more suitable for Xinxin. I didn't pay too much attention to the symptoms. Now, I have understood the situation. You said that, I am really worried about this newly opened wound treatment center. Then can you contact the people in Modu for me? expert."

After all, Pang Yuan is an entrepreneur with a rich family background, flexible mind, and generous hands:
"Director Tian, ​​you don't have to worry about this matter. I will personally go to the hospital leader to ask for the appointment of a surgeon. For the sake of my daughter's health, although it is a bit impolite, I will compensate Director Wei Guoqiang later. Trust him I can also understand the concerns of a family member. As for you and the magic city expert you introduced, I will definitely send my heart to you."

Tian Bo's eyes lit up, this Pang Yuan really knows everything, a smart man.

"Okay, if that's the case, then I'll immediately contact Ling Zhongyu, the director of hand surgery at the Ninth People's Hospital Affiliated to Jiaotong University in Shanghai. I'll make an appointment with him later, just give him a call. The operation in the treatment center will start in the afternoon. When Director Ling rushes over, there will be plenty of time."

"Then thank you very much, Director Tian. Director Tian, ​​the doctors are kind. This time is really thanks to you. Otherwise, if the doctors in the treatment center are not skilled enough and have sequelae, I will definitely regret it. Director Tian, ​​you I will remember the favor, if you need it in the future, just ask.”

After Tian Bo hung up the phone, he explained to Ling Zhongyu again that everything was ready, and he just waited for the final closing of the net.

"As long as Ling Zhongyu performs this operation on Pang Xinxin, I'll see how your big-eyed Wei Guoqiang will fight you at the hospital's regular meeting. It's impossible to even think about throwing away my surgery and starting a new one. "

Naturally, Tian Bo didn't think that there were doctors in the treatment center who could overwhelm Ling Zhongyu.

"The first step is done, and the next step is the second step."

Tian Bo planned every step of the way, and everything was under his control.

The surgery was on time in the afternoon.

In the operating room, Qin Lang and Cui Jianguo performed the operation together.

According to the type of Syndrome of Pang Xinxin, an operation was determined according to the preoperative preparation. According to Qin Lang's new plan, the incision line was designed first.

The patient was then given hand hygiene and preparation of the donor site.

Since the patient was only a two-year-old child, general anesthesia plus local anesthesia was used.The patient was placed in a supine position with the affected limb abducted.

Cui Guoqiang also watched Qin Lang's operation curiously. For congenital syndactyly, after the traditional rectangular flap or triangular flap is used to repair the finger web, two approximately diamond-shaped or triangular wounds are left on the root of the finger.

The improved surgery pioneered by Qin Lang adds two triangular flaps to the two waists of the traditional rectangular skin flap or triangular flap.

Looking at the flap design of Qinlang, Cui Guoqiang has the demeanor of watching the operation of the top experts in Shanghai or Hangzhou.

It can be seen that Qin Lang designed a pentagonal perforator pedicle flap on the north side of the proximal joints of the two adjacent fingers, that is, the area corresponding to the normal finger webs.

The entire flap is divided into five corners, namely a distal top corner, two side corners, and two base corners.

The apex of the distal corner of the flap is approximately flush with the plane of the midpoint of the proximal phalanx, that is, the plane of the palmar edge of the normal finger web.The two side angle vertices of the skin flap are in the plane connecting the far angle vertices and the midpoint of the back of the metacarpophalangeal joints, which is exactly the dorsal edge of the hidden finger web, and the two base angle vertices are respectively in the back of the two adjacent metacarpophalangeal joints. point.

Looking at Qin Lang's unique design line on the patient's hand, Cui Guoqiang secretly admired it. It seems that this operation will become a classic publicity case.

The next step is to separate the finger body, and design a zigzag incision between the two fingers that are fused together. The proximal end of the dorsal incision is connected to the far corner of the flap, and the proximal end of the palmar zigzag incision is between the two fingers. At the knuckles.

The next step is the reconstruction of the finger webs. According to the design, the skin flap is cut first and separated!

Cui Jianguo was also nervous, watching Qin Lang's operation carefully.

".Scalpel Vascular Forceps"

Qin Lang's calm and calm voice sounded in the operating room. He took the knife from the equipment nurse and began to cut it first!

"This"

Cui Jianguo widened his eyes and saw a scene that made him amazed.

(End of this chapter)