Doctor's Life Simulator

Chapter 140 Inspiration Explodes, Dr. Qin's Hand (Subscribe)

The third one is the youngest sister Sun, her raging problem is also very special.

The head is sunken, and at first glance, the organizational structure hidden inside cannot be found.

Sister Sun was also a little embarrassed, but seeing that the two girlfriends in front had found the perfect solution under Dr. Qin's ingenious rejuvenation.That is, he also handed over his affected area to Dr. Qin.

Qin Lang didn't have much trouble with this. After all, head inversion is a common female bear deformity, with a incidence rate of 2%.

The reason for this deformity is due to the dysplasia of the smooth muscles of the bear's head and bear's halo, and the lack of supporting tissue under the bear's head.

A sunken head not only affects the appearance, but also affects the function, and even induces other bear gland diseases.

Qin Lang carefully and gently controlled it with one hand, and carefully pulled out the sunken head with the other hand.

Sister Sun's mature little face was flushed, watching Qin Lang's one hand gently use ingenuity, and the other hand, two fingers, pinching it out gently and precisely.

It's as if a bean is squeezed out of a steamed bun.

However, what is frustrating and embarrassing is that after pinching it out, showing a little demeanor, it slowly bounced back in again.

However, Doctor Qin's hand once again forced it out with ingenuity.

Sister Sun was standing, her whole head was a little hypoxic. After all, this feeling is very superior!

It took a while for Qin Lang to stop his operation that made sister Sun recite the "Diamond Sutra" and "Pure Heart Mantra" madly.

Sister Sun half held back, half let out a sigh of relief.

However, there is a strange feeling of loss in my heart, and I hope that time will slow down.

"Sister Sun, head inset is a common bear house deformity, and inset is also divided into three degrees, generally mild, manifested as an inset bear head, which can be pulled out easily without retraction. Moderate If it is serious, it means that the sunken bear head can be pulled out, but there is retraction. If it is severe, it means that the sunken bear head is severely sunken, and the bear head is extremely difficult to pull out."

"As for yours, I need to exert force with one hand and respond with the other. Only then can it come out, and there is an obvious retraction movement. Therefore, it is already at the critical point of severity."

Hearing what Qin Lang said, Sister Sun nodded solemnly, and she also came to the same conclusion in other plastic surgery hospitals.

"Doctor Qin, let's see if there is a good surgical plan. I understand the rules, and I will double!"

Sister Sun no longer thought of him, and Qin Lang was her best choice.

Qin Lang is of course very responsible for customers, so he analyzed:
"Currently, there are many clinical methods for the treatment of head invagination, most of which are corrected by the transfer of surrounding tissue flaps, such as the double diamond-shaped subcutaneous pedicle peeling method, fat flap filling, bear head fascia fat gland flap method, Cross-dermal flap method, fibrous tissue release method at the base of the breast, purse-string suture method, etc."

While introducing, Qin Lang introduced the advantages and disadvantages of each plan with Sister Sun one by one, and at the same time made gestures on the spot.

Many of these regimens still have the potential to relapse and are not very effective.

Suddenly, when Qin Langfu activated his psychic skills, an idea and train of thought appeared in his mind, and it was not just the answer from Sister Sun's raging pair, but the skin flap repair framework he had been thinking about recently about the hand glove injury, Through different flap combinations and compound tissue flaps, a multi-leaf tissue flap can finally be formed!

The principle is, according to the specific wound of the patient, skin flaps are cut from multiple donor sites of the patient, and then combined together to form a multi-leaf tissue flap of composite tissue!
Qin Lang was overwhelmed with surprise, and couldn't help holding the affected area of ​​Sister Sun in his hand, and shook it hard.

"Bah~"

Sister Sun accidentally ate a pain, and lightly patted Qin Lang's crime tool in embarrassment.

Qin Lang hadn't seen such a big storm before. He calmly withdrew his hand and looked at Sister Sun in surprise:
"Sister Sun, I have already thought of a surgical plan to completely solve this problem for you."

"real!"

Sister Sun was overjoyed and forgot about the slight pain just now, she grabbed Qin Lang's hand back and placed it on the affected area.

"If Dr. Qin is so inspired, go ahead. My sister can bear it."

Qin Lang: "."

However, I am excited now. After all, I have mastered his Qin method and the big framework of skin flap repair. After that, I just need to design a plan according to the specific case.

Qin Lang pulled his hand back from Sister Sun's.

"Sister Sun, I'm going to use a cross dermal flap plus penetrating suture to correct the invaginated bear head."

Speaking of specific surgical techniques, Qin Lang is very professional and meticulous:

"Afterwards, you will be placed in a supine position. After local anesthesia, a suture will be sewed in the center of the bear's head to pull the sunken bear's head out of the body surface. I will personally fine-tune the pull-out height until it reaches the most ideal and perfect height."

Qin Lang said while pulling out that shy little naughty sister Sun.

With her head down, watching Qin Lang slowly control until it stopped, Sister Sun also nodded:

"I think it's okay too. Dr. Qin, your vision is so good~"

Because of Sister Sun's nod, her body grew a little bit, so the little naughty slipped out of Qin Lang's grasp and fled back.

Qin Lang: "."

Sister Sun: "I'm sorry, I'm sorry, Doctor Qin, you continue, I promise not to move this time."

Qin Lang continued to introduce the plan, and then said: "I will draw a circle with methylene blue at the junction of your base and the bear halo skin, and design a skin on each symmetrical part of the bear halo outside the circle. The pedicle of the flap is located in the circle, the length of the flap is equal to the diameter of the bear's head, and the width of the flap does not exceed 1/2 of the diameter of the bear's head."

"Uh, uh~"

This time, Sister Sun stayed still obediently, allowing Qin Lang to draw patterns on her body surface.

Just as Qin Lang was about to continue explaining, the phone rang.

Qin Lang just let the tiger go back to the mountain, signaled Sister Sun to wait a moment, and walked outside the negotiation room.

At first glance, it turned out to be Director Tian Hua's call. Qin Lang still had a good impression of Director Tian. After connecting, he heard Director Tian Hua's greetings and inquiries about Yang Yi and Yang Yue's performance.

"Qin Lang, the two little girls will be left to you to manage. You should scold and talk about it. Don't worry, I will support you."

The two chatted for a while, and Tian Huacai got to the point:

"Qin Lang, it looks like this. A few days ago, a very special patient was identified in our hospital's hand surgery department. The patient's father is an old friend of mine, a leader in Hecheng City. His son was infected with some second-generation When I was playing motorcycles with a few friends, I had an accident and my right hand was seriously detached.”

"Because Bureau Zhang's identity is relatively sensitive, and his son's injury didn't show much. Therefore, he plans to deal with it in a low-key manner in my department. He has also invited an expert from the imperial capital to participate in the consultation. But, you I also know that as the host, I can really be a hand-off shopkeeper, but I still have to come up with something real."

"I know that with the support of Director Wei, you have recently carried out a special topic of skin flap repair for complex hand injuries. According to Yang Yi and Yang Yue, your hospital also admitted a patient with similar symptoms a few days ago, and it was more serious. In the first phase of the operation, according to your plan, the subabdominal wall buried and delayed skin grafting method was carried out. Presumably you also have some thoughts and ideas about this kind of hand glove injury."

Tian Hua still has a great affection for Qin Lang, otherwise Yang Yi and Yang Yue would not be allowed to come to the treatment center to study with him.

Qin Lang didn't expect that when he was studying hand glove injury, a patient would be sent up, and it was also a plan for an expert from the imperial capital to come to consult.

"Director Tian, ​​I really have some experience and thoughts about this field. Like this, I will come to the military hospital tomorrow morning."

(End of this chapter)