Doctor's Life Simulator

Chapter 193 We Can Only Trust Qin Lang
Microskin transplantation is an operation that requires the cooperation of a team. Deputy Director Cui presides over it, and Wu Youtu, Qin Lang, and Qian Liang each divide the work.

Since it was the first time for Qin Lang to participate in this micro-skin transplant operation, Qin Lang was arranged to do the skin-making work, Wu Youtu took the skin, and Qian Liang was in charge of excision and debridement.

In order to ensure enough operating space and a 2㎡ space for independent leather-making, a 1.5㎡ sterile operating table, a sterile equipment bag, and 3 physiological saline bowls and a curved plate are equipped in the bag. 2 pieces, 1 piece of wooden cut leather backing board.

Qin Lang is holding a scalpel with a No. 22 round blade, a pair of toothless forceps, wire scissors, and a pair of tissue scissors.

The whole process starts with Qianliang’s escharectomy and debridement. After the necrotic tissue is thoroughly cleared, the wound is washed with hydrogen peroxide and normal saline for 3 times, and then covered with a light iodophor dressing, ready to receive skin grafts. .

After Qian Liang was finished, it was Wu Youtu's turn to take the skin, which was blade-thick skin with a thickness of 0.2-0.25mm.

The first choice for the donor site is the scalp, followed by the thicker skin on the back and the extensor sides of the extremities. Because the soles of the feet have thicker keratinized layers, if necessary, exfoliation should be done in advance.

In fact, this is also the biggest difficulty in large deep burns, and the extremely limited skin area is the reason for using micro-skins.

Wu Youtu is still very skilled in skinning. Although it is not as good as Qin Lang, the speed is also very fast, and the overall uniformity of skinning is not bad.

After Wu Youtu cut the skin, it was passed to Qin Lang, who will be the next one.

Deputy director Cui taught Qin Lang the whole process and skills on the side.

"Qin Lang, first take out the cork plate, soak it with physiological saline for later use, and lay the obtained autologous skin on the backing plate with the dermis facing upward."

Qin Lang began to prepare the autologous skin for the first time according to the instructions of Deputy Director Cui. Soon Qin Lang placed the cork disk neatly and tightly on the dermis of the autologous skin, and gently pressed the gap between the two. gas discharge.

Seeing Qin Lang's strength control, Deputy Director Cui nodded slightly. This Qin Lang's basic skills are really solid.

Then Qin Lang began to cut the skin pieces one by one along the seams between the cork disks to form autologous skin pieces with the cork disks as the carrier with the skin facing outward.

The next step is to carefully trim the excess skin around the cork disc so that the size of the autologous skin matches the shape of the cork disc.

After completing this step, the preparation of micro-skins began. Under the guidance of Deputy Director Cui, the previous large pieces of skins were cut into smaller micro-skins, basically ensuring that each piece is on the side. A square 3 cm long.

This is a process that tests patience and hand dexterity, accuracy, and endurance.

Since it was the first patient, the size of the wound was under the control of Deputy Director Cui, and one person was enough to complete the preparation of these skin grafts.

If the burn area is larger, the leatherworking team needs to expand the number of people.

However, Qin Lang's performance far exceeded Deputy Director Cui's expectations:

"Qin Lang's preparation is so fast. Not too fast, but very stable!"

Deputy Director Cui was a little surprised and admired. Sure enough, he saw the right person.

After the particle skin is prepared, it is necessary to spray the adhesive on it. The requirements for the amount of adhesive are also very particular. If it is too small, it will not work, and if it is too much, it will prolong the drying time.

However, Qin Lang mastered the entry-level micro-skin transplantation very quickly.

"This kid, is it really the first attempt?"

Qian Liang and Wu Youtu on the side were secretly startled.

Especially Qian Liang. At the beginning, he was still Qin Lang's eldest brother. Not long after that, Qin Lang has become a hot star doctor in the Wound Treatment Center.

Now even their entire group is pinning their hopes on him.

Being able to show such a strong learning ability in the first microskin transplantation, no wonder Qin Lang is favored by so many directors.

Next, Qin Lang completed the operation of replacing the carrier and transplanting micro-skin grafts.

The whole process is like pasting small stamps on the patient's body, which also tests the operator's hand stability and precision.

After all this is done, the affected area is properly fixed with an infiltrated anti-infective gauze, then covered with layers of gauze with good water absorption layer by layer, and finally wrapped with a sterile dressing, supplemented by uniform pressure fixed.

For some parts that are difficult to fix, sutures should be sutured around the area and bandaged to prevent postoperative movement.

After that, it is routine treatment, closely observe changes in vital signs, and focus on observing symptoms, signs and detection indicators related to infection.Timely treatment of postoperative electrolyte and acid-base disorders, anemia, hypoproteinemia, etc.

[Congratulations to the host for completing a micro-skin transplant operation, the progress of the task is 1/30, and a random task reward: a bottle of stamina potion. 】

Seeing Qin Lang successfully complete the first operation, Deputy Director Cui was also overjoyed, Qin Lang was as good as ever.

And Wu Youtu and Qian Liang who cooperated with him were also very impressed.

"Qin Lang, come here in the morning, and we will do another one in the afternoon."

After all, the preparation of this kind of micro-skin is very energy-consuming, and Deputy Director Cui does not want to put too much pressure on Qin Lang.

Qin Lang is a little bit unfinished, but he is going to wait for the whole operation to become more proficient, and then propose to increase the amount of surgery.

After leaving the operating room, Wu Youtu and Cui Jianguo also communicated in private. When they thought of the upcoming Deputy Director Lu Yu, they felt a little depressed and felt heavy.

Qin Lang is indeed very talented and has potential, but he is still too young after all.

Given him time, they had no doubt that Qin Lang could make some achievements, but in just one week, could they really find a worthy topic?
Wu Youtu recalled it for a while, and concluded: "In terms of Qin Lang's current level, to be honest, almost all senior attending physicians can achieve it. However, his basic skills and the feeling of surgery are much better than ordinary people. Especially his Cutting technique, suturing technique, amazing."

Cui Jianguo also felt the same way: "That's right, Qin Lang's talent is very good. The first micro-skin transplantation technique can achieve this level, which is beyond the reach of ordinary people."

Wu Youtu walked a few steps, his expression a little dignified:

"For ordinary people, of course this is enough. But for Lu Yu, it is still a little tender, and besides the level of surgery, the direction of the subject is the most important thing."

Lu Yu has enough potential, and has accumulated enough surgeries. He is energetic, ambitious and talented.

Although Qin Lang may have a talent beyond Lu Yu, but the accumulated time is too little, and he has just started in the field of deep burn wounds.

"I hope he can grow up faster."

However, Wu Youtu also understands that if you want to find a subject, you need constant practice to make quantitative changes lead to qualitative changes. It is only a week since Lu Yu arrives, and even if Qin Lang can perform two operations a day, the amount of operations is only fourteen a week.

This amount of surgery is not a fraction of the amount of operations Lu Yu has handled.

Even if Qin Lang is talented, what new direction can he propose?

Moreover, there will be various accidents during the operation, and it is a sign of a doctor's maturity to be able to calmly deal with and deal with these emergencies, and these all take time, and each patient needs to go through it slowly.

For the whole surgical procedure, it is only through continuous practice that some improved ideas will emerge.

For example, Wu Youtu has accumulated enough operations on deep wounds. The basic operations may not be as good as Qin Lang, but in terms of knowledge, he is confident that he is much richer than Qin Lang.

Moreover, in every link of the micro-skin transplant operation, he has made some small improvements in his own way, from skin removal, skin grafting, expansion rate of skin grafts, dressings, of course, there are only some improvements.

For example, in skin extraction, he has tried to fine-tune the ordinary manual skin extraction knife to cut miniature skin slices.

In the preparation of the skin, he also tried an improved tulle, which can achieve an expansion ratio of 1:2, and he has more experience in the dressing. Although the effect is similar to that of ordinary dressings, but in terms of cost Up to 2/3 he can control.

Of course, such a small improvement cannot form a qualitative change, but it can be regarded as several directions.If Qin Lang really doesn't have any new genius ideas in the future, then use the direction he has accumulated over the years to apply for the topic of micro-skin transplantation first.

However, the entry point of these topics cannot shake Lu Yu's status as a topic.

After all, they still have to form a big breakthrough, so that they can compete with Lu Yu.

"Director Cui, we put such a big responsibility against Lu Yu on Qin Lang's shoulders, isn't it putting too much pressure on him?"

Wu Youtu walked beside Director Cui, a little worried, worried about Qin Lang, and also worried about the situation of their medical team after Lu Yu came.

"We can only trust him."

Cui Jianguo paused and quickened his pace: "Prepare for the micro-skin transplant in the afternoon. This time, let Qin Lang start with the skin graft."

"it is good."

Wu Youtu looked at Director Cui's back and nodded, but he didn't think this kind of temporary cramming would be of much use.

(End of this chapter)