Doctor's Life Simulator

Chapter 27 will be outside, the king's life will not be affected
"Director Tian is absurd. It seems that Dr. Wu has made great progress these days."

A gleam of joy appeared on Wei Guoqiang's face, but the most important thing now is to judge Shen Fang's treatment plan first.

"If it was the case at the beginning, I was really worried. Due to vascular damage, wound pollution, and various eschars, the operation would be very difficult. We rushed back and missed the best treatment time, leaving irreversible damage. But Seeing such clean and refreshing debridement and scab removal now undoubtedly fully guarantees the blood supply and tissue activity, and buys us more time."

Tian Hua analyzed it, and his thinking was very fast: "Now we only have two hands to prepare, leaving the most difficult tendon suture and nerve anastomosis to wait for us to go back to the operation, and let Wu continue to perform vascular anastomosis to buy enough time for us. "

"Although, some of the best time will be missed, but I will do some homework on rehabilitation in the future, and I still have a lot of experience in tendon adhesion. There is a [-]% certainty that Shen Fang's hand will return to before the injury."

After hearing Tian Hua's analysis, Wei Guoqiang also nodded, and then conveyed their instructions to the phone screen:
"Doctor Wu, Director Tian and I still have some time to come back. Now, you have performed the vascular anastomosis first to ensure the patient's wound has good blood supply and tissue activity, and we are waiting for the tendon and nerve anastomosis when we come back." .”

After hearing the order from the two directors, Wu Youtu of course accepted the order. Although his vascular anastomosis is not as good as the two directors, he is still confident if he can be guided remotely by the two directors.

"Qin Lang, your previous work was done very well, and the next vascular anastomosis will be handed over to me, and you will assist me."

After all, Wu Youtu is the attending physician, facing difficulties, how could it be possible for Qin Lang to bear the pressure.

"Doctor Wu, it's okay, I can do it."

The answer to Wu Youtu was Qin Lang's determination as always. Although Wu Youtu could perform the vascular anastomosis, it would certainly not be as effective as his own perfect suture.

In order for Shen Fang to heal and return to his pre-injury state, Qin Lang is not going to do anything to anyone, not even the two directors.

Now in this operating room, he is the most reliable and trustworthy person.

The so-called general is outside, and the king's life is not accepted.

Wu Youtu frowned, but was still convinced by Qin Lang's persistence.

This communication is between lightning and flint, and not all the voices and images will be transmitted through the remote consultation system. Now the two directors have only one field of vision, which is the patient's wound. They don't know who is in the position of the chief surgeon. .

After completing the last step of debridement, Qin Lang directly started the anastomosis of blood vessels, first of all, a blood vessel that satisfied end-to-end anastomosis.

".tweezers, surgical scissors"

Qin Lang gave orders calmly, and the equipment nurses on the side naturally obeyed. Whoever is the chief surgeon has the right to speak, and everyone will revolve around him.

Qin Lang very quickly finds the distal and proximal segments of the blood vessel, and sharply mobilizes 1-2cm to both sides, preserving the soft tissue around the blood vessel.

He has a careful idea, that is to operate quickly, and try to complete the operation before the two directors rush back.

Of course, this is based on strong strength, Qin Lang will not make fun of the safety of patients.

"Qin Lang, don't worry, we can slow down to ensure accuracy. Moreover, Director Tian and Director Wei will take some time to arrive."

Wu Youtu explained on the side, secretly admired in his heart, as expected of a young man, from the beginning to now, after such a long time, he can still achieve such a high frequency.

For such a long time, Qin Lang has changed so many movements and postures, and he has never rested.

Convinced!

On the operating table, Qin Lang quickly entered the next step, removing the adventitia tissue at the vascular port. It took some time, and at the same time loosened the vascular clamp to observe the vascular port, whether there was fresh blood ejected, and vasospasm was ruled out. Afterwards, the blood vessels were flushed with heparin saline.

After excluding translucent localized bulges in the vessel wall, suturing was started.

The whole movement is smooth, revealing sophistication and stability.

On the expressway around the city, the two directors live broadcasted the screen through their mobile phones, seeing all this in their eyes, and secretly applauding.

"Wu is the chief physician, as expected of a senior attending physician. After so many years of clinical experience, this stability and proficiency is a bit of a master's demeanor!"

While watching the mobile phone screen, the two directors kept an eye on the traffic jam ahead.

However, due to the high speed, the mobile phone signal is not too stable, and the screen will appear a small pause from time to time.

"Director Tian, ​​there is still a problem with the real-time remote guidance of this signal, but it can still roughly reflect the progress of the operation. At least, even if we don't need us, Dr. Wu can perform the vascular anastomosis excellently."

In Wei Guoqiang's expression, he was still very proud. After all, this is a doctor in his department. He performed well, and he always has a bright face.

"That's right. This remote surgery system still needs to be perfectly connected in the hospital to follow up in real time. The mobile phone is not stable enough and timely."

Because of Wu Youtu's excellent vascular anastomosis, the two directors have calmed down a lot and stabilized a lot.

"Director Wei, continue to watch the live broadcast. I'll give Captain Wang a call to reassure him."

Tian Hua immediately called Wang Youming:
"Captain Wang, don't worry, we have established a connection with the operating room through the remote surgery system. Then came to buy a lot of time.”

Hearing Tian Hua's feedback, Wang Youming was of course overjoyed:

"Then there will be two directors."

"Captain Wang, when we come back, we will perform the final tendon suturing and nerve anastomosis on Shen Fang. From my current judgment, there is at least a [-]% chance of recovery."

"Good good!"

While several people were talking, Qin Lang had already started suturing a stitch at the anastomosis of the blood vessel at 0° and 180°, or 90° and 270° as a fixed traction line.

Then take the stitch at the midpoint of the two stitches and use it as a leader to stitch with equal margins and stitches in between.

"So even, so beautiful stitching!"

Wu Youtu watched Qin Lang's suture most intuitively, and was amazed in his heart. Compared with the last operation, he seemed to have transformed.

"It does not leak blood, nor is it too dense, which greatly reduces the possibility of vascular embolism. It is simply the theoretical suture margin, twice the thickness of the tube wall, and the needle distance is three times the margin."

After the blood vessel on one side is sutured, the vascular clip and the blood vessel are turned over, and the position of the traction wire is exchanged, and the blood vessel segment is turned over to the non-sutured side.

".Heparin water."

Under such a quick operation, Qin Lang still did not miss any small details, rinsed again to ensure that there were no residual thrombus and foreign matter in the cavity, and observed and confirmed that there were no seams and the tube wall, and then sutured this side with the same method Blood vessel.

".2% Lidocaine"

Qin Lang loosened the vascular clamp, controlled the gradual restoration of blood flow, and produced a trace of vascular spasm, which was through the anastomosis with lidocaine wet compress.

After completing this blood vessel, it is time to start the next one, that is, the one that had more blood vessels removed before.

Due to the large number of resections between the two segments, the caliber size is quite different, and direct end-to-end anastomosis will cause a crack to form on the side with the larger caliber.

Qin Lang blinked slightly, and under the perfect vascular anastomosis, an appropriate plan had been drawn up.

(End of this chapter)