Doctor's Life Simulator

Chapter 312 Director Zhou, we have completed the operation

Before Qin Lang started the operation, Professor Shen Xi had the foresight to videotape the operation. After all, it was a comprehensive operation that spanned several fields.

Moreover, according to Qin Lang's previous vision, this operation will use several very cutting-edge operating techniques.

Prior to surgery, intravenous antibiotics had been scheduled for a single month, as well as sedatives and atropine 0.5 mg.

After completing these, the anesthetist performed endotracheal intubation and general anesthesia on the patient according to Qin Lang's request. Since the facial nerve had to be monitored during the operation, Qin Lang specifically ordered in detail not to use muscle relaxants.

Adjust the patient to the supine side head position. In order to remove the tumor as much as possible during the operation and protect the levator muscle of the upper face, Qin Lang used very detailed operations to fix the inner and outer canthus of the patient to maintain the normal position of the upper eyelid. .

Soon, Qin Lang began to incise and expose the tumor for tumor resection.

Due to the histological characteristics of cephalic plexiform neurofibroma, the tumor body is full of vascular sinuses, the sinus cavity wall is thin, and the contractility is poor, so there is more surgical bleeding, and because the tumor tissue is soft, simple clamping and ligation of bleeding are difficult to implement.

Looking at the bleeding spots that kept appearing in the field of vision, Shen Xi and Shen Jiachen beside him were all sweating for Qin Lang.

However, to their surprise, Qin Lang directly controlled the patient's cheek with slight changes in force to stop the bleeding.

As soon as this subtle technique came out, both Shen Jiachen and Shen Xi admired it, even they couldn't do it so meticulously.

"This kid is really powerful."

Shen Jiachen was amazed in his heart, sure enough, he would never be disappointed when he came to see Qin Lang's surgery.

After the preliminary finger pressure hemostasis, Qin Lang took out the Habib 4X coagulation electrode that he had soaked in the simulated world for decades to cut and ablate and stop the bleeding.

In addition, he also agreed with Shen Xi on another auxiliary method:
"Teacher, cooperate with me to do vascular embolization for patients."

Due to the bleeding inside the neurofibroma, the nerves and blood vessels of the tumor are sent out from the brain, and it is impossible to find blood vessel and nerve ligation through the normal tissue, so Qin Lang very cleverly came up with the idea of ​​using an embolism to reach the blood supply vessels of the tumor, thereby reducing Intraoperative bleeding.

When Shen Xi was embolizing the patient's blood vessels, Qin Lang also established a thick silk thread cerclage around the patient's tumor to minimize bleeding from the incision and block the blood supply to the tumor.

Seeing Qin Lang's operation step by step, even Director Shen Jiachen was eye-opening.

"It's amazing, Qin Lang's control of bleeding in this operation can even produce a textbook."

When Shen Jiachen was sighing, Tang Yue was watching carefully from the side, and then, she found that she seemed to be a little behind and couldn't understand.

It's just that I think Qin Lang is so powerful.

Tang Yue wanted to ask her teacher, but Shen Jiachen watched Qin Lang's operation without blinking. Tang Yue hesitated to speak, and was a little puzzled?

Teacher, no matter how you look at it, you are more serious than yourself.

On the operating table, Qin Lang continued to demonstrate his aura-filled intraoperative bleeding measures.

Except for the Habib 4X coagulation electrode vascular closure system for tumor resection, when the tumor is dissected, Qin Lang chooses to perform it on the galeal aponeurosis, fascia or periosteum.

".Large Warm Saline Gauze Hemostatic Gelatin Sponge"

During the operation, Qin Lang peeled off the wound while stopping the bleeding. He also used large saline gauze to compress the wound, and placed a hemostatic gelatin sponge to further reduce the bleeding of the wound.

Looking at Qin Lang's operation, Shen Xi also got a lot of inspiration from the side. It turns out that there are so many tricks for neurofibroma removal.Even experts in her field are quite rewarding.

On the operating table, Qin Lang frantically lifted the entire tumor from the base of the tumor in a short while, and then removed the tumor from the subcutaneous area.

The whole operation process is done in one go.

Seeing Qin Lang's progress to this point, the two directors were also shocked, it was really amazing.

If, just a routine tumor resection, then only sutures and finishing are required.

However, in order to obtain a better appearance and function, Qinlang needs plastic repair and plasticity for soft tissue defects.

For this reason, Qin Lang started the flap design and transplantation technique.

For the transplantation and design of the skin flap, Qin Lang is below the perfect level, of course, it is easy to grasp.

Shen Jiachen and Tang Yue were also very familiar with this step, so they watched it carefully.Qin Lang's operation once again amazed them.

On the contrary, Professor Shen Xi is not very good at this kind of plastic surgery, and he is doing simple assistant work.

With the passing of time, the operation of skin flap transplantation is generally difficult, but the most essential part is the design of the appropriate skin flap, how to form a beautiful appearance, and cosmetic suturing.

Here, it is a test of the aesthetic ability of the surgeon and the meticulousness of the stitching.Obviously, under the artist's aesthetics, the design made by Qinlang is eye-catching.

Even, during the entire operation process, slight adjustments were made to Shan Yue's somewhat imperfect facial features.

Looking at Shan Yue on the operating table, the huge wound after tumor resection, which was still terrifying before, has gradually returned to normal under Qin Lang's ingenious carving.

"Now I know why Qin Lang is known as a million-dollar plastic surgeon. This one-hand cosmetic suture is also very powerful in shaping the facial features."

Shen Jiachen's research is in the field of burns, and he still has a say in postoperative recovery. Qin Lang's postoperative effects are undoubtedly top-notch.

Tang Yue also stared intently: "Doctor Qin is indeed as good as ever."

Shen Jiachen said with emotion: "It seems that this operation video from Qin Lang will become a classic teaching video again."

Shen Xi is also in the beautiful eyes, a flash of pride flashed, this student of his is really an all-rounder, this operation combines extreme operations in too many fields, any doctor can do one, it is already special It's not easy, but Qin Lang, every operation is at the textbook level.

"It seems that the next step is to have a good chat with him about the topic selection of his graduate thesis. With such talent and potential, we must find a direction that can better display his talent."

Shen Xi gave Qin Lang several directions before, one of which was the research topic of exosomes and liquid biopsy biomarkers.

However, although this topic has great potential, it cannot fully reflect Qin Lang's clinical ability. Therefore, she plans to change to a direction that is more suitable for Qin Lang's ability.

Qin Lang is suitable for research on techniques, not pure scientific research.For example, Wang Rou in her team basically has limited clinical talent, so she chose a research direction in the field of new anti-tumor drugs.Something like this is completely unsuitable for Qin Lang.

It just so happened that Qin Lang wanted to talk to him for a while, so after listening to his thoughts, he decided to set a direction for him.

This operation, under Qin Lang's operation, was successfully completed. Don't think about it. After that, the recovery in a single month will be perfect. Not only did the tumor be removed, but also her appearance was perfectly preserved. Even after Qin Lang's facial features have been slightly adjusted, his appearance has gone a step further and has become much more refined.

However, just after the operation, gauze dressing was still needed, and it took at least a week to remove it, showing her brand new face.

Looking at the completed results of Qin Lang, Shen Xi and Shen Jiachen were looking forward to the moment when their faces were revealed.

The operation was successfully completed, and several people breathed a sigh of relief and walked out of the operating room together.

Outside, Wang Tai and Shan Xing paced back and forth, waiting anxiously. Seeing Qin Lang and the others come out, they greeted them immediately.

"Professor Shen, Doctor Qin, how is my sister?"

Shen Xi looked at the family members with a smile on his face, and said confidently: "The operation was very successful. Under Dr. Qin's hands, the result may be a bit better than the best result we can think of!"

Listening to Shen Xi's words, Wang Tai and Shan Xing were of course extremely excited.

"Doctor Qin, thank you so much!"

In the burn department of Ruijin Hospital, director Zhou Bin looked at the time and was a little puzzled.

"What's the situation with Professor Shen? He hasn't replied to me for so long. For such a demanding operation, the expert fee of 200 million yuan is still very reasonable. After all, I need to form a top-level surgical team."

Zhou Bin is still very confident in his skills, especially for this kind of patients who have high requirements for appearance and beauty.

Within the scope of Modu, he is confident. Except for him who can form such a top team, it is basically impossible for other doctors to complete such a difficult task.

In this operation, the first most difficult thing is the bleeding control during the operation, and the second is the later plastic surgery plan design, flap design and repair.

Here, not only surgical skills, but also aesthetic ability.

In Zhou Bin's team, there is a top plastic designer. He dared to ask for 200 million yuan for this operation, of which at least 60 was for this top plastic designer.

A proper design is the soul of the success or failure of this operation. Zhou Bin will be more confident with this kind of trump card in his hand.

He waited for Professor Shen to call him back, unless the patient was not going to do it, otherwise, as long as he wanted surgery, he would definitely come back to him.

However, as time passed by, Shen Xi's call still did not come through.

"This Shenxi, what's the situation?"

Zhou Bin really wanted to go back, but he still had to maintain his compulsion. If he called in the past, it would be too cheap.

Before, he and Shen Xi proposed to wait in line, which was also to heighten the feeling that he was scarce and in demand. In fact, he did queue up a lot of surgeries.

However, besides the expert fee for this one month, he is also very interested in this disease. As long as it is done well, it will be a classic case, so he has thought about it and can reduce the expert fee appropriately. .

In fact, being able to complete such an operation and show the classic video of the operation will further increase his status in the world.

After waiting for a while, his cell phone finally rang, and he saw that it was Shen Xi who had been waiting for a long time.

Sure enough, after asking around, Professor Shen still couldn't find any other suitable doctors, so he finally came to his team for the operation.

Zhou Bin adjusted his sitting posture, maintained his superior demeanor, raised his airs, and connected the phone:

"Professor Shen, did you ask around, and you still think my surgery is the best choice. Just now I contacted my surgery team and had a chat. I am still very grateful for this surgery. I was interested, so I convinced them. After all, this is a very rare and classic operation, so I deliberately spared time. As for the expert fee, I can also make some concessions. After all, doctors are benevolent."

"Let the patient be transferred to our hospital as soon as possible."

Zhou Bin said confidently, after all, it took so long for Shen Xi to call, and he must have asked a lot of questions to no avail. At this time, if he agreed, he would definitely gain her gratitude and admiration.

However, what Zhou Bin didn't expect was that the other person interrupted him coldly.

"Director Zhou, I want to tell you that we have completed this operation. I forgot to reply to you just now because I was in the operating room. Oh, I won't tell you, we still have to do some surgery for patients and their families. Instructions after surgery. You should be quite busy here too, let’s chat~”

(End of this chapter)