MTL - Doctor’s Life Simulator-Chapter 13 Shocking, perfect surgical operation
Since the third-degree burn eschar has no nerve sensation, the operation can be performed without anesthesia.
"Qin Lang, then you will start the debridement and disinfection first."
Now that Wu Zhuzhi has spoken, Peng Yun naturally handed over the preparatory work to Qin Lang. In addition, she also wanted to see how skilled this little doctor was.
After all, in the analysis of Wang Qiang's condition, it is just a demonstration of his diagnostic ability, and his clinical ability on the operating table cannot be generalized.
In response to Peng Yun's instructions, Qin Lang nodded lightly and started his performance.
"Sterile gauze..."
"Ether..."
Qin Lang skillfully gave instructions to cover the wound with sterile gauze first, carefully shave off the skin around the wound, and scrub the greasy substance with ether.
"Soapy water..."
In the operating room, only Qin Lang's commanding voice was heard in an orderly manner, and the equipment nurses quickly cooperated.
Soon, Qin Lang was fully washed with soapy water, and then rinsed the wound with a large amount of isotonic saline.
Due to the complex environment in the factory, various foreign bodies, blood clots, and detached tissue fragments are mixed on the wound surface. Before eschar excision, all must be removed. The subtleties can only be removed by needles.
Seeing Qin Lang's smooth speed, Peng Yun was obviously a little surprised. Originally, he just wanted to wait for Qin Lang's simple debridement before taking over, but Qin Lang did not give her any time to intervene.
"It's a very dedicated operation, is he really just a training doctor in a community hospital?"
Peng Yun was in a trance for a while, and then looked at Wu Youtu helplessly. The latter also had a solemn expression, but he wanted to see how far Qin Lang could do it, so he signaled Peng Yun to hold his troops.
"Pulse washer..."
Qin Lang skillfully called out the name of a device.
Wu Youtu's expression on the side was slightly surprised, but Peng Yun's expression did not change.
"This kid, how does he know to use a pulse irrigator? This is the burn department of our hospital. This year, the newly installed equipment has far less bacteria in the wound after rinsing than the general method. But the problem is, even lower-level hospitals have never Equipped, how can this kid be so familiar."
Naturally, Peng Yun, who came out of Union Medical College, had seen and used it. Originally, Wu Youtu also wanted to teach Qin Lang how to use the pulse washer as the first lesson.
"Could it be that this kid watched the surgery cases in the hospital in advance and taught himself?"
This time, Wu Youtu really had some good feelings for Qin Lang.
After rinsing and disinfecting the skin again, the preparation is complete.
The eschar of third-degree burns loses its normal skin elasticity. When the annular deep burn becomes a scab, due to the swelling of the underlying tissue and the obstruction of venous return under the scab, it will cause the arteries to be blocked due to mechanical compression and reflex spasm. Distal blood circulation disorders and even limb necrosis occur.
So, eschar incision is imminent!
"Iodophor...ethanol...towel..."
At this moment, Qin Lang is completely immersed in the operation. In the simulated world, he has completed hundreds of cases, so he has the ability to complete it independently.
Before Peng Yun and Wu Youtu called to stop, Qin Lang went directly to the formal operation.
I have to say that Jia Qing's symptoms are very serious. The entire neck and chest are covered with ring-shaped eschar, which is shocking.
"Scalpel..."
Qin Lang calmly gave instructions to the equipment nurse, who, panting heavily, cooperated.
With clinical experience in the simulated world, and a young and strong body of 24 years old, the result is that Qin Lang's operation is very fast. After a while, the little nurse was caught by Qin Lang, and she was exhausted. .
After Qin Lang held the knife, he began to adjust the way of holding the knife according to the different positions of the eschar.
The first is acupressure, which is also the most commonly used method of holding the knife. It is the most suitable method for skin and peritoneal incision.
Seeing Qin Lang's standard knife-holding posture, Wu Youtu's eyes lit up slightly. As soon as he shot, he knew that this kid's basic skills were very solid.
Peng Yun also looked solemn, thinking in his heart, could it be that Qin Lang also secretly bought pig trotters to practice his hands, otherwise, how could he be so skilled.
No wonder his skin is so delicate and full of collagen.
Before she knew it, Peng Yun's mind flew far away. After all, in front of a handsome guy like Qin Lang, she couldn't avoid being vulgar.
Also, a younger brother...
In an instant, Qin Lang adjusted to the pen-holding style again, just like holding a pen. The movements involved the wrist, and the strength was mainly in the fingers, small force, short distance, fine operation, often used to cut short incisions, separate blood vessels, nerves, etc.
"Good boy!"
Seeing Qin Lang's advanced incision technique, Wu Youtu's heart was filled with admiration again!
This strength is controlled like fire and pure green, even if it is himself, right?
At the next moment, Qin Lang changed to the reverse pick, that is, the blade was lifted from the inside of the tissue to the outside, so as not to damage the deep tissue.
"Bravo!"
With this set of cutting techniques, Wu Youtu has recognized Qin Lang's basic skills.
"Sure enough, the chief director has an old-fashioned vision."
Soon, Qin Lang made an incision along the posterior edge of the sternocleidomastoid muscle, reaching as deep as the platysma, announcing the incision of the neck eschar.
Five minutes later, along the bilateral anterior axillary line, the incision was made from 21CM below the clavicle to the 10th rib, the depth of the incision reached the deep fascia, and the chest eschar incision was completed.
However, this was just the beginning, Qin Lang was in great shape and kept going.
In the operating room, the equipment nurse was cooperating with Qin Lang back and forth, and there was some resentment in his eyes.
Qin Lang has good physical strength and moves quickly, but he doesn't know Lianxiang Xiyu, so he stopped for a while, and the little nurse was dripping with sweat.
He could only grit his teeth and continue to cooperate with Dr. Qin's output. UU reading www.uukanshu.com
Next, it was the eschar incision of the upper limb, which Qin Lang accurately incised on the midline of the inside and outside of the long axis of the limb.
The whole process is smooth and freehand.
Peng Yun originally wanted to remind Qin Lang to pay attention not to expose the ruler and radial nerve to avoid damage, but Qin Lang's operation was so precise that she could only swallow it deeply.
"He's amazing! This clinical technique is comparable to his diagnostic ability."
Peng Yun found that he couldn't see through the little doctor.
Wu Youtu's face is also like a treasure. This is really a rare talent, but this is only a basic operation. Next, he will arrange more complicated operations for Qin Lang to try.
With Qin Lang's skilled eschar incision and decompression, Wu Youtu and Peng Yun directly incarnated as the audience, so they didn't have to worry about it at all.
Fifteen minutes later, Qin Lang completed all the operations alone.
At this time, Wu Youtu finally spoke up and stopped Qin Lang's operation.
"Qin Lang, you have done a very good job, completely beyond my expectations. The next steps are left to Peng Yun. Please watch carefully."
Qin Lang originally wanted to say that he could do it, but since the goal has been achieved anyway, he is not operating.
[Ding, complete the task: Assist Chief Wu to complete the eschar decompression surgery to relieve the patient's pain. 】
[Congratulations to the host, get a bottle of stamina potion. 1 point life simulation point. 】
After Qin Lang stepped aside, Peng Yun covered the wound with artificial skin, then covered it with a thicker gauze roll, and then fixed and sutured both sides of the incision with thick threads.
I have to say that Peng Yun's level is still very powerful. This hand stitching seems to have reached an advanced level, which is slightly inferior to Qin Lang.
