MTL - Doctor’s Life Simulator-Chapter 309 Director Zhou, we have completed the operation

Before Qin Lang started the operation, Professor Shen Xi had a foresight to make a video of the operation. After all, this 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 skills.

Prior to surgery, intravenous infusion of antibiotics had been scheduled for a single month, along with sedatives and atropine 0.5 mg.

After completing this, the anesthesiologist performed general anesthesia with endotracheal intubation on the patient according to Qin Lang's request. Since the facial nerve was to be monitored during the operation, Qin Lang specifically instructed not to use muscle relaxants.

The patient was adjusted to the supine lateral head position. In order to remove the tumor as much as possible during the operation and protect the upper face levator muscle, Qin Lang adopted a very detailed operation to fix the patient's internal and external canthus to maintain the normal position of the upper eyelid. .

Soon, Qin Lang began to incision and exposed, and the tumor resection was carried out.

Due to the histological characteristics of plexiform neurofibromas in the head, the tumor is full of vascular sinuses, with thin sinus walls and poor contractility, so there is a lot of bleeding during surgery.

Looking at the bleeding spots that kept appearing in the field of vision, Shen Xi and Shen Jiacheng on the side were both sweating for Qin Lang.

However, they were pleasantly surprised that Qin Lang directly controlled the bleeding through the external pressure of the patient's cheeks through slight changes in strength.

As soon as this subtle technique came out, Shen Jiamo and Shen Xi were somewhat admired, even they couldn't be so meticulous.

"This kid is really amazing."

Shen Jiacheng was full of admiration in his heart. Sure enough, he would never be disappointed when he came to see Qin Lang's surgery.

After the initial pressure to stop the bleeding, Qin Lang took out the habib4x coagulation electrode he had been immersed in the simulated world for decades to perform cutting and ablation to stop the bleeding.

In addition to this, he and Shen Xi also settled on another auxiliary method:

"Teacher, cooperate with me to perform vascular embolization for the patient..."

Due to the hemorrhage in the neurofibroma, the nerve blood vessels that caused the tumor are sent out from the brain, and it is impossible to find the blood vessel and nerve ligation in the normal tissue. Therefore, Qin Lang cleverly came up with the idea of ​​using an embolic agent to reach the blood supply vessels of the tumor, thereby reducing the number of blood vessels in the tumor. Intraoperative bleeding.

When Shenxi performed vascular embolization on the patient, Qin Lang also established a thick silk cerclage around the patient's tumor to minimize incision bleeding and block the blood supply to the tumor.

Looking at Qin Lang's step-by-step operations, even Director Shen Jiayang was an eye-opener.

"It's amazing, Qin Lang's control of bleeding during this operation can be a textbook."

When Shen Jiacheng sighed, Tang Yue was watching carefully, and then she found that she seemed to be unable to keep up and couldn't understand.

It's just that I think Qin Lang is amazing.

Tang Yue wanted to ask her teacher, but Shen Jiacheng watched Qin Lang's surgery without blinking. Tang Yue hesitated, and was a little confused?

Teacher, you are more serious than yourself.

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

In addition to the habib4x coagulation electrode vascular closure system for tumor resection, Qin Lang chooses to perform the removal of the tumor on the galeal aponeurosis, fascia or periosteum.

"...large warm saline gauze...hemostatic gelatin sponge..."

During the operation, Qin Lang peeled off and stopped the bleeding. He also used a 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. It turns out that there are so many tricks for the removal of neurofibromas. Even an expert in her field is quite rewarding.

On the operating table, Qin Lang's wind was swirling, and after a while, the entire tumor was lifted from the base of the tumor, and then the tumor was removed subcutaneously.

The entire operation process is completed in one go.

Seeing that Qin Lang had reached this stage, the two directors were also shocked, they were really amazing.

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

However, in order to obtain a better appearance and function, Qin Gallery needs to carry out plastic repair and plasticity of soft tissue defects.

To this end, Qin Lang started the design and transplantation technology of skin flaps.

For the transplantation and design of the flap, Qin Lang's perfection is of course within his grasp.

And this step, Shen Jiamo and Tang Yue, are also very familiar, and they looked at 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 and cosmetic surgery, doing simple assistant work on the side.

Time has passed, and the operation of skin flap transplantation is generally difficult, but the most important part is the design of the appropriate skin flap, how to form a beautiful appearance, and cosmetic sutures.

Here, the aesthetic ability of the artist and the meticulousness of the stitching are tested very much. Obviously, the design made by Qin Gallery under the aesthetics of the artist is eye-catching.

Even during the entire operation, some minor adjustments were made to the slightly imperfect facial features in a single month.

Looking at the single month on the operating table, the huge wound after the excision of the tumor, which had been terrifying before, gradually returned to its normal state with Qin Lang's uncanny workmanship.

"I know now why Qin Lang is called a million plastic surgeons. This hand stitching is too powerful for shaping the facial features."

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

Tang Yue also kept her eyes fixed: "Doctor Qin is still as good as ever."

Shen Jiachang sighed with emotion: "It seems that this operation video of Qin Lang will become a classic teaching video again."

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

"It seems that the next step is to have a good chat with him about the topic 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 subject has great potential, it cannot fully reflect Qin Lang's clinical ability, so she intends to change a direction that is more suitable for Qin Lang's ability.

Qin Lang is suitable for the research on the technique, not the 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 also wanted to chat with him, so after listening to his thoughts, he decided to give him a direction.

Under the operation of Qin Lang, this operation was completed very smoothly. Don't think about it. After that, the recovery in a single month will be perfect. Not only will the tumor be removed, but her face will be perfectly preserved. After the fine-tuning of Qin Lang's facial features, his appearance has been further improved and much more refined.

However, just after the operation, she still needs a gauze dressing, which can be removed for at least a week to reveal her new face.

Looking at the results completed by Qin Lang, Shen Xi and Shen Jiacheng were very much looking forward to the moment when their faces were revealed.

The operation was successfully completed, and several people were relieved and walked out of the operating room together.

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

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

Shen Xi looked at his family members with a smile on his face, and said confidently: "The operation was very successful. Under Dr. Qin, this completed result may be a bit better than the best results 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 matter with Professor Shen? They haven't replied to me for so long. The expert fee of two million yuan for such a demanding operation is quite reasonable. After all, I need to form a top-level surgical team."

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

Within the scope of the magic capital, he is confident, except that he can form such a top team, it is basically impossible for other doctors to complete such a difficult task.

In this operation, the first difficulty is the intraoperative bleeding control, and the second is the design of the plastic surgery plan, the design and repair of the skin flap.

Here, not only surgical skills, but also aesthetic skills are required.

Among Zhou Bin's team, there is a top plastic surgery designer. He dared to ask for two million for this operation, of which at least 600,000 was for this top plastic surgeon.

A suitable plan design is the soul of the success or failure of this operation. With this kind of trump card in his hand, Zhou Bin is more confident.

He waited for Professor Shen to call him back, unless the patient was not ready 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 phone call still hadn't come.

"This Shenxi, what's the situation?"

Zhou Bin wanted to go back to the past, but he still had to maintain his force.

Before, he and Shen Xi proposed to wait in line, but also to express a feeling that they were scarce and sought-after. In fact, he did line up a lot of surgeries.

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However, for this one-month machine, in addition to the expert fee, he is also very interested in this disease. As long as it is done well, it is a classic case, so he has thought about it and can reduce the number of experts appropriately. fee.

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

After waiting for a while~www.novelbuddy.com~ his cell phone finally rang, and it was Shen Xi who had been waiting for a long time.

Sure enough, after Professor Shen asked around, he still couldn't find any other suitable doctor, and finally came to his team to perform the operation.

Zhou Bin adjusted his sitting posture, maintained his high-handed demeanor, put up the air, and answered the phone:

"Professor Shen, did you ask around, but still think that it is the best choice for me to have the surgery here. I just contacted my surgical team again and talked about it together. I am still very impressed with this surgery. I was interested, so I persuaded them. After all, this is a very rare and classic operation, so I deliberately set aside time. As for the expert fee, I can make some concessions. After all, doctors are benevolent. "

"You should transfer the patient to our hospital as soon as possible."

Zhou Bin said that he was sure to win. After all, it took so long for Shenxi to call, and he must have asked a lot of questions to no avail. At this time, if he agreed, he would definitely be able to gain her gratitude and admiration.

However, what Zhou Bin did not expect was that the opposite side interrupted him coldly.

"Director Zhou, I want to tell you that we have completed the operation. I forgot to reply to you because I was in the operating room just now. Oh, I won't tell you, we have to do something for the patients and their families. Post-operative entrustment. You should be quite busy here, let’s talk back~”