MTL - Doctor’s Life Simulator-Chapter 332 The feast of the city's 1st hospital: Director Qin's ventricular correction surgery demonstration
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, Doctor's Life Simulator
In the hospital bed in the city's first hospital, Tang You and his cousin looked at Qin Lang suspiciously:
"Doctor Qin, how is it, Director Qian has arranged a time? Can we go there now?"
"No, there is no need for Director Qian to operate the surgery. The success rate of the operation on Director Qian's side is only 70%. I decided to perform the operation on Lin Lin myself."
"Ah, you, come in person?"
Tang You was a little confused. When did Dr. Qin even perform cardiovascular surgery?
"I am the main surgeon for this operation, and I have a success rate of more than 90%."
Qin Lang and Tang You explained to her cousin, and then went to the Cardiovascular Department to find Director Zhu.
Although he was away for a few days, Qin Lang was still a physician in the city's first hospital.
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In the Department of Cardiovascular Medicine, Director Zhu and Dr. Sun suggested that Lin Lin go to Zijingang First Hospital for surgery. But I was a little unwilling in my heart, so I started to inquire and searched on the medical forum to see if there was a better way to deal with it.
Naturally, I saw a post on Zhiding and Jing, which was the surgery video of Qin Lang shared on the forum by Zijingang First Hospital.
Watching this surgery video, Director Zhu and Dr. Sun were both shocked, the latest "one-and-a-half" ventricular correction surgery in China!
It is indeed the top team of Zijingang First Hospital.
However, what puzzled them was that the name of this founder was so familiar, how could it have the same name and surname as Director Qin, the influential figure in the first hospital of the city.
Wouldn't it be so coincidental?
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He was also curious to what extent Qin Lang could perform such a difficult operation!
Soon, under the promotion of Director Zhu, the cooperating staff of the whole operation were mobilized.
Dr. Sun, who had already prepared another case, suddenly received a call from Director Zhu.
Director Zhu was going to operate on the 15-bed patient, didn't he mean to send it to the First Affiliated Hospital of Zijingang University?
Physician Sun walked into the operating room in confusion, when he saw Qin Lang, whose face was indistinguishable under the surgical gown at the main surgeon's position.
Moreover, Director Zhu personally served him as his assistant, which really surprised him.
However, Dr. Sun was only a little doctor after all, so he didn't dare to talk too much, so he obediently stood in the position of the second assistant.
As soon as the staff arrived, the operation officially started. Since the patient had severe heart failure, cardiac glycosides and diuretics were used in advance to control the heart failure.
Knowing that Qin Lang was the chief surgeon, Chen Wenhao got the news and rushed over to cooperate with Qin Lang's anesthesia.
"Director Qin, long time no see."
Chen Wenhao shouted very happily, and he started the routine general anesthesia with endotracheal intubation and low-temperature cardiopulmonary bypass at the same time.
It was really a pleasure to be able to see Qin Lang's surgery again, and Director Qin entered a whole new field.
"Scalpel..."
Qin Lang gave the first order, and the equipment nurse quickly cooperated.
Qin Lang used the bow-holding style to make an incision in the middle of the patient's chest. Under the perfect incision, the incision and exposure were completed in just a few neat strokes.
"It still tastes like that."
Chen Wenhao was on the side, watching Qin Lang's pleasing operation, and it really wasn't comparable to the doctors in the other city's first hospitals.
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Since the patient had no atrioventricular valve straddle, Qin Lang thought about it, and chose the thick trabecular muscle between the right and left rt muscles as the dividing line, and chose the Sichuan suture to make the marking line.
Director Zhu secretly praised: "There is a good trabecular muscle as the dividing line, which is exquisite."
"Semi-pericardial patch...scissors..."
In the operating room, Qin Lang gave orders like a hurricane without any pause at all. Dr. Sun had a smooth feeling of watching 2x speed and no intermediary advertisements.
Director Zhu also observed carefully. The selection of the next patch needs to be appropriately trimmed according to the actual situation of the patient. This step is a test of experience and eyesight, and it is also the key to the success or failure of this operation.
Looking at Qin Lang's operation, I was also a little nervous: "Trim the improved patch directly on the spot. If you cut too much or not enough, it will be fatal."
However, under Qin Lang's control, everything went smoothly.
"Awesome, cut into oblong patches of suitable size according to the ventricular septum, and use continuous sutures and mattress needles with pads for reinforcement. I have practiced this set of operations for several years before I dare to perform surgery. tower."
"Director Qin's pruning is just like the previous cutting. It's done with one knife, and it's not messy at all."
"It's amazing. Before Director Qin's surgery, all the doctors in the city's first hospital were darkened."
Dr. Sun on the side also sighed with emotion.
If it were placed in another hospital, a young doctor like Qin Lang would have been sprayed to death by an old expert and a senior chief physician, but at this moment, Director Zhu did not feel offended at all, but agreed with it very much. Nodding, I also sighed in my heart:
"No wonder, Zhuang Tong, Zhou Heng and these old guys said that as long as Qin Lang stood on the operating table, all the other doctors would be the foil."
On the operating table, the patch trimmed by Qin Lang with this knife, after being placed in, is completely the same size as the two ventricular chambers.
Dr. Sun looked at it and had an illusion:
"Looking at it this way, this operation seems to be very simple."
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"okay!"
After hearing Director Zhu's instructions, Dr. Sun quickly notified all the free physicians in the Cardiovascular Department.
At the same time, the operations that have been accumulated recently, representative, difficult, and complicated operations, all began to gather in the operating room where Qin Lang was located one by one.
Director Zhu rubbed his hands together and smiled: "Director Qin, then I will trouble you. Show more to colleagues in the department. Don't worry, this time there are enough suitable patients."
[Ding, new task, crazy show operation, showing various ventricular correction techniques for colleagues in the first hospital of the city. Mission Reward: Every time a case is completed, 1 life simulation point will be awarded. 】
Qin Lang didn't expect that it was originally just saving the field, but this time it suddenly turned into a large number of simulation point rewards, so good! I am worried about where to get so many simulation points. After all, new drug research and development will require a large number of simulation points.
"Director Zhu, it's better to be respectful than to obey."
Qin Lang was full of energy.
On the other hand, the little nurse on the side softened a bit. She was familiar with the deeds of Dr. Qin, the perpetual motion machine.
Ten minutes later, Qin Lang's second ventricular correction operation began.
In the observation room, Director Zhu personally led the team, while Dr. Sun and others took turns to match Qin Lang.
After looking at the patient's information, he motioned for a synchronized video recording, and at the same time, he began to explain to several doctors in his department.
Turning around, I saw many doctors from other departments. One of the female doctors felt Director Zhu's gaze and smiled: "Director Zhu, we heard that Director Qin is here to demonstrate the operation, come to observe and learn."
"Bah, you are just greedy for Director Qin's high-frequency movements and standard posture."
Another female doctor directly exposed it, wiped her saliva, and stared at the big screen intently.
"..."
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Director Zhu explained immediately: "The use of elbow intubation is related to superior and inferior vena cava intubation."
Sure enough, the next moment, Ichisuke completed the corresponding intubation.
And Qin Lang directly began to cut off the pulmonary artery and fully free the pulmonary artery.
Looking at Qin Lang's rapid operation, several interns were a little dazed. The speed was so fast that it was over before they could see clearly.
Everyone's face turned red, so embarrassing.
A few little rookies looked at Director Zhu for help.
Director Zhu was both angry and funny. Seeing that these guys were not a few days later than Qin Lang's entering the first hospital in the city, they couldn't even understand Qin Lang's operation.
The goods are lost compared to the goods, and people are more dead than people.
Originally, the purpose of this observation was to let these doctors remember these techniques more deeply, so Director Zhu explained very patiently:
"You see, after Director Qin completed the pulmonary artery severing, he began to dissociate the pulmonary artery, including the distal end and the left and right pulmonary arteries. Next, he crossed the junction between the superior vena cava and the right atrium."
Hearing Director Zhu's movements, these little doctors realized that in just a few seconds, Director Qin had completed so many operations.
"Director Zhu, can you identify it so quickly? Oh, Director Qin is performing an end-to-side anastomosis between the distal end and the right pulmonary artery again. I really want to have a pause button."
An attending physician, who had a relatively deep understanding of this operation, asked with some doubts.
Director Zhu was also at a loss for words. When a normal doctor performs this step, he will always take a little time to distinguish the blood vessels and design the cut-off point. How can there be a one-size-fits-all approach like Qin Lang without thinking.
No wonder they couldn't understand it. It felt like a math teacher was giving lectures on it. At the beginning, they could understand it, but in the middle of it, I lost my mind and looked at the girl I loved. I woke up again. Did not keep up.
Of course, my beloved girl, I have never been there in my life.
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Qin Lang is now cutting the artificial blood vessels open, and then recombining them with the corresponding venous blood vessels to form a tubular channel of the right atrium wall like a general artificial blood vessel.
With this exquisite passage, the blood flow of the inferior vena cava enters the pulmonary artery through the anastomosis of the proximal end of the superior vena cava and the pulmonary artery through this channel, which perfectly achieves the purpose of correction.
"Hey, what is Director Qin doing?"
On the screen, Qin Lang took a micro drill from the equipment nurse, and made a small hole with a diameter of 3 in this artificial blood vessel.
Director Zhu was also stunned for a while before he figured out what was in it, and said slightly excitedly:
"Everyone remember this small hole. Because of the reconstruction of such a tubular channel, although the problem of blood entering the pulmonary artery has been solved, the pressure of the vena cava system may be too high after the operation, so Director Qin set up a small hole here. ."
Just like the lid of the pot bought at home, there is often a small hole, just to have an outlet to depressurize the whole pot when the steam pressure is too high.
After hearing Director Zhu's explanation, all the doctors were trembling, and Director Qin's technique was too detailed.
"It was a worthwhile trip, I learned a lot."
"Director Qin, Niu Boyi!"
At the end of this surgery, Director Zhu watched Qin Lang do it with ease, and UUkanshu www.uukanshu.com suddenly had a bold idea, why not take this opportunity to send all the incurable diseases in the department come over.
After this village, there is no such shop.
Director Zhu directly sent a WeChat message to the resident doctor who arranged the case.
When Qin Lang demonstrated the operation in the first hospital of the city, President Wen Yunqi of the first hospital in Zijingang also returned to the hospital.
He was accompanied by the director Ming of Ming's Pharmaceutical Group. Since the last time under the intermediate hub of Qinlang, Ming's Pharmaceutical Group and the First Affiliated Hospital of Zijingang University have established a more in-depth cooperation.
This time, Ming Dong's goal is very clear, that is, the new drugs and consumables devices recently developed by their company, want to demonstrate the operation through the cardiovascular medicine department of Zijingang First Hospital.
"President Wen, the desflurane-no developed by our company this time has a significant protective effect on the lungs of children with pulmonary hypertension who underwent ventricular correction under cardiopulmonary bypass, so I would like to conduct a surgical demonstration through the department of your hospital. Our company will handle the funding, venue, and preparatory work for the entire conference. Now I hope to find a chief surgeon who is good at ventricular orthodontics in the department of your hospital. "
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