Doctor’s Life Simulator

Qin Lang controlled the scalpel and precisely cut the tendon sheath at a distance of about 0.5cm from the distal end.

"...Look, I'll use the Tsushita suture method, also known as the Tsuge method. In order to strengthen the tension of the tendon ends, I will use the double-set method..."

In order to make the twin sisters see more clearly, Qin Lang deliberately slowed down his movements.

"...Choose looper thread No. 5, 0.5cm away from the end of the tendon, suture the lock, penetrate into the tendon and go out from the end of the tendon..."

The twin sisters were moved, carefully watching Qin Lang's operations, and listening to his gentle and clear instructions.

"...the needle is inserted into the opposite tendon end and 0.5cm away from the tendon end..."

"...from the exit needle and sew another stitch of knotted suture, interrupted suture, to strengthen the tension of the tendon end..."

After Qin Lang completed the stitching on one side, he repeated it on the other side.

After making sure the twins understand, it's time to move on to the next step, which quickly completes a section of tendon suture.

"The next incision of the patient is a straight-type flexion injury of the affected finger, fully exposing the tendon sheath of the palmar side, and using Bruner's incision..."

The so-called Bruner incision is a small technique for saving flap traction. This incision is a serrated incision, which can expose the diseased part in a wide range and facilitate the operation.

After all, Twin Sister Hua is a senior surgeon in the field of hand surgery, so she naturally has some understanding of this technique, but she is still a little shocked to see Qin Lang's proper use and such a neat handling method.

"Doctor Qin's clinical talent is also stronger. The same incision is like magic in his hands."

As the twins sighed, Qin Lang had gently pulled out the proximal end of the flexor tendon from the tendon sheath wound and began to fix it.

"...Pay attention to my next movements. In order to be able to perform functional exercise early, the suture method needs to be improved. Bunnell's suture and Kessler's method are more commonly used, but they are not the best way."

Hearing Qin Lang's introduction, Yang Yi and Yang Yue were all shocked, and Dr. Qin's small class was about to start.

The two quickly concentrated their energy and listened carefully:

"...The Bunnell suture method is firm and reliable, which is conducive to early postoperative functional exercise, but because the sutures are intertwined in the tendon for many times, it affects the blood supply of the tendon and is not conducive to the healing of the tendon..."

"...The traditional Kessler suture has no effect on the blood supply of the tendon, which is beneficial to the healing of the tendon, but there are only two 7-0 to 8-0 microsutures connecting the tendon, which bear a large tensile force and are prone to occur. fracture..."

"...so I used a modified Kessler suture method for tendon anastomosis, which does not affect tendon blood supply and provides conditions for functional exercise..."

Looking at Qin Lang's next operation, the twin sisters were all pleasantly surprised. This stitching method was obviously something that Director Tian Hua had never mastered.

"It turns out that it can be like this!"

"Amazing!"

Yang Yi, Yang Yue, with wide eyes, even if someone came to drive them away, it would be impossible to leave Dr. Qin.

A few minutes later, the two of them watched Dr. Qin's next steps with unfulfilled thoughts.

"...5-0 Nylon Noninvasive Needle Thread..."

Looking at Qin Lang, within a few minutes, he changed several specifications of needles and threads, and Yang Yi and Yang Yue admired the different techniques.

"This is how much experience and physical strength it takes to be able to play so many tricks."

It's literally a lavish display of tendon sutures for hand surgery.

Soon, under Qin Lang's meticulous micro-manipulation, the suture of the tendon naturally retreated into the complete sheath at the proximal end.

After completing the suture of these most critical tendons, the next step is the reduction and fixation of the fracture of the navicular bone.

Although Qin Lang obtained the fracture reduction and fixation technique through the task, it was only entry-level, so he was ready to learn the techniques of the two Dr. Yang.

"Doctor Yang, the suture of the tendon has been completed, and I will leave it to you next."

Qin Lang gave up the position of the main knife in a timely manner, and gave the two people the part of the fracture reduction and fixation.

Yang Yi and Yang Yue, looking at Qin Lang's sincere tone and humble attitude, his goodwill increased greatly.

Moreover, this is also the value of their coming to the city's first hospital treatment center.

They are still very skilled and proficient in the treatment of navicular fractures.

"Doctor Qin, then we'll be embarrassed."

The two also intend to show their level in front of Qin Lang, and they cannot let this little man look down upon them.

The sisters looked at each other and saw the high fighting spirit in their eyes.

After the wrist, frontal and lateral X-rays, navicular axial X-rays and CT of the wrist, they already know the patient's situation like the back of the hand.

"...K-wires, cannulated screws, small C-arm X-ray machines, non-sterile balloon tourniquets..."

Soon, standard hand surgical instruments and equipment were ready. This is also the new product purchased by the treatment center this time, basically relying on the list carefully selected by Director Tian Bo.

Yang Yi began to make an oblique incision on the back of the patient's wrist and began to separate the subcutaneous tissue, while Yang Yue retracted the tendons of the extensor pollicis longus longus and the extensor digitorum common to both sides to expose the fracture.

Seeing the tacit cooperation of the twin sisters Hua, Qin Lang also nodded frequently. I have to say that the two are still very strong in the basic skills of hand surgery.

Whether it is incision, separation, or exposure, at least he has his own six-success power. As the attending physician, it is already very incredible.

"Ruzi can be taught!"

When Qin Lang evaluated the two, he was also learning their subtle skills.

Yang Yue quickly completed the reduction of the fracture, that is, a Kirschner wire was inserted perpendicular to the fracture line from the distal end to the proximal end to help reduce the fracture and serve as a guide wire for implanting a cannulated screw.

A cannulated screw was implanted through the guide wire, and pressure was applied to reduce the fracture anatomically.

In this, the control of strength is very particular, so the doctors of orthopedics basically have very powerful strength in their hands.

Although Yang Yi and Yang Yue are girls, they are also full of strange powers.

Yang Yi claims to be breaking apples with his bare hands, and Yang Yue has to rotate two iron **** with one hand for an hour every day.

Qin Lang carefully watched the operation of the two of them~www.readwn.com~ Because of his entry-level fracture reduction and fixation skills, it is most suitable to watch Yang Yi and Yang Yue at this level.

Qin Lang looked at it and asked for advice just like Yang Yi and Yang Yue just now:

"Doctor Yang, I only know a little about orthopaedic manual reduction and fixation. What's the point of this process?"

Hearing Qin Lang's request for advice, the two young ladies naturally knew everything and said everything.

Yang Yi can't wait to dig out her heart and lungs:

"Dr. Qin, according to my personal understanding, during the operation, the dorsal incision is used at the first incision, so we should pay attention to the avoidance of the superficial branch of the radial nerve. Novices are easily injured."

Yang Yue also immediately replied:

"Exposure is also very particular. The degree of exposure of fractures should be precisely controlled, otherwise too much free will easily damage the blood supply of the navicular bone and cause bone nonunion..."

Under the guidance of Yang Yi and Yang Yue, Qin Lang quickly absorbed the nourishment.

[Ding, due to the meticulous teaching of the twin sisters Hua, the host's spiritual skills are inspired. You have advanced fracture reduction and fixation techniques to an advanced level! 】

Hearing this voice, Qin Lang was overjoyed. This is an advanced orthopaedic reduction and fixation technique.

PS: Oops, thank you for your reward, I got 100 coins, 100 coins for a small blood bottle, 500 coins for book friends 20191111162755243, 100 coins for a knife with blood, 500 coins for Zijin, and the big brother Cauliflower Uncle's four little dots are worth 5,000 coins. Thank you boss~happy~

This chapter is an update. In the afternoon and evening, there will be ~Chongchongchong~