Doctor’s Life Simulator

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The transplant operation of microskin is a surgery that requires teamwork. Deputy Director Cui presides over it, and Wu Youtu, Qin Lang, and Qian Liang each divide the work.

Since Qin Lang was participating in this microskin transplantation for the first time, he arranged for Qin Lang to do the skin-making work, Wu Youtu took the skin, and Qian Liang was responsible for scabbing and debridement.

In order to ensure sufficient operating space and a 2m space for independent leather making, Qin Lang was equipped with a 1.5m sterile operating table, a sterile instrument bag, and the bag was equipped with 3 saline bowls and 2 curved plates. Only, 1 wooden cutting board.

Qin Lang held a scalpel with a No. 22 round blade, a toothless forceps and wire scissors, and a tissue scissors.

The whole process begins with Qian Liang's escharectomy and debridement. After the necrotic tissue is thoroughly cleared, the wound is rinsed 3 times with hydrogen peroxide and normal saline, and then covered with a light iodine dressing, ready to receive skin grafts. .

After Qian Liang was completed, it was Wu Youtu's turn to take the skin, which was a blade-thick skin with a thickness of 0.2-0.25mm.

The first choice for the donor site is the scalp area, followed by the thicker skin on the back and the extensor side of the limbs. The soles of the feet have thicker keratinized layers.

In fact, this is also the biggest difficulty in large-area deep burns, and the extremely limited skin extraction area is also the reason for the use of particle skins. Wu Youtu is very proficient in peeling. Although he is not as good as Qin Lang, his speed is also very fast, and the overall uniformity of peeling is not bad.

After Wu Youtu cut the skin, it was passed on to the next Qin Lang.

Deputy Director Cui taught Qin Lang the entire process and skills.

"Qin Lang, first take out the cork plate, soak it with physiological saline for use, and lay the obtained autologous skin piece on the backing plate with its dermis side up...".

Qin Lang followed the instructions of Deputy Director Cui and began to prepare the autologous skin sheet for the first time. Soon Qin Lang placed the cork plate neatly and tightly on the dermis surface of the flat autologous skin, and pressed lightly between the two. gas is discharged.

Looking at Qin Lang's strength control, Deputy Director Cui nodded slightly, this Qin Lang's basic skills are really solid.

Then Qin Lang began to cut the skins one by one along the seams between the cork discs to form self-skin skins with the cork disc as the carrier facing outwards.

The next step is to carefully trim the excess skin around the cork disc to make the size of the autologous skin match the shape of the cork disc.

After this step is completed, the preparation of micro-skins begins. Under the guidance of Deputy Director Cui, the previous large pieces of skins are cut into smaller micro-skins, basically ensuring that each piece is on the side. A square with a length of 3 cm.

This is a very test of patience and hand dexterity, accuracy, and endurance.

Since it is the first patient, the size of the wound area is under the control of Deputy Director Cui, and one person is enough to complete the preparation of these skin slices.

If the burn area is larger, this leather-working group needs to be enlarged.

However, Qin Lang's performance far exceeded the expectations of Deputy Director Cui:

"Qin Lang's preparation speed is so fast. It's not fast, it's very stable!"

Deputy Director Cui was a little surprised and a little admired. Sure enough, he did not see the wrong person.

After the micro-skin sheet is prepared, it is necessary to spray the adhesive on it. The requirement for the amount of the adhesive is also very particular. If it is less, it will not work, and if it is too much, the drying time will be prolonged.

As for Qin Lang's entry-level microskin transplantation, he mastered it very quickly.

"This kid, is this really the first attempt?"

Qian Liang and Wu Youtu on the side were secretly shocked.

Especially Qian Liang, when he first started, he was Qin Lang's eldest brother. After a long time, Qin Lang has become a hot star doctor in the wound treatment center.

Now, their entire group is pinning their hopes on him.

Being able to show such a strong learning ability in the first microskin transplantation, no wonder Qin Lang was favored by so many directors. Next, Qin Lang completed the operation of replacing the carrier and transplanting the microskin.

The whole process is like sticking small postage stamps on the patient's body, which is also a test of the operator's hand stability and accuracy.

After all this is done, the affected area is properly fixed with an infiltrated anti-infective gauze, then thickened layer by layer with multiple layers of well absorbent gauze, and finally wrapped with a sterile dressing, supplemented by uniform pressure. fixed.

For some parts that are difficult to fix, sutures are used around them, and they are packed and bandaged to prevent postoperative movement.

After that, routine treatment is followed, and changes in vital signs are closely observed, with emphasis on infection-related symptoms and signs and detection indicators. Prompt treatment of postoperative electrolyte and acid-base disorders, anemia, hypoproteinemia, etc.

[Congratulations to the host for completing a microskin transplant operation, the task progress is 1/30, and a random task reward: a bottle of stamina potion. ]

Seeing that Qin Lang successfully completed the first operation, Deputy Director Cui was also overjoyed. Qin Lang was as good as ever.

And Wu Youtu and Qian Liang, who cooperated with him, are also very impressed.

"Qin Lang, come here in the morning, we will do another one in the afternoon.

After all, the preparation of this kind of particle skin is very energy-intensive, and Deputy Director Cui does not want to put too much pressure on Qin Lang. Qin Lang was a little unfulfilled, but he was going to wait for the whole operation to become more proficient, and then propose to increase the amount of surgery.

After leaving the operating room, Wu Youtu and Cui Jianguo also communicated privately. When they thought of the upcoming Deputy Director Lu Yu, they were a little depressed and had a heavy heart.

This Qin Lang is indeed very talented and potential, but after all, he is still too young.

Given time, they have no doubt that Qin Lang can make some achievements, but in just one week, can they really find a topic of sufficient weight?

Wu Youtu recalled and concluded: "On the level of Qin Lang's current level, to be honest, a senior attending physician can almost reach it. However, his basic skills and surgical experience are much better than ordinary people. Especially his The incision technique, the suturing technique, is amazing.'

Cui Jianguo also felt the same way: "Yes, Qin Lang's talent is very good, the first microskin transplantation can achieve this level, which is beyond the reach of ordinary people.

Wu Youtu took a few steps, his face a little dignified:

"If it is an ordinary person, of course this is enough. But for Lu Yu, it is still a little tender, and besides the level of surgery, the direction of the subject is the top priority."

Lu Yu has enough potential and enough operation volume accumulation, energetic, ambitious and talented.

Although Qin Lang may have a talent that surpasses Lu Yu, he has accumulated too little time, and he is just getting started in the field of deep burn wounds.

"Hopefully he can grow up faster."

However, Wu Youtu also understands that if you want to find a topic direction, you need to keep practicing to be able to change quantitatively and cause qualitative changes. It is only a week away from Lu Yu's arrival. Even if Qin Lang can perform two operations a day, it will only be fourteen operations a week.

This amount of surgery is not even a fraction of the amount of surgery that Lu Yu has done.

Even if Qin Lang is talented again, what new direction can he propose?

Moreover, there will be various accidents during the operation, and being able to deal with and deal with these emergencies calmly is a sign of a doctor's maturity, and these all take time, and patients need to experience them one by one.

For the entire surgical procedure, it is also in continuous practice that some improved ideas will be produced.

For example, Wu Youtu has accumulated enough operations on deep wounds. The basic operations may not be as good as Qin Lang, but in terms of knowledge, he is much more confident than Qin Lang.

Moreover, in all aspects of this microskin transplantation, he made some unique small improvements, from skin extraction, skin grafting, skin graft expansion rate, dressing, of course, only a little improvement.

For example, in skin extraction, he has tried minor adjustments to the ordinary manual dermatome to cut micro-skins.

In the preparation of the skin, he also tried an improved tulle, which can achieve an expansion rate of 1:2, and on the dressing, UU Reading www.uukanshu. com He is even more experienced. Although the effect is similar to that of ordinary dressings, he can control the cost to 2/3.

Of course, such a small improvement cannot form a qualitative change, but it can be regarded as several directions. If Qin Lang really doesn't have any new genius ideas in the future, then he will use the direction he has accumulated over the years to apply for the topic of microskin transplantation first.

However, the entry point of these subject directions cannot shake Lu Yu's subject status.

After all, they still have to form a big breakthrough, so that they can compete with Lu Yu.

"Director Cui, we put such a big responsibility of countering Lu Yu on Qin Lang's shoulders, is it too much pressure on him?" Wu Youtu walked beside Director Cui, a little worried, worried about Qin Lang, and also worried about Lu Yu later. After the arrival of Yu, the situation of their medical team.

"We can only trust him."

Cui Jianguo paused and quickened his pace: "Prepare for the microskin transplantation in the afternoon, this time let Qin Lang start by cutting the skin.

"it is good.

Wu Youtu looked at Director Cui's back and nodded, but he didn't think this kind of temporary cramming would be of much use.