Doctor’s Life Simulator

Surgery begins soon.

Since Qin Lang and Qian Liang can handle the microskin transplant now, Deputy Director Cui and Wu Youtu went to do the rest of the work, occasionally taking time to observe.

After all, the amount of surgery performed by Qin Lang is too large. If every one of them is watching, their old arms and legs will not be able to bear it.

After the anesthetist finished the anesthesia, he sat alone in the slightly deserted operating room, slightly unaccustomed to it.

Looking at Qin Lang's chief knife, Qian Liang's assistant, and not even a decent audience, the anesthesiologist dragged the extra small bench over and sat on one with half-pulled buttocks.

Looking at Qin Lang, I was also a little worried for him. After all, Deputy Director Lu Yu will start the operation tomorrow. Moreover, according to his anesthesia schedule, after looking at it, Deputy Director Lu Yu will only operate one tomorrow. The remaining three operations were handed over to Jin Ruilai.

"Foreign monks like to recite sutras."

The anesthesiologist also sighed, after all, Jin Rui also has the aura of the burn department of the Imperial Capital Jishuitan Hospital.

However, soon, the anesthesiologist was attracted by Qin Lang's new operation on the operating table: "What is this?"

On the operating table, Qian Liang's eyes widened. After the debridement was completed, the skin extraction procedure Qin Lang used was completely different from the previous operation.

He saw that he was holding a brand-new electric dermatome with precision, just like a razor in a barber shop, and he gently pushed it up towards the patient's skin donor area.

Then, it was seen that the thickness was almost the same, and the blade thickness skin controlled at 0.2mm was cut off.

Because of the use of mechanized equipment, Qin Lang's movements are very rough and simple, without any technical content and full of technical content.

"That's okay too?"

Qian Liang's entire scalp felt numb. This was the first time he had seen such a simple method of skin extraction.

Moreover, looking at Qin Lang's operation, Qian Liang became a little puzzled: "With such a serious burn area, why did Qin Lang take about 1/12 of the wound surface? This is obviously not enough?"

However, before Qian Liang raised his doubts, Qin Lang came to the sterile operating table and began to familiarize himself with the preparation of autologous skin grafts. The whole operation was very smooth.

After a while, the micro-skin preparation was started, which was basically the same as the previous operation. The only difference was that Qin Lang's technology was improved again.

Since this time, the area of ​​the skin piece selected by Qin Lang is only 1/12 of the normal area, and the entire preparation speed is naturally increased several times.

Then, under Qian Liang's shocked gaze, a somewhat similar, but completely different, operation began.

"This is?"

Qin Lang was engrossed and placed the new and improved polyamide crepe de chine aluminum film on the table in his hand. After that, he placed the cork plate skin side down on the central square area of ​​the polyamide crepe de chine, and pressed the cork plate hard. Quickly fully bond the skin surface of the leather sheet to the polyamide crepe de chine.

After that, the cork discs are removed so that all the microskins are transferred to the polyamide crepe de chine.

Looking at Qin Lang's operation, Qian Liang couldn't understand it anymore. The equipment nurse, the itinerant nurse, and the anesthesiologist were all shocked.

"Doctor Qin, what are you doing, why have we never met?"

Qin Lang continued to operate and said calmly:

"In the past few days, I have been thinking about the transplantation of this microparticle skin graft. One of its core features is to solve the great difficulty of the patient's shortage of skin donor sites. Therefore, I thought of a possibility, whether it can improve the skin graft itself. Finally, after researching some domestic and foreign journals, I found a new idea."

"That is, through this new polyamide crepe de chine technology, the original micro-skin that was only the size of a mahjong can be stretched and expanded to the size of a playing card, and the area can be enlarged while retaining the same postoperative effect. Through a small donor skin area, a great wound coverage rate can be achieved."

As Qin Lang spoke, he began to pinch the grooves on both sides of the polyamide crepe de chine carrying the leather sheet, and stretched it horizontally. After rotating 90°, stretch it again in the same way.

After the expansion, the excess crepe de chine on the edge of the skin piece is cut off, and the aluminum film is peeled off. In this way, a piece of polyamide crepe de chine with micro skin pieces is prepared and immersed in physiological saline for the next step of transplantation.

Qian Liang listened to Qin Lang's explanation, and the whole person was a little dazed. Qin Lang's improvement directly enlarged the original micro skin graft by ten times, which means that the original autologous skin graft was not enough for patients with deep burn wounds , and now normal transplantation can also be performed.

This is a milestone progress for this microskin transplantation.

"Qin Lang, we are here!"

Qian Liang was a little unbelievable, and some happiness came too suddenly.

Even with his knowledge, he knew that as long as Qin Lang introduced this improved technique, it would naturally cause a sensation in the field of deep burn wounds.

In fact, this 1/12 expansion rate is too amazing.

This has made possible some surgeries that were previously impossible to repair.

Thinking that he was the only one who participated in and witnessed this epoch-making improved microskin transplantation today, Qian Liang was so happy that he almost fainted.

Sure enough, God rewards hard work, these days of tiredness are not in vain.

And while Qian Liang was excited, Qin Lang had already started the next microskin graft.

After careful inspection of the wound surface after escharectomy to ensure that there is no residual necrotic tissue, no bleeding, and the wound surface is moist and clean, the micro-skin grafting begins.

Qian Liang tried his best to keep calm and came to learn Qin Lang's new microskin transplantation.

I saw that Qin Lang took out the polyamide crepe de chine loaded with micro-leather pieces from the salt water, covered the leather bed with the leather surface of the skin piece, and pushed out the air bubbles under the polyamide crepe de chine with the handle of a knife to smooth the folds. .

Seeing Qin Lang's subtle operations, Qian Liang was also secretly shocked. Soon, each piece of crepe de chine was seamlessly aligned at the edges, like a robot assembly line.

After that, Qin Lang used leather nails for suturing to ensure that the micro-skins were in close contact with the wound surface. Except for the limbs, the skin nails were not fixed.

Seeing this, Qian Liang thought that it should have come to an end. Unexpectedly, Qin Lang issued a new order:

"...carbon fiber dressing..."

Seeing that the equipment nurse took another brand new dressing, Qian Liang was greatly shocked.

"Here, from skin extraction to preparation of skin sheets, an extension skin sheet was added. Even the dressing in the last step, Dr. Qin has improved?"

"This, too, is too strong!"

Carbon fiber dressing is a new type of polymer medical dressing, which has the advantages of no irritation, no cytotoxicity, no sensitization, and soft and delicate texture.

An ideal dressing should be able to effectively absorb wound exudation and harmful substances from the wound to prevent fluid accumulation.

The absorption capacity of carbon fiber dressing is 14 times that of the dressing itself. UUkanshu www.uukanshu.com wound exudate can be sucked out in time, no exudate accumulation on the wound surface, and it can keep the wound surface dry. It is an ideal new type of dressing.

This carbon fiber material, applied to the combined modified microskin transplantation, was originally a simulated world. Under the high pressure of Lu Yu, the entire treatment center tried dozens of dressings, and it took several years to select the best dressing.

Qin Lang was among them, and he was also a tool person. This time he just took it out in advance.

Looking at the patient, there was only a carbon fiber dressing with a thickness of 1/6 of the ordinary dressing, and Qian Liang's heart was actually a little bottomless.

After all, such a thin dressing can really effectively absorb wound exudation and harmful substances from the wound?

However, it was Qin Lang who was the master, and he had to believe it. It's just that this is too great.

After Qian Liang is ready to go back, he has to read more cutting-edge journals at home and abroad, and maybe he can get some groundbreaking inspiration like Qin Lang.

Soon, the operation of Qin Lang's brand-new modified microskin transplantation combined with carbon fiber dressing was officially announced.