Doctor’s Life Simulator

In the observation room, Deputy Director Shen Jiamo stood up directly, with excitement in his mouth:

"Conventional free tissue transplantation is to anastomose the proximal end of the flap artery to the proximal stump after the recipient artery is severed. This centripetal acceptance comes from the heart's blood perfusion, also known as the antegrade blood supply mode. But , Due to the special situation of this patient, the external carotid vessels are faced with no suitable antegrade arteries in the recipient area due to trauma."

"This is also the reason why I had to stop Qin Lang's operation. However, I didn't expect him to find another way and boldly anastomosed the flap artery to the distal stump of the lower extremity recipient artery. This is a kind of inversion. The blood supply mode of the free flap followed by the blood vessel! It is also a brand-new free flap with telecentric blood supply!"

As the leader of the burn and plastic surgery department, in an instant, countless information passed through his mind, and Shen Jiamo was really excited and excited.

He fully understands the clinical significance of this retrograde blood supply model if it is successfully developed.

"Gentlemen, in many of our cases of recurrence of oral and maxillofacial head and neck tumors, many of the neck dissections or radiation therapy have disrupted, occluding the vessels in the neck, resulting in the so-called vessel-depletedneck, or frozen neck. ), in the secondary surgical repair and reconstruction, there are often no suitable antegrade vessels in the recipient area. If Qinlang’s model can be promoted, it will not only provide new opportunities for the selection of vessels in the recipient area for secondary reconstruction, but also provide The unmatched blood vessels in the recipient area and the uncoordinated spatial positions of the donor and recipient provide the possibility and have important potential value!"

Shen Jiamo is a famous doctor in Zhejiang Province, and immediately extended the meaning of the entire operation, reflecting his clinical sense of smell.

Hearing that Deputy Director Shen was so excited that he lost his temper, the other directors also showed a hint of excitement on their faces!

The birth of each new surgical technique is a progress of the entire industry, and the most direct one is to bring hope of cure to more patients.

Moreover, the introduction of the retrograde blood supply mode by Qin Lang this time is not only the retrograde blood supply of the distal stump of a single external carotid artery branch to nourish the free flap. He provided a whole new way of thinking for many spells of the same type.

"I'm really honored, Director Wei, you really gave us a big surprise."

Deputy Director Shen Jiayang looked at Director Wei Guoqiang with admiration. Obviously, this improved technique, in his opinion, must be a cutting-edge achievement accomplished by Director Wei and his team.

When Wei Guoqiang saw several chief directors, he looked at himself with fiery eyes, and was also confused. When did he lead the team to create such an improved surgical technique with clinical potential?

However, Wei Guoqiang's reaction was still very fast, the corner of his mouth raised slightly, and he waved his hand indifferently:

"Director Shen praised it. In fact, this time, I invite you to come here. We have already made a lot of preparations in the Department of Burn Plastic Surgery and Director Tian Bo's hand surgery. This retrograde blood supply free flap model is what we will carry out later. It is one of the core surgical procedures of the National Wound Treatment Center. It is just this opportunity for you to evaluate and make suggestions."

Wei Guoqiang's thoughts are also a little messy now, so he pointed to the screen: "Everyone, don't be impatient, let's observe the operation first."

"Okay, that's what Director Wei said."

Shen Jiacheng calmed down and continued to observe. With his eyesight, he already understood the purpose of the equipment that Qin Lang had just prepared, but he still needed further observation and verification.

"It's an unbelievable surgical observation. If this model proves to be feasible, it will be enough to be listed in the only JCR1 area in the field of plastic surgery, the 1st area of ​​the Chinese Academy of Sciences, and the top journal of the Chinese Academy of Sciences, "Surgery"!"

In addition to Shen Jiamo, the two directors Qian Mubai, Tian Hua, Dean Hang and Dean Sun were also shocked.

In the observation room, only Tian Bo's face seemed to eat **** at the moment.

"When did Wei Guoqiang carry out this surgical research, and the previous free skin flap repair of the superficial palmar branch of the radial artery at the wrist striated area... Damn, he has completely grasped it..."

Tian Bo had already begun to regret it in his heart. Originally it was just a small organization, even if it was given to Qin Lang, it didn't matter, but now that Wei Guo has turned against the generals, he has lost a lot of money.

"Damn, **** it!"

In Tian Bo's frustration, Qin Lang's operations never stopped on the screen.

I saw that under the command of Qin Lang, Wu Youtu and You Daren cooperated and began to use Philips monitors.

Qin Lang gave calm and clear instructions:

"...after exposing the blood vessel to be tested and placing the catheter, connect the pressure sensor, measure the arterial pressure once every 5 minutes, a total of 3 times, and take the average pressure value as the initial MAP..."

After the two were instructed to complete their respective tasks, Qin Lang ligated the sutures on the proximal side of the catheter to block the blood flow, and at the same time quickly issued another command:

"...Doctor You, I started to measure the arterial pressure of the stump. After I blocked the blood flow, there would be an instant drop in blood pressure. Therefore, the MAP reading of the stump was recorded 5 minutes after the blood vessel was blocked, and the arterial pressure was measured every 5 minutes. , is also measured 3 times, and the average pressure value is taken as the stump MAP..."

"Okay, Doctor Qin."

You Daren is now full of respect and admiration for Qin Lang, so he strictly implements his instructions, and is not dissatisfied at all because Qin Lang is his subordinate doctor.

In the operating room, when performing rigorous measurements, in the observation room, Deputy Director Shen Jiamo also confirmed the purpose of Qin Lang's operation and explained to the rest:

"Qin Lang, what he is doing now is: stump arterial pressure ratio = stump MAP/initial MAPX100%. As long as it is greater than the pressure ratio of the distal stump of lower extremity blood vessels recorded in the literature ~www.readwn.com~, the external carotid artery can be demonstrated. After the branch vessel is blocked, the distal stump can maintain sufficient stump arterial pressure, and it is feasible to provide retrograde blood supply to nourish the free flap!"

After the deputy director Shen Jiayang finished explaining, he also waited nervously.

Wei Guoqiang secretly pricked up his ears and listened to the explanation of Deputy Director Shen Jiacheng. He thought so, but when the others looked at him, they looked like they were holding a Zhizhu:

"Deputy Director Shen is indeed well-known and knowledgeable, and what he said is absolutely correct."

"Director Wei laughed. This time, I really made a worthwhile trip. After this observation is over, I must invite Director Wei to my Zijingang First Hospital to have a good conversation."

Deputy Director Shen Jiamo admired Wei Guoqiang's low-key and steady style. If he had come up with such a technique, he would have already shown it in the exchange of international societies.

Where would it be? On such a small occasion to fight for Qin Lang's establishment, Director Wei really calmed down.

Dean Hang is also full of admiration for Wei Guoqiang in his eyes:

"This Wei Guoqiang is really tolerant. If these two surgical techniques were brought out earlier, this national wound treatment center would have already obtained the support of the hospital's funds. However, it is not too late. Hit the gun, this time, the resources will be allocated to the burn and plastic surgery department, his hand surgery, and President Sun can only eat Huanglian dumbly."

Dean Hang took a sip of tea: "comfortable!"

And when everyone was thinking, in the operating room, Qin Lang led Wu Youtu and You Daren, and also obtained the measurement results.

PS: Oops, the new book list has been squeezed out of the tenth, everyone read it, vote for it, and you can also comment. Tuesday is a critical period, which determines whether it can be recommended in the next round. Don't keep books~