In the surgical conference room, Lao Guo, Zhu Huoyan, Chen Qi, director of the burn surgery department Luo Yuyang, deputy director Zhang Xing, and all the doctors of the burn surgery department were sitting together.

Pictures of Fu Zhenzhen's burns were being shown on the slide, one after another.

Finally, Director Zhu paused the slideshow, which showed a frontal photo of Fu Zhenzhen’s lower limbs.

"Everyone, please tell me how to do this skin grafting surgery?"

As the nominal boss of the burn department, Director Luo could only bite the bullet and be the first to speak:

"Nowadays, the tendons, large blood vessels, nerves and even bones of young patients are exposed. Ordinary skin grafting will definitely not work for such deep burns. Like the stinky tofu skin grafting invented by Dean Chen, I think, haha, what, maybe

…”

The stinky tofu skin grafting technique is the first of its kind in Vietnam and China. Everyone must want to use their own hospital’s trump card patented skin grafting technique.

Now he has to deny the skin grafting technique invented by his boss in front of everyone. Director Luo feels very stressed and it is taboo in the workplace.

Chen Qi became happy as soon as he heard Director Luo’s speech:

"Lao Luo, it's okay. We are discussing the condition now. You just need to speak truthfully based on clinical needs. There is no need to look at my face. For example, if you say that stinky tofu skin grafting is not suitable for Fu Zhenzhen's burns, what is the reason? We still have some questions here.

There are many young doctors, tell them about it."

Director Luo wiped his sweat and thought it would be great if the dean did not blame him.

Chen Qize was thinking that this Luo Yuyang was indeed an honest person, but lacked courage. He was a suitable candidate for the transitional director and would definitely have to be replaced in the future.

"Since Dean Chen asked me to talk about it, I will talk about it. Please forgive me if the explanation is not good. Stinky tofu skin grafting only involves the surface, with a little dermis at most. It is suitable for skin grafting with relatively shallow burns.

As you can see in the picture, Fu Zhenzhen’s burns, muscle bonds, large blood vessels, and bones have all been exposed. It’s just like planting turf in a park. Without soil, if you plant turf directly on cement ground, the turf won’t survive.

The best way now is to transplant the turf together with the soil, so I think Fu Zhenzhen's burns are suitable for skin flap transplantation."

The so-called skin flap transplantation is a special type of skin transplantation, which transplants a piece of living skin and subcutaneous tissue containing blood vessels and nerves to the area that needs skin or repair.

Viable skin refers to the red skin with blood circulation cut off from the skin. The skin alone cannot be a complete skin flap. It is also rich in other tissues such as subcutaneous superficial fascial tissue, fat, and may also have deep deep fascia.

tissue, but must have blood circulation.

To describe it simply, stinky tofu skin grafting requires a thin and gentle piece of skin.

Skin flap transplantation looks like cutting a piece of meat, which requires not only the epidermis, but also subcutaneous tissue such as fat and part of the muscle layer.

Just "cutting off a piece of meat" is not enough. You must ensure that the blood vessels of this piece of meat are connected to the mother body. That is, the blood vessels cannot be cut off, and blood circulation must be preserved.

So it is very different from skin grafting.

After Director Luo finished speaking, everyone's eyes were focused on the slides.

Zhu Huoyan was a little thoughtful:

"There is nothing wrong with the idea of ​​skin flap transplantation mentioned by Director Luo, but the problem is that the skin flap transplantation is pedicled, so the only option is to remove the adjacent skin and transplant it. But look at Fu Zhenzhen's lower limbs, where is there a piece of good flesh?

?”

Fu Zhenzhen’s burns were mainly concentrated on the front parts of her lower limbs.

The burn area on the right leg was concentrated on the calf, from the instep to the toes, with a length of at least 34 cm and a width of about 18 cm;

The left leg was mainly from the ankle joint to the instep. The burn area was relatively small, but it also reached about 15 centimeters.

As mentioned before, pedicled skin flap transplantation involves cutting off a piece of flesh, but the blood vessels are not cut off, so it can only be transplanted from adjacent skin, and it is impossible to do it any further.

Obviously Fu Zhenzhen does not have this condition. The main reason is that the burn area is so large that there is no skin around it to transplant.

If the burn area is only as big as the palm of your hand, or as big as a mobile phone, you can still discuss it, and the transplantation will be much less difficult.

Everyone in the office was also talking about it, and there were different opinions on how to proceed with the treatment.

Although Comrade Lao Guo is a surgeon, he is a general surgeon and does surgery. He is not that proficient in burn surgery, so he can only scratch his head and cannot express his opinion.

The final decision on this burn surgery treatment plan is made by Dr. Chen Qi and Chen.

Zhu Huoyan looked at Chen Qi, who had a relaxed look on his face and wanted to eat melon seeds:

"Chen Qi, it seems that you are confident. Can you tell me how to treat this wound?"

Everyone looked at this magical dean and believed in him completely.

Chen Qi stood up, walked to the front of the slide, pointed at the wound and said: "Director Luo is right, this kind of wound can only be transplanted with skin flaps!"

As a result, Luo Yuyang himself couldn't sit still for the first time:

"But Director Chen, this patient's condition does not support pedicled skin flap transplantation at all."

"What if it is a free flap transplant without a pedicle?"

"this……"

Director Luo hesitated a little and did not say anything. A young doctor next to him couldn't help it:

"If the blood vessels are disconnected without a pedicle, the cut piece of skin will have no blood circulation and is equivalent to a piece of dead meat. It would be difficult to survive if transplanted directly to the wound, right?"

"Yes, yes, skin flap transplantation must be pedicled..."

"Blood supply is the key..."

Obviously, everyone disagreed with Chen Qi's views on free flap transplantation. Only Lao Guo and Director Zhu remained silent. They knew that Chen Qi must have a trick up his sleeve.

Chen Qi stood there listening to everyone's discussion, and sighed secretly in his heart.

The foundation of Vietnam Traditional Chinese Medicine Hospital is insufficient, and this deficiency is mainly reflected in the personal quality of the doctors.

If you are a doctor from a top hospital, when someone proposes a new idea, the first thing everyone thinks of is whether it is possible to succeed, and what method can be used to succeed?

This chapter is not over yet, please click on the next page to continue reading! This will form a good learning circle, where everyone interacts, complements each other, and perfects a new idea and new technique.

When doctors at the Vietnam Traditional Chinese Medicine Hospital hear a new idea, their first reaction is to deny it.

How is this possible? How can this be done? There is absolutely no way!

I just don’t want to think about it. Why does Dr. Chen say that free flap transplantation is feasible? What method can be used to achieve success?

One is positive and the other is negative, this is the difference in the hospital's background.

To be honest, if it weren't for Chen Qi's troubles and troubles, Yuezhong Hospital would be so awesome that it could only be regarded as an ordinary local-level hospital.

But the fun of being a dean is not about getting a good deck of cards, but how you play a deck of bad cards.

Only when you can turn an ordinary hospital into a first-class hospital in the country and a world-famous hospital can you show the true nature of a reborn person!

"Everyone, do you remember the hand surgery I once performed in the Fourth Hospital?"

The young doctors were all confused. What does skin flap transplantation have to do with hand surgery? Lao Guo and Zhu Huoyan's eyes lit up.

"If you think about it, the principle of hand surgery is actually very simple. If the hand is broken, we just put it back on again, bone to bone, blood vessel to blood vessel, nerve to nerve, right?"

The young doctors continued to nod confusedly.

"Then what is the key to replanting a severed limb or a severed palm? Wu Guoliang, please answer."

When his name was suddenly called, the young doctor Wu Guoliang stood up in a hurry, thought for a moment and replied:

"I, I think it's the recovery of the blood of the amputated limb or arm, right? If the nerves are not connected, at worst some functions will not be restored, but if the blood supply is not restored, the amputated arm and limb will become necrotic immediately."

Chen Qi thought to himself that it was not hopeless.

"Okay, Wu Guoliang answered very well, blood supply. Then you can think of the cut skin flap as a severed palm. If you want to reattach it, you must restore the blood supply. What everyone was worried about just now was also the pedicle-free blood transplant.

The supply cannot be restored.

So here comes the question. Since the severed palm can be reattached after it is completely free, why can't it be done with the skin flap? We can also carefully cut off the arteries and veins in the room when separating the skin flap, and then find similar arteries and veins in the area that needs skin grafting.

If you connect it, won't the blood supply be restored?"

Lao Guo excitedly slammed the table, startling everyone:

"Learning inferences from one case to another, that's right. Chen Qi's method is completely feasible."

The young doctors also looked at each other and saw shame and regret.

I'm ashamed that I didn't expect such a simple truth. What's regretful is that I just questioned the dean? Oh my god, I'm going to die, but I dare to touch the tiger's butt.

At this time, Director Luo Yuyang asked: "Dean, this blood vessel anastomosis is very difficult, and it requires special tools."

Chen Qi smiled:

"Have you forgotten? After merging the four hospitals, we have a plastic surgery department. This is my old team. Special tools are needed to anastomose blood vessels, including a full set of electron microscopes."

This electron microscope was originally dismantled by Chen Qi from the space operating room. Although it looks shabby on the outside, the core technology inside is actually far ahead of its time.

Zhu Huoyan gave an order: "Then what are you waiting for? Let the plastic surgeon come over for consultation."

Yan Shifan and Bian Meng had already received Chen Qi's instructions to wait early, and arrived at the burn surgery office as quickly as possible.

Yan Shifan has lived a happy life since his second marriage to Bai Xue, enjoying himself every day, and his overall condition has recovered.

Moreover, Chen Qi learned his lesson and repeatedly asked him not to work overtime and to go home from get off work on time every day to be with his wife, so he finally came back to life.

As for the border alliance, he has always been heartless and simple-minded. Anyway, Chen Qi does whatever he says and is very obedient.

After the two of them arrived at the burn surgery office, they nodded and bowed to the big shots in the room, then sat aside and started looking through the medical records.

Zhu Huoyan waited until they put down the medical records and asked:
To be continued...