Super Doctor: Become Stronger From Signing In

Chapter 201 A rare Pseudomonas aeruginosa infection

“Su Dashen, if you do skin flaps now, will the postoperative recovery be a big problem?”

Lu Chenxi asked suddenly.

“Well, this is indeed a problem.”

Su Yang nodded, and then said:

“However, if I don’t do skin flaps now, I am worried that the patient will have a serious systemic infection after the operation. In that case, given the patient’s physical condition, there will be no chance to do it again. So, if I do it now, there may be recovery after the operation. Possible.”

In clinical practice, many choices are made, but among two very poor choices, choosing one is not that bad.

It is not always the best of both worlds.

“Shen Dashen, is this an infection of Pseudomonas aeruginosa?”

Lu Chenxi asked with some confusion.

“It is very possible that although Pseudomonas aeruginosa infection generally only occurs in people with low immunity, judging from the patient’s weakness, it must be accompanied by long-term malnutrition, so the immunity will be reduced. .”

Su Yang said slowly.

Malnutrition, this kind of situation, is generally difficult to appear in children nowadays.

“You continue to clean up, I’ll get the flap.”

Su Yang looked at Lu Chenxi and said.

This flap must be tightly fitted. Judging from the current degree of infection, part of the skin near the incision has basically ulcerated and cannot heal more.

Therefore, the newly taken skin flap must be closely aligned with the surgical incision, otherwise it will not heal after the operation.

Once it fails to heal, it is almost impossible to transplant the skin flap again, given the physical condition of the little girl.

[System, open the diagnosis and treatment subsystem, the additional label is healing]

Su Yang said to the system again in his mind at this time.

【Ding! The optimization has been completed, do you want to transmit a new surgical plan? 】

[Transfer it]

As soon as Su Yang’s voice fell, the optimized surgical plan was transmitted to Su Yang’s mind.

After checking it, it was similar to the previous one. The new surgical plan only marked out the position and size of the most suitable flap for transplantation, specific to each tiny blood vessel.

The position this time is on the thigh.

This is also easy to understand. If you have severe malnutrition, only the skin of the thigh is the skin, which is longer and suitable for transplantation.

“How about, how is the condition of the fascia and muscles close to the aorta?”

While choosing a suitable location, Su Yang asked Lu Chenxi.

“Basically intact.”

Lu Chenxi looked around and said to Su Yang.

“That’s fine.”

Su Yang breathed a sigh of relief. The fascia and muscles were intact. That would be a blessing in misfortune.

If the fascia and muscles are also severely infected or even ulcerated and decayed, then there is really no recovery.

After a while, Su Yang took a flap from the right leg.

The next step is to remove the ulcerated skin, and then transplant this flap.

This operation looks simple, but the requirements are very high. Before taking the skin flap, how to cut and what kind of incision to make must be thought out.

The flaps that are removed can only be trimmed slightly at best, otherwise, if you trim too much, they will not survive.

“You clamp both sides with tweezers, and be careful not to use force.”

Su Yang picked up the tissue scissors and said to Lu Chenxi, if you use too much force, it will tear the already thin skin.

“Yep.”

Lu Chenxi nodded and used tweezers to pinch the skin near the surgical incision.

According to the surgical plan given by the system, Su Yang carefully cut out a long and irregular incision. This cut fully took into account factors such as blood supply and postoperative recovery.

The next job is to align the flap and the incision completely, which contains small blood vessels.

“microscope.”

Su Yang carefully placed the flap on the incision and said loudly.

“Yep”

Lu Chenxi pushed the microscope on one side over.

Su Yang began to combine tiny blood vessels.

Others in the operating room looked at the screen on the screen and kept their eyes on.

No matter how many times I watch it, God Su’s operation is so pleasing to the eye!

Lu Chenxi couldn’t help sighing.

Precise and fast movements, without a trace of extra operations, look clean and smooth.

Su Yang did not hesitate to operate an operation with such a high level of precision.

Even the instrument nurses and anesthesiologists were a little dumbfounded. They can be regarded as cooperating with many surgeons’ operations, but in terms of fine operation, among all the people they have met, if you think about it carefully, no one can interact with them. Su Yang is shoulder to shoulder.

Look at Su Yang, who is in his early twenties. I really don’t know how this superb technique was developed.

Not to mention anything else, just the director of the neurosurgery surgery they cooperated with yesterday.

When the director is operating, although the fineness is also very good, he still needs to consider it before doing each movement. It is not like Su Yang at all. The operation made is as fast as a machine. Accurate, without a pause.

After an hour, the involution was completed, Su Yang sutured the last stitch and placed the drainage strip, and the operation was over.

“How about, what did the laboratory department say, is it an infection of Pseudomonas aeruginosa?”

Su Yang put down the tweezers in his hand and asked.

“Well, I just called to confirm that it was caused by Pseudomonas aeruginosa.”

Lu Chenxi nodded.

“In this case, postoperative recovery is a long process.”

Su Yang sighed, although it was not a malignant tumor, or it was not a tumor at all.

However, this rare Pseudomonas aeruginosa infection is also difficult to recover. If a large area of ​​infection occurs after the operation, whether the transplanted skin flap can survive is still a matter of two.

You can only supplement the little girl’s nutrition first to see if you can stimulate your own immunity and promote recovery.

“Yes, I saw it during my internship. One was also infected with Pseudomonas aeruginosa. The wound has not healed for more than a year.”

Lu Chenxi also said with a sigh.

If it does not heal, the skin around the neck of the little girl will rupture again, and it will be accompanied by foul-smelling green pus flowing out, and this will be a long-term process.

Such a result is really cruel to a little girl.

“You transfer the patient to the ward first, and I will explain the situation to the family.”

Su Yang said to Lu Chenxi.

“I see.”

Lu Chenxi nodded.

“Also, you should rest or rest, don’t hold on.”

Su Yang asked Lu Chenxi again.

Although she is now working hard to enrich herself and doesn’t want to think about the sad things, Su Yang is afraid that she will be too desperate and her body will not be able to stand it by then.

“I will adjust it.”

Between Lu Chenxi’s words, there was still sadness that couldn’t be erased.

“You can talk to me when you have time, I’m all there.”

Su Yang said gently.

“Um”

Lu Chenxi felt Su Yang’s warmth and nodded vigorously.