Doctor: It's reasonable to perform surgery on yourself.

Although the treatment of sepsis is on the right track, it is not so easy for Tian Ling to survive!

Shi Lian said: "At present, the wound surface of most areas of the patient has been freed from the infection of Pseudomonas aeruginosa, but..."

Speaking of this, her expression was a little complicated.

After a pause, she said: "But the burns on the right lower limb are very serious, and the skin and flesh are almost rotten. This local infection has not been controlled until now!"

At this moment, her mood is mixed.

The good news is that it should not be a big problem for Tian Ling to survive at this point.

But the worry is that in order to survive, she must pay a huge price!

The simplest way is naturally to remove the right lower limb!

Compared with before, if only losing a leg can survive, this deal is too cost-effective!

Therefore, Shi Lian is actually quite satisfied.

For this kind of patient, no matter how to change the attending doctor, he will be absolutely powerless, and his own teacher can't drag it until now!

However, Xu Qiu's brows have never been relaxed since the beginning.

He is a perfectionist.

If amputation is the only option left, then he will have to give it up. But if there are other options and the efficacy of other options is not necessarily weaker than amputation, he still hopes to give the patient a complete body.

——Even if she has been burned like that.

"Notice, there will be a meeting in the afternoon." Xu Qiu said.

This time, it should be the last meeting related to the treatment plan. If there is a problem again, then we will just do amputation.

...

In the afternoon, before work time, the clinic began to get busy.

In addition to the original treatment team, this meeting also attracted a large number of experts.

They are all experts from the province and neighboring provinces.

As long as they can arrive at the clinic in half a morning, but they are not qualified burn surgery experts, basically all of them have come.

Among them, there are six academicians alone!

This is excluding Xu Qiu and Kong Lan. If they are added, there are a total of eight academicians!

In addition, the presidents of Huashan Hospital and Zhongshan Hospital, and several other hospitals with a high reputation in the field of burns, basically sent top experts and administrative bosses to attend the meeting.

The reason is very simple:

Before this, no one thought that Tian Ling could really survive!

Although everyone knows that Xu Qiu has outstanding medical skills, it is still quite incredible that he can save a patient with extremely severe burns.

This can be said to be unprecedented in the field of burn medicine.

The only few survival examples are basically all from the laboratory, which is not universal.

It is completely different from people like Tian Ling who were rescued in the clinic!

So, they don’t want to miss this opportunity again!

No matter what, they have to show their faces!

Until there will be one more item on the resume in the future: I have participated in the rescue of the world’s first extremely severe burn clinically cured patient...

As for how to participate, attending the meeting is also called participation!

However, Xu Qiu naturally can’t just let them get the reputation.

Since a group of big guys are here, wouldn’t it be a loss if they don’t use them?

So, he asked Wang Shengde to bring a few more chairs on the spot, arranged seats for these big guys, and sat at the conference table.

Now he had to speak even if he didn't want to.

Taking this opportunity, he could also learn from the experience of these top burn hospitals and give some insights to the head of the burn department of Linyi.

…

The meeting started at around 3 pm.

The big screen first lit up, with photos of patients taken during the noon rounds, and the skin graft after Tian Ling's skin graft was aimed at.

Seeing the picture, everyone present was amazed.

There are two stages in the early healing of skin grafts.

Specifically, the plasma nutrition stage and the vascular nutrition stage.

The former occurs within one to two days of skin grafting, and the nutrition of the skin graft is entirely provided by the plasma exuding from the wound surface.

Then, it enters the vascular nutrition stage.

At this time, capillaries of equal caliber have been established between the skin graft and the wound surface, and the endothelial cells of the blood vessels at the base and edge of the wound surface have produced new capillary buds, which can grow into the skin graft with the help of the cellulose network between the skin and the wound surface...

If this step can be achieved, the blood vessels are basically formed, and the transplantation has been more than half successful.

Everyone expected that the skin graft would recover well.

But, like Tian Ling, the skin grafts were perfectly sutured, the subcutaneous adhesion was stable, and there was almost no flaw on the transplanted surface...This still shocked them!

Is this the strength of Academician Xu?

It's just a skin grafting operation, but it can also make a difference!

The simpler the operation, the more it tests the details.

For example, suturing, a suture, the difference between the surgeon and the academician may not be too big, and the surgeon may even be better than the latter.

But when it comes to complex scientific research, and some top surgeries such as the Fontan procedure...the academicians in the industry are definitely better at doing it than doctors.

Skin grafting is exactly like this.

How complicated can skin transplantation be? To put it bluntly, it is just the tailoring of skin, cutting the skin of the donor, covering it on the recipient, and then sewing it up.

That's all.

Every operation, let alone the responsibility, can be learned by Xiao Zhi after doing it a few times. There is no difficulty coefficient.

However, the result of Xu Qiu's operation was still far beyond their understanding.

At this time, they realized that a simple operation like skin grafting could also make such a big difference...

There was no hematoma under the skin graft, no movement under the skin, even pressure on all parts of the skin graft, and the pathological tissue was removed cleanly.

It can be said to be perfect.

For a moment, everyone present doubted the authenticity of the picture on the screen... Is this really not P's?

However, when they saw Xu Qiu, everyone lowered their heads at the same time.

Oh, it's Dr. Xu. His medical skills are much better than those in the P picture.

…

After giving ordinary academicians a little shock, the meeting discussion began.

This conference focuses on a core issue: infection control of the right lower limb!

"First provide nutritional support and immune regulation, and then carry out external intervention when necessary to improve the body's innate immune function..."

"We can start from the biological characteristics, virulence and drug resistance of the bacteria. If the patient is infected with Pseudomonas aeruginosa, there was a study a while ago, which said that the non-receptor tyrosine kinase Tec induced RAW264.7 hours by LPS. Murine monocytes and macrophages play an important role in the production of pro-inflammatory cytokines..."

Medical scholars and directors of top hospitals from various places have all put forward their opinions.

Those who can be present are basically the best in the field of burns. If they are not on the front line, they are on the front line. None of them has left clinical practice, so they all have quite rich experience.

But at the end of the discussion, various methods were debated, and in the end even the traditional Chinese medicine Astragalus was used to play the role of "burn immune regulation"...

No one can convince anyone.

So in the end, everyone stopped talking at the same time, and then the last solution came into their minds.

An option that no one can refuse.

"Amputation!"

The point of contention is actually to save the limb and control the infection at the same time.

But as long as the legs are removed, the problem will be solved.

No matter how powerful Dr. Xu is, he definitely can’t save his leg now, right?

Thinking of this, everyone looked at Xu Qiu and couldn't help but think: If Dr. Xu performed the amputation, Tian Ling's life would have been saved.