Auto chess in the operating room

Chapter 171 Guo Caier's First Surgery

Chapter 171 Guo Caier's First Surgery

Surgery will begin soon.

Because of the high ligation of the hernia sac, the patient underwent continuous epidural anesthesia.

As the anesthetist for this operation, Chen Wenhao sat in the slightly deserted operating room after the operation, feeling slightly uncomfortable.

Looking at Tang Lou Dao, Duan Fei helped, and there was not even a decent audience. Chen Wenhao dragged the extra small bench over and sat down on one.

Looking at Tanglou, I was also a little worried for him. After all, Dr. Wang Chuan will start the operation tomorrow. Moreover, according to his anesthesia schedule, Dr. Wang Chuan will only perform one surgery tomorrow. The remaining The three surgeries were handed over to Guo Caier to be the chief surgeon.

"Foreign monks are good at chanting scriptures."

Chen Wenhao also expressed emotion, after all, Guo Caier also has the halo of Xiehe Hospital.

However, very soon, Chen Wenhao was attracted by Tang Lou on the operating table: "So reckless?"

On the operating table, Duan Fei's eyes were also wide-eyed. Since he was absent for a day or two, it was the first time he had seen the high-level ligation of the hernia sac and the Tang Lou surgery performed by a third-level abdominal external hernia expert.

Level 0 Abdominal External Hernia Specialist fetters: Can perfectly complete the repair of abdominal external hernia, postoperative recurrence rate is 0%, infection rate is 0%, and intraoperative accident rate is [-]%.

So Tang Lou is not worried at all, there will be things that ordinary doctors avoid: abdominal wall nerve injury, spermatic cord blood vessel injury and testicular blood circulation disorder, bladder injury, large blood vessel injury in the groin area, etc.

It was not even marked with the starting hand, and the scalpel was used directly, and an oblique incision parallel to the inguinal ligament was made from 2 cm above the midpoint of the patient's inguinal ligament toward the pubic tubercle.

The position of the oblique incision is very precise, and the length of the incision is also the shortest distance of the limit.

A scalpel was in Tang Lou's hand, like juggling, subcutaneous tissue, fascia, with just a light swipe, it cut open precisely and neatly.

Duan Fei held his breath and watched Tang Lou's operation. After ten seconds, the outer ring of the inguinal canal was revealed.

"This"

Duan Fei confirmed an absurd fact. Between the few operations he was absent from, Tang Lou's surgical level made another qualitative leap.

At least, in the city's No. [-] hospital, he has never seen a doctor who can perform surgery to this extent. No, even if he followed Hangcui Mountain to participate in academic conferences in the province, he had never seen such a high-level hernia sac. High ligation.

In the blink of an eye, Tang Lou had already made a small incision on the external oblique muscle, using the most precise writing style.

After that, it was changed to the bow-holding style and cut along the direction of the fiber.

What made Duan Fei a little unacceptable was that when Tang Lou cut the external oblique aponeurosis and the outer ring opening, he neither paused nor asked for his own assistance. Obviously, this step could easily injure the ilioinguinal nerve!

This feeling is like Tang Lou driving a Ferrari supercar, speeding along the pedestrian street in the downtown area, ignoring the pedestrians on the road.

"Are you really not afraid of overturning?"

Duan Fei shook his head.

In the next step, Tang Lou cut the cremaster muscle and searched for the hernia sac before the spermatic cord.

"The first assistant lifts the hernia sac and confirms the contents of the hernia."

Tang Lou issued an order, and Duan Fei quickly cooperated, obviously he was already very skilled in the operation among the residents, but compared with Tang Lou, he seemed extremely clumsy.

After Duan Fei finished the report, Tang Lou immediately began to retrieve the contents of the hernia, controlling the instrument with both hands, the movements were small, but the operation was in place.

Since the hernia sac of this patient is relatively large, after Tang Lou's quick analysis, the hernia sac was cut directly at the incision, and the hernia sac at the far end was left open.

"sharp."

Looking at Tang Lou's crazy operation, Duan Fei felt a fire in his heart, and he had no awe for Wang Chuan's operation tomorrow.

Duan Fei has a feeling that even Dr. Wang Chuan, who is like a dog, can't do Tang Lou's level.

Duan Fei looked at the camera on the side, looking forward to it, and then copied down the video of Tang Lou's operation, so that his friends of the same age could take a good look at it.

On the operating table, Tang Lou raced against time, thinking of completing the operation as soon as possible so that he could move on to the next operation. After all, Dr. Wang Chuan's operation has not yet been fully carried out, so he hastened to complete fifty external abdominal hernia operations in these few days.

With innate concentration, Tang Lou quickly lifted the proximal hernia sac, inserted his index finger (the index finger in medical terms) into the sac to withstand the sac wall, and wrapped the index finger of the other hand with gauze to hold the sac wall. The outer tissue is gently pushed down to the neck of the hernia sac.

On the screen, the extraperitoneal fat can be clearly seen, and the inner wall of the hernia sac can be seen to be whitish and thickened.

"No. 1 silk thread, needle-holding forceps."

Tang Lou continued to issue instructions, and the equipment nurse immediately handed over the equipment. As a nurse who has experienced vicissitudes of life, of course, I have seen other doctors perform the same operation, but in front of the handsome Dr. Tang, no one can do it.

They are also very upset that Guo Caier from Xiehe Hospital and Dr. Wang Chuan, who is not one-fifth of Dr. Tang's appearance, actually robbed Dr. Tang of many operations.

After all, operating with Dr. Tang is a very enjoyable thing. They can wipe Dr. Tang's sweat during the operation, and touch Dr. Tang's hand when handing instruments, even through a thin transparent glove.

Of course, what's even better is that during the preoperative preparation stage, Dr. Tang was able to explain the operation process, the preparation of various instruments, and the matters that need attention during the operation. Dr. Tang is gentle and patient.

It's not at all like Dr. Wang Chuan and the little elf from Xiehe, with a pair of nostrils upturned, a pre-operative preparation, and an explanation by the chief surgeon, which is really the subtext of a stupid nurse.

When the equipment nurse was angry on Tang Lou's behalf, Tang Lou had already completed the purse-string suture on the neck of the hernia sac.

The next step was to repair the inner ring, pulling the spermatic cord outward and upward, separating and exposing the hole in the inner ring on the transverse fascia. Under Duan Fei's envious eyes, he sutured 2 stitches to shrink the enlarged inner ring.

"Pin 7, thread 5-0."

This is followed by interrupted sutures of the deft cremaster muscle.

"too fast."

Duan Fei praised that this operation took at least half of the expected time.

After the incisions were closed layer by layer in Tang Lou, the operation was declared successful.

Chen Wenhao, who was sitting on the stool, also licked his lips. He really likes to partner with Tang Lou. After all, every time a surgery is completed, he can get a piece of surgery fee. Like Tang Lou, it is also a day, and it can be completed. For eight surgeries, you can get eight payments.

However, a general doctor would do four sets a day, but it would take the same amount of time, and the cost of the operation would be reduced by half.

For example, the arrangement of Dr. Wang Chuan's surgery also took up a day of their time, but only four of them were done.

Thinking about it this way, Chen Wenhao felt that Dr. Wang Chuan was also a weak chicken.

"Dr. Tang, we support you."

After the operation, the equipment nurse and Chen Wenhao both spoke encouraging words before Tang Lou left.

Since Dr. Wang Chuan officially started the operation the next day, although the number of operations was reduced, Tanglou still completed six operations on this day.

[Ding, task: Abdominal external hernia expert, progress 48/50, reward 3 gold coins, and refresh the card library once.Gold coin balance: 24]

The next day, Dr. Wang Chuan and Guo Caier's first operation started on time in the morning. It was an indirect inguinal hernia repair operation.

And Wang Chuan was watching and guiding from the sidelines.

Compared with Dr. Wang Chuan's not being close to strangers, Guo Cai'er was polite before the operation, and Liu Jinjin of course expressed his honor.

The anesthetist Chen Wenhao and the equipment nurse Yuan Aldo didn't look too good-looking, especially Yuan Alphony just responded coldly and quietly stood aside.

Guo Cai'er frowned slightly, but just sneered inwardly. After the operation started, she would let them see what is the standard of doctors in Union Medical College Hospital.

Of course she also heard that Tang Lou had completed 6 operations yesterday, but in her eyes, he was just a young doctor with better physical strength, and the volume of operations alone could not scare her.

Doing a good job of surgery, allowing patients to heal better, and reducing the recurrence rate is what a powerful doctor pursues.

Quantity, never!

(End of this chapter)