Doctor's Life Simulator

Chapter 216 In a small place in Hecheng, there are big cows in the first courtyard of the city
In the operating room, Zhuang Tong and Zu Liang who were watching said that it was impossible not to be nervous, after all, this was Qin Lang's second laparoscopic appendectomy!
"let's start."

Under the aura of Master Qin Lang's knife, he completely overwhelmed Director Pang, but Director Pang really felt a sense of insignificance.

The anesthetist was already a little numb, and the operations performed by this guy, Qin Lang, became more frightening every time.

Zhuang Tong, Zu Liang personally watched, and Deputy Director Pang helped?
And it was a new technique that had never been tried before.

To be honest, even experienced anesthesiologists have sweaty palms, and their hearts beat a little when they see some legendary old people lying on the operating table.

Although this operation was a laparoscopic operation, epidural anesthesia was still used under Qin Lang's special request.

"Relax."

Qin Lang saw the abnormality of the anesthetist and gave a word of encouragement.

For some reason, the anesthesiologist's hands became more stable, and his heart also became more stable.

The anesthesia was quickly completed, and then he stepped aside with a rare seriousness.

"A 1.0 cm incision was made at the lower edge of the umbilical cord, and a 1.0 cm trocar was inserted as an observation port. An artificial pneumoperitoneum was temporarily established. The pneumoperitoneum pressure was controlled within 6 mmHg (1 mmHg=0.133 kPa), and a 30° laparoscope was inserted."

Qin Lang calmly began to direct the equipment nurse and Director Pang who was a guest assistant.

Entering the operation, Qin Lang seemed to be a completely different person, with a serious and rigorous tone, without any scruples because of Director Pang's identity, it was really as if he was directing a subordinate doctor, and he was not polite at all.

Director Pang was also in a trance. At certain moments, Qin Lang made him feel like Director Zhuang, and he returned to Yizhu's youthful years.

You don't need to think too much, just follow the command of the chief knife and make corresponding actions.

"A 3 cm incision was made at the 0.5 fingers below the navel, and a 0.5 cm trocar was placed as an operation hole for instrumentation to expose the appendix. After determining the location of the appendix, use a double-needle purse-string suture on the abdominal wall at the appendix, and puncture the abdominal cavity vertically at a distance of 6 cm. , lead out the double needles in stages from the operation hole, cut off the double needles and tie a knot, lift the external suture line and fix it on the support frame, relieve the pneumoperitoneum, adjust the height of the support, and form a satisfactory operation space.”

Qin Lang's precise instructions continued to echo in the operating room.

"The process of establishing a pneumoperitoneum is controlled within 3 minutes. Another 0.5 cm operation hole is established in the avascular area near the McBurney's point, and the head is down and the feet are high, and the body position is 20° to 30° left."

Under Qin Lang's clear and cohesive instructions, the equipment nurse and Director Pang were busy cooperating.

Director Pang had already given up his mind, and it was enough to follow suit, busy and cheerful like a fresh graduate.

Zhuang Tong and Zu Liang at the side had completely calmed down, completely immersed in Qin Lang's skillful and calm command.

Ten minutes later, the door of the operating room opened, and Qin Lang appeared at the door.

Chai Shanshan stood up nervously, panicked, and rushed over, with Ma Shuya's information in her mind, and asked anxiously: "Doctor, is there something wrong with the suspension laparoscopic surgery, and you need to transfer to the traditional abdominal surgery?" Mirror way?"

Due to her anxiety, she didn't even notice the flat car slowly exiting behind Qin Lang.

"The operation was quite successful." Qin Lang was in a good mood and joked, "Do you want to see the appendix that has been removed?"

Chai Shanshan looked blankly at the handsome young doctor: "Finished?"

It obviously didn't exceed an hour, but Ma Shuya said that in her experience, the routine appendicitis resection should be controlled within 90-150 minutes, and with the new operation, it should be more than two hours.

Seeing that Chai Shanshan was in a daze and did not come to help carry the patient, Qin Lang patted her lightly: "Are you all right? Come, help me."

"Oh."

Cai Shanshan became sober now, but she still couldn't believe it: "So you still used the traditional laparoscopic resection in the end?"

"No, the suspension gasless laparoscopic surgery is used."

"Then how could it be so fast? Doesn't it mean that all new surgical procedures need to be very cautious, and the difficulty of this operation is not very high and the surgeon is extremely demanding?"

Thinking of Ma Shuya's analysis and the authoritative director Han Hu's comments, Chai Shanshan began to feel worried again. It wouldn't be because it was not easy to do after opening it, so she directly chose to close the abdomen.There are not no such rumors in the arena.

"Whoever tells you a new technique, if the difficulty is high, you must do it slowly."

Qin Lang was a little speechless: "Hurry up and call the elevator."

Under Qin Lang's instruction, Chai Shanshan went to call the elevator, and then came back to help pull the car.

Due to the special status of the patient, Zhuang Tong and Zu Liang accompanied him to personally escort him back to the ward, a mighty group of people.

Chai Shanshan held the car, walked forward, picked up her mobile phone, and quickly sent a message to Ma Shuya: "The operation has been completed, and the doctor said it went well. But I'm still a little worried. It won't be an hour. You said no?" Question?"

"What? You said it was done! A terrified expression." Mashuya couldn't believe it at all.

Soon after, a second WeChat message came: "Take a picture of the removed appendix, and I'll take a look."

Chai Shanshan looked directly at Qin Lang.

Qin Lang was just joking with Chai Shanshan, but she didn't expect that she really wanted to see pathology specimens.

Chai Shanshan directly took a photo of the excised appendix and sent it.

Naturally, Chai Shanshan doesn't understand, but as the attending physician of Zijingang, she is naturally a knowledgeable person.
Looking at the appendix, pus moss, and connective tissue in the photo, they are completely separated without any adhesion at all.

In general surgical pathological specimens, the pus moss is torn up directly during the processing process, there is no such thing as pus moss, and it is not as complete as the stripped one in the photo.

Especially for the excised appendix, the anatomical layers of the incision are clear.

Ma Shuya directly sent six exclamation points: "!!!!!!"

Because of the exclamation, the next step is to send a voice directly: "Shanshan, are you experts invited from other places? It is also an unheard-of hanging airless laparoscopy technique, and it is such a perfect separation of case specimens." , even the timing of surgery is extremely rare.”

Chai Shanshan looked at Qin Lang, she naturally knew that the young man in front of her was the one who was doing the knife, and took a sneak shot of Qin Lang while Qin Lang wasn't paying attention.

Qin Lang: "."

For a handsome guy of Qin Lang's level, he has been photographed too many times, and he is too familiar with the sound of the camera's shutter.

Chai Shanshan also noticed Qin Lang's gaze, blushed slightly, and turned around quickly.

Ma Shuya directly sent three lewd expressions.

"Wow, what a handsome little brother! I'm still a doctor, I feel like I'm in love"

Chai Shanshan's face was dark, and she went back directly: "This is the expert you want! The doctor who operated on my grandfather. What are you thinking!"

"Are you kidding me? He looks so handsome and his skills are so good? Since when did Hecheng have such a powerful doctor? I don't believe it."

Chai Shanshan: "It's true. Three supercilious expressions."

"Shanshan, I suddenly wanted to transfer to the First Hospital of Hecheng City. Only Dr. Lu Min and the new Dr. Wang Heng in our department can see the three shy faces. But compared to this doctor, they are nothing. ah."

Chai Shanshan: "."

After putting down the phone, Chai Shanshan's mood suddenly brightened. Looking at Ma Shuya's compliment, she felt a sense of pride in her heart.

Who said that in a small place in Hecheng, there are big cows in the first courtyard of the city!

Soon several people sent the patient to the ward. Due to the effect of anesthesia, after waking up, the patient said a few words to Director Zhuang and others before falling into a drowsy sleep.

His vital signs were stable, and Zhuang Tong and the others were relieved of their worries.

"Director Zhuang, congratulations, the operation was very successful."

Zu Liang congratulated him, of course, he was not congratulating the operation, but the Qin Lang behind the operation. With such a talented surgeon, the emergency department of the First Hospital of Hecheng City will be the first to carry out suspension surgery in Zhejiang Province. Gasless laparoscopic surgery.

Seeing that Chai Long fell asleep, Zhuang Tong and the others naturally left wisely.

"Qin Lang, you are doing very well."

"Qin Lang, not bad!"

Zhuang Tong and Zu Liang praised Qin Lang a lot.

After the crowd dispersed, Chai Shanshan received another WeChat message from Ma Shuya:
"Dear Shanshan, I just told the boss about the photo and the operation time, and the boss said that he wants to know about the patient's postoperative recovery, so."

Ma Shuya naturally knew that this was the patient's privacy, and that it was Cha Shanshan's grandfather, so it was a bit impolite.

"Small matter, I will report to you my grandfather's vital signs and daily recovery, my Dr. Ma."

"Wow! Shanshan, can you also ask for the prestige of the chief surgeon when reporting the illness?"

"Roll off~"

In the next few days, Qin Lang was naturally in charge of Chai Long's postoperative rounds. Under Qin Lang's perfect surgery, Chai Long had no infection at all, and the speed of wound healing was also very gratifying.

Zhuang Tong and others were extremely surprised by this, especially Deputy Director Pang, who was already in contact with lower-level hospitals and brother units to screen suitable elderly patients with appendicitis.

In the surgical team of the emergency department, even after this case, the role has undergone subtle changes. In the past, whether it was rounds or on duty, it was Liu Peichun who led Qin Lang, but now Qin Lang directly took the lead.

Naturally, Liu Peichun had no complaints about this. After all, he was able to persuade Director Zhuang and Director Zu Liang of the General Surgery Department to propose improved surgical procedures and the man who asked Director Pang to help him during the departmental consultation.

These days, Liu Peichun has worked harder and harder. After all, he realized that Qin Lang's growth rate made him not even qualified to be a first assistant.

On Friday night, Liu Peichun helped Qin Lang knock the case.

Tang Yue's prestige sent over: "Qin Lang, rest tomorrow. There is a signature variety show "Ace" by Lantai on the other side of Hecheng Yuehe. It is said that Wang Xinxin and Zhou Shen are the guests of this episode. I have relatives I'm in the film crew, I'll be in Hecheng in a while, let's go to be the audience together, and we can also make a guest appearance."

Qin Lang is not particularly interested, but Tang Yue is very interested, so let's go with her.

(End of this chapter)