Auto chess in the operating room

Chapter 113 Another Troublesome Patient

The big guys poked their necks forward and looked at the screen in the operation area. Few rookies dare to use the Endo-GIA cutting and closing device.

When dealing with gangrene margins at the root of the appendix, simple ligation and purse-bag embedding are the most routine, and they are also the most familiar treatment methods for physicians who have undergone traditional laparotomy through McBurney's incision.

The Endo-GIA cutting and closing device is exclusive to laparoscopic resection, and it is specially invented to operate in a small operation hole.

The head of the entire closer is long and pointed, and there are two rows of small silver particles protruding above the two edges of the sharp beak, which looks like a ferocious sharp-billed crocodile.

In the camera shot controlled by Ma En, the sharp tip of the silver closer controlled by Tang Lou plunged into the root of the patient's appendix.

Looking at the root of the patient's severely gangrene and perforated appendix, Qingping and the others also understood Tang Lou's intentions. This is the most direct and fastest way.

However, this guy is too decisive, and he is not afraid of excessive cecum resection?
"It's not enough to just cut off the root. This method is a choice made only when you are extremely helpless, because what will test the skill of the surgeon is to use absorbable threads to reinforce the cut."

Song Yang said worriedly from the side.

Sure enough, on the screen, under Tang Lou's quick operation, the closer was like a greedy silver crocodile, biting the patient's appendix root only about 0.5cm away from the cecum.

"3-0 Absorbable Suture, Needle Holder Forceps"

Without a moment's pause, Tang Lou ordered the equipment nurse to prepare for the next suture.

"Aren't you worried at all? The 3-0 absorbable suture has extremely high requirements for the level of suturing. If the strength is too strong, it will easily break. If the strength is weak, the sutures will loosen later, and it is easy to be infected."

Song Yang looked at Qing Ping who was determined and Cheng Jian who didn't care, and asked with some puzzlement.

If in his medical group, how dare he entrust an intern to do this kind of laparoscopic absorbable suture.

"Doctor Song, don't worry, I don't know Tanglou's other skills, but I dare say that there are few people in the first hospital in our city who are better at suturing than him."

Cheng Jian smiled, very calmly, and even slightly looked forward to Tang Lou's stitching.

"This"

Song Yang couldn't understand the world anymore.

Soon Tang Lou completed the continuous stitching of the stump under Ma En's mirror. The needles and threads were evenly spaced, and the stitches and margins were like copying and pasting.

Clean and beautiful!

"How about it?"

Qingping looked at the textbook-level sutures of Tang Lou, and sighed again: "I was more surprised than you when I saw Tang Lou close his abdomen for the first time."

Song Yang suddenly didn't want to talk anymore.

He thought of the nights when he locked himself in the study every night after working for three to five years, practicing stitching with chicken wings and pig's trotters. He thought his stitching skills were good enough.
But how old is this Tang Lou, and his suturing skills have surpassed his decades of skill.

Next, Tang Lou still did not stop, and directly placed the appendix in the dirt bag and took it out from the puncture port.

"The patient has a lot of abdominal and pelvic fluid, and the pus needs to be sucked out before the drainage tube is placed"

Tanglou gave the next step of instructions. In order to better absorb the fluid accumulation, he first adjusted the patient's position, with the head higher and the feet lower, so that the pus that leaked out would collect in a lower position.

In the process of changing the patient's position, Ma En was at a loss for a while. How could this guy Tang Lou do something beyond his cognition.

"Block the intestine, prevent it from falling down and block the surgical field of view, and suck out the pus within the field of view."

Tang Lou Qinglang's instructions followed closely, making Ma En calm down immediately.

"Oh."

However, after just a few inhalations, Ma En's face flushed red again.

"Gauze, gauze!"

Ma En looked at Tang Lou suspiciously, not knowing why.

"Because of the body position, the epistaxis and fallopian tubes are easy to block the suction device. You can use gauze on the suction device and use the gauze as a filter."

"understood."

Ma En really admired Tang Lou so much. How could this guy's head grow? If he encountered such endless situations, he would have collapsed a long time ago.

[Countdown 15 minutes]

Tang Lou listened to the countdown of the system. Although he was a little urgent, he still carefully evaluated and finally decided to flush the abdominal cavity thoroughly. Although it would be faster to just wipe with gauze and suction with a suction device, there is a risk of subsequent infection.

Hearing Tang Lou's order, Qing Ping, Cheng Jian and others on the side also nodded slightly. They were really afraid that Tang Lou would be greedy for speed, so they rashly chose to close their stomachs.

Thorough flushing of the abdominal cavity naturally means more time-consuming and more cumbersome, but only after the empyema is completely removed, the patient can avoid complications such as postoperative tenesmus, which do not appear to be serious, but actually indicate that the operation is lacking.

[Countdown 7 minutes 5 minutes]

After finally flushing the abdominal cavity, Tang Lou carefully checked if there was any bleeding, and at the same time counted the completeness of the instruments.

Just as Ma En was about to take over the suturing task, Tang Lou directly took over the needle holder.

"Doctor Ma, I don't have enough skills to hold up the mirror. I'd better do it myself for small things like suturing."

Tang Lou smiled humbly.

[Hypocritical human beings, you just despise him for being slow!Countdown 3 minutes]

"See through, but don't tell, we are still good friends."

【.】

Seeing Tang Lou taking over the sewing work.

Ma En's face looked much better. It seemed that Tang Lou was still very sensible. After all, he was appointed as an assistant because he was the only one in the department who could cooperate with Tang Lou to hold the mirror.

After all, it was impossible for a big man like Qingping to come, and Tian Linsheng was still too young.

Tang Lou can clearly realize that he is his senior, and it is very comfortable for him to be able to complete the stitching work of his assistant.

Seeing Tang Lou's fast stitching, Ma En became more and more pleasing to the eye. To be honest, this operation really pushed his limit, and his whole body was about to collapse.

Marne stretched and yawned:
Tang Lou is still a good person, knowing the general situation, knowing how to advance and retreat, which can be regarded as giving him enough face.

【Countdown 1098】

【Ding!If you complete your first laparoscopic surgery within an hour, you will be rewarded with 4 gold coins and the deck will be refreshed. 】

After finishing the last stitch, Tang Lou handed over the equipment to the nurse, and Tang Lou walked towards the bathroom in a heartless manner.

Qingping, Cheng Jian, Song Yang and others naturally left the operating room, but they only realized it when they walked out of the operating room.

Only an hour has passed!

Only the equipment nurse and Ma En were left in the operating room, and the equipment nurse twisted her body: "Dr. Ma, I will leave this to you. Dr. Tang has made everyone exhausted."

Ma En looked at the messy operating table: "???"

It suddenly occurred to Tang Lou that he had to complete the entire operation within an hour.
"Damn, he thinks I'm slow in sewing!"

A belated humiliation sound resounded throughout the operating room.

After returning to the office, Tian Linsheng brought tea and water, and helped to type up the medical records.

Half an hour later, Ma En returned to the office sullenly.

While everyone in Tanglou was busy in the office, Cheng Jian received a call from the dean that a difficult patient with appendicitis would be sent to the First City Hospital.

The patient's identity was very special, and so was his age. Cheng Jian had to call all the senior attendings under him to formulate a surgical plan. When arranging the list of consultations, Cheng Jian added Tang Lou at the end.

(End of this chapter)