Auto chess in the operating room

Chapter 116 Genius Idea
"As Dr. Qing said, traditional LA requires the use of CO2 to form pneumoperitoneum under general anesthesia. CO2 is easy to diffuse under the skin to form emphysema, and diffuse into the blood through the omentum to cause hypercapnia, cardiopulmonary dysfunction, etc. Complications, for very elderly patients, their cardiopulmonary function is often in a compensatory state, so the application of LA is obviously limited. Suspension airless laparoscopic technology can complete minimally invasive surgery under hard anesthesia, reducing the risk of injury. Cardiopulmonary function requirements and intraoperative anesthesia risks in ultra-elderly patients."

While explaining, Tang Lou continued to swipe the photo of his hand-painted surgical design.

Regardless of whether Tang Lou or Cheng Jianqingping came up with this technique, looking at Tang Lou's hand-painted photo of the technique, several attending doctors became quiet.

They realized that this form of surgery had never been used before, that is to say, it was specially designed for this patient.

Qing Ping and Cheng Jian had another idea. Originally, the establishment of provincial key acute abdomen disciplines had quantitative and quality requirements for new surgical procedures. If the surgical procedure proposed by Tanglou was successfully implemented, it would be an additional the possibility of success.

"Tang Lou, please give a good introduction to the entire operation process."

Cheng Jian rubbed his hands and his eyes lit up. The suspended airless laparoscopy technology sounded very high-end. Although its application fields are limited, it can solve the postoperative risks of extremely elderly patients, which is also a great benefit. .

Cheng Jian even thought that with this innovative technique, Tang Lou might be able to start a medical career like a star like those big names in the industry.

After all, the opportunity and talent to create a new technique during an intern is unique.

Cheng Jian suddenly thought of the application of laughing gas in the field of dressing change for burn patients, another Tang Lou who was still collecting case data.

Although these two small improvements are not enough to shake the medical world, but with the growth of Tang Lou, this pioneering medical attitude.

Cheng Jian's heart became hot, so let yourself protect Tang Lou in the early stages of his growth.

After making up his mind, Cheng Jian looked at Tang Lou's technique in a different mood. If he had the opportunity, he must let Tang Lou go out, participate in various academic exchanges, participate in medical forums, and of course participate more Accumulated experience in various surgeries...

[Ding, the ardent expectations of the director of the department have been detected, new task: to become the academic leader in the field of acute abdomen in the city's first hospital, to become a star doctor, task time limit: long-term, task reward: expand the surgical storage column]

"Long-term mission?"

Tang Lou was a little surprised, and looked at Cheng Jian even more. Of course, he would not disappoint Director Cheng, and continued his analysis of the spell:
"Firstly, epidural anesthesia was used. Then, the first incision was made 1.0 cm below the navel of the patient as an observation hole, and an artificial pneumoperitoneum was established out of context. 1/2 of the conventional pressure was controlled, and a laparoscope was inserted.

The second step, which is also the core of this operation, is to make an incision at the 3 fingers below the navel as an operation hole. After exposing the appendix, the patient’s abdominal cavity is lifted and fixed on the bracket through external sutures, and the pneumoperitoneum is released. The patient's abdomen is suspended to form an operating space.The average time of establishing an insufflation process was controlled at 3 minutes.

The final step is to establish another operation hole at the McBurney's point, adjust the patient to the height of the head and feet, lift the appendix, and perform a routine free resection.After that, the routine procedure was followed until the residual fluid in the abdominal cavity was sucked out.During the operation, it is decided whether to indwell the abdominal drainage tube according to the situation, the suspension purse string and laparoscopic instruments are withdrawn, and the abdominal incision is sutured.

that's all.

After Tang Lou finished speaking, he stood quietly, waiting to answer the questions and opinions of the attendants on this technique.

Seeing Tang Lou's condescending, calm and calm general demeanor, several senior attending doctors fell silent.

"Clap clap clap!"

As expected of an elegant goddess, Shen Bingbing was the first to take the lead in applauding, and Li Xiang and others naturally followed, applauding for Tang Lou, or the person behind Tang Lou who designed such a technique.

To be able to give such an improved solution that has never been used to a young man like Tang Lou, as the first shot of his debut, is really a lot of money.

Director Shen put down his palm, looked at Cheng Jian and Qingping, and said meaningfully: "Judging from Tang Lou's analysis and introduction, this improved surgical technique can be popularized and applied to super-senile patients, and it is universally applicable. Adaptable. It can be used as a landmark surgery in our city's first hospital, and it is of great significance for the development of the emergency abdomen. Director Cheng really opened our eyes during this consultation."

As expected of Director Shen, he saw the core of the matter and the naked temptation at a glance.

"Director Shen is right, and I can't believe it. Tang Lou's improved surgery is indeed of great significance to the development of the key discipline of acute abdomen in the First Hospital of the city. But for now, let's solve the specific problem right now case."

Cheng Jian directly prevented Shen Bingbing's derivation of the grand subject of discipline construction, as well as some malicious speculation.

"Are you still insisting that such a groundbreaking, feasible, and profound technique is an improvement of Tang Lou?"

Shen Bingbing was a little surprised in her heart. It seemed that Cheng Jian was determined to help Tang Lou to the top. Could it be that some of his female junior doctors had gossiped about it: The story of Cheng Sisi and a certain handsome medical student.avi is true.

If Tang Lou was the future son-in-law recognized by Cheng Jian, then it would make sense to use such an important improvement technique in his name.

If this operation is carried out smoothly, it will definitely be able to be published in core journals, which is self-evident for the doctor's future.

Shen Bingbing even thought about whether the director of "Farewell My Concubine" was Chen Kaige or his father, and whether Han Han's works were written by himself or by his father.
After all, this kind of surgical improvement is just icing on the cake for an old Jianghu like Cheng Jian, but for a fledgling young doctor, it is a new genius born out of nowhere.

After all, Eileen Chang has a famous saying: Be famous as soon as possible!
Shen Bingbing took another look at Tanglou's perfect appearance, coupled with such a genius's conceived surgical improvement. If she had been a few years younger, she would have fallen under the charm of such a male doctor.

However, it's a pity that she has already passed the age of constant bombardment, so she wants to try the quality of Tang Lou, and directly asks a sharp question:

"Tang Lou, I agree with the general framework concept of your operation. If it is a long-term research topic, I will undoubtedly only applaud you, but as a specific plan for the operation that is about to be performed, the details cannot be solved. Neglected, so I still have a few questions."

Although Shen Bingbing's tone was soft, all the attending physicians felt that the storm was coming.

Sure enough, Shen Bingbing did not feel sorry for Tang Lou's youth and juiciness at all: "Super-aged patients have loose abdominal subcutaneous tissue, and the suspension effect of the subcutaneous layer is poor. It may not be possible to form an effective surgical space, and there is also the risk of accidentally injuring the inferior abdominal artery. This How do you solve the problem?"

Listening to Shen Bingbing's question, the attendants were also sweating for Tang Lou. If this plan was really designed by Cheng Jian for him, the concept is understandable, but it involves the details of the operation, especially the loose subcutaneous tissue, accidental injury Inferior arteries, which cannot be dealt with without practical experience.

Li Xiang and the others took a peek at Cheng Jian's reaction, and they didn't panic at all, and even expressed the same expectation.

Is it really an improved technique designed by Tang Lou himself?

When several attendants had different thoughts, Tang Lou smiled slightly and looked at Shen Bingbing:

"Just suspending the subcutaneous tissue of the abdominal wall is naturally risky, but I will use full-thickness suspension in the operation later, avoiding the abdominal wall blood vessels for puncture under direct vision, which is safe and reliable, and the relaxation of the abdominal wall of the elderly can instead form A more efficient operating space."

After Tang Lou finished answering, he was not impatient at all, but instead urged Shen Bingbing: "Director Shen has other questions, I will answer them one by one."

"This"

Seeing Tang Lou calm and composed, several attending physicians became uneasy, especially Tang Lou's sentence: I will be in the operation later.
What do you mean?
(End of this chapter)