Auto chess in the operating room

Chapter 122
Tang Lou and Shen Bingbing switched roles, and the equipment nurse and anesthetist Chen Wenhao were all surprised.

When switching roles during an operation, it is usually the lower-level doctors who can’t solve the problem, and the higher-level doctor next to him will shake his head and sigh, step out with an unfathomable step, take the scalpel in one hand, and cut two out of three times. Solve it easily, and then reap a meal of worship and kneel and lick from the next level.

But now Tang Lou actually replaced Director Shen, what does this mean?
However, Tang Lou didn't care about these things at all. With his talent and focus, he directly took over the dominance of the endoscope.

Under the main knife's aura, Shen Bingbing stood in Yizhu's position without any abruptness.

I saw Tang Lou controlling the front end of the endoscope, and while Shen Bingbing was still anxiously waiting, Tang Lou's next command sounded:
"Macular Zebra Guidewire, Catheter Prep."

Hearing these two words, Shen Bingbing was naturally familiar and couldn't be more familiar. Apparently, Tang Lou had pushed away Gerlach's valve, and the endoscope had entered the appendix cavity.

"It's too fast."

Shen Bingbing felt a little uncomfortable, but considering that Tang Lou had watched Professor Liu Bingrong's surgery videos repeatedly, it must be that Professor Liu talked about the push-away technique in the video.

Thinking of it this way, Shen Bingbing felt better.

Soon the equipment nurse brought over the macular guide wire. The zebra guide wire is generally used to explore the path of non-vascular lumens, and it also has the function of expanding channels of different widths.

To use an analogy, it is like the vanguard troops marching and fighting, scout troops, first explore the road or pave a road, so that the regular troops behind can proceed smoothly.

At first glance, the Zebra guide wire looks like a circle of extremely flexible steel wire covered with plastic skin. It consists of a guide wire rod, a soft spring tip and a plastic coating layer.

The guide wire in Tang Lou's hand is very flexible and not easy to bend, and the PTFE plastic coating has very good lubricity, which is conducive to insertion.

Looking at the zebra guidewire Shen Bingbing, I thought of the scene I used for the first time. At that time, I cooperated with the chief surgeon to dilate the urethra of a male patient. When I tried to find the urethral opening for the first time, my face turned red. Under the guidance of the chief surgeon, I did well. It was easy to find, and the long zebra guide wire had to be inserted into the patient's narrow broken urethra. Shen Bingbing was so embarrassed that she wanted to be cremated on the spot.

You can imagine the picture of a young girl holding a circle of guide wire and slamming into the urethra of a male patient, it is really raw.

My hands were shaking, the guide wire was still slippery, and the thing was still soft, so I didn't dare to pinch it hard.

But now, I have never seen such a strange shape, crooked left and right, and let Shen Bingbing insert the urethra, and by the way, I can also comment on the skill of the surgeon who performed the circumcision on the patient, and the aesthetics is OK.

When Shen Bingbing was lamenting how time flies, Tang Lou had already quickly inserted the yellow zebra guide wire, and Shen Bingbing was startled by that vigorous posture.

"Tanglou, please slow down. Although the zebra guidewire is flexible enough, if you are so reckless, you may still damage the outer plastic skin. If it remains in the lumen, it will leave sequelae."

"It's okay, I know what's on my mind."

Tang Lou had a look of being beaten up by driving his newly bought yellow sports car to 180 mph on a country road.

"You are counted!"

Shen Bingbing slandered a few words in her heart, if her junior doctor dared to drive like this, she would never get on stage with her mother again.

However, after all, it is all dependent on Tang Lou now, Shen Bingbing reminded a few words, but did not stop.

After all, Tang Lou quickly and accurately inserted the zebra guide wire into the appendix cavity, and with the guidance of the guide wire, the catheter naturally easily entered the appendix cavity.

“Zizzizi~”

Purulent secretions gushed out from the catheter port.

"When did endoscopic retrograde appendicitis treat ERAT so easily?"

Shen Bingbing was in a daze. Although ERAT was well-known, it was because of the complicated operation, high demands on the surgeon, and restrictions on patients, so Hecheng No. [-] Hospital has not started it for a long time.

"Appendix Cavity Irrigation Preparation"

Tang Lou's calm command reminded the next step to start, and Shen Bingbing immediately began to cooperate.

Speaking of which, it has been a long time since she tried to be passive. After all, she controls the rhythm at this age and her experienced aura.

Wei Wei felt uncomfortable, but under Tang Lou's order, her body still cooperated obediently.

There is no doubt about Shen Bingbing's skill. With her cooperation, the two of them quickly flushed out the appendix cavity.

The next step is to enter the very joint step, which is also the core of this operation: endoscopic retrograde appendicography (ERA).

"Contrast medium preparation."

Tang Lou's next order was precisely pointed out.

Contrast agent (also known as contrast agent, contrast media) is a chemical product injected into human tissues or organs to enhance the effect of image observation.

The densities of these preparations are higher or lower than that of the surrounding tissue, creating a contrast that facilitates imaging of the patient's appendix cavity.

Naturally, the most commonly used iodine preparation was used in this operation.

With the injection of the contrast agent, an elliptical coil, which is the shape of the appendix cavity, soon appeared on the monitor.

"A fecal stone was found during the operation, and a balloon stone removal was performed to confirm that there was no perforation of the appendix."

As an assistant, Shen Bingbing reported the facts during the operation to Tang Lou, the chief surgeon, so that he could judge and analyze the whole operation.

In Jiang Shu's acute appendicitis, apart from the pus that had been washed away, the culprit was this bezoar. As long as it can be removed, the operation is [-]% complete.

"Balloon Catheter."

Tang Lou originally wanted to use a net basket to retrieve stones, but the balloon catheter method Shen Bingbing said was almost the same.

The so-called balloon catheter, also known as balloon expansion catheter, is a very classic interventional device. There is an additional air bag on the head of the conventional catheter, which looks like a lollipop. By controlling the air pressure of the air bag, changing the size, the to expand the lesion.

The three-star appendectomy naturally included all the treatment procedures for appendicitis. Under Tang Lou's operation, he completed the intervention of the balloon catheter very skillfully.

"Plastic Stent Implantation and Preparation for Pus Drainage"

Tang Lou is still in the style of not leaving any breathing time between steps, and Shen Bingbing on the side is also a little surprised.

This guy has rehearsed this technique hundreds of times in his head, right?
Under the expansion of the balloon catheter, the insertion of the plastic stent is naturally very easy. With a perfect operating space, Tang Lou naturally took out the fecal stones in a smooth manner.

Seeing the bezoar taken out, Shen Bingbing felt completely relieved.

"Normal saline, antibiotic preparation"

Tang Lou didn't let Shen Bingbing go, didn't give her a chance to breathe, and directly threw the last pus drainage and appendix cavity flushing to Shen Bingbing.

Under normal circumstances, the chief surgeon took out the bezoar, which has indeed completed the task, and the next auxiliary work is the first aid.

If Shen Bingbing was still young, the final ending of the chief knife reward would naturally be a thousand thanks.But now, she is the deputy director.

Shen Bingbing was embarrassed to say clearly, after all, Tang Lou was saving the situation for herself, but there was a kind of grievance.

He wanted to give Tang Lou a wink, but the latter had long been accustomed to throwing his hands away from the shopkeeper. He had been the resident doctor Ma En all the way to his own doctor Qingping. Now that there is an additional deputy director Shen Bingbing, it seems that it is no big deal.

Looking at Tang Lou who didn't know how to pity Xiangxiyu at all and walked directly to the bathroom.

Shen Bingbing's eyes suddenly lost their brilliance. Is it because he is getting older and his charm is gone, or is it because his skin is not tight enough and his nose is not strong enough?
(End of this chapter)