Auto chess in the operating room

Chapter 134 Chapter 134 Difficult Appendicitis in Children (Part [-])
Obviously, Tang Lou was preparing to operate with both hands at the same time, using an ultrasonic hemostatic knife to treat the mesentery.

Ultrasonic hemostatic scalpel has very high requirements for the operator, and the strength and angle must be controlled well, and it is not allowed to touch the tissues around the appendix.

Otherwise, it will lead to electrical burns of the intestinal tube around the tissue. Dr. Huang once encountered his own resident doctor, who did not operate properly, resulting in excessive wounds and pain in the right lower abdomen after surgery.

When the experts were nervous, Cheng Jian and Qing Ping were the gods, after all, this was already the basic operation of Tang Lou.

Sure enough, in the next second, there was a sound of exclamation in the observation room!

"Pay attention to Tang Lou's hand controlling the claw."

On one side of the screen is the surgical field in the patient's abdominal cavity, and the other camera angle is Tang Lou's hand.

I saw his hand micromanipulate seven or eight times in a few seconds, constantly controlling the direction and angle of the grasping forceps.

At the same time, in the operative field, it can be seen that the grasping forceps are not always in one position of the appendix, but are constantly being fine-tuned.

At the same time, Tang Lou's other hand, controlling the ultrasonic hemostasis knife, also entered through the single umbilicus.

This kind of picture is just like Zhou Botong's left and right hands interplay technique, or drawing a square with the left hand and drawing a circle with the right.

Synchronously performing fine micro-manipulation with both hands requires a very high degree of concentration and finger strength, and the flexibility of the wrist is very high.

"Slow coagulation mode,,,"

While operating with both hands, Tang Lou issued further instructions at the same time, and the equipment nurses were no longer surprised, and immediately completed the debugging.

"Frozen. The camera zooms out, the panorama camera zooms in, close-up"

Tang Lou controlled the pliers and the ultrasonic hemostasis knife with both hands, and at the same time directed the trajectory of Ma En's cavity, just like a senior director directing the cameraman.

The picture is not only clear, but also beautiful!

After exactly 3 seconds, the coagulation of the mesenteric blood vessels has been completed.

In the observation room, there was a complete silence until Tang Lou was completely closed.

"This treatment of the mesoappendix is ​​no worse than an ordinary chief physician."

Although Dr. Huang was somewhat prejudiced before, after watching Tang Lou's operation, he had to say that it was really pleasing to the eye.

Professor Liu took a sip of tea and didn't speak, but he was looking forward to the next operation more and more.

Qingping glanced around, the corners of his mouth slightly raised, thinking in his heart: This is just where we are, the performance has just begun.

In the operating room, Tang Lou naturally still had no distractions.

The next step is the treatment of the appendix stump. Tang Lou observed that the gangrene at the root of the appendix was only 4mm away from the cecum.

"Absorbable thread, needle holder."

Tanglou naturally chose the most suitable treatment of simple ligation + "8" figure suturing of the cecal seromuscular layer.

Seeing Tang Lou's use of absorbable thread with such lightness, in such a small operating space, the experts are naturally a little unbelievable.

Especially the knotting of Tang Lou is really beautiful, the distance between knots, the size, even and beautiful.

"Such a solid basic skill, it seems that you have practiced a lot on weekdays. Shu Ya, you have to take a good look, there is still a lot to learn."

Professor Liu said to Ma Shuya beside him.

"Ah."

Ma Shuya was convinced. In the department before, her basic skills were admired by everyone, but in front of a pervert like Tang Lou, she was still not enough.

Of course, in addition to the basic skills, Ma Shuya admired Tang Lou's grasp of the entire operation process and rhythm in this operation.

It's too mature.

"Irrigate the abdominal cavity and place a drainage tube."

Tang Lou continued to issue instructions, and this operation soon entered the final stage.

What everyone didn't expect was that after Tang Lou finished the operation of the main knife, he didn't even let go of the final suture.

"This?"

Professor Liu watched Tang Lou doing the simplest stitching with great enjoyment, and his heart was slightly touched.

"No wonder, his basic skills are so solid. Even if he has become the chief surgeon, he still does the simplest sutures himself. This attitude is worth learning."

Ma Shuya also admired Tang Lou silently in her heart.

Only Qingping and the others were a little helpless, and they didn't know why Tang Lou had such a special habit of sewing.

Sure enough, after finishing the suture, Tang Lou changed his face and walked out of the operating room without looking back.

[Ding, task: complete 40 cases of ERAT within one week, 5 sets of suspended gasless laparoscopic appendectomy, completed.Reward gold coins: 15, the deck is refreshed once. 】

Tang Lou looked at his panel:

Tenement panel:
Level 5: Upgrade 24
Operation column (5/5): Suture (three stars, 9), diagnosis (one star, 3), appendectomy (three stars, 18), cholecystectomy (one star, 2), choledochojejunostomy (two stars, 6)

Gold: 25
[Does the host consume 24 gold coins to upgrade? 】

"upgrade."

[The host chooses a new awakening talent: 1. Subject leader: can accelerate the growth of assistants, and has a chance to master 80% of the host's own skills. 2. Immunity: the host can be immune to infectious diseases, against infectious diseases]

After seeing a few talents, Tang Lou naturally liked the subject leaders and immunity very much, but after thinking about it, now that the General Surgery Department is developing a provincial key discipline, it is definitely not enough to rely on himself.

"Choosing Talent: Subject Leaders."

Tang Lou looked at his panel:
Level 6: Upgrade 32
Operation column (6/6): Suture (three stars, 9), diagnosis (one star, 3), appendectomy (three stars, 18), cholecystectomy (one star, 2), choledochojejunostomy (two stars, 6), incision (three stars, 9)

Gold: 1
Bonds (2/2):
1. Master of Surgery (Level 3, 5/[-])

2. Chief knife aura (Level 2, 2/[-])

天赋（5/5）：1.缝合流水线（已激活）2.聆听3.专注4.韧性5.学科带头人

Storage column (5/9): Exposure (three-star, 9), hemostasis (three-star, 9), emergency comprehensive (three-star, 9), debridement (two-star, 6), dressing change (three-star, 9),

During the preparations for Tang Lou's surgery, Cheng Jian returned to his office, and quickly returned to the observation room with a few cups of freshly brewed coffee.

"Director Wen really doesn't want a cup, it's mellow and rich, and it's warm and energetic after drinking it."

"I'm used to drinking herbal tea."

Wen Dalong coldly refused, picked up the teacup in front of him, took a sip, and chewed a few pieces of tea leaves.

Professor Liu and Ma Shuya thankfully took the coffee from Cheng Jian.

Professor Liu took a sip lightly: "Not bad, really good. Director Cheng, it's really worthwhile to come to the First City Hospital this time."

Cheng Jian laughed.

"Tang Lou's surgical ability is indeed powerful. I also admit that he has certain attainments in suspension-type gasless laparoscopic surgery, but being great is not equal to the current amount of surgery. There is no doubt."

Seeing Cheng Jian and Liu Pingguo's victorious attitude, Wen Dalong couldn't hold back after all, and said something coldly.

"No rush, we have time."

Cheng Jian took a sip of strong coffee and leaned half on the back of the chair: "Director Wen, be patient."

“It smells so good~”

Wen Dalong looked at Cheng Jian and others drinking warm coffee, then picked up the teacup, and found that the bottom of the cup was already reached, so he was embarrassed to ask Qingping to pour water, put down the teacup, and sat there sullenly, frowning.

10 minute later.

In the operating room, it was ready, and a new patient appeared in the eyes of everyone.

What the experts didn't expect was that the patient selected by Tang Lou this time was a little boy less than ten years old.

"Director Cheng, this tenement house really knows how to select patients."

Dr. Huang, who is extremely experienced, said with some admiration and some concern:
"As we all know, children's acute appendicitis is more serious than that of adults, and children's omentum is underdeveloped, the inflammatory response is not easy to localize, perforation is easy to occur, and it may even cause systemic poisoning, and the prognosis is serious."

"Therefore, the surgeon needs to have a deeper understanding of the operation, and the operator has higher requirements for the operation."

"Moreover, appendicitis in children and appendicitis in adults, in addition to the operation process, is more difficult in the preoperative diagnosis. Due to the younger children, it is difficult to accurately describe the history of abdominal pain, and because they are afraid of examination, they are not cooperative enough. It can easily affect the judgment of clinicians."

"Yes, I agree with Dr. Huang's point of view, or we can change to an adult. The diagnosis of children is not so accurate."

"I suggest not to go up the difficulty level just for this observation, it's better to be cautious, it's better to choose an adult."

Wen Dalong finally found an opportunity to make up for it. In fact, even he dare not say that he can diagnose children's appendicitis 100% correctly, and there are more uncertainties.

As for Tang Lou, he acknowledged his surgical talent, but the diagnosis is not only based on talent, but more on experience and experience.

　The rest will have to wait until night~ Thank you for your subscription~
　　
　
(End of this chapter)