Auto chess in the operating room

Chapter 156 Damn it, he will also have an external abdominal hernia!
The simple description of external abdominal hernia refers to the fact that a certain organ or tissue in the body leaves the normal anatomical position, and protrudes to the body surface through a congenital or acquired weak point in the abdomen, a defect or a hole.

The picture is similar to that in the alien movie, the alien is about to drill out of the host's stomach, and the moment it bulges.

External abdominal hernia is one of the most common diseases in general surgery, and inguinal hernia has the highest incidence, accounting for more than 90%, followed by femoral hernia, accounting for about 5%. The rest include incisional hernia, umbilical hernia, lumbar hernia and so on.

Tang Lou was naturally very familiar with external abdominal hernias under the two-star inguinal hernia repair surgery, but in this situation, he had no interest in breaking up with Wu Ye and chose to leave directly.

Seeing that Tang Lou chose to evade, Wu Zhiyi became more and more sure that Tang Lou had a guilty conscience, but he wanted to dampen the spirit of this young man who had been in the limelight in general surgery recently.

Wu Ye chuckled and glanced at Ma En.

He went up to stop Tang Lou, and stuffed the medical records in his hand directly: "Tang Lou, take a look at this case, and comment on my diagnosis and surgical plan by the way. When Dr. Qing and Dr. Yan were consulting in the department, You speak eloquently and offer a lot of insights.”

"I also want to ask you for advice today. What do you think of this patient? You won't lose face, will you?"

Wu Ye looked at Tang Lou meaningfully.

Wu Ye said so, Tang Lou naturally couldn't refuse, so he simply glanced at the patient's information:
The male patient, 45 years old, was admitted to the hospital with a reducible mass in the left groin for more than ten days. He had no medical history of hypertension, diabetes, skin diseases, smoking and drinking, and was allergic to foreign bodies.
He looked at the surgical plan formulated by Wu Ye again: Bassini surgery was recommended.
From Tang Lou's point of view, relying solely on this medical record, Wu Ye's operation plan is quite satisfactory, and there is no major problem.

Tang Lou returned the medical record to Wu Ye after a brief glance, and the professional Rainbow said: "Doctor Wu, this patient's treatment is very good, and the operation plan is quite reasonable."

Seeing Tang Lou's professional smile, Wu Ye complimented him so fakely, his punch seemed to hit cotton, the more depressed he felt.

After thinking for a while, he continued to ask: "Oh, since Tang Lou thinks the surgery plan is quite reasonable, why would I choose this method that is no longer mainstream?"

Wu Ye used this medical record to question Tang Lou for a reason. This patient is a little special, so he adopted the traditional Bassini method.

With the development of the times and the advancement of science and technology, although this method still has a broad application base in vast remote areas and grassroots hospitals.

However, as the No. [-] hospital in Hecheng City, the current gold standard tension-free repair of inguinal hernia has been fully launched.

Therefore, Wu Ye intentionally asked Tang Lou this way, and also deliberately put emphasis on the "mainstream method". If Tang Lou didn't even know the tension-free repair technique, then there was no need to continue.

In the field of abdominal external hernia, he is just a layman, so he doesn't have to play the piano with cows.

Wu Ye was very interested in waiting for Tang Lou's answer, his expression was like a bitch who had set a trap on the road in advance and was waiting for others to walk past and fall into it.

"Wu Ye, that's enough. Tang Lou, please ignore him."

Ma En really couldn't see it anymore, he stood between the two of them, winking at Tang Lou, let's go!

[Ding, new mission: teach him how to behave!Improve Wu Ye's surgery plan, reward for completing the task: 2 gold coins, refresh the card library once]

Tang Lou really didn't want to pay attention to it at first, after all, it's no good to offend people, but now it's gold coins, and the card library is refreshed.

It's just, is the system my tenement house a person with an eye for money?
"Doctor Wu, I think your question should be revised."

Tang Lou looked at Wu Ye without changing his face, and at the same time pushed Ma En who was standing in front of him away.

When Ma En saw Tang Lou's aura, for some reason, his heart skipped a beat, and a villain popped up in his mind: Damn, he will also have an abdominal hernia?
After all, he has partnered with Tang Lou a lot. Seeing Tang Lou's expression, Ma En was convinced, and another villain popped up in his mind: Damn, he really will!

After completing the self-questioning in his mind, Ma En stepped back weakly.

"Ah~"

After Ma En condemned his ignorance again in his heart with complicated emotions, he looked at Wu Ye who was about to be hit, and comforted him a little.

Wu Ye was stunned for a moment: "Tang Lou, what do you mean?"

"I think yours should be changed to this. Please tell me specifically what is unreasonable. Is there a better solution?"

Without waiting for Wu Ye's response, Tang Lou added directly: "In this way, I can give you opinions and improve a better plan."

"You say my plan is unreasonable, is there a better plan?"

Wu Ye didn't expect Tang Lou to be so rude, and his whole body was trembling with anger, but he provoked this matter by himself, and he asked Tang Lou for advice, so he could only hold his breath: "Oh, then I'm going to ask Listen to Dr. Tang's advice."

Ma En on the side was also very curious. Wu Ye had discussed this plan with himself just now, and he was smug about it.

For abdominal external hernia, Ma En, as a resident doctor, has naturally done a lot, but most of his contacts are tension-free repair, and he has little knowledge of Bassini surgery.

At least he felt that Wu Ye's plan was quite reasonable.

Tang Lou had already started his performance at this time: "Dr. Wu deliberately used the 'mainstream way' to humiliate me just now, because he thought I was a novice who knew nothing about abdominal hernias?"

Wu Ye was noncommittal, looking at Tang Lou coldly, he wanted to see what Tang Lou could say.

Tang Lou said slowly: "The mainstream method mentioned by Dr. Wu is the tension-free repair technique. But now Dr. Wu is using the more classic Bassini technique."

Wu Ye's eyes froze slightly, Tang Lou seemed to know a lot about hernia repair.

Sure enough, Tang Lou answered Wu Ye with actions: "The Bassini operation is a hernia repair operation created by the famous Italian surgeon Bassini in the 19s. It is regarded as a "milestone" in the history of hernia surgery and can be called a classic."

"This approach emphasizes the importance of separating the transversalis fascia and reconstructing the inguinal canal, which is the essence of the operation."

"However, the separation of the posterior wall of the inguinal canal requires extremely high anatomical knowledge, and the reconstruction of the inguinal canal is a test of the suture technique and operational details of the doctor. If the doctor is not experienced, due to the tension, it is often prone to intraoperative and postoperative pain. , and the three-layer structure is too tight during suturing, which may cause the inguinal canal to fail to recover its inclination and length, resulting in a higher recurrence rate."

"And so tension-free hernia repair came into play."

"He was proposed by American physician Lichtenstein in 1986."

"This kind of repair uses artificial biological materials as a patch to strengthen the posterior wall of the inguinal canal. This method overcomes the interference of traditional surgery on the normal tissue anatomy, has clear layers, and there is no tension in the surrounding tissue after repair, so it is named "No" Tension hernia repair. "

"At present, there are plain sheet tension-free hernia repair and hernia ring filling tension-free hernia repair."

After Tang Lou finished speaking, he blinked at Wu Ye: "Doctor Wu, what I said is right, if there are any mistakes or omissions, please let me know."

Wu Ye's face had turned dark for a long time. To be honest, even if he knew how to perform these operations and knew who proposed it, he really couldn't remember the exact year.

This is probably the sadness of a scumbag in front of a bully.

It's like the difference between a photo taken by a Huawei P2019 in 30 and a photo taken by a Nokia 2006 phone in 5300.

The detailed description of Tanglou is extremely accurate, but Wu Ye recalled the past, the key points are all fuzzy pixels.

However, Wu Ye was still a little unconvinced, and still insisted: "Even if you understand these operations, then you can come up with a better plan?"

(End of this chapter)