Auto chess in the operating room

Chapter 172

This is an indirect inguinal hernia repair and requires continuous epidural anesthesia.

As the anesthetist for this operation, Chen Wenhao completed the anesthesia very quickly, and then walked to the corner of the operating room. Under Wang Chuan's surprised eyes, he moved out a very inconspicuous small bench from the corner, and sat happily. up.

Let Wang Chuan stand aside, Chen Wenhao has the habit of bringing a spare stool on weekdays, but today I don't know if he is complaining about Tang Lou, or simply because he doesn't like Wang Chuan.

For this, Dr. Wang Chuan was slightly dissatisfied, but he didn't show it. He stood straight to the side, watching Guo Cai'er's first operation.

He still recognizes Guo Caier's level very much. Although he is only 28 years old, his first-hand abdominal hernia operation is no weaker than that of ordinary attending physicians.

"let us start."

Guo Cai'er said softly to Liu Jinjin, who bowed his waist and nodded. After all, Guo Cai'er still has a bit of beauty, especially with short capable hair and a heroic appearance.

Guo Caier looked at the patients on the operating table and felt a little excited. Today alone, she could perform two abdominal hernia operations. In the future, there will be even more patients with external abdominal hernias. Between her and Dr. Wang Chuan will be given priority.

This kind of treatment and the amount of surgery she did not dare to think about in Xiehe Hospital.

"Marker."

Guo Caier directed Yuan Xun politely.

He took the pen, carefully made an oblique incision on the patient's abdomen, and gestured with his fingers to make sure that the position was accurate and the length was moderate, then he directly threw the marker pen to Yuan Xing.

Then one hand was raised in mid-air, waiting for Yuan Xing to put the scalpel in her hand, without turning her head during the whole process.

After receiving the scalpel, the incision began. Guo Caier used a very standard bow-holding posture, and the movements were very standardized and rigorous. After a while, the inguinal ligament was cut 2 cm above, parallel to the inguinal ligament. A diagonal cut.

The length of the opening is very conservative, enough for subsequent operations.

After finishing the incision, Guo Caier paused for a while, and carefully watched his masterpiece. The incision was neat and exposed clearly.

"Doctor Guo's hand cut is very beautiful."

As the first assistant, Liu Jinjin admired, obviously younger than him, this hand incision is already comparable to an ordinary treatment.

Guo Cai was very happy in his ears, but he was very modest in his mouth: "Doctor Liu, you are welcome, my hand cut is far worse than Dr. Wang's."

On the operating table, the two of them were exchanging commercial blows. Chen Wenhao on the side did not even look at them and let out a long yawn.

With such a careful cutting speed and a large incision that can fit a pig, what's so good about it?

Yuan Xun on the side also secretly smiled, but didn't make a sound.

I have been waiting for a long time for the instruments in my hands. Doctor Tang has already completed the next step of incision of the external oblique aponeurosis at this time.

I don't know where this Guo Caier's sense of superiority comes from.

"Doctor Liu, let's proceed to the next step, the incision of the external oblique aponeurosis, and you can help me traction."

Guo Caier instructed Liu Jinjin, and the latter nodded, cooperating to do a good job as a first aid.

Guo Caier was still very meticulous, and completed the incision in a standardized manner, and then paused for a while to give Liu Jinjin and the equipment nurse time to prepare.

She steadily controlled the rhythm, for fear that her operation would be too fast and the equipment nurse would not be able to keep up with the rhythm.

Yuan Xun rolled his eyes, but didn't say much, the two hemostats in his hands were almost rusted.

I am used to Dr. Tang's fast pace, and watching Guo Caijie's step-by-step operation, I feel like watching the video at 0.5 times the speed, which is an inexplicable sense of joy.

Guo Cai'er began to search for and incision the hernia sac. After all, the amount of surgery was not very large, and the individual differences of each patient. Therefore, it took a long time to find and open the hernia sac.

Yuan Alde, on the side, squinted his eyes and yawned in the same way.

After 15 minutes, Guo Caier started to free the hernia sac.

Guo Caier inserted his index finger into the hernia sac, and it took 3 minutes to push the contents of the hernia back into the peritoneal cavity.

"Little hemostat."

Guo Caier is still very satisfied with the speed of his operation. This operation went very smoothly.

Precisely according to the steps designed before the operation, blunt separation of the spermatic cord tissue around the hernia sac began.

Her operation was very subtle. In order to avoid damage to the vas deferens, she cooperated with Liu Jinjin every step of the way and adjusted the operative field and lens. After 10 minutes, she finally separated to the neck of the hernia sac and saw the extraperitoneal fat.

Guo Caier's hands are very cautious and her movements are very gentle. She doesn't want to waste the patient's postoperative surgery in pursuit of the so-called speed.

After finishing this step, Guo Cai'er checked it carefully again, there was no bleeding point, and there was no other damage.

Only then was I very satisfied to proceed to the next step of high ligation of the hernia sac.

"Scalpel, small hemostat."

Guo Caier was very calm, carefully cut the hernia sac longitudinally, and pulled the periphery of the hernia sac to the surroundings, revealing a very large inner surface of the hernia sac neck, fully exposing the field of vision for the next operation.

"So solid basic skills."

Liu Jinjin praised secretly in his heart, Guo Caier gave him the feeling that he was stable!

Every step is very meticulous. Although it took a little more time, it ensured that there were no problems in every step. It is worthy of being from Xiehe Hospital.

"Line 4"

Guo Caier gave Yuan Xun another serious order.

Guo Caier is very confident about her suturing skills. This time she also chose the very difficult purse suture, wearing a microscope, and started the operation in a satisfactory manner.

She is very meticulous about each stitch. After sewing a stitch, she will calculate the stitch length of the next stitch and the position of the knot after that.

In her opinion, although suturing is the most basic operation and an operation that must be performed in every operation, she takes it seriously to ensure that each suture not only meets the functional needs, but also looks beautiful. Try to do it as uniformly and beautifully as possible.

It was precisely because of her meticulous attitude that she was able to win Wang Chuan's trust and attention. She didn't care about spending a little more time and energy in order to make the stitches look good.

After stitching one side very carefully, in order to keep her hand stable, Guo Caier would rather take a short breath midway, and relax her hands for 30 seconds before continuing on to the next section of stitching.

Guo Caier deeply understands the truth that sharpening a knife is not a mistake in chopping firewood. Sure enough, although it took an extra third of the trimming time, the final stitching result is very beautiful.

Already almost neat and even.

Wang Chuan nodded in approval, and even looked at Chen Wenhao and Yuan Xun, whether the beautiful stitching was amazing.

However, what puzzled him was that Yuan Xun and Chen Wenhao were not attracted at all, but were lazily immersed in their own daze.

Wang Chuan shook his head. A small hospital is a small hospital. These coordinators only care about their own work and have nothing to do with them.

For such a delicate operation, there is no perception at all.

Wang Chuan was a little disappointed, and adjusted his posture after standing for a long time. This operation has already passed halfway, and it will be over in more than an hour.

Next, Guo Caier completed the ligation of the hernia sac and began to repair the indirect hernia.

Reinforcement of the posterior wall of the inguinal canal was completed after half an hour.

The next step is the long stitching of each layer. Guo Caier is very meticulous in each layer, and the stitching of each section is also rigorous and serious, not only considering the function, but also achieving a certain degree of beauty.

An operation of more than two hours, in order to ensure the quality of sutures, Guo Caier still trims a section after each suture is completed, so as to ensure the best condition and the most stable hands when holding the needle every time.

Two and a half hours later, the operation was declared over.

A satisfied smile appeared on Guo Caier's face. This operation was performed perfectly, exactly as expected, and there were no accidents.

It can be said that the first operation was very successful.

"Xiao Guo, you did a good job."

Wang Chuan moved his numb leg and looked at the time. With Guo Caier's qualifications, it is already a very good achievement to be able to complete the operation so quickly.

Moreover, the quality of Guo Caier's operation is very high, especially the suture, which is very interesting to watch.

When Wang Chuan praised him, the anesthetist Chen Wenhao yawned a lot.

At first, I thought that the doctor at Xiehe Hospital was so awesome. Before the start, he was going to stare at the screen the whole time, study Guo Caier's surgical skills carefully, so as to know himself and the enemy, and provide Tang Lou with some information for future response.

But this operation was really stinky and long. To be honest, the level of suturing and the degree of completion of the operation are indeed much better than the doctors of the city's first hospital of the same age.

However, compared with Tang Lou, it's really... Seeing Tang Lou's surgery before, there is no need to be so cautious.

Reckless is over, just like a novice driver and a veteran driver of drag racing. As for the stitching, it is even more, click, click, and there is a need for a pause in the middle?
Moreover, the final stitching is not as beautiful as the stitching in Tanglou.

The most annoying thing is that the operation time is too long, right?

This feeling is like, in the same math class, Tanglou announced that it will be self-study 10 minutes in advance, and Guo Cai'er from Union Hospital not only took the class to a full class, but also took up the rest time and added the next class Every physical education class has been used up.

Chen Wenhao yawned again, and then slowly stood up from the small bench.

(End of this chapter)