Auto chess in the operating room

Chapter 195 Tanglou was captured by grandparents and granddaughters?

Under Zhou Lao's resolute arrangement, an operating room was soon arranged on the second floor.

For this visit, two operating rooms had been prepared long ago.

Of course, the facilities and equipment are not as comprehensive and advanced as those offered by the No. [-] hospital in the city. However, what Tang Lou performed on Elder Zhou was an auxiliary minor operation, and the main treatment was still one-finger Zen massage.

After Tang Lou and Mr. Zhou entered the operating room, there was already an anesthesiologist waiting. Since it was a very small auxiliary operation, there was no need for a nurse with equipment, and Tang Lou could handle it by himself.

While Tang Lou was performing the operation, Qingping was anxiously looking for Tang Lou. After all, he heard from the doctors in other departments of the City No. He is inviting Tang Lou to their traditional Chinese medicine hospital with a straight face.

"What the hell are you doing, you brat? Why don't you answer the phone?"

Qingping was worried. After all, Professor Shi was still very influential in the medical circle. Moreover, he had met Professor Shi's granddaughter before. Her appearance, personality, and medical skills were all first-class. Mature.

Qingping, I am afraid that the Tang Building will be captured by Professor Shi, grandparents and grandchildren.

This time, Cheng Jian arranged for Tang Lou to come for the health visit, and he was here for the purpose of gilding.

After not watching for a day, Professor Shi fell in love with it.

If Tang Lou is really poached by Professor Shi this time, then Director Cheng will not give himself a good life in public or private.

"Oh, my little ancestor, you answered the phone."

Qing Ping was anxious like an ant on a hot pot. He went to Tang Lou's room to see it, and he also went to Yu Feng's to inquire, but he didn't know where Tang Lou was going.

"Oh. Why do I feel like I'm afraid of my own daughter and won't go home at night. I'm afraid that I will be cheated by the wild boys outside."

Qingping was a little depressed, a little worried, and a little proud.

In the operating room.

Tang Lou arranged Elder Zhou to lie on his back, and ordered the anesthesiologist to use brachial plexus block for anesthesia.

At the same time, he tied a pneumatic tourniquet on Elder Zhou's right upper arm.

Afterwards, a precise 1.5cm transverse incision was made on the ulnar side of Mr. Zhou's palmaris longus muscle, which quickly exposed the flexor tendons and the proximal transverse carpal ligament.

In the operating room, where Tang Lou didn't notice, a camera clearly recorded Tang Lou's surgical steps.

After all, the patients undergoing minor surgery here are all big figures with special identities. They are afraid of accidents in the future, and it will be convenient for them to be held accountable later.

However, Tang Lou didn't pay any attention to this at all, nor did he care about it.

With talent and focus, Tang Lou devoted himself to the operation.

The anesthesiologist stood quietly beside him. Apart from anesthesia, he also had a mission to supervise and observe Tang Lou's surgery progress. If there was any problem with Tang Lou, he would stop immediately.

However, so far, what he has seen is pleasing to the eye. Although it is only a minor operation, Tang Lou's incision and exposure are still very skillful.

Next, under the attention of the anesthetist, Tang Lou began to distinguish the long tendon.

There are no assistants or equipment nurses in this operation hall, so all the operations are done by one person, but it still gives people a sense of smooth flow.

From the spare area on one side, Tang Lou picked up the scissors and separated the transverse carpal ligament, that is, the LCT, from proximal to distal along the direction of the ring finger.

After that, I picked up the scalpel in a very coherent manner, and began to cut the proximal edge of the LCT longitudinally, and the size was very precisely controlled at 1.5cm.

Afterwards, Tang Lou changed the hemostatic forceps again and began to carefully lift the superficial and deep flexor tendons to remove the edematous tendon synovium.

"Amazing."

Seeing this step, the anesthetist finally couldn't help it anymore. Small incision carpal tunnel relaxation is very common in the field of "arthritis".Especially for carpal tunnel syndrome, it is often chosen to directly resect the edema of the flexor tendon synovium and loose connective tissue in the patient's carpal tunnel.

However, after all, the field of view of this kind of micro-surgery is limited, and the equipment in the operating room of the academician building is relatively simple, so it is easy to not completely remove the diseased tissue.

However, under Tang Lou's operation, the separation was perfect, the anatomical tissue was clear, and the excess diseased tissue was removed cleanly.

Amidst the amazement of the anesthetist, Tang Lou continued to separate the LCT, and at the same time controlled Elder Zhou's wrist dorsiflexion by 30°, with the somewhat shriveled palm facing upwards.

Given his natural tenacity, Tang Lou's fine-grained operations are very closely connected. For an ordinary doctor, due to the durability of the muscles, there must be a rest period between operations to maintain precise movements, so the connection will be a bit problematic.

But Tang Lou didn't have this problem at all. It was faster and smoother for one person to switch operations and change surgical instruments than for two people to cooperate.

Before the anesthetist was stunned, Tang Lou had already picked up the narrow metal plate, using the index finger and the first knuckle of the ring finger to control the metal plate to press down on the flexor tendon.

"Damn, his fingers are so powerful?"

Tang Lou's two knuckles controlled the long metal plate along the central axis of the ring. With his other hand, he used scissors to completely cut the LCT.

In the blink of an eye, Tang Lou entered the next process, which was stitching layer by layer.

Looking at Tang Lou's three-star suture, especially the treatment of the flexor tendon, the anesthetist secretly sighed: "I have met a master. No wonder, I am so bold that I dare to perform surgery on Mr. Zhou in private without going through the treatment team. "

There is an unwritten rule in the health rounds. Physicians can treat academicians and veteran cadres in their own name, in addition to the group diagnosis of the medical team.

However, this requires a very senior and well-known word-of-mouth as a prerequisite, and these bigwigs will rest assured that you will be diagnosed, treated and operated.

And after a few times of this kind of operation, the boss recommends and endorses among the bosses, and more bosses will be diagnosed and treated. It is foreseeable that Tang Lou has already begun to emerge in the upper class of Hecheng. The operation was successful and it is foreseeable that his future is bright.

"He's still so young, envy."

The anesthesiologist sighed sourly at the side. In fact, this is also one of the purposes of the health tour, to match these big shots with famous doctors and help each other.

"Mr. Zhou, the assisted surgery was very successful. Next, I'm going to get down to business. I'll give you the one-finger Zen massage."

Tang Lou said to Mr. Zhou.

Since it was only a local anesthesia, Mr. Zhou was of course thinking clearly, and smiled slightly to express his approval.

While performing the operation, Tang Lou continued to explain the principles to Mr. Zhou, which made him feel more at ease and trust him.

During Tang Lou's introduction, the camera flickered on and continued to record.

"Mr. Zhou, from the perspective of histobiology, the pathogenesis of carpal tunnel syndrome: Acute and chronic injuries of the wrist lead to increased inflammatory secretions, slowed blood flow, deposition of metabolites, pathology of tissues and tendons in the carpal tunnel Sexual hyperplasia increases the pressure on the median nerve, which leads to paresthesia and dysfunction of the wrist joint. And we performed a small incision for carpal tunnel relaxation, which is to remove the edema of the flexor tendon synovium and loose connective tissue in the carpal tunnel.”

"Next, I will perform one-finger Zen massage. From the perspective of traditional Chinese medicine, carpal tunnel syndrome belongs to the category of "arthritis". Obstruction of veins, qi stagnation and blood stagnation can lead to numbness and pain in the wrist joints, malnutrition of tendons and arteries can lead to sore hands, and severe cases may even cause hand movement disorders."

"And the one-finger Zen push method I use can strengthen the body and eliminate evil while tonifying the deficiency. It can effectively improve the blood circulation of the patient's wrist, promote the circulation of Qi and blood in the meridian, eliminate the inflammatory reaction of the wrist, and reduce the The pressure inside the carpal tunnel can promote the recovery of the function of the wrist joint and improve the range of motion of the wrist joint.”

Under the gifted listening, not only Mr. Zhou seemed to understand, but the anesthesiologist on the side also nodded frequently.

Tang Lou's aura is really like that of an old Chinese doctor with decades of experience in treating it.

Moreover, while speaking, Tang Lou's hand did not stop. Under the fetters: full map of meridians and acupoints (Level 2, 2/[-]), Tang Lou very accurately placed on the patient's:

Yanggu point, Yangxi point, Shenmen point, Daling point, Yinxie point and Neiguan point are the main points for massage treatment, and acupoints are added according to their different symptoms.

Because Mr. Zhou's palms often hurt, he added the massage of Laogong and Yuji points.

However, Mr. Zhou's thumb would also experience numbness and pain, so after finishing the massage, Tang Lou performed massage on Kongzui and Jingqu acupoints.

Aiming at Mr. Zhou's numbness and pain in his index finger, Tang Lou added Hegu and Erjian points.

For the numbness and pain of the middle finger, the massage of Jianshi point and Erbai point has been added.

During the whole treatment process, Tang Lou always sat in front of Mr. Zhou, keeping his shoulders down, his elbows down, and his wrists hanging.

Press on the above points, and always keep the thumb perpendicular to the surgical site near the wrist.

Thanks to his natural tenacity and focus, Tang Lou continued to output steadily without stopping in the middle. Sweat continued to flow from Tang Lou's forehead and back, but Tang Lou was not affected at all.

The anesthesiologist at the side was full of admiration. Although he was young, Tang Lou really had the demeanor of a general when he performed massage!

Tang Lou supported Elder Zhou's forearm on the affected side with his left hand, and then swung his forearm on the affected side, driving his wrist joint to swing at the same time.

Driven by the swing of the wrist joint, assist Mr. Zhou to do the passive extension and flexion of the metacarpophalangeal joint of the thumb or the joint between the phalanges.Each point was treated for 1 min, and the frequency of wrist swing was 160 times/min.

After a full hour, Tang Lou completed the whole process perfectly.

"Mr. Zhou, the whole treatment was very successful, and I will arrange the rehabilitation score for your prognosis. Specifically: the score of the ulnar deviation function of the wrist joint, the score of the radial deviation function of the wrist joint, the score of the dorsiflexion function of the wrist joint, the score of the wrist joint Scoring of volar flexion motor function and total score of wrist joint function."

[Ding, Tuina master task progress 5/5, reward gold coins 2, gold coin balance: 8]

(End of this chapter)