Auto chess in the operating room

Chapter 23 Vascular Anastomosis
Vascular anastomosis is a relatively difficult technique in suturing, and it is generally rare for interns to get started, especially this case of vascular injury is more complicated.

Liu Tong looked at the screen with anticipation and panic. It is common sense that Tang Lou could not do it, but another voice in his mind told him that maybe he could really do it.

Cheng Jian is also an old god waiting for Tang Lou's performance. Li Fan's skills were lackluster before, and he was a bit out of date, so he wanted to see if this doctor could give him a little surprise.

Different from superficial suturing, the anastomosis of blood vessels requires the help of instruments, which is a test of the doctor's wrist and fingertip control.

"Mechanical nurse, head lens preparation, microscope magnification 5 times."

Tang Lou chooses to suture the large arteries first, and then to anastomose the small blood vessels. Generally, the caliber of blood vessels > 2mm can be sufficed with the help of a head mirror.

Tang Lou wears a black headgear, looks like a mechanical transformation of a human being, with a kind of cold and rigorous beauty.

".needle holder, microtweezers, microscissors, microvessel clip preparation."

Vascular anastomosis requires very high operating requirements, so microsurgical instruments must be used. Tang Lou handled the instruments with ease, and exuded a battle-tested temperament.

Seeing Tang Lou's professional technique and the neat and beautiful movements of his hands, Cheng Jian and Huo Tong nodded frequently in the observation room.

"High-quality vascular anastomosis is the key to ensure the smooth flow of blood vessels after surgery. Therefore, the surgeon must have skilled blood vessel suturing techniques. This doctor's action can be said to be at the textbook level, stable and beautiful. I did not expect to come to your hospital today. Such a windfall."

Cheng Jian was very happy in his heart. After all, it was a very happy thing to witness such a beautiful operation.

"Dr. Cheng is right. This kind of surgery is really beautiful. Liu Tong, you have to learn a little bit. In the future, you are not allowed to sit in the sky and boast of being a fast surgeon. Compared with this doctor, you are not only inferior Just speed."

Huo Tong also took this opportunity to beat Liu Tong, don't be obsessed with power and waste his skills. As the director of surgery, even he is a little jealous of such smooth operations.

Liu Tong held back, he was really dumb eating coptis, but he really couldn't find any faults with Tang Lou's skills:
"What kind of monster is this?"

".Ringer's solution 200ml+10mg heparin for backup"

Tang Lou issued an order calmly, and the operating room became his stage again, and Li Fan beside him was completely suppressed by Tang Lou's aura.

Several times, Li Fan wanted to remind him to guide him, but before he could speak, Tang Lou completed it with more graceful movements than he could think of.

"No. 9 non-invasive line"

Those larger than 2mm generally use No. 7 to No. 9 thread, but Tang Lou chose the thinnest one. After all, he has a master-level suture technique, so he doesn't panic at all.

Only small blood vessels with a diameter of less than 2mm generally use No. 9 to No. 11 noninvasive sutures.

There are many ways of anastomosis of blood vessels, basically including: interrupted suture of blood vessels, suture of vascular sleeve, end-to-end anastomosis of blood vessels, end-to-side anastomosis of blood vessels, side-to-side anastomosis of blood vessels, etc.

As for the artery this time, Tang Lou chose to anastomose the blood vessels end-to-end.

I saw that under the control of his slender and strong fingers, he quickly found the distal and proximal ends of the blood vessels and sharply freed them to both sides, while preserving the soft tissue around the blood vessels.

In this operation, it is extremely important to control the free distance, neither more nor less. Tang Lou accurately took the most extreme 1cm.

Li Fan was stunned from the side: "This kid's control is too strong. This is testing at the limit. If it were me, I would definitely choose the most conservative 2cm."

"Amazing! This doctor is too confident in his control." Cheng Jian's eyesight is astonishing. This doctor's pursuit of surgical procedures is too perfect. A vascular anastomosis is already top-notch in Hecheng.

Huo Tong also became more and more frightened as he looked at it, and he didn't even have time to say anything. For a boss of his level, Tang Lou's technique is also a perfect teaching.

By zooming in on the camera in the live broadcast room, they can see more details and better understand the hard work in these operations.

"You see, not only does he have amazing control, but his on-the-spot reaction is unparalleled. When a normal person faces a vasospasm, he will react for one to two seconds, but he is so unpredictable that in less than a second, he Use mechanical expansion to relieve it.”

"That's right, it's really a lot of experience. Generally, only veterans know how to flush blood vessels with heparin saline to see if there are translucent localized bulges on the blood vessel walls!"

Liu Tong was also a little dazed when he heard it, and it was the first time he knew the method of rinsing the blood vessel with heparin saline to distinguish the translucent localized bulge of the blood vessel wall.

This kind of small detail, if you don't really encounter it, it is impossible to react on the spot after dealing with it.

"Does this kid run a hospital at home? He spends every day in the operating room to make such a sophisticated treatment."

Liu Tong is no longer envious, but desperate. Is this really an intern?

So what do you plan to do after spending more than ten years struggling?
Cheng Jian was all excited: "Director Tong, be sure to copy this operation video to me later, and I will use it as a training course for the doctors in our hospital."

Huo Tong also nodded: "That's right, thanks to Liu Tong's foresight, he left a valuable teaching material for our county hospital."

Liu Tong couldn't be happy in the slightest now, and his whole body was listless.

"It's good to know that you have a gap." Huo Tong saw that Liu Tong was depressed, and thought that he was overwhelmed by Tang Lou's medical skills and suffered a blow.

"He's about to start the most critical suture. One stitch at 0° and 180°, or 90° and 270° at the vascular anastomosis is used as a fixed traction line. You can see that his angles are not the same, and his skill is profound!"

Cheng Jian now has the pleasure of explaining to Tang Lou, for fear that other people will not understand the subtleties.

While everyone was worshiping Tang Lou's superb technology, another one walked in from the door of the observation room.

"Hey, what's going on with you guys, Dr. Cheng, Director Huo, why are you observing the operation? Whose operation made you look so seriously?"

It was Shen Jun, the director of the emergency department, who walked in.

"Shh!"

Cheng Jian was a little disturbed, frowned in dissatisfaction, and then said: "Director Shen, you came just in time, this case of vascular anastomosis is really classic. I'm sorry. I don't have time to talk to you about other things. Come on, Come and have a look. You too will be fascinated."

It was rare for Cheng Jian to encounter such a live broadcast, so he naturally didn't want to be interrupted, so he kept his eyes on the screen and waved.

"Oh? So interesting."

Shen Jun understands that Cheng Jian is a master of technology, and also a technology obsessed, with a picky vision, how can there be such a surgery that he admires so much?

Psychologically, it's a little unbelievable.

"I want to see it, and it can surprise me!"

Seeing Shen Jun, Liu Tong patted his forehead, it seemed that things were going in a weird direction.

(End of this chapter)