Auto chess in the operating room

Chapter 292 Stunning
"Scalpel"

Tang Lou gave the order directly, without stage fright at all, nor was he frightened by the fact that the two directors of the outer courtyard served as assistants.

The instrument nurse is very familiar with the cooperation, and I admire it in my heart. As expected of Dr. Tang, he was the chief surgeon in each hospital years ago!

Tang Lou chose the most commonly used Ji point approach. In order to reduce the incision as much as possible, Tang Lou used a more delicate pen-holding method to make the frontotemporal arc incision.

Seeing Tang Lou's operation, several chief physicians in the observation room trembled a little: "Isn't he going to make a mark?"

"This is clipping of the internal carotid artery-posterior communicating artery aneurysm, not a simple McBurney's incision for appendicitis!"

Although I have seen the video of Tang Lou's blind cutting operation before, the scene was still tense for no reason.

Amid all the doctors' trepidation, Tang Lou didn't show any hesitation in his hands.

The patient's head had been shaved 1 day before the operation, the scalp was washed, and the hair on the scalp was shaved again before going to the operating table. Therefore, the head was very clean and shiny, and the scar from the last time was still very obvious.

However, Tang Lou didn't spend too much time thinking about it. He started directly 1cm above the patient's ear, crossed the temporal crest upwards, bent forward, and finally reached the side of the sagittal line.

One knife, one knife, another knife!

"Damn, so fast?"

"You can see that Tang Lou's incision is completely hidden in his fortune, and he is really confident in thinking about the beauty and beauty in the future."

"It's just, do you think that his incision is a little too small, and the surgical field is not clear about such an incision?"

Director Feng on the side was also sweating for Tang Lou. Although everyone wanted to make the incision smaller when designing the plan, it was too risky to be so small.

"Doctor Tang, is the incision too small, or should we be more conservative?"

After thinking about it, Director Feng is going to remind me that the smaller the incision, the more difficult the subsequent surgery will be, and the time spent will inevitably increase.

Responding to him was Tang Lou's next command: "Periosteal stripper"

Under the super surgical field, at this moment, Tang Lou's eyes seemed to be magnified [-] times, and it was extremely clear. If he had known this earlier, he might have made the incision a little smaller.

With talent and concentration, Tang Lou was completely immersed in the operation, full of aura, which cannot be doubted.

Director Feng frowned and gave in.

I saw that Tang Lou used the periosteal stripper very skillfully to push the temporalis muscle down and away from the bone surface to reach the upper edge of the zygomatic arch.

"Drill. Milling cutter"

In order to complete the operation as soon as possible, Tang Lou increased the speed on the basis of the usual operation, so the operation is closely connected, and there is a feeling of watching 1.5 times the speed in the observation room.

Soon, Tang Lou completed the drilling on the skull, and the milling cutter milled the bone flap.

In the observation room, Yang Ming and Li Yundi's hands were itchy to watch. This was drilling a hole in the skull. They just turned their intestines and cut the appendix now.

The bosses of the other hospitals are also engrossed. I have to say that Tang Lou's operation is really smooth and standard. It is a kind of enjoyment to watch his operation!
"How did you do it at such a young age? Could it be that Tang Lou's prenatal education is surgery?"

"Next, I'm going to cut the dura mater. Due to the second operation, there is cerebrospinal fluid or submeningeal hemorrhage outflow. The first assistant prepares."

During the operation, apart from giving orders, Tang Lou didn't deserve names for the people around him.

Assistant A clicked, and quickly cooperated with Tang Lou to release the cerebrospinal fluid and subdural blood accumulation, so that the dural sac was relaxed, so that it was easy to pull away from the sphenoid ridge.

"Second auxiliary preparation for rongeur"

Assistant B immediately cooperated with Tang Lou to bite off the sphenoid ridge with a rongeur.

"Micro Drill"

Hearing Tang Lou's next order, both the observation room and the two assistants became nervous.

The next step is to expose the aneurysm!
The main surgeon needs to control the strength, angle, length, and speed. Assistant A held his breath and looked at Tang Lou's powerful hands, controlling the micro-drill to continue grinding the sphenoid ridge.

"Dr. Tang is too cruel to himself. In order to reduce the complications of patients, the hole is very small, so there is very little room for operation. This requires very high finger flexibility and mental concentration."

"If it were me, I wouldn't even have the courage to drill down, but if I shake my hand, my brain will bleed all over the place."

"Look carefully at Dr. Tang's path!"

On the screen, I saw Tang Lou grinding from the sphenoid crest to the orbito-meningeal artery from the eye socket to the dura mater, and suddenly stopped.

"Great!"

In the observation room, Cheng Jian also sighed, this feeling is like driving a sports car, just stopping the car in front of the cliff, no more, no less.

Requires precise control and judgment!
Next, Tang Lou cut the dura mater in an arc with the sphenoid crest as the base.

"Whoo~"

Assistant A was the closest, took a deep breath, and was even more nervous than the surgeon himself.

Even after decades of surgery, he admired Tang Lou's decisiveness at this moment, his hands did not tremble at all, and he entered the next step without pausing for a second.

"Suture Needle Holder."

Tang Lou suspended and sutured the dura mater to the temporal fascia and periosteum, and on the screen, everyone could see a conical space formed between the frontal lobe, temporal lobe, and sphenoid crest with the tip pointing downward.

"Have you noticed that Dr. Tang didn't even use a microscope, he just sewed it up, how did he do it?"

"Only hands familiar?"

A doctor replied, and then patted his mouth. Could it be that Doctor Tang's family sells heads, otherwise, how could there be so many skulls for him to practice?

"Look, it's out!"

Amid the excitement of the crowd, Tang Lou opened the Sylvian fissure along the gap of the previous step, and successfully exposed the aneurysms located in various parts of the arterial ring at the base of the brain.

Looking at the red ones, the white ones, and the bloody ones, Cheng Sisi's throat felt a little uncomfortable.

At this point, the first step of the approach has been completed, and all the doctors took a little breath.

I looked at the time, only 10 minutes had passed!

"It's too fast. It's twice as fast as expected. Dr. Tang is really a genius."

"Yes, but this is the first step of the Long March, everyone continue to observe."

The doctors who were observing, at this point when they began to recuperate and take a breather, Tang Lou in the operating room did not relax for a moment.

Directly issued an order to assistant A: "First assistant, hyperventilate, prepare to cut the dura mater."

Tang Lou directly issued the second order.

Generally, the dura is incised in two ways, after hyperventilation or after dehydration with mannitol.

But Tang Lou chose a faster hyperventilation, and only the director's assistant can control the heat.

Soon, the patient's brain collapsed.

"Assistant B next, keep an eye on the intracranial pressure and report the intracranial pressure node."

It is naturally impossible for Tang Lou to perform surgery and monitor intracranial pressure at the same time. Assistant B began to watch carefully.

"Intracranial pressure is low pressure, and frontal lobe retraction can be performed"

With the cooperation of the two chief physicians, Tang Lou is naturally handy, and the first assistant is not ordinary, and the second assistant is comparable.

Tang Lou opened the intracranial cistern artery very quickly and separated the Sylvian fissure backward.

"Arachnoid Knife Coagulation Preparation"

Tang Lou gave orders one after another, and quickly completed the arachnoid incision of the frontal lobe, and then electrocoagulated to cut off the small vein from the frontal lobe to the Sylvian vein.

"Awesome, Tang Lou's ability to distinguish veins is too strong."

"Yeah, under such a poor surgical field, he can still be so handy. It can only be said that his understanding of the structure of the affected area is too precise."

During this process, the cerebrospinal fluid continued to flow out, Tang Lou was not affected at all, and separated along the frontal and temporal lobes.

Soon, in the observation room, people exclaimed: "The main branch of the middle cerebral artery was successfully revealed!"

(End of this chapter)