Auto chess in the operating room

Chapter 310 The Truth Comes Out, Tang Lou is the Creator

It's just that in the operating room, Tang Lou's quick operations didn't mean to explain to the experts on the other side of the screen.

He directly took the scalpel and began to open the chest in the middle.

"Heparin. First aid, ready to establish extracorporeal circulation"

Seeing Tang Lou's incision technique, everyone on the screen was stunned, and then Tang Lou directed Director Qian Gang so calmly, and the latter's cooperation broke their understanding of the department. Cognition of subordinate doctor relationship.

A dignified chief physician who cooperates with this young doctor is not the son of the president of the city's first hospital?

But before the doctor in the observation room could speculate, Tanglou had already started the next operation.

"blocking the superior and inferior vena cava"

Director Qian Gang followed Tanglou's instructions and worked conscientiously on Yishu's work.

"Scalpel"

Tang Lou continued to the next step, making an oblique incision of the right atrium perpendicular to the right atrioventricular sulcus. The upper end of the incision was 1.5 cm away from the atrioventricular sulcus, and the lower end cut off the crista border.

Seeing Tanglou's operation, Director Huang raised his eyebrows in the observation room and almost applauded Tanglou's precise operation.

"I take back what I said before, please watch this young doctor's operation carefully, especially the incision position of this hand, everyone should also pay attention to cutting the ridge at the lower end, and pay attention to avoid the sinoatrial node area, so as not to cause damage Conduction system damage."

After listening to Director Huang's words, all the doctors also retracted their previous contempt, and their faces became serious.

The doctor himself is a skilled person, whether he can do it or not, it is clear when he makes a move, Tang Lou's incision technique, in the observation room, none of the attending physicians and deputy chief physicians can surpass him.

"It turned out to be a master."

"But, it's too young!"

"I found that I was suddenly very excited, and I was more looking forward to seeing Director Qian Gang."

When the entire observation room was engrossed by Tang Lou's few hardcore operations, Tang Lou began to improve and optimize the core operation of this operation.

"Medtronic Bipolar RF Forceps. Single Stage Pen."

Tang Lou picked up the bipolar radio frequency forceps with both hands very steadily. Radio frequency is a high-frequency vibration with a frequency of 15 times per second.

The principle is that the human body is a complex structure composed of many organic and inorganic substances. The body fluid contains a large number of dielectrics, such as ions, water, colloidal particles, etc. The human body mainly relies on the movement of ions to conduct current.

Under the action of high-frequency alternating current, the ion concentration change direction changes back and forth with the current direction as positive and negative half cycles.Under high-frequency oscillation, the ions between the two electrodes move rapidly along the direction of the electric force line, gradually changing from a moving state to a vibrating state.

Due to the different sizes, masses, charges and moving speeds of various ions, the ions rub against each other and collide with other particles to generate biological heat.

Therefore, the friction between them and other molecules and ions in the cells will heat up the lesion, causing the water inside and outside the cells to evaporate, dry, pyknosis and fall off, resulting in aseptic necrosis, so as to achieve the purpose of ablation.

"So everyone must not underestimate this step. It is a test of the surgeon's grasp of the ablation time and to ensure that the atrial wall is completely prevented from being damaged. Moreover, since a large amount of heat is generated during ablation, temperature control is even more important."

As the main designer of this operation, Director Huang certainly has a very deep understanding of these operations, and the more he does, the more he admires the skill of the young doctor on the operating table.

"It's really amazing."

Director Huang couldn't help sighing.

The attending physicians in the observation room also nodded, not knowing what to do!
"The next step is to cool down, block the aorta, and start perfusing cold blood cardioplegia."

Just as Director Huang was confidently and forward-lookingly introducing the next step, Tang Lou's voice sounded in the operating room:

"Cool down. Block the ascending aorta and perfuse with HTK solution."

Hearing Tang Lou's order, there was an uproar during the observation, especially Director Huang thought that his ears had heard it wrong.

Professor Liu Juzi in the middle opened her eyes slightly, and looked at the young doctor on the screen. Of course, Director Huang had reported this improvement plan to her, and she also recognized it very much.

But now in the operating room, there is a major deviation from the plan set in advance by Director Huang and others.

What exactly is going on?

"Director Qian, what's going on with you? I need an explanation!"

Deputy Director Qian Zheyu asked Director Huang on behalf of Director Huang. He was a little unbelievable that the team of Hecheng No. [-] Hospital actually changed the plan without their backs.

They didn't think about the function of the suddenly used HTK fluid at all. What if something unexpected happens?
They were not doing animal experiments, but a real patient. If Director Qian Gang could not give a reasonable explanation, Deputy Director Qian and Director Huang were going to stop the operation.

The remote equipment in the operating room was still very smooth. Qian Gang immediately raised his head and looked at the remote display: "Director Huang, Deputy Director Qian, it's my fault for this matter. In fact, this In fact, I did not create the surgical procedure. I got the hint from Dr. Tang Lou accidentally, and then I proposed the idea of ​​using bipolar radio frequency forceps. In fact, before us, Tang Lou had formulated a more perfect and optimized procedure. plan."

"As for why HTK liquid is used."

Just as Director Qian Gang was about to explain, there was an exclamation from the other end of the screen.

"Tang Lou, you said that it was Tang Lou who was the main knife!"

In the observation room, Director Huang and Deputy Director Qian immediately thought of what happened to Ma Shuya's little nephew earlier, and they were inexplicably horrified that it was this young man again.

Professor Liu Juzi's complexion also changed. He had heard the name Tang Lou a lot recently. Could it be that this chief surgeon is the doctoral student recommended by Liu Pingguo and Lin Kuzhi?

Professor Liu looked at the two directors who were startled and said, "Why, do you also know the doctor Tang Lou from the first hospital in this city?"

"It's a coincidence that Berry's syndrome was diagnosed by Dr. Tang Lou, despite all the arguments."

Director Huang said with some scalp numbness.

"This"

Liu Juzi was also dumbfounded, one time was a coincidence, and the other several times could be like this, there is only one possibility, that is, this Tang Lou is really a rare genius.

"Could it be that Lin Kuzhi and Brother Smelly have been wronged?"

Liu Juzi naturally has his own judgment on the level of a doctor. At least from what he has shown so far, Tang Lou's surgical level and basic skills are definitely top-notch.

If this operation is really improved by him, and he can keenly diagnose the rare disease of Berry syndrome, it means that he is an all-rounder.

He was born to do surgery and engage in scientific research. If such a young man was really willing to be her doctoral student, wouldn't it be a dream? Moreover, I heard that this little guy is also very good-looking.

Professor Liu suddenly became interested, and asked into the microphone: "Tang Lou, tell me why you use HTK fluid instead of cold-blooded cardioplegia?"

(End of this chapter)