Auto chess in the operating room

Chapter 78 No.70 Eight Palm Special Training Completed!

Looking at Liu Tong, Tang Lou used the pliers to free the appendix, exposing the entire abscessed part to his view, and then saw the silvery pliers cut off the entire tail and ligated it.

".vascular forceps, line seven"

Liu Tong gently lifted the appendix where the abscess had been removed, and made a purse-string suture on the cecum wall about 0.5cm away from its root.

The so-called purse-string suture is to remove the appendix, suture a circle along the incision, and then bury the middle incision into the ileocecal intestine, and tie the suture into a knot.

It's like putting something into a purse and tying it up.

". carbolic acid, ethanol, saline."

Liu Tong continued to treat the mucous membrane of the stump with carbolic acid, etc. After doing these, he checked it and found that there was no bleeding.

"Tang Lou will help me count the gauze and equipment, and after confirming that they are correct, you will close the abdomen."

Liu Tong has completed his task.

"Good."

Tang Lou hurriedly began to check, but the hook was still on the patient's wound, Leng Yunze felt a little aggrieved.

"I'm not lemon essence, I'm really not lemon essence."

Leng Yunze continued to pull the hook, watching Tang Lou greedily take the No. 4 wire, needle holder, and needle holder from the equipment nurse.

"That's the stomach that I've been hungry for a long time."

Leng Yunze has never tried it so far!

The hook he held with both hands cooperated with Tang Lou, and he watched helplessly as he began to sew layer by layer under his eyes.

Tang Lou used interrupted sutures, the first layer is naturally the muscular layer, then the external oblique aponeurosis, and then Leng Yunze is the sensible retraction hook.

This feeling is like the goddess I have been pursuing for several years, grabbing her hands from behind, and then tying them in front of Tang Lou.

Watching Tang Lou pinch the little face of her goddess
"Bah!"

Soon under Tang Lou's three-star suture, the subcutaneous and skin were perfectly sutured.

[Ding, activate the suture assembly line and restore the host's energy. 】

[Task: Devil’s special training.Complete the incision of a patient, reward 1 gold coin, and the card will automatically refresh]

Liu Tong looked at Tang Lou and Leng Yunze, one was full of energy, as if he had found a treasure, while the other was depressed and dejected.

A little disappointed. Although he didn't like Tanglou very much, his attitude and passion for surgery were really not comparable to Leng Yunze's.

It's not just pulling the hook for more than two hours. As for such a sad face, look at Xiao Tang, who has been changing dressings for a week, and has never seen him cry out.

After completing a case of appendicitis surgery, it was like a normal person!
Liu Tong shook his head in disappointment and left the operating room.

As a first aid, Tang Lou naturally had no reason to clean up the mess, so he glanced at Leng Yunze: "It's hard work, hard work."

Turning around, he also walked out of the operating room. After all, his special training plan was full.

With the equipment nurse and Leng Yunze left, the nurse will naturally not be indifferent to the intern: "Second assistant, I will leave these to you, and I have to prepare for the next operation."

After speaking, he took the instruments and left, leaving behind Leng Yunze, with numb hands and a messy operating table.

After Tang Lou completed the appendix operation, he entered the practice room of the county hospital.

After all, the county hospital didn't have so many patients for Tang Lou to practice, so Huo Tong and Shen Jun decided to let Tang Lou practice with pig's trotters for the rest of the time.

On the long test bench, there are ten pig's trotters.

Tang Lou was very surprised, when did the department be so generous to the interns, he approached and picked it up, only to see a silk thread on the elbow of the pig's trotter, and a mark hanging on the thread.

"Xu Lanlan bought it, Dr. Tang, come on."

Looking over, there is also a silk thread hanging on the second pig's trotter, and the small sign on it reads:

"Sister Nan Nan bought it, and Xiao Tang will give the county hospital a sigh of relief."

There is also a small sign on the third trotter, which reads:

"Li Fan, boy, don't embarrass Master."

The latter ones were provided by several nurses in the nursing department, and also contributed by several patients.

Looking at these pig's trotters, Tang Lou was both moved and dumbfounded.

[Detected expectations from friends, new task: hope of general practice: Although incision can be done through equipment, but as a basic operation of a doctor, the system encourages the host to practice by himself, and rewards gold coins for every six hours of incision practice 1】

"it is good."

Tang Lou stood next to the first pig's trotter. At the end of the table, Xu Lanlan had already prepared all kinds of scalpels.

[The practice of incision, the first step is to choose the appropriate scalpel, the second step is the correct way of delivery, the third step is the correct way of holding the knife, the fourth step is the correct way of handling the knife]

After Tang Lou chose the scalpel, he began to practice holding the knife.

[The knife-handling method is divided into four basic postures: 1. Bow-holding posture, 2. Pen-holding posture, 3. Grasping posture, 4. Anti-pick posture. 】

Tang Lou is already very familiar with the first two types, and the third type of grasping, holding the knife, this way of transporting the knife is very stable, and has a wide cutting range, and is used for cutting with greater force. Such as amputation, incision of tendons, or longer skin incisions.

Tang Lou pressed the pig's trotter with one hand, and tried to grasp it with the other hand, simulating the amputation of the patient.

Bang Chi Bang Chi, the sharp scalpel cut off a section of the elbow.

After that, Tang Lou began to simulate cutting the tendons again, cutting the tendons on the pig's trotters.

The knife handling feeling of pig's trotters is the closest to that of a real person.

The tenement building is cut again and again, and the knife is moved again and again
After the first pig's trotter was cut, Tang Lou began to use the reverse pick style.

The so-called back-pick style is to use force with the fingertips to open it. It is usually used for incision of abscesses to prevent damage to deep tissues.

Tang Lou controlled the protruding surface of the blade, which was perpendicular to the tissue of the pig's trotters, and began to practice counter-picking.
After practicing the four ways of holding a knife, Tang Lou started to practice again.The process of carrying the knife.

First mark the trotters with a pen, then simulate disinfection, then spread a towel, fix the skin that needs to be cut, and finally cut
In the second week, Tanglou finished one patient every day, and spent the rest of the time in the practice room, cutting pig trotters, and suturing a patient before the end of the morning.

so cycle.

People in the department don't know how Tang Lou's incision practice is going. Anyway, the department's food has improved a lot this week.

Suckling trotters, sauced trotters, braised trotters, boiled trotters.
Moreover, everyone discovered that Tang Lou uses pig trotters with a knife, and the cuts are the smallest, which is suitable for soup
Tang Lou uses reverse-pick trotters, with the most openings and the densest on the top, which is suitable for flavor and is suitable for eating with sauce.
Tang Lou uses pen-style trotters, the incision is the best, suitable for boiled
Second week, rush by
In the third week, in the fourth week, Tang Lou soon completed a whole month of special training.

Tenement panel:
Level 5: Upgrade 24
Operation column (5/5): Suture (three-star, 9), diagnosis (one-star, 3), debridement (two-star, 6), dressing change (three-star, 9), incision (three-star, 9 )

Gold: 6
羁绊（1/1）：1.外科圣手（二级，4/5）：减少30%感染率，增加30%愈合，减少患者30%疼痛
天赋（4/4）：1.缝合流水线（已激活）2.聆听3.专注：宿主在手术中专注度增加50%4.韧性宿主在手术中，体力耐力增加50%
Storage column (3/9): Exposure (three-star, 9), hemostasis (three-star, 9), emergency general (three-star, 9)

It was finally time to report to the City First Hospital.

(End of this chapter)