Auto chess in the operating room
Chapter 115 Suspension Gasless Laparoscopic Appendectomy
Chapter 115 Suspension Gasless Laparoscopic Appendectomy
"My personal opinion is to perform laparoscopic appendectomy, but due to the particularity of the patient, the following three points need to be done: first, it is natural to speed up the speed of appendectomy during the operation and minimize the impact of CO2. The second is adequate drainage to eliminate the possibility of late infection and inflammation. After all, the patient is too old. If the drainage is not clean, complications will be caused. The patient's physique is difficult to bear. The third point is nutritional support to ensure adequate nutrition. Accelerate the growth rate of granulation and accelerate the healing of patients."
Deputy Director Shen Bingbing put forward his own opinion, and then looked at everyone: "Just to achieve these three points, we need a surgeon with an extremely fast operation speed, a cooperating assistant, and an experienced nurse. teacher."
"A very fast chief knife?"
Thinking of this, several attending doctors turned their attention to Dr. Qingping, who had the deepest research on appendicitis surgery.
As for Qingping himself, a young figure flashed in his mind, but he immediately stopped the thought, how dare he let Tang Lou bear such an important burden.
Song Yang naturally thought of Tang Lou, but his thoughts went faster. After all, such an elderly patient with appendicitis surgery has such a special status. It was Tang Lou who was unlucky alone.
The general surgery department of the entire city hospital will be affected.
For a trainee doctor to perform such an important appendicitis operation at such a young age, it feels like a big scandal in a certain department, and it was finally revealed that a temporary worker did it.
The saliva of public opinion alone can drown several people present for consultation, not to mention the censure from the patient's family members.
"It seems that only Dr. Qing is qualified to be the surgeon this time."
Song Yang expressed his opinion straight to the point.
Shen Bingbing and the others all agree that there is actually no controversy about the surgical plan and the choice of the chief surgeon. Everyone can contribute in the future to perfect the details of the entire operation, and try to make the three main points proposed by Director Shen perfect.
"Then decide on a candidate for the first assistant."
Doctor Li Xiang started to advance to the next stage.
"For first aid, it is natural to have the most tacit understanding with Doctor Qing. This is still up to Doctor Qing to decide."
Shen Bingbing smiled slightly, and looked at Qingping. In fact, she was also very curious about who Qingping would choose. After all, it is almost impossible for other attendings to help Qingping, so she can only choose from the residents under him.
Qingping has three residents under his command, and the one who has the most partners in appendicitis surgery is naturally Ma En.
Feeling the eyes of everyone, Qingping looked directly at Tang Lou: "Tang Lou, how about helping me complete this operation?"
Song Yang didn't have too many surprises, and looked at Tang Lou: "Tang Lou, this is a once-in-a-lifetime opportunity, dare you?"
Cheng Jian also looked at Tang Lou expectantly. Qing Ping was able to entrust such an important operation to him to hold the mirror, which showed how much he valued him.
Compared with the three who had seen Tang Lou's surgery, the rest of the attendings were naturally a little unbelievable.
"Doctor Qing, I don't think it's appropriate. This operation is so important, I suggest choosing from among the experienced residents."
Li Xiang questioned that Tang Lou was too young, and he had only been in the city's first hospital for a month or two.
"I also think it's a bit too risky. Is he really capable at such a young age?"
Hangcuishan also expressed its objection, and was not optimistic about Tanglou. In order to gild the Tanglou, Qingping worked too hard. In normal operations, choosing Tanglou to support the mirror would naturally not affect the final result, but this time Surgery is time demanding.
If Tanglou fails to control the surgical field during the operation, it will extend the operation time, and the plan they have discussed for a long time will be in vain.
Shen Bingbing plucked the hair by her ears, looked at Cheng Jian: "Director Cheng, you are well aware of the weight of this patient, but there can be no mistakes."
Cheng Jian took a sip of tea slowly, put down the cup, did not express his opinion, but looked at Tang Lou with a solemn tone: "Tang Lou, what do you think? Doctor Qing fully trusts you by letting you be his assistant, but You have to understand the importance of this operation, if something goes wrong during the operation, not only you, Doctor Qing, but even me will be finished."
Facing Cheng Jian's powerful aura, all the attendants also stared at Tang Lou covetously.
"I agree with Dr. Li and Dr. Hang's point of view. It's really not appropriate for me to be a helper."
Tang Lou said in a calm tone.
Hearing Tanglou's answer, Shen Bingbing, Li Xiang and others were stunned. How could they be so cowardly?
They were somewhat self-aware, but they gave up so quickly, which inevitably made them feel a little contemptuous. It seems that Director Cheng Qingping's selection of people is not very good.
Qingping was slightly stunned, but not angry, just slightly disappointed.
Song Yang grabbed his cup and looked at Tang Lou thoughtfully.
Cheng Jian tapped the table with two fingers a few times, did not speak, lowered his head slightly, and smiled lightly. He didn't blame Tang Lou, but felt a little pity.
"Then ask Dr. Qing to change to a first-aid candidate."
Shen Bingbing glanced at Tanglou's face with disdain and continued to advance the consultation.
"I don't think it's appropriate for me to be the first assistant, but it's also inappropriate for Dr. Qing to be the chief surgeon."
Tang Lou directly interrupted Shen Bingbing's words, and looked at Cheng Jian with disappointed eyes.
"Ok?"
Cheng Jian's heart trembled slightly, and Tang Lou's confident and conceited eyes at the moment were very familiar, and he blurted out:
"Tang Lou, what do you mean?"
Tang Lou stood up, pushed his seat back, walked to Qingping's place, and inserted a USB flash drive he had prepared into the computer.
Then he looked at the astonished crowd: "I don't think laparoscopic appendicectomy is very appropriate."
Qingping also pricked up his ears, the familiar feeling of Tang Lou in his eyes came back.
Three wrong, resounding!Looking at Tang Lou's confident appearance.
Shen Bingbing and Li Xiang had a sense of absurdity. This was obviously a consultation between the attending doctors. How could it feel that Tang Lou was the protagonist this time.
"I think the traditional laparoscopic appendectomy is not the best solution for this patient. So I want to propose a new operation."
After Tang Lou finished speaking, everyone was dumbfounded.
Li Xiang wanted to vent, but he saw that Tang Lou had prepared a USB flash drive, with a serious attitude, and Cheng Jian and Qingping's ambiguous attitudes.
However, he softened his tone and said, "Tanglou, then you can tell me. If you can't tell me something, I'd like you to tell me something."
Hangcui Mountain was very quiet, but he didn't look at the tenement building, but observed Cheng Jian and Qingping, because he wondered if this was a play by the three of them.
Shen Bingbing has also entered a state of calmness like water. Being able to sit in the position of deputy director naturally has a deep sense of city and self-cultivation.
Her idea is similar to that of Hangcui Mountain. This is probably a very crucial step in packaging the tenement building. Director Cheng is usually as immovable as a mountain, but he is shocked when he makes a move. People have some ability.
However, even if Qing Ping and Cheng Jian give you a plan, she will question Tanglou later. He has good looks and skills. She doesn't believe there is anyone else in this department besides Shen Bingbing.
Song Yang on the other hand was looking forward to it, grinning: "Tanglou, please tell me?"
"The modification I propose is the suspension airless laparoscopic appendectomy."
While talking, Tang Lou showed the photo of the diagram of the technique he had hand-drawn on the white paper.
(End of this chapter)
"My personal opinion is to perform laparoscopic appendectomy, but due to the particularity of the patient, the following three points need to be done: first, it is natural to speed up the speed of appendectomy during the operation and minimize the impact of CO2. The second is adequate drainage to eliminate the possibility of late infection and inflammation. After all, the patient is too old. If the drainage is not clean, complications will be caused. The patient's physique is difficult to bear. The third point is nutritional support to ensure adequate nutrition. Accelerate the growth rate of granulation and accelerate the healing of patients."
Deputy Director Shen Bingbing put forward his own opinion, and then looked at everyone: "Just to achieve these three points, we need a surgeon with an extremely fast operation speed, a cooperating assistant, and an experienced nurse. teacher."
"A very fast chief knife?"
Thinking of this, several attending doctors turned their attention to Dr. Qingping, who had the deepest research on appendicitis surgery.
As for Qingping himself, a young figure flashed in his mind, but he immediately stopped the thought, how dare he let Tang Lou bear such an important burden.
Song Yang naturally thought of Tang Lou, but his thoughts went faster. After all, such an elderly patient with appendicitis surgery has such a special status. It was Tang Lou who was unlucky alone.
The general surgery department of the entire city hospital will be affected.
For a trainee doctor to perform such an important appendicitis operation at such a young age, it feels like a big scandal in a certain department, and it was finally revealed that a temporary worker did it.
The saliva of public opinion alone can drown several people present for consultation, not to mention the censure from the patient's family members.
"It seems that only Dr. Qing is qualified to be the surgeon this time."
Song Yang expressed his opinion straight to the point.
Shen Bingbing and the others all agree that there is actually no controversy about the surgical plan and the choice of the chief surgeon. Everyone can contribute in the future to perfect the details of the entire operation, and try to make the three main points proposed by Director Shen perfect.
"Then decide on a candidate for the first assistant."
Doctor Li Xiang started to advance to the next stage.
"For first aid, it is natural to have the most tacit understanding with Doctor Qing. This is still up to Doctor Qing to decide."
Shen Bingbing smiled slightly, and looked at Qingping. In fact, she was also very curious about who Qingping would choose. After all, it is almost impossible for other attendings to help Qingping, so she can only choose from the residents under him.
Qingping has three residents under his command, and the one who has the most partners in appendicitis surgery is naturally Ma En.
Feeling the eyes of everyone, Qingping looked directly at Tang Lou: "Tang Lou, how about helping me complete this operation?"
Song Yang didn't have too many surprises, and looked at Tang Lou: "Tang Lou, this is a once-in-a-lifetime opportunity, dare you?"
Cheng Jian also looked at Tang Lou expectantly. Qing Ping was able to entrust such an important operation to him to hold the mirror, which showed how much he valued him.
Compared with the three who had seen Tang Lou's surgery, the rest of the attendings were naturally a little unbelievable.
"Doctor Qing, I don't think it's appropriate. This operation is so important, I suggest choosing from among the experienced residents."
Li Xiang questioned that Tang Lou was too young, and he had only been in the city's first hospital for a month or two.
"I also think it's a bit too risky. Is he really capable at such a young age?"
Hangcuishan also expressed its objection, and was not optimistic about Tanglou. In order to gild the Tanglou, Qingping worked too hard. In normal operations, choosing Tanglou to support the mirror would naturally not affect the final result, but this time Surgery is time demanding.
If Tanglou fails to control the surgical field during the operation, it will extend the operation time, and the plan they have discussed for a long time will be in vain.
Shen Bingbing plucked the hair by her ears, looked at Cheng Jian: "Director Cheng, you are well aware of the weight of this patient, but there can be no mistakes."
Cheng Jian took a sip of tea slowly, put down the cup, did not express his opinion, but looked at Tang Lou with a solemn tone: "Tang Lou, what do you think? Doctor Qing fully trusts you by letting you be his assistant, but You have to understand the importance of this operation, if something goes wrong during the operation, not only you, Doctor Qing, but even me will be finished."
Facing Cheng Jian's powerful aura, all the attendants also stared at Tang Lou covetously.
"I agree with Dr. Li and Dr. Hang's point of view. It's really not appropriate for me to be a helper."
Tang Lou said in a calm tone.
Hearing Tanglou's answer, Shen Bingbing, Li Xiang and others were stunned. How could they be so cowardly?
They were somewhat self-aware, but they gave up so quickly, which inevitably made them feel a little contemptuous. It seems that Director Cheng Qingping's selection of people is not very good.
Qingping was slightly stunned, but not angry, just slightly disappointed.
Song Yang grabbed his cup and looked at Tang Lou thoughtfully.
Cheng Jian tapped the table with two fingers a few times, did not speak, lowered his head slightly, and smiled lightly. He didn't blame Tang Lou, but felt a little pity.
"Then ask Dr. Qing to change to a first-aid candidate."
Shen Bingbing glanced at Tanglou's face with disdain and continued to advance the consultation.
"I don't think it's appropriate for me to be the first assistant, but it's also inappropriate for Dr. Qing to be the chief surgeon."
Tang Lou directly interrupted Shen Bingbing's words, and looked at Cheng Jian with disappointed eyes.
"Ok?"
Cheng Jian's heart trembled slightly, and Tang Lou's confident and conceited eyes at the moment were very familiar, and he blurted out:
"Tang Lou, what do you mean?"
Tang Lou stood up, pushed his seat back, walked to Qingping's place, and inserted a USB flash drive he had prepared into the computer.
Then he looked at the astonished crowd: "I don't think laparoscopic appendicectomy is very appropriate."
Qingping also pricked up his ears, the familiar feeling of Tang Lou in his eyes came back.
Three wrong, resounding!Looking at Tang Lou's confident appearance.
Shen Bingbing and Li Xiang had a sense of absurdity. This was obviously a consultation between the attending doctors. How could it feel that Tang Lou was the protagonist this time.
"I think the traditional laparoscopic appendectomy is not the best solution for this patient. So I want to propose a new operation."
After Tang Lou finished speaking, everyone was dumbfounded.
Li Xiang wanted to vent, but he saw that Tang Lou had prepared a USB flash drive, with a serious attitude, and Cheng Jian and Qingping's ambiguous attitudes.
However, he softened his tone and said, "Tanglou, then you can tell me. If you can't tell me something, I'd like you to tell me something."
Hangcui Mountain was very quiet, but he didn't look at the tenement building, but observed Cheng Jian and Qingping, because he wondered if this was a play by the three of them.
Shen Bingbing has also entered a state of calmness like water. Being able to sit in the position of deputy director naturally has a deep sense of city and self-cultivation.
Her idea is similar to that of Hangcui Mountain. This is probably a very crucial step in packaging the tenement building. Director Cheng is usually as immovable as a mountain, but he is shocked when he makes a move. People have some ability.
However, even if Qing Ping and Cheng Jian give you a plan, she will question Tanglou later. He has good looks and skills. She doesn't believe there is anyone else in this department besides Shen Bingbing.
Song Yang on the other hand was looking forward to it, grinning: "Tanglou, please tell me?"
"The modification I propose is the suspension airless laparoscopic appendectomy."
While talking, Tang Lou showed the photo of the diagram of the technique he had hand-drawn on the white paper.
(End of this chapter)
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