Auto chess in the operating room

Chapter 118 The operation is completed
The departmental consultation went from a tense confrontation to a final shock and came to an end.

At the end of the consultation, Tang Lou further supplemented his feasibility of the operation: 1. The patient had no previous history of lower abdominal surgery, 2. The patient had no immunosuppressive disease or bleeding disease, 3. No serious heart, lung, kidney, brain and other foundations disease
Looking at such a rigorous analysis and argumentation, Shen Bingbing and others also fully approved Tang Lou's plan.

However, due to the special status of the patient, in this operation, in the name of Director Cheng, Tang Lou actually performed the surgery, Qing Ping personally assisted Tang Lou, and Shen Bingbing went into the operating room to watch.

Both Dean Yang Hu and Vice Dean Yang Xiaodong appeared before the operation, and the patient's family members were his youngest son, Chai Ming, head of the Propaganda Department of the Municipal Party Committee, and his daughter, Chai Shanshan.

Chai Ming has an elegant temperament, just in the prime of life for a leading cadre. He has neat greasy hair, a few strands of silver on the sideburns, and a neat suit, which is very elegant.

Chai Shanshan is a top student at Zijingang University, but became a cartoonist after graduation. She is a typical rich second generation who has no worries about food and clothing. She also has many friends in the entertainment circle, and she stands aside with a slightly worried face.

Cheng Jian brought Tang Lou, Qingping and others to have a final exchange with the patient's family.

Chai Ming spoke indifferently, giving people a feeling of being repulsed and condescending.

But Dean Yang and the others didn't think there was anything wrong with it, so it was in line with the style of the leader.

Vice President Yang Xiaodong was also very surprised by Director Cheng's suspension-type anesthesia plan, but after understanding it, he still agreed with it and bragged to Chai Ming.

Naturally, Chai Ming didn't know much about surgical procedures, but he was at ease with the City First Hospital. Cheng Jian was also well-known in the medical circle of Hecheng. With the guarantee of President Yang and others, he readily signed and agreed.

On the other hand, Chai Shanshan sent the operation plan to a best friend of hers, who was attending the general surgery department of Zijingang University School of Medicine in Hangzhou.

Zijingang University School of Medicine can be said to be the most powerful hospital in Hangzhou, and her best friend is a master who graduated from Zijingang University School of Medicine with undergraduate, master, and doctoral degrees.

However, it may be at work, but he didn't reply immediately.

After exchanging pleasantries with Dean Yang and others, Chai Ming is the leader of the municipal party committee after all, so he hurried to the next meeting.

After Chai Ming left, Dean Yang and others gave orders to Cheng Jian's medical team in charge of the surgery before leaving together.

Three and 10 minutes later, the operation officially began.

Outside the operating room, Chai Shanshan finally got her best friend Ma Shuya's reply: "I've never heard of the suspended airless laparoscopy technique. Appendicitis surgery for super-senile grandpa like your grandfather is actually not difficult to operate, but the later stage Healing recovery and preventing infection are the most critical."

"Why don't you arrange for patients to go to Hangzhou for surgery? If you come to me for surgery, at least you can guarantee that the success rate of the surgery will increase by [-]%. And I haven't heard of this suspension method, but after hearing your brief introduction, I think it is right. The requirements of the performer are extremely high, and it is very likely that it was specially formulated for your grandfather. If it is the first time to unfold it. Is it at the level of Hecheng?"

Seeing the slight disdain in Ma Shuya's tone for Hecheng's surgical level, and her doubts about the newly launched suspension technique, Chai Shanshan suddenly became anxious.

And a few minutes later, Chai Shanshan's WeChat rang again, and it was still Ma Shuya:
"Shanshan, just now I told our boss, Professor Liu, about this plan. Professor Liu expressed his interest in this plan and spoke highly of it! And according to his experience, as long as the surgeon's skills are good enough, the success of this plan The rate is very high. If he does it, the probability of recovery is as high as 90%.”

"Really?"

Chai Shanshan was very excited.

However, as the third type of female doctor besides men and women, Ma Shuya is a purely technical person, and she is very straightforward: "However, Professor Liu is a Taishan Beidou-level figure in the field of acute abdomen in Jiangxia Province. The level of surgery is among the top five in the province. Is Hecheng First Hospital?"

Chai Shanshan's mood fell again. In fact, she had always insisted on letting her grandfather go to Hangzhou for surgery, but she couldn't hold back the old man.

Chai Long said: Isn't it just a minor operation for appendicitis, how is my Dahe City not as good as Hangzhou City?Hangcheng, Hangcheng, you can go to Hangcheng if you know anything.Today I am Chai Long, and I have the conditions to go to Hangzhou. What if I am an ordinary citizen?Just do it in Hecheng, I believe in the medical level of Hecheng.

Chai Long has been in the leadership position of Hecheng all her life, and she is dissatisfied with the current younger generation from the bottom of her heart. She either learns from the nearby magic city or takes the same way as Hangzhou.

Hecheng itself has such a deep accumulation that it can develop its own characteristics, but it always imitates others.

This time he chose to have the operation in Hecheng, which was actually a kind of silent protest to his nephews!
Naturally, Chai Shanshan understood what Grandpa was thinking, but she still had a little worry in her heart. Of course, she didn't expect Hecheng's chief surgeon to catch up with Professor Liu's level.

Chai Shanshan posted: "I hope this chief surgeon is a little more reliable! An aggrieved expression."

After a while, Ma Shuya replied with a patted head expression.

"This new technique is very cautious. I estimate that it will take at least two hours. Please wait slowly."

"Of course it is also possible. After the laparotomy, if it is found to be different from what was expected, it is not impossible to switch to conventional laparoscopic resection. Appendicitis surgery is relatively minor surgery. If conventional surgery is used, although the surgical healing will be slower There is a possibility of infection and complications, at most the recovery will be slower and patients will suffer more, and generally speaking, there will be no life-threatening."

Ma Shuya sent another hug emoji.

After reading it, Chai Shanshan replied with a crying expression.

The female doctor's words really hurt people invisible.

Chai Shanshan regretted choosing the city's No. [-] hospital for surgery.

In the operating room, Shen Bingbing and Cheng Jian, who were on the sidelines, said that it was impossible not to be nervous, after all, this was Tang Lou's second operation!

"Doctor Chen, let's start."

Under the sword aura of Lord Tang, he completely overwhelmed Qingping, and the senior attending doctor really felt a sense of insignificance.

Chen Wenhao was already a little numb, and the operations performed by this guy in Tang Lou became more frightening every time.

Director Cheng and Director Shen watched in person, with the help of the senior attending Qingping?
And it was a new technique that had never been tried before.

To tell the truth, even Chen Wenhao, who has experienced many battles, has sweaty palms, and his heart beats a little when he sees some legendary old people lying on the operating table.

Although this operation was a laparoscopic operation, under Tang Lou's special request, epidural anesthesia was still used.

"Relax."

Tang Lou noticed Chen Wenhao's abnormality and gave him a word of encouragement.

For some unknown reason, Chen Wenhao's hands became much more stable, and his heart also became more stable.

The anesthesia was quickly completed, and then he stepped aside with a rare seriousness.

"A 1.0 cm incision was made at the lower edge of the umbilical cord, and a 1.0 cm trocar was inserted as an observation port. An artificial pneumoperitoneum was temporarily established. The pneumoperitoneum pressure was controlled within 6 mmHg (1 mmHg=0.133 kPa), and a 30° laparoscope was inserted."

Tang Lou calmly began to direct the equipment nurse and Qing Ping, who played a guest assistant.

Entering the operation, Tang Lou seemed to be a completely different person, with a serious and rigorous tone, without any scruples because of Qingping's identity, it was really as if he was directing a subordinate doctor, and he was not polite at all.

Qingping was also in a trance. At certain moments, Tang Lou felt like Director Cheng to him, and he returned to the youthful days of Yisuke.

You don't need to think too much, just follow the command of the chief knife and make corresponding actions.

"A 3 cm incision was made at the 0.5 fingers below the navel, and a 0.5 cm trocar was placed as an operation hole for instrumentation to expose the appendix. After determining the location of the appendix, use a double-needle purse-string suture on the abdominal wall at the appendix, and puncture the abdominal cavity vertically at a distance of 6 cm. , lead out the double needles in stages from the operation hole, cut off the double needles and tie a knot, lift the external suture line and fix it on the support frame, relieve the pneumoperitoneum, adjust the height of the support, and form a satisfactory operation space.”

Tang Lou's precise instructions continued to echo in the operating room.

"The process of establishing a pneumoperitoneum is controlled within 3 minutes. Another 0.5 cm operation hole is established in the avascular area near the McBurney's point, and the head is down and the feet are high, and the body position is 20° to 30° left."

Under Tang Lou's clear and cohesive instructions, the equipment nurse and Qingping were busy cooperating.

Qingping has already given up his own mind, and it is enough to follow suit, busy and cheerful like a young assistant who has just graduated.

Shen Bingbing and Cheng Jian on the side had completely calmed down, completely immersed in Tang Lou's skillful and calm command.

Ten minutes later, the door of the operating room opened, and Tang Lou appeared at the door.

Chai Shanshan stood up nervously, panicked, and rushed over, with Ma Shuya's information in her mind, and asked anxiously: "Doctor, is there something wrong with the suspension laparoscopic surgery, and you need to transfer to the traditional abdominal surgery?" Mirror way?"

Due to her anxiety, she didn't even notice the flat car slowly exiting behind Tang Lou.

"The operation was quite successful." Tang Lou was in a good mood and joked, "Do you want to see the appendix that has been removed?"

Chai Shanshan looked blankly at the handsome young doctor: "Finished?"

It obviously didn't exceed an hour, but Ma Shuya said that in her experience, the routine appendicitis resection should be controlled within 90-150 minutes, and with the new operation, it should be more than two hours.

Seeing that Chai Shanshan was in a daze and did not come to help carry the patient, Tang Lou patted her lightly: "Are you all right? Come, help me."

"Oh."

Cai Shanshan became sober now, but she still couldn't believe it: "So you still used the traditional laparoscopic resection in the end?"

"No, the suspension gasless laparoscopic surgery is used."

"Then how could it be so fast? Doesn't it mean that all new surgical procedures need to be very cautious, and the difficulty of this operation is not very high and the surgeon is extremely demanding?"

Thinking of Ma Shuya's analysis and authoritative Professor Liu's comments, Chai Shanshan began to feel uneasy again. Maybe it was not easy to do after opening it, so she directly chose to close the abdomen.There are not no such rumors in the arena.

"Whoever tells you a new technique, if the difficulty is high, you must do it slowly."

Tang Lou was a little speechless: "Hurry up and call the elevator."

Under Tang Lou's order, Chai Shanshan went to call the elevator, and then came back to help pull the cart.

Due to the special status of the patient, Cheng Jianqingping accompanied him to personally escort him back to the ward, a mighty group of people.

Chai Shanshan held the car, walked forward, picked up her mobile phone, and quickly sent a message to Ma Shuya: "The operation has been completed, and the doctor said it went well. But I'm still a little worried. It won't be an hour. You said no?" Question?"

(End of this chapter)