Auto chess in the operating room

Chapter 137 ERCP Incision Knife
But before Dr. Huang came to the rescue, Tang Lou had already issued the next order:
"I want to change the operation plan and prepare for ERCP incision."

After Tang Lou's voice fell, Dr. Huang's eyes widened slightly, a little unbelievable, and the method Tang Lou proposed was naturally exactly what he thought.

ERAT was originally inspired by ERCP. Senior physicians like Dr. Huang mastered ERCP first, and then learned the newly launched ERAT. Naturally, it is easy to think of the incision knife of ERCP to solve the problem that cannot enter the inner opening of the appendix. question.

However, young people of Tang Lou's age basically start with ERAT and have never been exposed to the more difficult ERCP. Therefore, Dr. Huang was astonished to be able to think of using an incision knife for ERCP.

The colonoscope used by ERAT does not have a forceps lifter, and the direction of the catheter cannot be adjusted with the forceps lifter after the catheter extends out of the endoscopic end during intubation.

Therefore, to deal with the situation of dislocation of the internal opening of the appendix, it is necessary to use a curved ERCP incision knife to approach the internal opening of the appendix, and adjust the internal opening of the appendix to the most convenient position by adjusting the size of the colonoscope screw and rotating the mirror body.

However, after trying a bit, he was still unable to enter, and did not reach Tang Lou's satisfactory operating position and angle. Tang Lou looked at Ma En again calmly:
"Help me fine-tune the patient's position, turn him slightly to the left, stop"

With the tacit cooperation of Tang Lou and Ma En, the most difficult intubation was quickly completed.

In the observation room, Dr. Huang licked his lips and couldn't help applauding: "Even if I do this operation, I can't do it better than him."

Hearing Dr. Huang's praise, the other experts were also thoughtful.Indeed, Tang Lou's attainments in EART are already at the level of senior experts.

So they no longer doubted that Tang Lou had the ability to complete those [-] cases.

In the observation room, the only one who persisted was Wen Dalong, and the reason why he was still questioning was whether Tang Lou could complete so many surgeries in five days, and Such a fast healing rate.

But even if it turns out that the city's first hospital prepared it a few days in advance, it doesn't hurt.

At least, so far, it has been proved that Lishi No. [-] Hospital has the ability to perform ERAT techniques, and Tanglou is not just for show.

Professor Liu naturally became determined, drank the coffee made by Cheng Jian, and continued to watch the rest of the operation.

In the following time, under the control of Tang Lou, washing, removing stones, and placing brackets, the whole process was smooth and smooth.

Soon this ERAT was completed again.

Even if the intubation method was changed on the way, the total time was only 40 minutes.

"So fast!"

Dr. Huang is naturally very sensitive to the operation time of ERAT. Looking at the completion time of Tang Lou, he is more and more convinced that Tang Lou can complete [-] surgeries in one day.

After all, there are always some people in this world whose strength and energy are beyond ordinary people.

Of course, Tanglou has proven to be top-notch in terms of surgical talent and on-the-spot reaction ability.

The three operations plus the intermediate preparations took about three and a half hours, and the time came to 12:30.

In the observation room, several bigwigs looked at Cheng Jian meaningfully.

Even if you don't go to the restaurant box or anything, it's okay to grab some fast food.

However, Cheng Jian didn't receive any hints at all, and he didn't mean to stop Tang Lou.

The fourth operation was ready in less than 10 minutes.

Another young patient, a 31-year-old female patient.

For this patient, Tang Lou used the LoopTip looped guide wire again. After a previous patient’s experiment, Tang Lou unexpectedly found that this guide wire is smoother than the zebra guide wire, and the intubation time is much faster. .

In the observation room, several experts did not expect that because of the temporary change of the guide wire for the previous pinworm appendicitis, Tang Lou inadvertently took the ERAT operation a step forward.

Medicine is like this, in continuous practice, whether it is due to accidents or the practitioner's own comprehension, it is constantly perfected and improved.

[Ding, the host has achieved the achievement of leaning and saving essence.Improve and optimize the operation method during the operation, and has a wide range of promotion value, and has been recognized by peers.Reward gold coins: 3, Reward: Restore energy instantly. 】

Tang Lou's eyes lit up, and the next operation was naturally extremely proficient, and the patient's physical condition was not at all special.

Ten minutes later, Tanglou completed the fourth ERAT operation.

"My God, this is too fast."

Tang Lou's original proficiency was already extremely amazing, and the use of the LoopTip guide wire further reduced the intubation time, so when Tang Lou stepped off the operating table.

In the observation room, several experts did not respond.

The time came to a little past one in the afternoon.

During the interval between operations, the faces of several experts were already a little ugly.

However, Tang Lou did not stop as the chief surgeon. As observers, they were naturally embarrassed to ask for a meal.

After all, Cheng Jian and Qing Ping were also there, right?

"Director Cheng, I think your coffee is really good, bring me a cup too."

Dr. Huang is going to save the country with curves, but he can't eat, so he can drink some coffee: "And I can't eat too much, Director Cheng, add more sugar to me."

We are all doctors, so we naturally know what sugar means.

"It's really shameless."

Another expert rolled his eyes, but with a growling stomach, he immediately looked at Cheng Jian with a grin:

"Director Cheng, I also like coffee. What a coincidence, I also like sweet drinks. It would be even better if I could add some milk."

Cheng Jian: "."

Sure enough, none of these veterans was good.

Cheng Jian returned to the office to make coffee for these veterans, and complained unhappily while nibbling on the beef jerky.

Thick-skinned, these experts!
As for Qingping, he is naturally monitoring the experts in the observation room, and he will come out to "make coffee" in the next interval.

When the hot and sweet coffee was delivered to the observation room, several experts rushed to grab it.

Cheng Jian deliberately left a white glass and handed it to Ma Shuya, and blinked.

Mashuya took it in confusion, and took a sip: Oh, warm cereal!
Without making a sound, Mashuya drank it clean.

At this time, in the operating room, Tang Lou's next operation was ready.

Patient information is also distributed to various experts:

Patient, Xie Fei, male, 25 years old

He was admitted to the hospital because of "upper abdominal pain with fever for 5 days, aggravated for 8 hours". 5 days ago, there was pain in the middle and upper abdomen without any inducement, which was suspected to be gastric disease, and he did not seek medical attention; 8 hours ago, the pain aggravated and accompanied by fever (39.3°C), and the pain spread to the whole abdomen.

Physical examination: body temperature 38.8°C, pulse 93 beats/min, blood pressure 126/80mm Hg (1mm Hg=0.133kPa), abdominal tenderness, severe right abdominal tenderness, accompanied by mild rebound tenderness and muscle tension.

Computed tomography (CT) examination showed that the appendix was located under the liver, with obvious congestion and edema, and a small amount of fluid in the right paracolic groove, suggesting the possibility of appendicitis.

After reading the materials, the experts naturally forgot about their rumbling stomachs. Obviously, this is a rare case of ectopic appendicitis.

For ectopic appendicitis, ERAT is performed, and the difficulty in the operation can be imagined.

Because they have seen all kinds of scenes like this, they will also be a little worried about the ectopic appendix. Looking at the still calm Tang Lou in the operating room.

This kind of heart is really admirable!
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(End of this chapter)