Auto chess in the operating room

Chapter 167 Unbelievable spell learning ability!

Chapter 167 Unbelievable spell learning ability!

After the operation, Tang Lou returned to the office, while Duan Fei and Hang Cuishan walked behind.

"How about it."

Hang Cuishan asked indifferently, at first Duan Fei was a little self-reliant, a resident doctor was an assistant to an intern, after all, he was a little unhappy.

Duan Fei recalled it.I concluded: "In terms of Tang Lou's umbilical hernia repair alone, to be honest, almost all senior residents can achieve it. However, his basic skills and the feeling of surgery are much better than ordinary people. Especially his incision The technique, the stitching technique, is breathtaking."

Hangcui Mountain also felt the same way: "That's right, Tang Lou's talent is very good. The first umbilical hernia operation can do this level, and ordinary people can't match it."

Duan Fei walked a few steps, with a solemn expression on his face: "For an ordinary person, of course this is enough. But for him, he is still a little tender. After all, before he went to further studies, he had already far surpassed this level. .”

Of course Duan Fei had seen Wang Chuan's surgery. It was precisely because Wang Chuan's surgical skills far exceeded those of ordinary surgeons that he was favored by professors at the Imperial Union Medical College Hospital and invited to further his studies.

Wang Chuan is only 34 years old this year. He has enough potential and has accumulated enough surgeries. He is energetic, ambitious and talented.

After all, Tanglou is only 26 years old. Although he may have talents comparable to Wang Chuan, he has too little time to accumulate, has mastered too few techniques, and his proficiency is not enough.

"I hope he can grow up faster."

However, Duan Fei understands that surgical operations are not theoretical knowledge. Only continuous practice can lead to quantitative changes and qualitative changes. It is only a week since Wang Chuan came back. Even if Tanglou can do four surgeries a day, there will be less than thirty extra-abdominal surgeries a week. Hernia surgery volume.

This amount of surgery is not even a fraction of the amount of surgery that Wang Chuan has handled.

No matter how talented Tanglou is, how skilled can he be?
Moreover, there will be various accidents during the operation, and it is a sign of a doctor's maturity to be able to calmly deal with and deal with these emergencies, and these all take time, and each patient needs to go through it slowly.

For example, Duan Fei has accumulated enough surgeries in umbilical hernia repairs. The basic operations may be similar to Tang Lou's, but in terms of knowledge, he is confident that he is much richer than Tang Lou.

He had encountered massive bleeding during hernia repair, and only then did he know that the three blood vessels that bleed most often are the abnormal origin branch of the obturator artery, the deep branch of the inferior epigastric vessel, and the external iliac artery and vein.

He had suffered nerve damage in the lower abdominal wall, so he knew that once severed, the severed end should be tied immediately to prevent nutrient blood vessels from bleeding.

He encountered blood supply damage to the testes, so when suturing the spermatic cord through the inner and outer rings, do not make the stitches too small, otherwise the spermatic cord will be strangled.

He has also experienced abdominal visceral damage, so he knows to tie the bowel when ligating the hernia sac
Duan Fei believed that he had seen all the possible accidents described in textbooks, so he was able to take his time on the operating table.

That's why he understood how difficult it is to develop an experienced surgeon, and how much pressure Tang Lou had to face.

"Doctor Hang, putting such a big responsibility on Tang Lou's shoulders, isn't it putting too much pressure on him?"

Duan Fei walked beside Hangcui Mountain, a little worried, worried about Tang Lou, and also worried about the situation of their medical team after Dr. Wang Chuan came back.

"We can only trust him."

Hang Cuishan paused, and quickened his pace: "You are still helping me prepare for the abdominal external hernia surgery in the afternoon."

"it is good."

Duan Fei looked at the back of Hangcui Mountain and nodded, but he didn't think this kind of temporary cramming would be of much use.

The second operation started on time in the afternoon.

Still the same operating room, still the same class of medical staff.

In the afternoon, it was still a patient who needed umbilical hernia repair. The only difference was that the patient was less than 6 years old.

In other words, this is a child's umbilical hernia repair surgery. Compared with adults, children's physical development stage, some tissues and organs have not yet matured, so the requirements for doctors are higher, and the understanding of anatomy is also better. profound.

According to the estimates of Hangcui Mountain and Duan Fei, the operation of this operation will be more difficult, and the corresponding operation will take longer.

Hang Cuishan took advantage of the time when the anesthetist got up to anesthetize, and quietly occupied his small bench.

Because it is a child, basic anesthesia plus local infiltration anesthesia was used.

When the anesthesiologist returned from the anesthesia, he saw the old god of Hangcui Mountain sitting on the small bench, without the slightest intention to get up.

The anesthesiologist rolled his eyes and stood aside, regretting in his heart that he had not listened to Chen Wenhao's warning to cooperate with Tang Lou in the operation, and other things could not be prepared, but the stool must be backed up.

On the operating table, Tang Lou also started his operations.

The choice of incision for children is different from that for adults.

"marker pen"

After Tang Lou took the pen, he quickly made an arc-shaped incision below the patient's umbilical foramen.

Duan Fei was at the side, slightly startled: "Isn't the incision a bit small?"

Although such small incisions are not impossible, generally only chief-level doctors have such confidence.

As for Tanglou's standard, Duan Fei clearly remembered it in the morning, it was almost the same as his own, and he would never dare to be so exaggerated.

Duan Fei gently reminded.

"Scalpel"

Tang Lou ignored it, took the scalpel directly, and very quickly cut open the patient's navel skin, followed by the subcutaneous fat tissue.

Duan Fei's eyelids twitched slightly, what's going on in this tenement building?
Although he admitted that Tang Lou's incision technique is very powerful and the exposure is also very good, but with his level, can he really perform such a small incision completely?

If the incision was enlarged midway, it would not be as reliable as cutting it in place at once. It was just Tanglou's surgeon, so Duan Fei saw that he ignored him and stopped talking.

I just hope that he won't regret his insolence and recklessness for a while.

"Ok?"

However, what Duan Fei expected did not happen. Tanglou's hands were very stable, and the skin of the umbilicus was successfully separated from the hernia sac. After separating the hernia sac to the umbilicus, he made a very neat incision.

"This"

Duan Fei watched with his eyes closed, Tang Lou just finished retracting the contents of the hernia so quickly.

"Scissors"

The excess hernia sac is cleaned up with a few cuts.

"Needle-holding forceps that can absorb thread."

With the cooperation of the nurses, Tang Lou has already started suturing the peritoneum and the posterior sheath of the rectus abdominis muscle.

"First aid, pull the rectus abdominis on both sides of the hernia hole."

Tanglou gave the order calmly, Duan Fei came to his senses and immediately cooperated.

Tang Lou nodded slightly, and began to suture the rectus abdominis intermittently, which was still uniform and beautiful.

Three minutes later, Tang Lou completed the interrupted suture of the rectus abdominis.

After 15 minutes, Tang Lou completed the transverse suture of the anterior sheath of the rectus abdominis muscle.

Ten minutes later, Tang Lou sutured the inner side of the umbilical foramen to the anterior sheath of the rectus abdominis muscle.

"Beauty Line"

Under Duan Fei's incredible gaze, Tanglou completed the suture of the navel, fully preserving the appearance of the navel.

Another 15 minutes later, the entire operation was completed.

Back and forth, less than an hour and a half, one-third faster than the morning operation.

When Tang Lou walked out of the operating room, Duan Fei still couldn't believe it.

Hang Cuishan is also a little unbelievable.

"This is only the second station, and he has already reached this level?"

Duan Fei has done too many external abdominal hernia operations with Hang Cuishan, so he understands Tang Lou's comprehension of umbilical hernia repair in these operations, and also understands his deep understanding of the anatomy of umbilical hernia surgery.

Tang Lou in the afternoon and Tang Lou in the morning are different people. Duan Fei can be sure that Tang Lou's current level of umbilical hernia repair has reached the level of an ordinary chief physician, even better than Hangcui Mountain.

Hang Cuishan was still sitting on the small bench. He hadn't gotten up yet, but the corners of his mouth had been raised for a long time.

Tang Lou's learning ability and comprehension ability are really too strong, it's unbelievable.

After a long time, Hang Cuishan moved his butt under the resentful eyes of the anesthesiologist, and cheerfully gave the order:
"The number of surgeries will be increased tomorrow, two in the morning and two in the afternoon."

【Ding!Task: Expert in the field of abdominal external hernia, progress 2/50, reward 3 gold coins, and refresh the card library once.Gold balance: 15]

(End of this chapter)

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