Auto chess in the operating room

Chapter 175 Why did you come to see this operation?
Tang Lou was operating on a patient with a femoral hernia.

Compared with indirect inguinal hernia, umbilical hernia, and femoral hernia account for about 5% of abdominal external hernia, and they are more common in middle-aged women.

There are more chances of femoral hernia incarceration, so it should be repaired early.

Generally speaking, the principle of femoral hernia repair is the same as that of indirect inguinal hernia repair. The main method is to ligate the hernia sac at a high position and repair and close the femoral canal.

However, in the process of femoral hernia repair, it is very easy to damage the adjacent tissues, especially the bladder, small intestine and obturator artery.

Therefore, general doctors will be more cautious and gentle when performing femoral hernia repair.

But Wang Chuan and Guo Caier were really reckless when they saw Tang Lou's operation, as if they were not worried about accidents during the operation.

Generally speaking, for femoral hernia repair, the incision will be centered on the fossa ovalis, 3 cm below the inguinal ligament, or choose to make an incision on the inside of the femoral artery, 1 cm downward from the inguinal ligament.

But no matter which method is used, the chief surgeon will first use a marker to mark, determine and design the incision, and only after the inspection is correct, will the surgeon proceed carefully.

But Tang Lou directly omitted this step, took the scalpel directly from the equipment nurse, chose the bow-holding style, and directly started incision on the inside of the patient's femoral artery.

Moreover, the surgical incision is very short, very limited.

Guo Caier opened her mouth slightly, a little unbelievable, if she didn't dare to make such a big and small incision, the subsequent operation would be very difficult.

Even Wang Chuan's face changed slightly, his gaze was naturally above Guo Cai'er, he had seen such extreme cuts before.

However, last time, he was still in the operating room of Union Medical College Hospital. He was just a second assistant, and all the famous professors of General Surgery Department of Union Medical College took the stage.

Even with Wang Chuan's qualifications, he was something to look up to at that time, and the professor's cutting skills were among the top ten in the country.

But, he actually saw it in the operating room of the No. 30 Hospital of Hecheng City, during the operation of a young doctor under [-] years old.

On the operating table, Tang Lou didn't care about other people's eyes at all, and the scalpel changed the way of holding a pen again, and began to cut layer by layer.

Tang Lou leaned over slightly, using force with his fingertips, and delicately cut open the different layers of tissue.

Tang Lou's knife cut was precise and fast, and his hands were steady and powerful!

In just a few minutes, Tang Lou began to look for the hernia sac with the femoral vein as a sign.

"So fast?"

Guo Cai'er's head was a little blank. Femoral hernia repair is a very difficult operation in external abdominal hernia repair. Moreover, Guo Cai'er had also read the information of this patient, and they eliminated it.

This patient's physique is a bit special, and she has many chronic diseases. It is very likely that accidents will occur during the operation. Therefore, for the sake of safety, she did not take any risks.

When Guo Caier was distracted, Tang Lou had already started to strip the hernia sac, and the equipment nurse and Yisuke cooperated with Tang Lou without stopping.

The steps are very closely connected, and each of them is highly concentrated, where there is no laziness that cooperated with me before.

Guo Caier's heart was full of turmoil. It turned out that the equipment nurse before really disliked her for slow movements.

"Hemostat."

Tang Lou's instructions resounded in the operating room. After receiving the equipment, Tang Lou quickly started blunt separation.

Two hemostatic forceps were flipped dazzlingly in the patient's body. After a few minutes, the hernia sac was separated from the femoral vein, great saphenous vein and surrounding tissues.

At a glance, on the screen, the anatomical layers of the separated tissues are clear, and each part is completed without a trace of damage or defect.

"It's simply art."

Even Wang Chuan had to admit that Tang Lou's separation was clean and beautiful.

As long as it is a surgeon, who would not want to have such a gorgeous operation, what surprised Wang Chuan the most was that Tang Lou did not stop at any point during the whole process.

Obviously, he is very familiar with the patient's tissue structure and anatomical knowledge, so he is not worried about making mistakes at all.

"Scalpel"

After Tang Lou was separated, he didn't take a breath, and went directly to the next step of incision of the hernia sac.

"First assistant, check the contents of the hernia"

Duan Fei cooperated very skillfully with Tang Lou to complete the investigation. After the report, Tang Lou's hands had already begun to retract the contents of the hernia.

"Needle 5, thin thread."

Only half a minute later, Tang Lou began to gradually peel off the hernia sac to above the neck of the hernia sac, and began to suture through it.

"Surgical Scissors"

The excess sac wall fell off in response, quickly and neatly.

"Doesn't he need to fix it?"

Guo Cai'er couldn't understand it anymore. If she was in this operation, she would stop and observe it at least three times, and only dare to proceed to the next step after confirming that it was correct.

But Tang Lou didn't stop at all, and seemed to have 100% confidence in his operation.

Moreover, what surprised Guo Caier was that Tang Lou's hand was always steady throughout the operation, and there was not a single error in the continuous operation.

"How many surgeries did it take to have such a stable pair of hands?"

Guo Cai'er secretly looked at Dr. Wang Chuan at the side. Before that, she always felt that it was impossible for the first hospital in the city to have a doctor who could surpass Dr. Wang.

Not to mention younger than Wang Chuan, even if she is the chief physician, she doesn't think she is better than Dr. Wang.However, seeing Tang Lou's operation now, her mind is full of those powerful and steady hands.

Wang Chuan's complexion also became very dignified. On the screen, Tang Lou had already started suturing the inguinal ligament.

Intermittent suturing is very common, but when Tanglou began to suture, Wang Chuan's heart twitched.

Tang Lou controls the needle holder, and the strength, accuracy, direction, and final needle pitch of each needle are all the same.

It's like a machine, every stitch, every knot is the same action.

Moreover, with Wang Chuan's eyesight, it can be seen that Tang Lou avoided many nerves, blood vessels, and tendons in the suturing route, which meant that all secondary injuries were eliminated.

This level of suturing, Wang Chuan knew, could not be achieved through surgery, it was a talent.

Even in Xiehe Hospital, Wang Chuan dared to say that he could not find a hand.

Five minutes later, Tanglou completed the suturing of the falciform border of the fascia lata and the pectineal fascia. The whole process continued smoothly without any pause.

"sharp."

Wang Chuan sighed, and had to admit that Tang Lou's level of suturing was beyond his reach.

Guo Cai'er is also listless. In this step, she will spend at least twice as long. Moreover, she doesn't dare to operate like Tang Lou, for fear of putting pressure on the femoral vein and great saphenous vein. .

Five minutes later, Tang Lou began to repair and sew up the incision layer by layer. Although Tang Lou's movements remained the same during the continuous operation, a little sweat still appeared on his forehead.

The equipment nurse looked at Tang Lou who was focused, picked up the white gauze, and wiped off the crystal sweat on Tang Lou's forehead, his face flushed slightly, showing a happy smile.

Seeing such a harmonious scene of nurses and doctors, Wang Chuan felt inexplicably sour in his heart. The nurses in the operating room always kept him at a respectful distance, right?

Wang Chuan's rare state of mind was a little unstable, and he sighed again.

The city's No. [-] hospital actually had a doctor who was more handsome than him, better popular than him, younger than him, and whose surgical skills were a block behind him.

After another 5 minutes, the entire operation in Tanglou was completed.

Wang Chuan suddenly came back to his senses, his body began to stiffen, and he was a little flustered, why did he stand here?

How should it end next?

(End of this chapter)