Auto chess in the operating room

Chapter 179 Completely convinced
After hearing Tanglou's plan, Liu Jinjin was not sure, so he pretended to go to the toilet. After arriving in the bathroom, he called Wang Chuan directly and informed Tanglou of the surgery plan.

"You said he used GPRVS plus VSD negative pressure sealing drainage technology?"

The person on the other end of the phone was obviously taken aback.

"Yes, Dr. Wang, I have never been in touch with VSD negative pressure sealing drainage technology, so I don't know whether it is reasonable, whether to let Tang Lou continue the operation or change the plan."

Since he was Wang Chuan's uncle, Liu Jinjin certainly did not dare to make any claims.

There was silence on the other end of the phone for a while, then he said in a somewhat excited tone:

"I completely agree with Tang Lou's plan. I have also thought about the VSD negative pressure sealing drainage technique, but I didn't propose it because I was worried about the level of doctors in the city's first hospital. In fact, this operation is also the one I want to promote when I return to the city's first hospital this time. Surgical method. It has a very good therapeutic effect on early incision infection of external abdominal hernia."

"so smart?"

Liu Jinjin didn't expect Wang Chuan to have such a high opinion of Tang Lou's proposal.

"Of course. VSD technology was pioneered by Fleischma of ULM University in Germany. In recent years, Union Medical College Hospital has applied it clinically, especially in the drainage of various wounds. The negative pressure sealing drainage technology is used in early deep incision infection after abdominal wall hernia repair without tension. Good curative effect has been obtained, and it has been gradually applied to orthopedics and general surgery.”

On the other end of the phone, Wang Chuan carefully introduced that VSD is a surgery he mainly participated in at Xiehe Hospital. He knew the principle and the ins and outs clearly. Tang Lou's operating room, let's discuss together.

Speaking of medical research, Wang Chuan had already forgotten his uncle's injury, and began to eloquently popularize VSD technology to Liu Jinjin. After all, Wang Chuan still has his unique attainments and technical persistence to become a doctor in Union Medical College Hospital.

"The principle of VSD technology is, firstly, the closure enables the high negative pressure as the drainage power to be maintained, and at the same time isolates the drainage area from the outside world, effectively preventing contamination and cross-infection."

"Secondly, high negative pressure sealing can continuously drain exudate, necrotic tissue, bacteria, toxins, etc. from the wound, so that "zero accumulation" can be achieved in the drained area, and the wound can quickly obtain a clean environment."

"The third point is to increase the blood supply of the wound surface, improve the microcirculation of the wound surface, and promote the growth of granulation tissue. VSD can significantly enhance the proliferation and microvascular density of vascular endothelial cells and fibroblasts in the superficial dermis of the wound margin tissue."

On the other end of the phone, Wang Chuan obviously became more interested as he talked, and his tone was a little excited.

"The fourth point is to regulate the activity of gelatinase in the wound, improve the microcirculation in the wound base, inhibit the degradation of collagen and gelatin, and promote the healing of the wound."

"The last thing is to reduce periwound edema and reduce vascular permeability. VSD can significantly promote wound healing by enhancing the expression of substance P secreted by peripheral nerve endings and calcitonin-related gene peptide, and affecting the expression of endogenous epidermal growth factor." effect."

After introducing the principle and the superiority of the technique, the other end of the phone sighed, obviously a little regretful that Tang Lou was born to be on the opposite side of him.

After a while, Wang Chuan said the last sentence:

"Doctor Liu, Tang Lou's operation is a very meaningful operation regardless of the patient's level. I hope you can go and watch, and after you are done, describe the operation process to me. Please."

Liu Jinjin nodded while holding the mobile phone, obviously did not expect that Wang Chuan would have such an evaluation of Tang Lou's operation plan.

After coming out of the toilet, Liu Jinjin hurried to the treatment room and said to Tang Lou: "Doctor Tang, I completely agree with your surgical plan. But, um, can I watch during the operation?"

Tang Lou didn't think there was anything wrong, and Duan Fei's expression on the side was not very good-looking. In his opinion, Tang Lou had already agreed to operate on his relatives. Liu Jinjin proposed to watch from the sidelines. See for yourself.

Seeing that Tang Lou didn't object, Duan Fei shook his head, Tang Lou was still too young and had a good temper.

If you change to a more senior doctor and perform surgery on his family members yourself, you have to watch from the sidelines, and it will be embarrassing.

"Doctor Liu, you can come to observe, but you must keep quiet, don't talk in a wrong way, and don't allow other people to watch together, so as not to affect Dr. Tang's operation."

Duan Fei is a few years older than Tang Lou. Apart from being an assistant to Tang Lou, the rest of course has to be a good escort. Now Tang Lou is the treasure of their medical team.

Moreover, although Duan Fei always achieved physical success by following Tang Lou, he really benefited a lot. I don’t know if it was an illusion. Following Tang Lou’s surgery, Duan Fei unknowingly memorized many operating techniques. Fei can be sure that he has definitely improved a lot compared to a month ago.

In addition, the most important thing is that, following Tanglou's daily volume of six or eight surgeries, the surgery fee allocated is very objective!

The little wife raised her pocket money from five yuan to ten yuan a day!
This month has already been Duan Fei's largest bonus ever since he started working in the industry.

"Dr. Duan, don't worry, Dr. Tang. I understand." Of course Liu Jinjin will observe the operation quietly, and it is even more impossible to find other doctors to watch it together. The less people who know about this operation, the better.

"Then Doctor Tang, I will take my relatives to sign the paper first, and the fee will be paid."

In order to prevent Tang Lou and the others from knowing the identity of Wang Chuan's aunt and uncle, Liu Jinjin went directly to communicate with them and arrange the preparations before the operation.

After everything was ready, at noon, Tang Lou's operation started on time.

In order to leave a good impression on Tang Lou and Duan Fei, Liu Jinjin went to take a shower in advance, changed into new SpongeBob SquarePants underwear, and then put on brand new hand washing clothes before entering the operating room and obediently stood aside.

He had a mission for this operation, and he was also very curious about what kind of operation was so praised by Dr. Wang.

Regarding Tang Lou not taking a break at noon and adding an additional operation, the equipment nurse and anesthetist had no complaints at all.

Especially the equipment nurse, who was very happy, and was able to stay with Dr. Tang for a while.

Since the patient has a recurrent hernia and the incision is infected early, it is different from conventional abdominal external hernia repair.

In the design of Tang Lou, the anesthetist first gave the patient local anesthesia.

Tanglou then removed the sutures from the incisional skin and subcutaneous tissue, and thoroughly debrided the incision.

Under the three-star debridement technique, the whole process was clean and neat, without causing secondary damage or pollution at all.

This process was very fast. Just this move made Liu Jinjin stunned.

Liu Jinjin was even more startled by the surgery to strengthen the visceral sac with a huge patch.

Since it is a secondary separation wound, the operation requirements for doctors are very high. When dissecting the hernia sac at a high position, from the transversalis fascia to the preperitoneal space, Tanglou directly chose to use the index finger to perform blunt dissection in all directions in the preperitoneal space. separate.

This is a very amazing move. Blunt separation of the index finger is very prone to accidents and injuries, and requires very high stability of finger strength.

For Tang Lou's choice, Liu Jinjin's heart hung directly in his throat. This feeling is like a foodie, using a pair of one-meter-long iron chopsticks to pick up a piece of tender tofu from the pot.

To control the pair of long iron chopsticks already requires very strong finger strength, and the target is a piece of tender tofu, which will be crushed with a little force, but the strength is not enough and it cannot be picked up. Even if it is picked up, it still needs to pass A long path requires terrifying stability and persistence.

"I go."

Seeing Tang Lou's reckless operation, Liu Jinjin really wanted to scold someone, whether this guy can do it or not.

3 minute later.

"I go."

Liu Jinjin saw that Tang Lou completed the blunt separation with ease, forming a wider gap.

Liu Jinjin suddenly became skeptical about his life. No matter how it looks, this operation is also very easy.

It obviously required the cooperation of the main knife and the first assistant. The nearly 20-minute operation was in the hands of Tang Lou, and it was solved in less than 3 minutes with only a pair of meaty hands.

"Why!"

Liu Jinjin looked at the scene where the equipment nurse was obsessively watching Tang Lou focus on the operation, and then thought of a fact that broke his heart even more.

That is, Tang Lou's peerless appearance.

"My God, it's too unfair. Why is he so handsome and so good?"

Liu Jinjin felt that his heart was breaking into pieces.

At this time, Tang Lou had already started implanting a patch, a huge 12X12cm patch was inserted into the preperitoneal space.

"Needle Holder, No Suture Absorption"

The instrument nurse obediently handed over the silk thread and the needle holder.

Tang Lou's hand, which had just been bluntly separated, began to sew without stopping.

Then, Liu Jinjin's mood was depressed again. Tang Lou's stitching was so perfect that even in his sleep, he could not have imagined it so perfect.

Ten minutes later, Tang Lou had completed the suturing of the external oblique aponeurosis.

Next, Tang Lou began to perform VSD negative pressure sealing drainage technology. According to the length and depth of the incision, he began to trim the VSD foam to a suitable size and put it into the incision.

Liu Jinjin unconsciously watched with gusto, and even had the urge to take notes.

Under Liu Jinjin's curious observation, Tang Lou completed the sealing of the VSD-specific semi-permeable biofilm.

"Drainage tube, negative pressure suction device."

Tang Lou issued an order that Liu Jinjin was very unfamiliar with.

"Saline."

Under Tang Lou's command, Duan Fei began to flush the VSD channel with saline.

Under Liu Jinjin's curiosity, Duan Fei completely removed the necrotic tissue in the wound
Another 10 minutes later, under Liu Jinjin's half-understanding, Tang Lou completed the VSD negative pressure sealing drainage.

"Observe the drainage fluid 5-7 days later. If the drainage fluid appears light yellow or transparent, the redness and swelling of the incision subside, and no bacteria are found in the drainage smear, the VSD can be removed. The incision can be sutured a second time."

After Tang Lou finished his explanation, he announced that the whole operation was successfully completed.After that, Duan Fei was responsible for the postoperative follow-up.

The whole operation took a little over an hour, and I could take a break at noon.

For a moment, Liu Jinjin suddenly understood why Dr. Wang Chuan always asked for Tang Lou's knife.

(End of this chapter)