Auto chess in the operating room

Chapter 244 "Flying knife" expert?
"Then start preoperative preparation."

Zha Youquan was straightforward: "However, when Dr. Tang performs the surgery, he still needs Professor Liu to guide him remotely."

Zijingang Hospital's equipment is very advanced, especially in terms of concept, it has already implemented 5G medical care, that is, telemedicine.

With the joint efforts of general surgery department, anesthesiology department, teaching department, information center and hospital culture construction office, many remote surgery guidance and teaching have been successfully carried out. The whole process is coherent, accurate, high-definition picture, and sound quality transmission without delay.

"Okay, then Dr. Tang, you should do the preoperative preparation first, and I will contact Professor Liu and arrange other surgical assistants."

Ma Yashu is also a very capable person. After finishing his words, he started to execute them.

Dr. Zha Youquan, Dr. Cui Dangren, and Dr. Kevin chose to observe the operation, each with different ideas.

According to Tang Lou's preoperative explanation, because Huang Haiquan took medicine indiscriminately and vomited many times before, he needed to correct his dehydration and electrolyte imbalance.At the same time, blood transfusion, plasma and albumin were carried out to ensure the nutritional supply after the operation.

Before the operation started, Tang Lou's professionalism had already won Ma Shuya's complete trust.

Ten minutes later, Tang Lou walked into the operating room of Zijingang General Surgery. Compared with Hecheng No. 10 Hospital, all kinds of equipment are much more advanced, and the medical staff equipped are also very professional and complete.

But because of Tang Lou's special status, the equipment nurse and anesthetist were full of curiosity.

After all, "flying knife" is very common in China. Doctors who can go to Zijingang General Surgery Department to perform "flying knife" are well-known experts in their cognitive abilities.

Since Tang Lou was fully armed after entering the operating room, he did not see Tang Lou's age and appearance at all.

Therefore, the equipment nurses and anesthesiologists all thought that Tang Lou was a senior expert from other hospitals and respected him very much.

It's also a sigh, as expected of Dr. Ma Yashu, who is only a resident doctor, and can help an expert of this level.

"General anesthesia with endotracheal intubation."

Tang Lou entered the operating room, the chief surgeon's aura was fully activated, and he gave orders very calmly.

"As expected of a well-known expert, he is so imposing."

The anesthesiologist frowned, took a deep breath, and started anesthesia, but he didn't dare to slack off.

The equipment nurse, seeing the anesthesiologist being so cautious, for some reason, her palms were also a little sweaty.

Moreover, in front of her, there are senior attending physicians of orthopedics, Dr. Cui and Dr. Cha, who are studying and observing. They are indeed experts in "flying knives".

Of course, only these are still within their cognition. What makes them feel the most stressful is that the operating room is connected to the telemedicine system, and even Professor Liu, the big boss of the general surgery department, is silently observing and studying at one end.

"As expected of Professor Liu, he had 20+ hours of surgery during the day from yesterday to today, and he was still watching and studying in the middle of the night."

"This is not to show how extraordinary the doctor who is doing the surgery is. Even though Professor Liu is so tired, he still has to observe and study."

The equipment nurse and the itinerant nurse exchanged glances lightly, both of them were amazed, and they admired this magical "flying knife" doctor even more.

And Tang Lou's subsequent operations are also constantly confirming the inferences of the nurses and anesthesiologists.

Tang Lou quickly adjusted the patient to the supine position.

"Scalpel"

Under the three-star incision, Tang Lou has long been a master in the choice of abdominal incision, and there is no need for such things as marker pens.

Under Tang Lou's standard bow-holding posture, the scalpel gleaming with silver light cut across sharply. With just one cut, a 5cm straight incision was made on the left upper rectus abdominis muscle.

"Doesn't he even use a marker? A boss is a boss."

After completing the task, the anesthesiologist stood next to Dr. Cha and the others, and said in surprise.

Seeing Tang Lou's incision, Dr. Zha, Dr. Cui, and Dr. Kevin were completely attracted.

"Amazing!"

Such a precise incision technique is only possible if you have not performed more than a thousand operations, or practiced thousands of pig feet at home and cut thousands of pieces of pork belly!
Professor Liu in the remote system has seen Tang Lou's surgery for the second time, but he still finds it pleasing to the eye.

Originally, he was supposed to be the guide, but at this moment, it really turned into pure observation and appreciation. In the microphone, he didn't say a word, and looked obedient.

It made nurses and anesthetists sigh that the charm of this "flying knife" doctor is great.

"Next, positioning the proximal jejunostomy."

Under Tang Lou's innate concentration, he didn't rest at all, and directly entered the second step. The style of the operation was as airtight as ever.

Even the equipment nurse and Ma Shuya, who have been fighting for a long time in the General Surgery Department of Zijingang, are not used to it.

Especially when Tang Lou determined the speed of the jejunostomy, the incision chosen by Tang Lou was already close to the limit size, which showed that in Ma Yashu's view, it was very poor. Even Professor Liu in the remote system made it for Tang Lou. I broke into a sweat.

Especially Huang Haiquan had undergone a laparotomy before, so it was very difficult to find the jejunum.

Unexpectedly, Tang Lou did not hesitate at all. In less than two seconds, he directly found the duodenal flexure ligament at the left transverse process of the second lumbar vertebra, and at the same time gave instructions to the first assistant:
"Lift the jejunum 20cm away from the starting position of the jejunum for stoma use."

Ma Shuya couldn't control it: "Doctor Tang, how did you find the jejunum so quickly, and is 20cm too extreme? In the surgery I participated in before, the director said that the general range is between 15-20cm. "

Regarding Ma Yashu's question, Tang Lou was somewhat puzzled: "The diameter of the jejunum is thicker, the intestinal wall is thicker, the mesentery has less fat, and the mesenteric blood vessels are straighter. Aren't they all distinguishing characteristics. Is it difficult to find?"

Hearing what Tang Lou said, Ma Shuya was stunned, as if looking for the jejunum in Tang Lou's eyes was to pick out the only red bean among the three beans, as if it would be all right as long as he was not blind?
Is it that simple?Let me try.

According to the distinguishing characteristics Tang Lou said, Ma Yashu looked at Shuye again, as if reminded like this, the jejunum seemed to be a little different.

"This point."

Seemingly seeing that Ma Yashu had some difficulties in distinguishing the distance, Tang Lou used the tip of the pliers again to remind him.

"Oh."

Ma Yashu blushed, and carefully lifted the jejunum according to Tang Lou's position, maybe this is the difference between a genius and an ordinary person.

Ma Yashu feels that the difference between himself and Tang Lou in terms of the choice of surgery and self-requirements is like the difference between a tone-deficient tone-deaf and Jay Chou's absolute sense of pitch.

This kind of talent is talent, you can't accept it.

"Next, catheterization into the jejunum."

Tang Lou did not slow down his movements because of instructing Ma Shuya, and the airtight order was issued again.

(End of this chapter)