Auto chess in the operating room

Chapter 245 Perfect Small Intestine Ostomy

"Line 0 does not absorb the line"

Tang Lou directly performed a purse-string suture with a diameter of 0 cm on the selected jejunum to the mesenteric surface with No. 1.5 nonabsorbable suture.

Ma Shuya had already seen Tang Lou's textbook-level suture technique, so she wasn't too surprised.

Dr. Cui and Dr. Cha, who were watching from the sidelines, and Dr. Kevin, an expert in kinematics, were astonished.

In particular, Dr. Kevin was very excited. The suturing requirements for athletes' injuries, such as the suturing of the Achilles tendon, ligament, and nerve anastomosis, are very high.

Different surgeons produce very different recovery results.

A good surgeon can theoretically make athletes recover 100%, which means that athletes can recover to their peak.

Thinking about the superstars who have fallen due to injuries in the NBA, Dr. Kevin's mind immediately popped up the Bulls' youngest MVP Rose, the former Blazers superstar, Huang Mambaroy, and the legendary top three talents in history. Auden, wait.

The more he looked at Tang Lou's surgery, the more Dr. Kevin was full of anticipation. If Tang Lou came to perform the surgery on the next CBA player, he would definitely be able to recover to his best condition!
As for the admiration and admiration of the visiting doctors, Tang Lou didn't care at all. With his talent and focus, he didn't have time to pay attention to other things.

"Hemostatic forceps. F5 catheter with 3 holes in 14cm"

After Tang Lou finished stitching, with a blank face, he gave another key order in a calm tone.

The corner of the equipment nurse's mouth twitched. This expert's speed was too fast. She was usually used to a relatively slow frequency. Suddenly, it was really uncomfortable to be so fast, but it was quite exciting.

Immediately provide the equipment to Tanglou.

When Tang Lou finished using up the equipment, the nurse would not let Ma Yashu go, and directly instructed her to cut a small 0.3cm hole in the central part, reaching directly to the intestinal cavity.

Tang Lou's overbearing order: "Give me 15cm in!"

Ma Shuya pursed her lips nervously: "Oh~"

"After the catheter enters, the front end points to the distal segment."

While controlling Ma Shuya's movement and rhythm, Tang Lou followed up by himself, contracted the sutures of the purse sutures, and ligated the sutures of the purse sutures.

The whole process went smoothly. Ma Shuya, who was originally relatively nervous, became smooth and even actively catered to Tang Lou's movements under Tang Lou's skillful and patient guidance.

"The next step is to embed the catheter"

Seeing Tang Lou's smooth and smooth operation, and the rapid growth that made Ma Shuya visible, Professor Liu on the opposite side of the remote system also nodded frequently.

"Doctor Tang is really good. Not only is the operation precise, but he is also much faster than me."

"Placing an extraluminal catheter along the longitudinal axis of the bowel."

Tang Lou continued to guide Ma Yashu, and at the same time, he did not stop giving orders to the equipment nurse:

"Number 0 non-absorbable line. Prepare 20ml of normal saline"

"Dr. Tang is too good. He can't stop the equipment nurse and Dr. Ma at the same time. He is busy and not chaotic. It is really amazing!"

The anesthetist looked at Dr. Tang with great admiration, but unlike himself, a woman couldn't figure it out, let alone control two girls at the same time.

Next, I saw that Tang Lou chose interrupted sutures very accurately, and embedded the catheter in the seromuscular layer, controlling the length to a very limited 4cm.

"The syringe injects normal saline from the end of the catheter."

"Synchronously check the patency of the catheter and whether there is any omission in the suture site."

Tang Lou's orders resounded through the operating room very efficiently and clearly.

Obviously, Tang Lou is very clear about the whole operation process and every subtle node.

"He has a calm mind, and his ability to control the medical staff in the operating room is top-notch. At such a young age, he has the ability to coordinate operations that many senior attending doctors don't have. It really makes me feel ashamed."

Doctor Cha on the side sighed inwardly.

"The next step is to fix the catheter. So far, this operation has been completed impeccably!"

Dr. Cui was also amazed, and even felt a little distressed. Just let Dr. Tang perform the surgery, and ask Professor Liu to wake up from his sleep and guide him with a hammer.

According to Dr. Cui's eyesight, Dr. Tang's level of small intestine ostomy is probably ranked among the top three in Jiangxia Province.Professor Liu was always a bit underwhelmed in front of him.

"It's really the back waves of the Yangtze River pushing the front waves."

In the remote system, Professor Liu was also completely at ease. He was more at ease with Tang Lou's surgery than with his own surgery.

After all, I was getting old, had a high-intensity operation, and now it was almost one o'clock in the morning, and I couldn't take it anymore, so I yawned.

Professor Liu quietly exited the system, got into bed, and Mrs. Liu was asleep.Frowning, he hugged the old man's head in his arms and tightened it tightly.

His lips gently touched Professor Liu's hair, and he slept very soundly.

Professor Liu blushed and shrugged his nose. He was almost suffocated by the boredom, but he didn't dare to move too much to disturb Madam's dream, so he slowly moved his nose to the ravine. Fortunately, it was deep enough to breathe fresh air .

"Hey, after decades, I still can't change this habit. Is it true that I'm just like a big bear?"

The sleepy Professor Liu soon fell asleep, his head arched.

Mrs. Liu hugged Professor Liu, just like she hugged a big bear doll when she was a girl, full of security.

In the operating room, Tang Lou's operation was also in the final stage.

At the closest point of the jejunostomy to the abdominal wall, a small hole was poked and the tail end of the catheter was brought out.Make the jejunum and the peritoneum close to each other.

"Non-absorbable thread"

Finally, Tang Lou fixed the catheter, sewed up 4 stitches, and said to Ma Yashu:
"Remember, in this step in the future, you must check to make sure that the lifted jejunal loop is free of tension and kinks."

"Okay, Doctor Tang."

Ma Yashu nodded very seriously, following Dr. Tang's surgery, he could gain a lot of skills and details.

"The next thing to note is the post-operative precautions. As the small intestine suction tube is used to decompress the intestines, remember to connect the negative pressure suction device for suction immediately after the operation."

Since Ma Yashu didn't know much about this operation, and he was going back to Hecheng after the operation, he was afraid that there would be omissions in the future, so he stayed here, waiting for Ma Yashu and the nurses to clean up the mess and perform the operation at the same time. Notes later.

"Okay, okay."

Ma Yashu listened very carefully, and remembered that Tang Lou gave him the same feeling as Professor Liu. They were all experienced, and every word was full of knowledge, which benefited her a lot.

"Second point, as a small intestine catheter for nutrition supply, milk, sugar water or elemental diet can be dripped 6 hours after the operation, 50ml per hour, and the amount can be doubled the next day. On the third day, it can be changed to every two hours 3~200ml."

"Okay, Doctor Tang."

"In addition, the base of the ostomy intestine and the surrounding skin are wrapped with vaseline gauze or coated with zinc oxide ointment to protect it."

When saying this, Tang Lou looked at the equipment nurse.

"Oh. Good."

The equipment nurse immediately remembered seriously, this Dr. Tang is really patient, professional, and rigorous.

"Finally, the time for extubation of the enterostomy catheter should not be less than 10 days after the operation to avoid contamination of the abdominal cavity after extubation. After extubation, the abdominal wall fistula can heal on its own."

After finishing the last sentence, Tang Lou went straight to the bathroom, ignoring the people in the operating room.

A "small intestinal ostomy" is perfectly completed!
(End of this chapter)