Auto chess in the operating room

Chapter 256 Deja vu surgery skills?
"Director Wu!"

Dr. Fei came to his senses suddenly, and frightened him smartly: "That was in a critical situation just now, so... I'm sorry, Dr. Tang is really good! Look, he's almost finished."

Although Dr. Fei's level is not good, his reaction is still very fast. He jumped directly to the final result and acted like he was the one who knew people with his own eyesight and acted in a hurry to save the patient's thigh.

"almost finished?"

Deputy Director Wu couldn't believe it. It took too long, and he hurriedly stepped forward and asked in a bad tone: "Which step is the operation? Are there any mistakes during the operation?"

"Director Wu, the operation was very successful, and Dr. Tang also used a temporary vascular bridging technique, which bought time for limb salvage and ensured the circulation of blood supply to a certain extent."

Dr. Fei spared no effort to praise Tang Lou. After all, the operation was successful, and he was also honored.

Moreover, due to Tang Lou's status, this operation is actually in his name, and the subsequent operation fees, etc.
Dr. Fei pointed directly at the suture that Tang Lou was completing.

"Director Wu, take a look at the stitching. It's even and beautiful, and it's completely at the textbook level."

As for Director Wu's sudden intrusion, Tang Lou didn't react at all, and continued to operate quickly step by step.

The movements are still flowing, and the order is given calmly: "The anastomosis of the blood vessels is unobstructed, alkalize the urine in time, replenish blood volume, and prevent and treat acute renal failure."

Seeing Tang Lou who was still focused, Director Wu obviously didn't expect it, and looking at the stitched place of Tang Lou, it was indeed at the textbook level.

However, because I came late, I did not see the nerve anastomosis and blood vessel anastomosis in the middle.

Director Wu frowned, and didn't know how to criticize him at the moment, so he could only glance at Dr. Fei who was on the sidelines: "Fei Zhe, arterial injury repair is a second-level surgery. Since you are here, how can you make Xiao Tang, a surgeon? Trainee doctor to do it? And it uses new technology, do you understand temporary vascular bridges? I don’t know to report to me, if something goes wrong!”

"No problem."

Tanglou, who was in the middle of the operation, replied with certainty, and then began to suture the incision.

"you!"

Director Wu didn't expect Tang Lou to speak so loudly, and just about to criticize a few words, he saw Tang Lou's last wound stitched up, and was immediately attracted.

On the thigh, due to the special location and the complicated wound of the patient, Tang Lou directly used four or five kinds of suture methods during the suturing process, targeted suturing.

"This suture level."

Deputy Director Wu was stunned for a while, and for some reason, he felt a familiar feeling, as if he had seen it before?
While suturing quickly, Tang Lou continued to explain: "I have fully considered the bridging technique. In terms of bridging materials, the general principle is that it is easy to take, close in diameter, and moderately elastic. The femoral artery is made of blood transfusion tube strips. , Radial artery using scalp needle tube, popliteal artery using ordinary venous infusion tube"

Listening to Tang Lou's analysis, Deputy Director Wu was surprised to find that the materials corresponding to each blood vessel were very ironic.

Tang Lou continued: "In terms of the use of bridging materials: the cutting length should be sufficient, avoid tension when bridging, pre-fill heparin, ligate firmly, and pay close attention to its patency and blood supply to the distal limb after placement."

Professionally, Deputy Director Wu is still very professional. When Tang Lou is a little bit, he will understand: "It's really, it's interesting."

However, after thinking about it again, Deputy Director Wu still raised his concerns, and asked a few specific details: "Temporary vascular bridge, why did you include the accompanying vein, as well as the tension of the tissue septum and the swelling of the limbs? "

Hearing Deputy Director Wu's question, Dr. Fei was startled, yes, why didn't he think of it, and looked at Tang Lou.

Didn't you think about it?
The latter kept suturing in his hands, and continued to output from his mouth: "Director Wu, the question raised is indeed very critical. Those with ruptured veins will be temporarily bridged and then rebuilt to avoid poor blood flow and blood stasis in the limbs, which will lead to decreased blood supply. Muscle fibrosis and infection occur. As for the prophylactic calf deep fascia incision and decompression, the tension of the tissue compartment can be relieved, the compression of the blood vessels by limb swelling can be relieved, which is beneficial to the return of the lower limbs, reducing the incidence of vascular crisis and avoiding ischemia reperfusion injury."

Tang Lou's answer was impeccable, and the movements of his hands were also perfect.

"Okay, the suture is complete. Active anticoagulation, anti-infection, anti-spasm, support, diuresis, and prevention of renal failure after the operation. Closely observe changes in the blood supply of the distal limbs, the pulse of the dorsal artery of the foot, sensation, movement, and skin temperature. .”

Tang Lou looked up at his little assistant.

Dr. Fei behaved like a quail under the aura of the chief surgeon in Tang Lou: "Okay, okay."

After agreeing, he remembered that Director Wu was still standing next to him, so he quickly put away his humble face and kept smiling to relieve the embarrassment.

"Director Wu, my operation has been completed, and there is still something to do in the general surgery department. Let's go first, and leave the rest to Dr. Fei."

After Tang Lou finished, he didn't stay any longer and walked directly to the changing room.

[Ding, new mission, emergency rescue completed, 2 gold coins rewarded, card library refreshed once. 】

Seeing Tang Lou, he left as calmly as a big boss. Director Wu felt weird. A young doctor is so proficient in repairing femoral artery injuries, and his surgical habits are like a senior director.

How can I describe the feeling of this picture, like a three or four-year-old doll with a Mediterranean hairstyle, holding a white porcelain teapot in his hand, drinking tea.

Old-fashioned!

However, looking at the completion of the operation and Tang Lou's response to the core problem, Director Wu couldn't say anything.

Should I call him 666?

After thinking about it, Director Wu looked at Dr. Fei, gasping for breath, and said directly, "Look at him, and then at you! You look like a quail! Although this operation is not bad at present. But if something goes wrong afterwards, you will be responsible! Do you understand!"

"understand."

Doctor Fei nodded like a quail, but he participated in the whole process of Tang Lou's surgery, he was very confident, but to be conservative, he still said: "Director Wu, in this way, I will take Dr. Tang's surgery later. I will send this operation video to you, and you will check it, if any negligence is found, we have time to remedy it."

In Dr. Fei's mind, there is such a picture:
Director Wu's mother: "Xiao Ming, didn't I tell you not to kneel down and look at the computer all the time! Save some paper towels."

Deputy Director Wu nodded, thinking about it for a while, maybe he found some flaws in the video.

"Assuming you still have some sense of caution, you can send it to me later."

Deputy Director Wu hurried away again. After all, the department still had many things to do.

In the afternoon, Deputy Director Wu finally had time to sit down, drank a sip of tea, and clicked on Tang Lou's surgery video.

(End of this chapter)