Auto chess in the operating room

Chapter 284 Doctor Tang, How Did You Do It?
Captain Huang's head roared, obviously he misunderstood Tang Lou's meaning, and he was a little unsteady on his feet: "You said that the operation failed, Xiao Du, he can't do it?"

Dean Yang also looked very ugly. If the operation really failed, it would be a big shame. How could he explain to Captain Huang?

"No, no, you misunderstood me. I mean the surgery is done."

"finished?"

"How is it possible! How long has it been?"

Chen Qilong was so familiar with this operation that he directly questioned it. Now he was very suspicious that there was a big problem with Tang Lou's operation.

Liu Shiliang also looked at Tanglou angrily: "Do you know what you are talking about? If something goes wrong with the operation, I promise to send you back to where you came from!"

"Doctor Tang, surgery is always fast, what's so strange?"

Seeing that Tang Lou was suspected, Ma En also became upset. In the last medical incident, apart from Director Cheng who took care of the gangsters, the biggest trouble, Zhang Yuan, was solved by Tang Lou.

Ma En knew that Tang Lou specially found Zhang Yiming, the boss of Toutiao, for his own sake. It was all favors. For doctors like them, the favors of important people are so precious, and once they are consumed, they will be less.

He remembered Tanglou and Director Cheng's kindness to him.

So at this moment, Ma En didn't care about offending Director Liu, and stood directly with Tang Lou, defending him, and bearing the pressure of several big bosses with him. Of course, he believed in Tang Lou's surgical level.

Seeing the attitudes of Ma En and Tang Lou, Dean Yang's face became gloomy, and his tone was a bit unkind: "This is how your general surgery department is doing things now. What's your attitude? If something happens to Du Sanduo's condition today, See if I don't clean you up."

Dean Yang squeezed out an ugly smile: "Director Chen made you laugh."

Liu Shiliang also sprayed at Tang Lou: "Why don't you go to the operating room with us and see how Du Sanduo is doing and whether it can be recovered."

Chen Qilong was not very interested in the punishment after the first city hospital, but directly asked Tang Lou: "Xiao Tang, since you said that the operation has been completed, then tell me about your operation process, I think See what's going on, and is there any possibility of remediation?"

Of course, Chen Qilong didn't think that Tang Lou had completed all the operations, after all, the time was too short.

"That's right, how did you perform the approach? Did you use percutaneous nail placement?"

Liu Shiliang was also tortured professionally. It would be better if the minimally invasive percutaneous nailing technique was used.

"Percutaneous nail placement is indeed a minimally invasive surgery, but it has its own flaws. In order to make Sanduo 100% heal, I adopted the improved approach through the paraspinal muscle space."

Tang Lou explained as he walked, not in a hurry.

"What, you said you used a modified transspinal muscle space approach."

Chen Qilong and Liu Shiliang thought they heard it wrong.

"Yes, oh, this operation is indeed not commonly used. If the two directors are not familiar with it, I can introduce it in detail. Compared with the percutaneous nail placement method, the improved transspinal muscle space approach has better trauma. The restoration of the height of the anterior vertebral edge, better intraoperative soft tissue injury, shorter incision length and less intraoperative blood loss, less adverse reactions, better reduction height of the injured vertebra, and lighter paravertebral soft tissue injury.”

Tanglou is really professional and comprehensive, explaining the profound things in simple terms and popularizing science.

"Cough cough."

Dean Yang coughed, what do you mean if the two directors are not familiar with each other, do you think you are talking human?

Just when Dean Yang wanted Tanglou to shut up and the junior class was trying to do something, he noticed the two directors who had fallen silent.

"Ugh?"

Since he entered the management position, Dean Yang didn't know the gold content of Tang Lou's words at all, but the two directors on the front line all the year round understood.

Liu Shiliang and Chen Qilong looked at each other, their eyes were full of shock. People who have never done this technique may not be clear, but they understand very well that the few points Tang Lou said comprehensively and accurately summarized the improved meridian vertebrae. All the advantages of the paramuscular approach.

That is to say, this young doctor has really studied the improved approach through the paraspinal muscle space in depth!
Chen Qilong asked curiously: "So you successfully carried out the improved approach through the paraspinal muscle space?"

Tang Lou nodded confidently: "Of course."

"You are also familiar with anterior decompression, internal fixation, bone grafting and fusion for thoracolumbar fractures."

"of course."

Chen Qilong pondered for a while, this young doctor was really immodest, and immediately asked: "Then what do you think about intraoperative bleeding?"

Without thinking, Tanglou blurted out: "There are three possible causes of bleeding: first, improper handling of segmental blood vessels, which should be clamped and cut during the operation and then double ligated; second, bleeding in the vertebral body, which is unavoidable when removing the vertebral body. , the blood source should be prepared, and the operation should be performed while suctioning, so as to shorten the operation time; the last possibility is venous sinus bleeding, mainly when resecting the posterior wall of the vertebral body, the posterior wall of the vertebral body and the posterior longitudinal ligament can be removed in stages, and gelatin sponge Apply pressure to stop bleeding.”

After Tang Lou finished speaking, he glanced at Chen Qilong: "Don't worry, Director Chen, I'm well controlled, and there was no bleeding during the operation."

Liu Shiliang pouted his lips, but he didn't say anything after all, because he found that Tang Lou's understanding of this technique was no worse than his.

And every time he has an operation, there will inevitably be some bleeding.

Chen Qilong was a little surprised and surprised, and asked directly: "Then what do you think, the abdominal aorta or inferior vena cava is injured."

Tang Lou continued: "I don't care much about this, after all, this kind of situation will not happen to me. If it does happen, it can only be said that the surgeon needs to be more careful and focused. This includes the anatomical separation of the vertebral body and the avoidance of The vertebral screw is too long."

Ma En saw the needles: "Doctor Tang's concentration, physical strength, and energy have always been the best in the city's first hospital."

Liu Shiliang: "."

This is obviously a criticism meeting, why is it open, it seems to be a commendation meeting?
Moreover, Liu Shiliang sadly remembered that he was embarrassed once, and his abdominal aorta was injured during the operation!

Dean Yang's expression also became weird, which recalled Tang Lou's performance in the emergency training camp when he first came to the city's first hospital.

Could it be that this brat, who has been in the city's first hospital for less than a year, has grown up enough to perform such a difficult operation?

Chen Qilong continued to ask: "So if a spinal cord injury occurs during the operation, it is a serious complication?"

Tang Lou answered eloquently: "That is caused by the decompression operation, and it may also be caused by the bolt entering the spinal canal by mistake."

Liu Shiliang was completely silent, as if he had encountered it before.

When several people were asking questions and walking to the door of the operating room, Guo Caier and the nurse in the operating room came out pushing a flat cart.

Seeing the mighty crowd, Guo Caier was also a little surprised.

"Is the operation really complete?"

Liu Shiliang asked again.

"The operation was very successful."

Guo Caier immediately said excitedly. She was also very excited to be able to complete such a difficult operation.

When Captain Huang heard that the operation was successful, he rushed up immediately, helped the flat car, and looked at Du Sanduo who was on the bed. The doctor told me that I can get out of bed after 4 weeks."

Chen Qilong and Liu Shiliang also stepped forward to examine Du Sanduo carefully. They used the most authoritative evaluation method in the world.

Then, they were surprised to find that after Tang Lou's surgery, they didn't feel any pain in the lower body, and Du Sanduo was able to control the stretching of his toes, which meant that the nerve compression was completely resolved.

Especially the controlled movement of the toes, which has just ended. Based on the experience of Chen Qilong and Liu Shiliang, of course it is clear that Du Sanduo can at least recover to more than 90%.

"Captain Huang, Du Sanduo's operation was very successful, and at least he can recover more than 90%. That is to say, he can not only live a normal life, but also has a great possibility to return to the fire brigade."

Chen Qilong made a very rigorous judgment.

"really!"

Hearing this sentence, Captain Huang was very excited.

"Doctor Tang, how did you do it?"

Liu Shiliang asked in disbelief.

"We have videos in the operating room."

Dean Yang's mentality has stabilized. As long as the operation is successful, he doesn't care who is performing the surgery.

Tang Lou, Guo Caier, and Dean Yang accompanied Captain Huang to send Du Sanduo to the ward.

As for Chen Qilong and Liu Shiliang, they went directly to the video for the exam, and went to the office to watch it together.

After clicking on the video, after 3 minutes, the two old directors stopped breathing:

"How can this surgery be handled like this?"

(End of this chapter)