Auto chess in the operating room

Chapter 348 Demonstrating the Lecture to the Colleagues of the First Municipal Hospital
In the operating room, Linga had already arranged various matters.

Because the patient had severe heart failure, the operation was officially started after the internal medicine department used cardiac glycosides and diuretics to control the heart failure in advance.

As soon as he heard that it was Tang Lou's first operation in the city's first hospital, Chen Wenhao rushed over to cooperate with Tang Lou in anesthesia.

"Doctor Tang, long time no see."

Chen Wenhao yelled happily, and then started the routine general anesthesia with endotracheal intubation, and at the same time performed hypothermic extracorporeal circulation.

It was really a treat to be able to see the operation at Tanglou again.

"Scalpel"

Tang Lou issued the first order, Ling Jia cooperated quickly, so nostalgic, Ling Jia secretly looked at Tang Lou's side face, so handsome!

Tang Lou used the bow-holding pose to make an incision in the center of the patient's chest. Under the three-star incision, only a few neat strokes completed the incision and exposure.

"It still smells like that."

Linga was on the side, watching Tang Lou's pleasing operation, and it really couldn't be compared with the doctors of the first hospital in other cities.

"One assistant, carefully observe whether the position of the major blood vessels is consistent with the disease, whether there is stenosis, and further check the type of single ventricle."

Tang Lou calmly began to issue one order after another.

Wu Changlin concentrated on it, tried his best to keep up with Tang Lou's rhythm, and began to carry out various operations. As expected of Tang Lou, Dr. Wu was under a lot of pressure at the beginning.

"First aid, check whether the coronary vessels are deformed and its direction, and try to choose transatrial repair"

"Okay, Doctor Tang."

Wu Changlin was still thinking about what to do, but Tang Lou directly proposed a solution for him.

"As expected of him, Dr. Tang has too much control over the entire operation."

Sun Danfeng on the side silently memorized the operation sequence of the Tang Tower. The more he looked at it, the more he admired it.

"Doctor Tang, what should we do when some patients need to be repaired through the ventricle?"

Sun Danfeng completely regarded Tang Lou as an expert, and he was not ashamed to ask.

"If it is a transventricular repair, then a fish mouth incision can be used, and the location of the ventricular incision should avoid the coronary vessels."

Without even thinking about it, Tang Lou blurted out that he was too familiar with ventricular corrective surgery.

"Oh, I see."

After hearing Tang Lou's teaching, Sun Danfeng's eyes lit up, and he simulated it in his mind. This is what happened, he deserves to be Dr. Tang.

And when Tang Lou was performing surgery in the operating room, Director Qian Gang also came to the office. After hearing about the difficult operation performed by Tang Lou, he was also very pleasantly surprised.

Director Qian Gang thought for a while, then pointed to the few remaining doctors in the department and said: "Today, Doctor Tang happened to be back in the department, and was performing the difficult reconstruction of the interventricular septum in the operating room. Learn and learn."

"Okay!"

The rest of the residents in the department, as well as a few interns, were very excited. Tang Lou is now famous, especially for the amazing deeds he has done in Zijingang Medical College.

Director Qian Gang was also very interested in Tang Lou's operation, so he took a group of people to the observation room.

And when Qian Gang took the cardiology department to the observation room, several interns and residents also spread the news.

"Dr. Tang performs difficult surgeries in the operating room. If you have nothing to do, you can come to the observation room to study, learn, and see Dr. Tang's demeanor."

In the general surgery department, Guo Caier also received a message from an intern. After looking at it, it turned out that Tang Lou had returned. After looking at the arrangement in hand, he also ran to the observation room.

However, Tanglou naturally knew nothing about this and was still carrying out Lin Lin's surgery seriously.

Next, one of the difficulties in this operation is to expose the two sets of atrioventricular valves and the connected chordae and RT muscles through the atrial incision. The positioning of the ventricular septum is very dependent on the doctor's experience and clinical judgment.

In the observation room, Director Qian was also staring at the screen intently. Even he wanted to know how Tang Lou would deal with it.

Since the patient did not have an atrioventricular valve straddling, Tanglou thought about it for a while and chose the thick trabeculae between the right and left RT muscles as the dividing line, and selected Sichuan sutures to make the marking line.

In the observation room, Director Qian nodded appreciatively: "What a trabecular part as the dividing line, it's exquisite."

"Half pericardial patch scissors"

In the operating room, Tang Lou gave orders like a torrential rain without any pause at all. In the observation room, everyone had a smooth feeling of watching at 2x speed and without intermediate advertisements.

"Attention everyone, the next step is the selection of the patch and the appropriate pruning on the spot according to the patient's condition. This step is a test of the surgeon's experience and vision, and is also the key to the success of this operation."

Hearing Director Qian's explanation, the sitting residents and interns straightened their necks and watched the operations on the screen.

He also exclaimed in his mouth: "It's too difficult. Trim and improve the patch directly on the spot. If you cut too much or not enough, it will be fatal. Doctor Tang's control is too strong."

"Yes, according to the ventricular septum, it is cut into oblong patches of suitable size, and continuous sutures and mattress needles with spacers are used for reinforcement. I guess I will have to practice for several years for this set of operations alone before I dare On to the operating table."

"Wow, look, Dr. Tang has already finished pruning. Have you noticed that Dr. Tang's pruning is just like the previous incision. It's all done with one knife, and it's not messy at all."

"It's so powerful. Before Dr. Tang's operation, all the doctors in the city's No. [-] hospital were overshadowed."

An intern sighed.

If it were placed in other hospitals, young doctors like Tang Lou would have been sprayed to death by old experts and senior chief physicians if they dared to describe it like this. But at this moment, Director Qian Gang did not feel offended at all, on the contrary, he agreed with it nodded.

"As long as Tang Lou stands on the operating table, all the other doctors are supporting."

"Look, the patch trimmed by Dr. Tang is exactly the same size as the two ventricular cavities after it is placed."

"Actually, I want to say that this surgery seems to be very simple."

An intern muttered a little naively.

For such a young man who knew nothing about the world, many attending doctors who had been exposed to this operation silently shed tears in their hearts.

Sure enough, the rookies are prone to drifting away when they see the operation of the boss, and they all have an illusion: it is not just a cut, a cut, a patch, and a sew for reinforcement.

How easy!I will definitely learn it as soon as I learn it.

The fact is that once you do it, you will lose it!
All walks of life, at all times and in all over the world, are just like this.

In the operating room, Tang Lou went on to the next step. The separated blood flowed from the left atrium through the mitral valve through the left ventricular outflow tract and then into the aorta.
After 10 minutes, the operation was successfully completed.

In the observation room, Director Qian Gang smacked his lips, feeling that he still had something to say.

"Doctors, I have an idea. Dr. Tang is currently studying at Zijingang Hospital, and he finally came back. Or let him do more operations so that everyone can learn it all at once?"

"Good good!"

"Director Qian, let me go take a look. Recently, there have been several patients with different symptoms in our department who need ventricular correction. Okay, let Dr. Tang give us guidance."

Qian Gang looked at Tang Lou on the screen. He was too familiar with Tang Lou's energy and physical strength. The so-called fat and water don't flow to outsiders' fields. If you go to Zijingang to do it, it's better to do it at home. At worst, you will be tired and paralyzed. Little nurses, when you are tired and stupid, help three or four times, it is a trivial matter.

"Then it's settled. I'll give you 10 minutes to prepare. Everyone should bring their own dry food, mineral water, diapers, self-heating hot pot, etc. We will gather in the observation room in 10 minutes."

"okay!"

After hearing Director Qian's instructions, all the doctors began to disperse. In the Department of Cardiovascular Medicine, the surgeries that have been accumulated recently are representative, difficult, and complex. What everyone wants to see is all starting one by one. Gather at the operating room where Tang Lou is located.

Qian Gang rubbed his hands and smiled: "Dr. Tang, I'm Qian Gang. You see that it's a rare time for you to come back, so you can show off more to your colleagues in the department. Don't worry, this time the quantity will be large."

[Ding, new task, crazy show operation, showing various ventricular correction operations for colleagues in the city's first hospital.Task rewards, every time a case is completed, 2 gold coins will be rewarded.The card library is refreshed once]

Tang Lou didn't expect that it was just to save a field, but now it has become a task with a lot of gold coins, which is great!I was wondering where to get so many gold coins.

"Okay, Director Qian."

Tang Lou is full of energy.

On the other hand, Wu Changlin's legs softened a little. He was familiar with the deeds of Dr. Tang, the perpetual motion machine.

Linga's eyes lit up, and he pinched his legs, as if he could be exhausted by Dr. Tang again: "Wow, it's so exciting!" '

Ten minutes later, Tang Lou's second ventricular correction operation started.

(End of this chapter)