I'm really an intern

Chapter 369 Meng·Grievance·Brother.jpg (3000 chapters)

Laparoscopy is called "minimally invasive surgery".

Compared with laparotomy, which often causes a large scar, the external "trauma" it requires is very small.

Just need to make three small holes in the abdomen——

If it is a frontal laparoscopy and the belly button is included, then only two small holes need to be opened.

Whether it is in terms of the patient's ability to bear it or in terms of the healing state after surgery, laparoscopy is better than open surgery.

But at the same time, because the surgical approach becomes smaller, the field of view of laparoscopic surgery is bound to be limited.

This requires a lot of experience and skills of the surgeon.

And a corresponding job title is also required.

For example, the bald headed brother Yang, the deputy chief physician, can only get laparoscopic surgery to remove one adrenal gland alone.

He didn't even think about cutting the kidney independently.

Similarly, Zhang Tianyang doesn't even have to think about it.

When he picked up the scalpel and was about to cut it, Zhang Tianyang forced himself to expel all those thoughts that he had or didn't have from his mind.

Being able to make the first cut has already expressed the director's strong "love".

Didn't you see the jealous and frenzied eyes of Brother Meng holding the mirror opposite!

People need to be content!

The anchor points of the three holes have already been marked out.

They are the left anterior axillary line, the subcostal margin of the posterior axillary line, and the anterior iliac area of ​​the left anterior axillary line.

The blade slashed along the predetermined position, and under the addition of Zhang Tianyang's unusual joint stability, it presented a uniform and straight line.

If others had Zhang Tianyang's eyesight, they could even tell that the depth of the knife edge was the same except for the place where the knife was lowered and where the knife was lifted at the end.

Very steady hand.

An enviable surgical talent.

In the next second, blood leaked from the knife edge.

Zhang Tianyang blocked the wound in time with the other hand holding the sterile gauze.

"Good job."

Half of the director's face was covered by a mask, and half of his forehead was also covered by a hat.

But the wrinkles at the corners of the eyes and the eyes shining with obvious appreciation are not concealed at all.

The first cut doesn't really matter.

It doesn't really matter if you draw deep or shallow.

If it is shallow, it will be fine to deepen it.

Don't be afraid if it's deep, anyway, it's all fat underneath.

He mainly wanted to see if Zhang Tianyang, who had a great reputation in the internal medicine system, was equally talented in the field of surgery.

Now he has an answer.

"The breath is very steady, the knife is decisive, there is no timid posture, the depth is well grasped, and more importantly, the hand is also very steady."

The chief director's voice was full of admiration that was about to overflow. When he looked at Zhang Tianyang, he felt that the student was more and more pleasing to the eye.

"Leave it to me next."

He took the blood-stained scalpel from Zhang Tianyang's hand, and began to expand the incision made by Zhang Tianyang slightly.

Zhang Tianyang let the director snatch the knife, his expression didn't fluctuate, and his breathing was normal.

He just continued to pinch the gauze half-stained with blood, and promptly wiped away the blood that oozes out and obstructed his vision when the chief director cut him deeper.

The tacit cooperation, as well as the incomparably natural atmosphere lingering between the old and the young, left Senior Brother Meng speechless.

His eyes were slightly reddened.

In the palette inside, there are three points of envy, three points of envy, three points of regret, and one point of grievance.

Obviously he has known and got along with the chief director for a longer time

Obviously he is the graduate student of the chief director Zheng'er Bajing

Obviously, in this operation, the originally scheduled "first aid" is also myself.

Obviously I still hold a mirror in my arms, which is enough to prove my importance

but why

So want to cry?

If it weren't for the aseptic principle engraved in the bone marrow, Brother Meng would even want to put his hand on his forehead now.

harm

The scalpel comes in handy for only a short time.

When the gauze was almost unable to control the blood oozing from the wound, the chief director took the electric knife from Zhang Tianyang.

As the pedal under the foot was stepped on, the electric knife made contact with the inside of the wound, making a "sizzling" sound.

A puff of white smoke rose slowly from the electric knife, and at the same time, a smell of burnt meat entered everyone's noses little by little.

Because of the "electric welding" effect of the electric knife, the tiny blood vessels where it passed were scorched and solidified, and the sterile gauze in Zhang Tianyang's hand instantly lost its value.

"Do you know why you didn't use the electric knife in the first place?"

The chief director's eyes were fixed on the head of the electric knife all the time, and the work under his hands and feet didn't stop. He seemed to ask a question at random.

"because"

Brother Meng, who was holding the mirror, wanted to answer subconsciously. After spitting out two words, he swallowed the words that followed, and then closed his mouth aggrieved.

Yes, he suddenly realized.

This question is not for him at all!

This kind of common sense question about the details of surgery is obviously used for school exams or to teach newcomers.

A similar question was asked by Senior Brother Meng when he was first undergoing surgery.

Therefore, the chief director is making a small fuss about Zhang Tianyang!

But why did the chief director come to ask in person!

Wronged!

Brother Meng's gaze gradually became aggrieved and resentful.

She looks like a poor little daughter-in-law whose husband has been robbed.

Zhang Tianyang restrained his desire to shudder and avoided Brother Meng's gaze.

After waiting for two seconds, he felt that Brother Meng really didn't intend to answer by himself, so he opened his mouth.

"The electric knife will burn the skin. Although it can stop bleeding at the beginning, it will cause skin damage and affect wound healing."

The electric knife "cures" the tissue to "solidify", which is equivalent to sacrificing a part of the tissue to protect the remaining tissue.

If the skin is cut with an electric knife at the beginning, although it will not bleed, it will damage the integrity of the skin.

When it is finally sewn up, it will be extremely ugly and difficult to heal.

Inside the body it's different.

Anyway, as long as the skin heals and blocks the unclean things from the outside, it will grow back slowly inside.

In fact, it is very simple.

Just listen to it once and you will suddenly understand.

But for novices who are initially exposed to surgery, it is equivalent to a brain teaser.

80% of the little white cats will hesitate to answer because of "excessive tension", "stiff thinking" and other reasons.

The director took the time to give Zhang Tianyang a satisfied look.

"good."

For a moment, Zhang Tianyang felt that the resentment around him seemed to be deeper.

But his face was neither red nor his heart was beating, and his hands were steady.

It's okay, brother.

Wait until my two week rotation is over.

The big director is still yours.

I won't grab you~

The initial knife edge was quickly enlarged, and a large "Qiu card" was violently smashed in by the chief director through the knife edge.

Another large "autumn card" was pushed in from the bottom fixed point.

In addition, the chief director drew a line at another fixed point, and poked a small "autumn card" into it.

Then, as the gas is injected, the patient's abdomen bulges a little.

A complete laparoscopic environment is formed.

Brother Meng hugged the mirror and let the long tube of the laparoscope pass through the bottom hole, and the vision gradually appeared on the screen.

He carefully adjusted the depth and angle of the laparoscope, while ensuring that the lens did not touch any part of the patient's body, he tried to follow the two operating handles that the chief director poked in one left and one right.

Brother Meng is still very skilled in creating a clear vision that meets the requirements of the chief director.

It was precisely because of this time that he gradually regained his confidence.

Although Junior Brother Zhang is very powerful, in fact, I am the right-hand man of the chief director!

Me, Senior Brother Meng, with my arms akimbo!

As for whether Junior Brother Zhang will come from behind in the future?

Let's talk about it later!

At least I am the one holding the laparoscope now!

Brother Meng denied the questioning voice deep in his heart, and raised his chin slightly.

But he actually knew.

If you can cross your hips, you can cross your hips.

I don't have much time left for myself

Zhang Tianyang didn't know Brother Meng's inner drama.

But he is very clear about his position.

After all, he is just an intern, and the "intern position" on the operating table has always been for little white cats.

In fact, it is just to give the little white cats a chance to observe various operations at close range, and it will not really let them do important work.

The so-called "deflation" is to make them not too boring on the operating table, which means the same task.

So Zhang Tianyang consciously handed the scalpel backwards to the equipment nurse.

Then he skillfully picked up the rubber tube that had already been prepared, pressed the protrusions on both sides of one of the large "Qiuka" tightly, and clamped the other end with curved pliers.

Then he did not forget to flip a small switch on "Qiuka".

The chief director glanced at him again in his busy schedule, and praised him.

"Observe very carefully."

Zhang Tianyang's task is to loosen the curved forceps when the chief surgeon uses the electric knife to generate white smoke, so that the turbid air can escape.

But the premise is that the path formed by the rubber tube should be connected to the inside.

The ignorant little white cats usually don't understand anything when they come on stage, and they can only do what they are asked to do, and they don't even realize that they have to turn on the switch by themselves.

He would wait until his eyes were dazzled and the superior doctor jumped his feet before he became aware of the scolding.

But Xiao Zhang is different.

The director silently gave Zhang Tianyang extra points in his heart——

He must have been very serious when he saw the operation the day before yesterday, and he could remember such details.

Calm personality, solid knowledge, strong hands-on ability, and attention to details

Really want

With that in mind, the operation finally officially began.

"Zizzi-"

The electric knife continued to work, and smoke rose in the field of vision.

Zhang Tianyang turned his head and stared at the screen in a slightly twisted posture, while his subordinates deflated and held their breath skillfully

To be honest, he was kind of boring.

You can only look at the screen and listen to the "didi" of the monitor

Eh?

wait?

Zhang Tianyang was stunned suddenly.

I forgot to deflate the rubber tube in my hand.

The "didi" of the monitor! ! !

has a problem!

He instantly stood up from his chair.

(End of this chapter)