When a doctor prescribes a plug-in

Chapter 144 Careful Explanation
At this time, Director Li Ziqiang had already taken the position of the chief surgeon, and Liu Hao also moved to the position where Sun Xiaojie was standing before and started his operation as an assistant.

I saw that Liu Hao had already fetched a new sterile tray, then picked up a new pair of scissors, and then began to skillfully cut the medical gauze, because in the next operation, the medical gauze still needs to be soaked Disinfected with iodine before surgery on the patient.

During the previous operation, director Li Ziqiang had performed minimally invasive surgery in front of Liu Hao. I remember that it was when Liu Hao just came to the emergency department from hepatobiliary surgery. Therefore, Director Li Ziqiang personally demonstrated the minimally invasive surgery to Liu Hao when he performed the surgery for the first time.

Although, Director Li Ziqiang personally performed several operations with minimally invasive surgical methods in front of Liu Hao, and every time during the operation, Director Li Ziqiang only performed them and did not explain them to Liu Hao. Well, director Li Ziqiang just said a word to Liu Hao, if it was more specific, it would be four words: "Inference from one instance to other cases!"

Until now, Liu Hao still keeps in mind the four words Director Li Ziqiang told him!

However, today, when Director Li Ziqiang is performing this operation, there is a big difference from before.

At this time, Liu Hao had soaked the cut medical gauze in iodophor, and brought it to Director Li Ziqiang. At this time, Director Li Ziqiang also started the operation, and at the same time, his explanation followed. here we go.

Director Li Ziqiang began to explain from the first step, which is the simplest disinfection. Although what Director Li Ziqiang explained now has been figured out by Liu Hao in future operations, Director Li Ziqiang still explained it seriously. stand up.

"Liu Hao, look carefully. The first step is of course the disinfection before the operation. During the disinfection, Liu Hao, you must remember that the area to be sterilized must be large. In this step, you must not replace it. The hospital feels sorry for these gauze and iodine, the job of the hospital is this. Besides, the hospital will not care about the things you save for him. Even if you save the hospital, the leaders of the hospital will not say anything to you A word of thanks, besides, these iodophors will not be counted on the patient. Liu Hao, you have to remember that when disinfecting the patient, you must control the soaked iodophor gauze from the It starts in the middle, and then gradually spreads to the surroundings of the patient's wound, but it must be disinfected from the surroundings to the inside, if it is disinfected in that way, it is meaningless, and it will not have the effect of disinfection and sterilization."

After hearing Director Li Ziqiang's serious explanation, Liu Hao nodded in response: "Okay, I remember, Director!"

Liu Hao knew what Director Li Ziqiang said just now, and Liu Hao also did what Director Li Ziqiang said just now.

However, for Director Li Ziqiang's detailed explanation, Liu Hao didn't feel disgusted or bored in his heart. On the contrary, at this moment, Liu Hao was listening very carefully and watching very carefully. Hao's expression and concentration look like an intern student who has just graduated from medical school and entered the hospital.

After the disinfection work, Director Li Ziqiang threw the gauze soaked in iodine into the medical trash can, then put the tweezers in his hand aside, and stretched out his hand to Liu Hao, saying He said, "Liu Hao, give me the scalpel!"

After hearing Director Li Ziqiang's words, Liu Hao on one side hurriedly walked from the position where Sun Xiaojie was standing to the position where Li Mengchen was standing before, which is what people often call the position of the first assistant.

After arriving at the position where Li Mengchen was standing, Liu Hao skillfully picked up a knife handle and a thin edge of the knife. With both hands, he skillfully placed the blade on the top of the knife handle so lightly, and waited for the blade to be smooth. After it got stuck, a scalpel was assembled in this way, and then Liu Hao put the scalpel in Director Li Ziqiang's hand.

Director Li Ziqiang followed up. Director Li Ziqiang explained while operating: "When using a scalpel to incise the patient's skin, it always incises 1 cm of the patient's skin, and this length is also installed with a 10-inch cannula trocar. Standard. Liu Hao, you must remember that the specification of this cannula trocar remembers the length of the patient’s skin, because it is all about the length. If the patient’s skin is cut long, then in the next step When placing the cannula trocar, it will not be placed firmly enough; if the patient’s skin is cut short, then when you place the cannula trocar in the next step, the patient’s skin will be forcibly stretched, so It will cause great damage to the patient's skin tissue."

Director Li Ziqiang's explanation is very detailed and thorough, and what Director Li Ziqiang said just now made Liu Hao feel very strange. From the beginning of Liu Hao's operation, he has always performed the operation according to the standard of the super genius doctor system. When cutting the patient's skin, Liu Hao also cut it according to the length of the speed of light for the auxiliary medical function of the super genius doctor system, so Liu Hao has never been clear about the concept of the length of the cut skin, because he no longer relies on it. When the operations performed by the super genius doctor system with the auxiliary medical function, Liu Hao had already silently memorized the length of the incision, so every time he performed an operation, Liu Hao was incision of the patient. During the surgery, Liu Hao just followed that standard.

Until today, director Li Ziqiang explained the length of the skin incision here, and Liu Hao had a real numerical concept of the length of the patient's skin incision.

As Director Li Ziqiang's operation is proceeding, Director Li Ziqiang's explanation is also closely following the operation steps: "Liu Hao, you need to connect the two sides of the outer edge of the rectus abdominis at the midpoint of the xiphoid process of the umbilical cord." Keep that in mind because these are the two most common placements for a cannula trocar in minimally invasive abdominal surgery, so keep that in mind.”

Hearing Director Li Ziqiang's special instructions, Liu Hao nodded: "Okay."

At this time, Director Li Ziqiang had already opened the wounds where the three trocars were placed with a scalpel, and then turned around and removed the three trocars from the iron frame one by one. Liu Hao originally planned to help Li Ziqiang himself. The director came to install the cannula trocar, but when Liu Hao saw Director Li Ziqiang's trembling hand, the moment he held the cannula trocar, it stopped shaking!
Just when Liu Hao was in disbelief, Director Li Ziqiang had placed the three cannula trocars firmly on the patient's body. !"

After hearing Director Li Ziqiang's words, Liu Hao nodded: "Okay." Then Liu Hao began to pick up the laparoscope that was put aside.

Li Mengchen and Sun Xiaojie, who were resting aside, couldn't help laughing softly when they saw Liu Hao, who was the surgeon every day, working as an assistant again.

Liu Hao skillfully manipulated the laparoscope into the patient's body through the cannula trocar, and then when the nurse in the operating room heard Liu Hao say "open", the patient's internal situation appeared on the electronic screen.

After the situation in the patient's abdomen was displayed on the electronic screen, Director Li Ziqiang began to say again: "Liu Hao, when you do this step, you should first look at the lump on the side of the greater curvature of the patient's stomach, and then carefully Take a closer look at the situation around the lump. In fact, this step is also observation! Although this step does not need to be done manually, it is also very important, because only by observing well and carefully, can you have a count in your heart and understand. Next, what should I do to cut off the lump accurately."

After hearing what Director Li Ziqiang said, Liu Hao on the opposite side turned his head to look at the large electronic screen according to Director Li Ziqiang's explanation.

After Liu Hao took a serious look at the patient's lump, and was about to open his mouth to report, Director Li Ziqiang said: "Through observing the lump in the patient's body on the side of the greater curvature of the stomach, we learned that the lump on the side of the greater curvature of the patient's stomach The length is about 0.7cm, and through careful observation, no potholes were found on the surface of the patient's lump, which means that the patient's lump has not yet undergone the atherogenic changes!"

Liu Hao also nodded after hearing Director Li Ziqiang's words. At this time, Director Li Ziqiang spoke again: "Next, we are here to observe the patient's surroundings. Through observation, we can clearly see the patient's This mass has been connected to the stomach wall tissue. Here I would like to say that the mass is adhered or not. When we cut it, it is basically two operations, so we must observe this step. Alright, I've figured it out!"

Director Li Ziqiang explained this step to Liu Hao in detail, and Liu Hao also listened very carefully and attentively. Liu Hao did not expect this operation, and it was a surgery that he had already studied, and he already had detailed instructions in his heart. I didn't expect that there would be so much new knowledge that I had never known after Director Li Ziqiang's explanation.

At this moment, after Director Li Ziqiang finished explaining this step, he took out a pair of long tweezers and a long electric knife from the iron frame, and inserted the two cannula puncturers closest to the patient's chest respectively. in vivo.

At this moment, Director Li Ziqiang began to control the long tweezers and the long electric knife in his hand, and continued to explain the next step to Liu Hao.

(End of this chapter)