The surgeon opens a cheat

Chapter 7

Change Zhang Gu to stand on the operating table.

Zhou Dongfeng had an expression of scrutiny and expectation.

The equipment nurse next to him quickly prepared the suture kit, ready to hand the equipment to Zhang Gu at any time.

Zhang Gu was not in a hurry to suture.

He put the gauze on first, starting from the ileum that entered the cecum, gently pulling the intestines, and gradually tidying up.

When Zhou Dongfeng saw Zhang Gu's action, a smile appeared on his face.

"It's not bad to know that you need to deal with the bowels after this kind of surgery."

"The technique is also very professional. It seems that he has really worked hard."

This kind of operation interferes a lot with the intestinal tract, and treating the intestinal tract can reduce the occurrence of postoperative intestinal adhesion and intestinal obstruction.

Zhang Gu’s treatment technique, location and sequence are very correct. The colon is an interperitoneal organ with a fixed position, and no adhesive ileus will occur, while the jejunum and ileum are highly mobile. If not handled properly, the probability of postoperative adhesion is high. Severe intestinal obstruction will form.

So Zhang Gu started from the ileum as soon as he got started.

Zhou Dongfeng nodded frequently as he watched.

Zhang Gu then gently pulled the greater omentum to cover the intestinal tube, forming a barrier with the abdominal wall, so as to prevent the wound surface in the abdominal cavity from forming adhesion with the intestinal tube.

After finishing these, Zhang Gu began to sew.

"1-0 absorbable sutures."

The equipment nurse quickly handed it over, Zhang Gu took it, and recalled the suturing part of the duodenectomy in his mind.

Although they are two different surgeries, the basic skills are the same.

A duodenectomy skill card is equivalent to raising many of Zhang Gu's basic skills to the elementary level.

This time the abdomen is closed and sutured, the peritoneal layer needs to be sutured first, then the anterior sheath of the rectus abdominis muscle, then the subcutaneous tissue, and finally the skin.From the inside to the outside, there are four floors in total.

Zhou Dongfeng stared at Shuye, wanting to see how Zhang Gu administered the first injection.

After the first stitch, the tension of each stitch depends on the strength of the first stitch, so the stitching of the first stitch is particularly important.

Zhang Gu dropped his hand quickly, crossed the end of the incision, inserted the needle vertically into the peritoneum from the outside to the inside, and then inserted the needle vertically from the inside to the outside from the corresponding position of the peritoneal layer on the opposite side of the incision, tied the knot, tightened the suture, and lifted the needle. The sutures are evenly and moderately strong.

After a set of movements, there is no jerky feeling.

Zhou Dongfeng's eyes lit up: "Not bad!"

No wonder Director Xiang praised Zhang Gu, just by looking at the first injection, you can see his level.

It turns out that this kid has improved so much without making a sound!
Zhou Dongfeng felt relieved.

It seems that in the future, we can spend more time and focus on cultivating Zhang Gu.

With the first stitch to lay the foundation, Zhang Gu will stitch more and more smoothly later.

At the last stitch, Zhang Gu did not immediately pull up the thread, but pulled the thread before the needle into a double strand, and tied the single strand of thread after the needle into a knot.

At this point, the peritoneal layer is sutured.

"This tail is also done well." Zhou Dongfeng nodded slightly, he had confidence in Zhang Gu's suturing skills.

Originally, he planned to give Zhang Gu a technical explanation.

After seeing Zhang Gu's performance, Zhou Dongfeng's tense nerves relaxed a little.

Young man, already reliable.

Next, Zhang Gu also sutured the anterior sheath of the rectus abdominis muscle and the subcutaneous tissue quite well, without any mistakes.

Zhou Dongfeng's eyes were even brightened by Zhang Gu's handling of the amount of sutures between different parts of the subcutaneous tissue.

For the part of the subcutaneous tissue that is weak in tension, Zhang Gu sutures a large amount to ensure that it can resist the tension of the incision.The amount of sutured tissue on both sides of the incision is relatively small, and the two sides are equal to ensure that the skin on both sides is smooth and beautiful after healing.

Every part is dealt with properly.

Sutures to the final skin layer.

Zhang Gu used triangular needles and 4-0 absorbable single-strand sutures for continuous intradermal sutures, and the sutures at the end were knotted and buried in the incision.

This kind of absorbable suture does not need to be removed after surgery, the suture is beautiful once, and the incision marks after healing are not conspicuous.

Looking at the whole stitching process, Zhou Dongfeng has already made a secret decision.

In the future, the abdominal closure and suturing of all operations will be handed over to Zhang Gu.

After taking off the surgical gown.

Zhou Dongfeng reassured: "The progress is not small! It is right to praise you to the director. However, you still need to practice more and learn more. Our director Corey Yao Na's stitching is the most beautiful. I will give you a chance to observe it another day. You See how the master stitches it."

Zhang Gu knows that he still needs to improve.He is currently only a junior, which is equivalent to the general level of the city.

He quickly agreed.

Then he began to push forward: "Mr. Zhou, if my sutures can barely get into your eyes, give me the opportunity to have a laparotomy in the future!"

Zhou Dongfeng didn't shirk this time, and directly said straightforwardly: "Yes! I will give you the opportunity to open the laparotomy for the next operation."

Zhang Gu was overjoyed, Mr. Zhou is such a good person!

When the two came out of the operating room, they heard the woman and the man praying anxiously.The little grandson kept looking at the door of the operating room, looking anxious.

"Bless the operation to be smooth and safe, so that mother can live a healthy life for decades."

"As long as my mother is well this time, I will definitely quit my job, come back to my hometown, and be a filial piety."

The little grandson immediately noticed that the door of the operating room was open, and suddenly raised his head and looked over.

He looked at Zhang Gu and Zhou Dongfeng with fear and expectation.

Afraid of telling the bad news they can't bear from the doctor's mouth.

Zhang Gu smiled and said: "The operation was very successful. After a few more days of observation and recovery, the patient can be discharged directly from the hospital if it goes well. The hospital bed will be rolled out later, and after the anesthesia wears off, you can have a brief exchange with the patient first."

As soon as I said this, I saw the tense spirits of a few people, and they were completely relaxed!

The little grandson jumped up in excitement.

The woman was weak all over, but there was a joyful smile on her face.

The man kept saying "that's great", then ran over in a few steps, bowed and shook hands, and thanked Zhou Dongfeng and Zhang Gu a thousand times.

Seeing the happiness of his family members, Zhang Gu's mood became much brighter.

After a few soothing words, Zhang Gu came to the duty room.

Look at the new words that come to mind.

"After completing a foreign body intestinal obstruction operation, the final score is 1.8 according to the comprehensive evaluation of the difficulty factor, performance, and operation time of this operation."

That's all?However, Zhang Gu understood after thinking about it.

It was just an ordinary intestinal obstruction operation, and it was far less difficult than the previous duodenal tumor resection.In addition, Zhang Gu was the deputy that time, and this time he only participated in the simplest abdominal closure and suturing, so the low score is a matter of course.

"Because the score is lower than 2.0 points, the rewards are not enough to be issued, and they will be accumulated and issued next time."

Zhang Gu sighed, okay!It seems that this scoring mechanism still encourages him to get high scores.

When I become the main surgeon in the future, it is absolutely impossible to get a score below 2.0.

It's better to perform more and win more opportunities for surgery.

At this moment, Shen Wenting's head came in, with a look of envy: "Brother Zhang! The department director of Shenwai called the department, looking for you."

Ma Chenglin?Is it a test thing?

(End of this chapter)