Auto chess in the operating room

Chapter 103 Preoperative Examination
General Surgery Office, while Tang Lou was studying some cases of laparoscopic patients, Hu Jindong and his uncle walked into the office.

After the diagnosis of portal phlebitis, for treatment, after 15 days of anti-infection with cefoperazone sulbactam + vancomycin, Hu Jindong has completely recovered.

The patient's uncle stood at the door of the office, looking in.

Wang Daquan and Ma En were responsible for the usual ward rounds, so Wang Daquan immediately winked at Tian Linsheng proudly. Hu Jindong was able to be discharged from the hospital today, and it seemed that he came to thank Dr. Ma and me.

Just as Wang Daquan brushed his hair a few times and was about to get up to accept his thanks, the patient's uncle went straight to the tenement building with enthusiasm: "Dr. Tang, Jin Dong will be discharged from the hospital today. He and I came here to thank you."

Hu Jindong's whole face was as ruddy as a normal person's, and he smiled at Tang Lou behind him, "Dr. Tang, it's thanks to you for discovering my cause, so you can prescribe the right medicine, and I'll be fine so soon."

After Hu Jindong finished speaking, the patient's uncle had already placed a basket of fruits on the table in the tenement building, apparently carefully selected.

"Doctor Tang, let me make this point. After you finished talking that day, our family felt relieved. It was rare for Yuanyuan to sleep peacefully all night. Unlike some people, they don't know anything and are almost panicking us. I can’t drink it. After seeing Dr. Tang, Jindong is getting better every day. I really don’t know what to say, but thank you anyway. Then we won’t bother you.”

The patient's uncle put down the fruit, then turned and left with Hu Jindong, obviously upset about Wang Daquan's previous perfunctory.

Completely ignoring Wang Daquan, after all, this little doctor who doesn't know what to ask and who is always perfunctory gives him a bad impression.

It wasn't until the two of them walked out of the office that Wang Daquan blushed, but he didn't dare to burst out.

After all, who is the patient grateful for? He has no right to ask, but he is still aggrieved and dissatisfied in his heart. After running with him, he can't get a good word?

He slandered inwardly: "Isn't it just using Director Cheng's chicken feather as an arrow to pass on a message, making it seem like the disease was discovered by your Tanglou."

Wang Daquan sat down in his seat sullenly, and tapped the keyboard to vent.

Looking at the fruit on the table, although there is not much money, it represents the patient's full recognition of the doctor, Tang Lou is still very happy.

"Tian Linsheng, go wash the fruit and share it with everyone."

"Well, sure enough, I have fruit to eat with Dr. Tang."

Tian Linsheng hurriedly picked up a handful of fruit to wash up, and he was already looking forward to Tang Lou.

When Tian Linsheng finished washing the fruit, he met Qingping on the corridor.

"Doctor Qing, this is the fruit that Hu Jindong gave to Dr. Tang. It has just been washed. You can pick a few."

Qingping nodded slightly, took one casually, and at the same time mentioned a stack of documents in his hand to Tian Linsheng: "I was going to find Tang Lou in person, so you can tell him that at one o'clock in the afternoon, operating room No. 5 will arrange A laparoscopic appendectomy, you asked him to get ready to put down the mirror, and you also came over to watch. Prepare for the future.”

"Okay!"

Tian Linsheng's face was filled with joy, and he began to participate in laparoscopy. With Dr. Tang's learning ability, it seems that he will be able to perform the surgery in a short time, and he can also play with the laparoscope if he can't do it well.

Thinking of this, Tian Linsheng was even more excited. Wang Daquan had described to himself the beauty of the mirror several times before.

Tatata!
Tian Linsheng quickened his pace, ran to the door of the office, and let out his voice:
"Dr. Tang, Dr. Tang, good news. Dr. Qing has a laparoscopic appendectomy in the afternoon, and I want you to prepare the mirror. This is the patient's information."

When passing by Wang Daquan, Tian Linsheng casually took an orange and put it on his desk, and went straight to Tanglou.

Laparoscopic appendectomy can be said to be a symbol of a surgeon's growing wings. Familiarity with laparoscopy has laid a solid foundation for subsequent difficult operations.

The development of laparoscopic appendectomy did not take long. In 1983, semmk reported the first laparoscopic resection of non-acute appendicitis. It was not used until 1987 for acute appendicitis.

Compared with traditional laparotomy, laparoscopic appendectomy (LA) has the characteristics of fewer complications, less injury, shorter hospital stay and faster recovery.

Laparoscopic appendectomy can improve the diagnosis rate of acute abdomen in the right lower quadrant, and the scope of intraoperative examination is wider, and the surgeon can better observe the pelvic cavity, large and small intestine, and most of the abdominal organs.

Moreover, almost no painkillers are needed after laparoscopic appendectomy, and patients with non-perforated appendicitis can be discharged from the hospital 3-5 days after the operation and resume normal work and life.

Of course, the most important thing is that the abdominal wall incision scar of laparoscopic appendectomy is smaller, which is more in line with the needs of beauty, especially for young women, especially some special occupations, who can work more gracefully.

Of course, laparoscopic appendectomy cannot be performed blindly. For some acute appendicitis and perforated appendicitis, traditional laparotomy is safer.

In addition, considering the patient's condition, the cost of laparoscopy is much higher than that of traditional laparotomy. The current charging standard of the First Hospital of Hecheng City: TV laparoscopy costs 3500-4000 yuan, while laparotomy only costs 2500-3000.

Tang Lou took over the patient's information and read it, Tian Linsheng stood obediently aside.

Tanglou soon learned about the patient's condition. The patient weighed more than 250 kilograms. Because he was particularly obese, if a McLaren incision was performed, the surgical incision would be very large, and the risk of postoperative incision infection was high, so Dr. Qingping decided Had laparoscopic surgery.

After browsing for a while, Tang Lou ate a banana and got up: "Tian Linsheng, let's go to the ward to see the patient."

"Okay!"

Tian Linsheng held the notebook, looking like a younger brother.

Wang Daquan pressed his fingernails on the orange peel, feeling a bit sour: "It looks like you are the chief surgeon. As for what, you also see patients before the operation. Isn't it just a mirror holder? Who hasn't done it before, and needs to communicate with patients? Walk around, let's go, the eyes are out of sight and the heart is pure!"

Tian Linsheng and Tang Lou ignored Wang Daquan's thoughts. As they walked, Tang Lou said:
"Although we are only assistants today, the whole process must be in accordance with the requirements of the chief surgeon."

Tian Linsheng nodded in admiration: "I know that only by making sufficient preparations before the operation can you not panic during the operation."

After the lesson of closing the abdomen last time, Tian Linsheng realized that it is impossible for him to catch up with Dr. Tang in technology, but his habit awareness can be imitated.

The two of them arrived at the ward soon, and happened to meet Qingping communicating with the patients. When Tanglou and Tian Linsheng came in, Qingping was a little surprised, but also a little expected.

Just nodded slightly, Qingping continued to communicate with the patient, pressing the patient's abdomen from time to time.

A few minutes later, Qing Ping saw that Tang Lou and Tian Linsheng were still observing from the sidelines, not in a hurry, and comparing the information he had provided from time to time, so he said:
"Tang Lou, you can come here to understand the patient's condition in advance, which means that you have the consciousness of a chief surgeon. This is very good, Tian Linsheng, listen too. Although what I say next is very simple to do, it can avoid future operations. Overturning on stage, or even serious medical accidents.”

(End of this chapter)