Auto chess in the operating room

Chapter 105
Regarding Qingping's question, Tian Linsheng had long since given up struggling, and looked at Tang Lou expectantly.

Tang Lou did not stop the movement of his hands, and said calmly: "There are four commonly used methods for treating the mesoappendix."

Qingping raised his brows, a little bit interested, more and more thoughtful about the comparison, and increased the difficulty after thinking about it: "Then tell me, the advantages and disadvantages of these methods, and which method I might adopt? "

Regarding this question, Tian Linsheng already had a head as big as Lei Jiayin. Watching the confrontation between Tang Lou and Qingping, he felt a kind of comfort of fighting with gods.

Sure enough, in the next step, Tang Lou started the analysis directly:

"The first method is to separate the mesappendix, and clamp the mesappendix and artery with titanium clips once or in stages. The distal end is cut off with an electric coagulation hook until it reaches the root of the appendix."

"This method is the easiest to operate and the easiest to master. It is generally suitable for beginners. If Dr. Ma is here today, he will naturally use this method."

The implication is that with Qingping's rank, he naturally disdains to use such superficial moves.

The corner of Qingping's mouth raised. For a veteran, he really has such arrogance, and he no longer looks down on this elementary method: "Continue."

"The second method is coagulation. The mesenteric blood vessels are electrocoagulated for 3 to 5 seconds until the mesentery turns white, or the mesoappendix is ​​clamped by the ultrasonic scalpel to directly coagulate the blood vessels."

"It's just that this method may cause secondary damage, because the wound is relatively large, and a small number of patients may have right lower quadrant pain after surgery. A doctor who is as strict as Dr. Qing and pursues perfection naturally would not use this method."

After Tang Lou finished speaking, he glanced at Qingping. The latter's satisfied eyes were full of approval, which won my heart.

Tian Linsheng didn't understand the first half of Tang Lou, but he could hear the second half clearly. It turns out that Dr. Tang's dog-licking skills are also full marks.

"anything else?"

Qingping was also interested, and continued to ask how much Tang Lou knew.

Naturally, Tang Lou would not disappoint Qingping, and directly pointed out the third method:
"The third method is called a linear cutting stapler to directly cut the mesentery of the appendix to the root. This method is good for everything, but the cost is too high, and everything can be ruled out."

"good."

Qingping's appreciation for Tanglou has strengthened a little bit. It is not easy to be able to name the four methods. If you can analyze the advantages and disadvantages of each method, then you need to do your homework.

Before, he was afraid that if Tang Lou was exposed to laparoscopic appendectomy so soon, he would be proud and impetuous, but now it seems that worrying is unnecessary, and he is fully prepared.

Tian Linsheng also sighed, it was too vigorous.

Chen Wenhao sat on the small bench, pricked up his ears, and was curious about Tang Lou's analysis.

"The last method is ligation. The mesoappendix is ​​used twice with absorbable thread, and the distal end is cut off with an electrocoagulation knife. However, this method has extremely high requirements for the surgeon."

Tang Lou raised his head and looked at Qingping: "Doctor Qing's proficient and superb skills are naturally not a problem. This method is the most suitable and has the best effect. Therefore, I am sure that Doctor Qing uses this method."

If it weren't for the inconvenience of wearing gloves in the operating room, Qing Ping would have applauded Tang Lou for his comprehensive and accurate analysis.

In particular, the word "proficient in proficiency" is too apt to describe it.

It's not like some uneducated people who can only hold grass with one sentence!
"Well said, then Dr. Tang, let's continue."

"it is good."

".absorbable thread, electrocoagulation knife preparation"

Qingping gave the order freely, and the equipment nurse at the side hurriedly followed.

Tang Lou's laparoscope has been adjusted to the best field of view. With his natural resilience, Tang Lou's hands are still steady after so long.

Under Qingping's skillful operation, the mesoappendix treatment was quickly completed.After that, the separation forceps are used to gently clamp the roots to squeeze out any possible fecal stones.

In principle, there are many ways to deal with the roots, but Qingping is convinced that Tanglou must know them all, so he will not compare them anymore.

Qingping directly used absorbable suture for purse string suture to bury the stump.

It was not until this step that Tian Linsheng was very kind, and he stitched up the purse. He had tried many times with pig large intestine and pig small intestine.

After removing the appendix, Qingping began to flush the abdominal cavity and placed a drainage tube.

After doing all this, Qingping finally completed all operations.

Tian Linsheng watched eagerly.

"Tian Linsheng, responsible for suturing."

Qingping originally wanted to be stitched by Tanglou. After all, Tian Linsheng's foundation was too poor, but after thinking about it, he felt that it was a bit inferior to Tanglou's level.

With this idea, Qingping himself felt ridiculous. As an intern, he would feel that being rewarded with stitches was an abomination.

This tenement building really cannot be judged by common sense.

Tian Linsheng glanced at Tang Lou gratefully, and seeing the latter's encouraging eyes, he nodded emphatically, he must not embarrass Dr. Tang.

In the next 10 minutes, Tian Linsheng completed the stitching in a decent manner. Although it cannot be compared with Tanglou, it is already very good.

These days, pork, pig large intestine, pig small intestine, and the teachings of Tang Lou still worked.

"Tian Linsheng, you did a good job."

Before Qingping left, he gave an unprecedented compliment, and also gave a very meaningful instruction:

"Tang Lou, come to my office later to look at a patient's profile. Tomorrow I have a laparoscopic cholecystectomy. I need help. Help me hold the mirror."

Half an hour after the operation, Tian Linsheng still seemed to be dreaming, and he actually completed a case of laparoscopic appendectomy suturing!

He was also praised by Qingping, who has always been known for his strictness.

However, Tian Linsheng knew very well that all of this was given by Dr. Tang. Dr. Tang might be able to perform laparoscopic appendectomy soon, and he must work harder to keep up with him.

Tian Linsheng regained his composure, and began typing the medical records again.

At this time, Wang Daquan came back from his ward rounds, saw Tian Linsheng, and asked curiously: "Dr. Qing's operation today, how is Tang Lou holding the mirror? Did you get scolded by Doctor Qing?"

Wang Daquan could imagine that Tang Lou was at a loss for the first time, which was a nightmare for every newcomer.Anyway, he was used to being scolded, so he had a thick skin.

"Are you scolded for holding the mirror? Isn't it very simple to hold the mirror, just look at the field of surgery?"

Tian Linsheng recalled the operation of Tanglou, it was seamless.

"Are you kidding? You said holding a mirror is easy? Do you think it's the same as you doing pulling a hook?"

Wang Daquan looked at Tian Linsheng in disbelief, this guy must be out of his mind.

"It's very simple. I saw that Dr. Tang grabbed the camera and moved a few times following Dr. Qing's operation, and the operation was done. Dr. Qing didn't have a chance to scold people at all."

Tian Linsheng briefly described it.

Wang Daquan's face was full of doubts, how could it be possible?

"What about Dr. Ma, didn't you go to the ward round with him, why did you come back by yourself?"

Tian Linsheng didn't see Ma En, so he asked with some doubts.

"Oh, Dr. Ma originally wanted to come back to prepare for a laparoscopic cholecystectomy. He will cooperate with Dr. Qing tomorrow. On the way back just now, Dr. Qing called him over."

While Wang Daquan was talking, Ma En walked into the office angrily.

He threw the ward round case information on the table, as if he had been greatly humiliated.

"What's wrong? Doctor Qing scolded you?"

Ma En took a deep breath and was very puzzled: "I wasn't originally scheduled to help Dr. Qing, but just now Dr. Qing called me to the office. Guess who I saw? I was really pissed off. He Why!"

(End of this chapter)