Auto chess in the operating room

Chapter 144 Choose blunt separation?
"Prepare for umbilical puncture."

Tanglou was not polite at all and gave the order directly.

Ye Kai naturally didn't expect Tang Lou to be so direct, and he was not polite to himself.No matter what, it's still home.

At least you know their name, right?

This kind of feeling is as if the big boss of the local tyrant arrived at the KTV, dragged one away, and then took it to the small room, and walked out without saying a word for a while, without even remembering his face.

Of course, even if the young lady stood in front of her after taking off her makeup, she would still be unrecognizable.

Just like Ye Kai now, under the surgical gown, the ghost knows what you look like. What's more pitiful is that no matter how bad the young lady is, she can still pass through certain murder weapons, certain long handrails, and certain magic chants during the process. Leave a deep memory on people.

However, in the operating room, Tang Lou didn't even have a chance to speak to him.

Ye Kai was very aggrieved, but he had to follow Tang Lou's order, after all, he couldn't fall under the name of Yan Ruoyun's medical team.

The piercing was completed quickly. Ye Kai's piercing was very good. In the past, when Lin Dong and others called him out, it was like being turned over, and he was as proud as a peacock with its wings spread. But now in Tanglou My subordinates, because Tanglou has been here for a shorter period of time, is younger and more handsome, I feel really bad.

"First aid, inflate CO2 to make the pneumoperitoneum pressure reach 12mmHg"

Tang Lou gave the order without any emotion, without any pause.

Ye Kai was taken aback for a moment, didn't this give him a chance to breathe?

Ye Kai felt like he was being targeted, and it was definitely the three fires that Tang Lou's new official took office to give him a blow.

Waiting for you to operate the main knife in a while, I think you can still be so non-stop.

Ye Kai took the equipment from the equipment nurse, started to infuse CO2, and soon completed the pneumoperitoneum.

"Preparing for Laparoscopy"

Tang Lou didn't waste any extra nonsense, and directly led the entire operation. After all, in the operating room, the conditions are not as good as before, and a team of people cooperates and cooperates, so many basic operations are completed by assistants.

In fact, the assistant is grateful for these opportunities rewarded by the chief surgeon.

However, because of Tang Lou's status and qualifications, Ye Kai couldn't accept it.

However, Tian Linsheng on the side is different. He has not finished speaking the last word in Tanglou, and has already centered on the navel.

Under his hands, the laparoscope rotated 360° to explore the entire abdominal cavity to understand the situation, and gave a very tacit conclusion:

"Intraoperative exploration: no adhesions and masses in the abdominal cavity"

"There is no disease in the liver and spleen"

"Gastrointestinal no adhesion, tumor."

"No bleeding at each puncture point"

When mentioning the puncture without bleeding, Ye Kai raised his neck slightly, he is very good at puncture.

It’s just that Tian Linsheng’s camera didn’t stop for a second at all, and he licked habitually: “Doctor Tang, your navel hole is positioned very precisely, completely avoiding all internal organs, and I have the confidence to puncture. It’s amazing. !"

Ye Kai's face instantly darkened.

Tanglou on the side also accepted it very calmly. He didn't want to say anything and just paid attention to the screen.

"Gallbladder size, inflammation and surrounding organs, tissue anatomy relationship"

Tian Linsheng was neither discouraged nor discouraged when Tang Lou didn't respond to his rainbow farts. After all, Tang Lou was really too powerful, and he could boast three or five sentences if he caught a little bit.

Ye Kai suddenly became enlightened when he saw Tian Linsheng's shameless attitude and how quickly Tian Linsheng was promoted to a mirror assistant.

Ding looked at Lin Dong with some fiery eyes, but just glanced down:

"There is no Tang Lou handsome"

"It's not as young as a tenement house."

“There is no tenement house with potential.”

"The operation seems to be normal."

"I'm almost hospitalized, and my wife is starting to have hair too."

"Um, can I change to another teacher ()"

Ye Kai became desperate. Before his dog-licking career even started, he was ruthlessly strangled by Lin Dong's frustration.

Lin Dong naturally didn't expect that Ye Kai would come back with a feather in his body, still watching Tang Lou's operation calmly.

But so far, Lin Dong is still very satisfied with Tanglou's operation, but it is not particularly amazing. After all, Tanglou's surgery is only a one-star cholecystectomy, which is the standard of ordinary hospitalization.

"Assistant, pull the bottom of the gallbladder and push it together with the liver to the upper right"

Tang Lou didn't give the order to stop the airtightness. Ye Kai really wanted to say that his name was Ye Kai, but the instrument guard had already thrown the instrument into his hand.

"Gently press the omentum."

Tang Lou's next order was issued, and Ye Kai was slightly startled. He had already performed many cholecystectomies with Lin Dong, so he naturally understood what Tang Lou meant.

"Blunt dissociation?"

Ye Kai obviously did not expect that Tang Lou would perform blunt dissection for the first time alone.

Blunt dissection refers to a surgical operation method in which the surgeon simply uses a scalpel handle, hemostatic forceps, and fingers to separate the original intact soft tissue.

Because there are a lot of connective tissue and pus attached to the gallbladder, only doctors who are very familiar with the anatomical structure of the gallbladder will use blunt dissection.

Generally, novices use sharp incisions directly. For example, a patient has an abscess on his arm. The young doctor is afraid that when dealing with the abscess, it will cause secondary damage and pollution, and cause poisonous blood. If there are complications such as the disease, he chooses to amputate directly on the upper part of the wound, once and for all.

And blunt separation is naturally like an apple with a rotten hole, but the rest of the apple is still edible, so you just use a sharp knife to pick out the rotten part.

The two are naturally superior to each other.

For Tang Lou's choice, Lin Dong on the side was also a little surprised, even when he was doing blunt separation, he was cautious.

"Tang Lou, be careful of accidental damage to nerves and blood vessels, avoid excessive opening of tissues, and reduce damage to organizational skills."

After all, Lin Dong has never seen Tang Lou's operation, so he gave instructions immediately.

However, before Lin Dong finished speaking, Tang Lou had already cleaned up the adhesions around the gallbladder, especially the layer of pus moss, which was cleanly peeled off.

Throwing it in the plate, looking at the adhesions, still maintained a clear anatomical structure.

"So fierce!"

Ye Kai's face changed slightly. After all, a young man of the same age as himself had mastered blunt separation so well. He was really jealous.

Why does a person with such great skills still have dark and thick hair?Do you wholesale Bawang at home?

If he had performed this blunt separation, he would have damaged the colon and duodenum long ago, after all, the space for the operation is very small.

"Hauling a Hartmann bag."

Compared with Ye Kai's slight distraction, Tang Lou didn't feel anything special at all, and immediately put forward the next instruction.

Ye Kai, now he is finally focused, Tang Lou is ruthless to his assistants, and even more ruthless to himself.

Such uninterrupted fine operation will damage the tissue and leave complications if you are not careful.

It can only be explained that during the operation, Tang Lou's concentration and proficiency were astonishing.

Sure enough, on the screen, Tang Lou successfully separated the serosa and loose connective tissue behind the gallbladder horn.

"Electrocoagulation hook preparation"

"okay."

Unknowingly, Ye Kai was also led by Tang Lou's rhythm, and focused on the operation.

Lin Dong on the side licked his lips, it really wasn't Yi Yi's generation that Director Cheng and Dr. Yan and Dr. Qing valued.

This is only the first operation, and he has been in the hospital for many years, and there are no less than hundreds of operations.

If you give him another year or so, maybe he can catch up with Dr. Yan, right?

　I caught a cold today, I have a little fever, and my brain hurts, so I’ll post it first, I’m afraid I’ll forget it later????
　　
　
(End of this chapter)