Auto chess in the operating room

Chapter 166 An Urgent Desire to Upgrade

On the second day, Hang Cuishan came to Tanglou very early. There was a patient with external abdominal hernia who needed surgery.

"Tang Lou, take a look at the patient's profile. I have seen a case of indirect inguinal hernia repair that you performed before. The patient recovered very well after the operation. I believe this one is also fine. You will be the surgeon in a while, and I will guide you. At the same time, I have arranged for Dr. Duan Fei to be your assistant."

Tang Lou took over the patient's information and read it: "This patient needs umbilical hernia repair?"

Hang Cuishan nodded: "Yes, umbilical hernia usually occurs in children and obese patients. This patient is caused by being too obese. The difficulty of the operation is slightly higher than that of indirect inguinal hernia, but there are some differences. You should familiarize yourself with it in advance. We will use it in half an hour. Then the surgery will begin.”

For Tang Lou's surgical ability, Hangcuishan naturally has great trust, even if it is Tang Lou's first umbilical hernia repair.

"Okay, I know."

After Tang Lou agreed, he directly entered the system space: "I need to exchange for umbilical hernia repair and refresh the card library."

[Card library refresh: Umbilical Hernia Repair (one star, 2), Umbilical Hernia Repair (one star, 2), Indirect Inguinal Hernia Repair (one star, 2), Indirect Inguinal Hernia Repair (one star, 2) , Indirect inguinal hernia repair (one star, 2)]

Tang Lou was speechless for a while, what the hell are three indirect hernia repairs coming at this time!

Looking at his storage bar with only 2 slots left, Tang Lou endured the heartache and selected two umbilical hernia repairs.

Looking at the operation bar (6/6) and the storage bar (9/9), Tang Lou has an urgent desire to upgrade, do surgery, I want to do surgery!
Tang Lou looked at Hang Cui Mountain eagerly: "Doctor Hang, after finishing this one, can you arrange a few more?"

Hang Cuishan looked at Tanglou, a little surprised, but also a little unbearable, fearing that it would put too much pressure on him:

"Tang Lou, don't be impatient, take your time, it's not for you to grow enough to be comparable to King Chuan in this week, Director Cheng and I mean, as long as you have a stable demand for abdominal external hernia operations every day, we have a reason You need to have a certain amount of patients from Wang Chuan, as long as you keep doing it, with your learning ability, when you accumulate to a certain level, you will have the capital to compete with Wang Chuan."

"At that time, it was not so easy for Wang Chuan to say that he was the only one in the field of abdominal external hernia. Our first step in sniping him was achieved."

Hangcui Mountain's mentality is very stable, the competition with Wang Chuan does not happen overnight, of course, no one expects that Tang Lou can reach Wang Chuan's years of training within a week.

After all, it is the king ship!

"Complete this one first, and there will be another one in the afternoon. Let's do two a day first, don't put too much pressure on it."

Hang Cuishan gave another word of persuasion, for fear of backfired.

I heard that there are only two surgeries a day, and only 28 surgeries in two weeks, which is far from enough to complete the task of [-] surgeries.

Tang Lou was a little disappointed, but now he can only do the work at hand first, and then find ways to increase the amount of surgery slowly.

Half an hour later, Tang Lou's first umbilical hernia repair operation began.

The causes of umbilical hernia include umbilical hypoplasia, incomplete closure of the umbilical ring, or weak umbilical scar tissue.

Once the intra-abdominal pressure suddenly increases, the viscera can protrude from the umbilicus to form an umbilical hernia. The abdominal pressure of obese patients is naturally higher than that of normal people, which is why umbilical hernias are more common in obese patients.

The anesthetist administered continuous epidural anesthesia to the patient, and quickly stepped aside.

The first assistant in this station is Duan Fei, the effective resident doctor under Hangcui Mountain, a thin man with cheeks like a little squirrel, known as "Kang Hui" in the first hospital of the city.

It was the first time Duan Fei cooperated with Tang Lou, and of course he wanted to see Tang Lou's level in his heart.

The incision for umbilical hernia repair is different from that in the groin.

"marker pen"

Tanglou didn't show any courtesy because it was his first time partnering with Duan Fei, and went straight into the rhythm. The equipment nurse prepared the marker and scalpel.

Tang Lou very quickly made a fusiform incision at the patient's umbilicus.

When Tang Lou handed back the marker pen, the equipment nurses had already stuffed the scalpel into Tang Lou's hands. After performing several operations with Tang Lou, these nurses were also familiar with Tang Lou's style.

No nonsense, no jokes, just non-stop fast operations.

Under the three-star incision, Tang Lou controlled the scalpel and gently slashed across the patient's abdomen.

The skin and subcutaneous fatty tissue are quickly incised.

"Damn it, so fierce!"

Duan Fei had surgery with Tang Lou for the first time, but this incision made him stand in awe and met a fierce person.

No wonder Tang Lou was favored and looted by so many attending surgeons in the general surgery department.

Since the patient was too obese, in order to ensure a smooth operation, Tang Lou directly removed excess skin and subcutaneous fat tissue.

"It's quite straightforward."

Hangcui Mountain also nodded in approval.

After Tang Lou processed the incision, he went to the next step and cut the hernia sac around the hernia hole.

However, since it is only a one-star umbilical hernia repair, it is only at the level of an ordinary resident doctor, and the operation is only satisfactory.

Hang Cuishan looked at Tang Lou's operation and found it somewhat unsatisfactory, but he was relieved when he thought that this was Tang Lou's first umbilical hernia repair, but it was not as amazing as expected.

"Give him some time and take your time."

Hang Cui Shan quickly stabilized his mind, Tang Lou's behavior was actually in line with common sense.

Duan Fei, who cooperates with Tang Lou, pays close attention to Tang Lou's operation, and has a judgment in his heart, but he is not as amazing as in the legend, but the level of the first operation is almost the same as his, and it is already powerful enough.

However, when he thought of Dr. Wang Chuan who came back later, Duan Fei became depressed. Even though Tanglou had great potential, he was still too young.

Can this hernia repair at the level of an ordinary resident doctor really be competitive?

In the operating room, Hang Cuishan and Duan Fei's thoughts were racing, but Tang Lou, the chief surgeon, didn't care about his operation level at all.

The operation is still serious and rigorous: "First aid, check the contents of the hernia and the adhesion."

Duan Fei calmed down and cooperated with Tang Lou: "During the operation, it was discovered that the contents of the hernia sac, small intestine, omentum, and omentum were partially adhered, and they needed to be ligated in groups."

"Scalpels, scissors, pliers."

Tang Lou steadily ligated the omentum in groups, cut off the hernia sac at a distance of 2.0 cm from the skin edge of the hernia ring, and excised the attached omentum and skin together.

"good."

Looking at Tang Lou's operation, Hang Cuishan found that even though Tang Lou's level of operation and proficiency was similar to that of a resident doctor, his ability to deal with problems and make decisions was much higher.

In particular, Tang Lou's concentration and continuous operation ability are far superior to ordinary people's.

Duan Fei also felt the extraordinaryness of Tang Lou more and more. Even if he could do Tang Lou's operation, but he could do it as neatly and cleanly as Tang Lou, and he wondered if he could not achieve it.

Especially in terms of detail processing and basic skills, Tang Lou's stitching level is really amazing.

"It seems that he is really just trying umbilical hernia repair for the first time. Given time, he may not be able to compare with Dr. Wang Chuan after he is proficient."

While Duan Fei was thinking, Tang Lou had already started to suture the peritoneum and the posterior sheath of the rectus abdominis horizontally.

Fast suturing, uniform stitch spacing, and clean thread arrangement. Under Tang Lou's operation, the rectus abdominis suture was completed in a short while.

Then, the upper and lower leaves of the anterior rectus sheath were sutured horizontally.

Duan Fei watched Tang Lou's operation, opened his mouth slightly, and wanted to say something, but couldn't.

Originally, these sutures should be the work of his first assistant, but seeing Tang Lou's perfect technique, of course he didn't dare to use big swords in front of Guan Gong.

He watched Tang Lou suture the subcutaneous tissue and skin layer by layer.

too fast!
[Task: Expert in the field of abdominal external hernia, progress 1/50, reward 3 gold coins, and refresh the card library once. 】

[Card library refresh: Umbilical Hernia Repair (one star, 2), Umbilical Hernia Repair (one star, 2), Femoral Hernia Repair (one star, 2), Indirect Inguinal Hernia Repair (one star, 2), Femoral Hernia Repair (2 star, [-])]

Tang Lou directly selected two umbilical hernia repairs, with a gold coin balance of 12.

[Umbilical hernia repair (one star, 2), umbilical hernia repair (one star, 2), umbilical hernia repair (one star, 2) automatically synthesized umbilical hernia repair (two stars, 6)! 】

(End of this chapter)