Auto chess in the operating room
Chapter 22
Chapter 22
Two 10 minutes later.
A debridement operation with extremely high comprehensive difficulty was completed cleanly.
"Pay attention to giving antibiotics after surgery to prevent infection"
".Local pressure bandage, drainage strip removed 24~36 hours. Remove sutures 35 days after operation."
Tang Lou gave orders while finishing the work.
Listening to Tang Lou's instructions, Xu Lanlan felt a little bit abnormal, but she didn't remember that she naturally accepted all of Tang Lou's professional opinions.
"Okay. Your operation is really fast. Dr. Li's operation is still in progress."
"That is, after all, I am young and have good physical strength."
"Good."
Xu Lanlan also nodded. After all, Dr. Li has already performed several operations with a high workload. Dr. Tang is more energetic than a potbellied doctor!
Seeing Tang Lou's not very muscular body, Xu Lanlan's cheeks flushed, she looked gentle and durable!
The ordinary conversations in the operating room made several senior doctors frown in the observation room.
Cheng Jian had some doubts: "This doctor is very proficient in operating techniques, and his speed is even faster than mine. Shouldn't he make such a mistake?"
"mistake?"
Huo Tong was observing the figure of Tang Lou, feeling familiar, but he didn't pay much attention to the postoperative arrangements, and looked at Cheng Jian: "Doctor Cheng, what do you say?"
“痊愈时间和感染率的计算有点过于激进了。常规来说这种程度的清创术。后期的引流条在24-48小时之间拔除,至于拆线最保守也在5天,一般都会控制在6天到7天。可是这个医生,计算的时间才常规的80%。”
Cheng Jian's ability to become an expert is naturally not in vain. After analyzing it, Huo Tong kept nodding his head.
Liu Tong's eyes lit up, and he regained some face, but this was just a small negligence, not a big mistake, he was going to wait until Tang Lou made a bigger mess before revealing his identity!
It is impossible for an intern to be so thorough all the time!
Huo Tong didn't notice Liu Tong's abnormality, but was surprised by the picture on the video screen.
"No way, is he going to be Dr. Li Fan's assistant?"
Huo Tong was very surprised. After all, directors like them, or experts from the city hospital, all have status and status. How could they be assistants to a resident doctor?
"Yeah, after the surgery, we must get to know such a doctor. Not only is his medical skill a role model, but he is also a man with a heart."
Cheng Jian also said with emotion that he became more and more interested in the subsequent surgery.
Liu Tong was on the sidelines, feeling unspeakable, he could only pray in his heart, Tang Lou made a big mistake, otherwise he would really set up a stage for others to sing!
"Is your side alright?" Li Fan was nervously dealing with the injured patient, who was more serious and complicated than he imagined. "
"Very smooth."
Tang Lou gave Li Fan confidence.
Hearing what Tang Lou said, Li Fan's pressure was greatly relieved, and he felt a little embarrassed in his heart, as if he was a younger brother!
The success or failure of the angioplasty largely depends on whether the debridement is complete, so Li Fan had to concentrate on continuing the operation.
He has completed the first step of controlling the bleeding.
In debridement surgery, bleeding should be controlled first, and preparations should be made to stop massive bleeding at any time.
Li Fan first pressed and bandaged the patient's wound to temporarily stop the bleeding, but because the patient had injured a lot of blood vessels and involved a lot, Li Fan had to use a tourniquet again.
".Gauze belt."
Li Fan made a small incision where the tourniquet could not be used, exposing the proximal section of the injured artery. After separation, a gauze band was wrapped around it to block the blood flow and stop the bleeding if necessary.
Possessing a provincial-level debridement technique, Tang Lou naturally understood very clearly that Li Fan's technique is quite satisfactory, and he has indeed been playing cards in the emergency department for so many years.
Li Fan chose the gauze belt, although it is also possible, but a better choice is a soft rubber tube, but Tang Lou is not a hypocritical person, not everyone can be perfect like him.
Unknowingly, Tang Lou had begun to examine Li Fan with an expert's eyes, and even evaluated him instinctively.
".cleaning the wound"
Li Fan began to clean the wound and surrounding skin, removed the foreign matter, and then rinsed it.
This shows that Li Fan's movements are much clumsier than Tang Lou's because of his body shape and hand shape.
Just like a piano master has a pair of perfect slender fingers, Tang Lou's hands also belong to God, just like his good looks.
Li Fan continued to extend the incision up and down along the direction of the blood vessels to fully expose the blood vessels.
"not good!"
Li Fan was shocked. When the two ends of the blood vessel were completely exposed and he was about to control it, the wound began to bleed!
"...use finger pressure to stop bleeding, instrument nurse, non-destructive blood vessel clamp"
On the side, Tang Lou had quick eyes and quick hands, and immediately gave the order.
Under Tang Lou's order, Li Fan instinctively pressed his fingers to stop the bleeding, and at the same time, the instrument nurse immediately handed over the non-destructive vascular clip.
"Huh~ It's dangerous."
Although Li Fan has rich experience, he is rather clumsy. He often responds a little slower when dealing with emergencies. This is why he is still a resident doctor in his 40s.
Li Fan smiled helplessly, this time he relied on the tenement building to save the day.
After the wound was well controlled, Li Fan immediately loosened the tourniquet.
At this time, the entire blood vessel has exposed the surgical field, and the repair suture of the blood vessel must be performed on a healthy vessel wall.
Therefore, the damaged tissue of the vessel wall should be fully removed from the contaminated and damaged parts; Li Fan carefully inspected the intima of the vessel.
Since the patient this time had injuries from firearms in addition to cuts, excision was required in addition to visible injuries.
Li Fan was slightly stunned, his brain was remembering.
"About 5mm was removed to prevent thrombus formation, but unnecessary excessive resection was not allowed, so as not to affect the end-to-end anastomosis of blood vessels."
Li Fan's eyes lit up, it was true what Tang Lou said was right.
"This kid!"
Li Fan also sighed in his heart, it is really good to have a super brain, this brat must be watching medical cases and surgical tutorials every day in university.
If I were Tang Lou, with such a good looks, I'm afraid I would be changing girlfriends every day!
Li Fan pulled himself together and cut off the damaged segment, ensuring that the two ends of the blood vessel were slightly oblique, so that Tang Lou could perform blood vessel anastomosis later.
After the surgery, Li Fan has completely regarded Tang Lou as a doctor of his generation. Tang Lou even remembered some details more accurately than himself.
Doctors are such an industry, and they all rely on their ability to make a living. If you have skills, you can be convincing.
It's just that this kind of technology requires experience to accumulate in addition to talent, so the intern stage is one step ahead, and if one more operation is performed, it will grow a little more than its peers.
Undoubtedly from this moment on, Tang Lou obtained the qualification to be the chief surgeon of these minor operations.
Coupled with his extraordinary talent and powerful brain, this son's future is bound to be limitless!
Li Fan observed that the edge of the patient's blood vessel rupture was still neat.
".small scissors"
Li Fan repaired the gap, and completely removed some dissection hematomas. After another 10 minutes, the debridement was finally completed.
"call!"
Li Fan let out a long sigh of relief: "I'll leave it to you!"
(End of this chapter)
Two 10 minutes later.
A debridement operation with extremely high comprehensive difficulty was completed cleanly.
"Pay attention to giving antibiotics after surgery to prevent infection"
".Local pressure bandage, drainage strip removed 24~36 hours. Remove sutures 35 days after operation."
Tang Lou gave orders while finishing the work.
Listening to Tang Lou's instructions, Xu Lanlan felt a little bit abnormal, but she didn't remember that she naturally accepted all of Tang Lou's professional opinions.
"Okay. Your operation is really fast. Dr. Li's operation is still in progress."
"That is, after all, I am young and have good physical strength."
"Good."
Xu Lanlan also nodded. After all, Dr. Li has already performed several operations with a high workload. Dr. Tang is more energetic than a potbellied doctor!
Seeing Tang Lou's not very muscular body, Xu Lanlan's cheeks flushed, she looked gentle and durable!
The ordinary conversations in the operating room made several senior doctors frown in the observation room.
Cheng Jian had some doubts: "This doctor is very proficient in operating techniques, and his speed is even faster than mine. Shouldn't he make such a mistake?"
"mistake?"
Huo Tong was observing the figure of Tang Lou, feeling familiar, but he didn't pay much attention to the postoperative arrangements, and looked at Cheng Jian: "Doctor Cheng, what do you say?"
“痊愈时间和感染率的计算有点过于激进了。常规来说这种程度的清创术。后期的引流条在24-48小时之间拔除,至于拆线最保守也在5天,一般都会控制在6天到7天。可是这个医生,计算的时间才常规的80%。”
Cheng Jian's ability to become an expert is naturally not in vain. After analyzing it, Huo Tong kept nodding his head.
Liu Tong's eyes lit up, and he regained some face, but this was just a small negligence, not a big mistake, he was going to wait until Tang Lou made a bigger mess before revealing his identity!
It is impossible for an intern to be so thorough all the time!
Huo Tong didn't notice Liu Tong's abnormality, but was surprised by the picture on the video screen.
"No way, is he going to be Dr. Li Fan's assistant?"
Huo Tong was very surprised. After all, directors like them, or experts from the city hospital, all have status and status. How could they be assistants to a resident doctor?
"Yeah, after the surgery, we must get to know such a doctor. Not only is his medical skill a role model, but he is also a man with a heart."
Cheng Jian also said with emotion that he became more and more interested in the subsequent surgery.
Liu Tong was on the sidelines, feeling unspeakable, he could only pray in his heart, Tang Lou made a big mistake, otherwise he would really set up a stage for others to sing!
"Is your side alright?" Li Fan was nervously dealing with the injured patient, who was more serious and complicated than he imagined. "
"Very smooth."
Tang Lou gave Li Fan confidence.
Hearing what Tang Lou said, Li Fan's pressure was greatly relieved, and he felt a little embarrassed in his heart, as if he was a younger brother!
The success or failure of the angioplasty largely depends on whether the debridement is complete, so Li Fan had to concentrate on continuing the operation.
He has completed the first step of controlling the bleeding.
In debridement surgery, bleeding should be controlled first, and preparations should be made to stop massive bleeding at any time.
Li Fan first pressed and bandaged the patient's wound to temporarily stop the bleeding, but because the patient had injured a lot of blood vessels and involved a lot, Li Fan had to use a tourniquet again.
".Gauze belt."
Li Fan made a small incision where the tourniquet could not be used, exposing the proximal section of the injured artery. After separation, a gauze band was wrapped around it to block the blood flow and stop the bleeding if necessary.
Possessing a provincial-level debridement technique, Tang Lou naturally understood very clearly that Li Fan's technique is quite satisfactory, and he has indeed been playing cards in the emergency department for so many years.
Li Fan chose the gauze belt, although it is also possible, but a better choice is a soft rubber tube, but Tang Lou is not a hypocritical person, not everyone can be perfect like him.
Unknowingly, Tang Lou had begun to examine Li Fan with an expert's eyes, and even evaluated him instinctively.
".cleaning the wound"
Li Fan began to clean the wound and surrounding skin, removed the foreign matter, and then rinsed it.
This shows that Li Fan's movements are much clumsier than Tang Lou's because of his body shape and hand shape.
Just like a piano master has a pair of perfect slender fingers, Tang Lou's hands also belong to God, just like his good looks.
Li Fan continued to extend the incision up and down along the direction of the blood vessels to fully expose the blood vessels.
"not good!"
Li Fan was shocked. When the two ends of the blood vessel were completely exposed and he was about to control it, the wound began to bleed!
"...use finger pressure to stop bleeding, instrument nurse, non-destructive blood vessel clamp"
On the side, Tang Lou had quick eyes and quick hands, and immediately gave the order.
Under Tang Lou's order, Li Fan instinctively pressed his fingers to stop the bleeding, and at the same time, the instrument nurse immediately handed over the non-destructive vascular clip.
"Huh~ It's dangerous."
Although Li Fan has rich experience, he is rather clumsy. He often responds a little slower when dealing with emergencies. This is why he is still a resident doctor in his 40s.
Li Fan smiled helplessly, this time he relied on the tenement building to save the day.
After the wound was well controlled, Li Fan immediately loosened the tourniquet.
At this time, the entire blood vessel has exposed the surgical field, and the repair suture of the blood vessel must be performed on a healthy vessel wall.
Therefore, the damaged tissue of the vessel wall should be fully removed from the contaminated and damaged parts; Li Fan carefully inspected the intima of the vessel.
Since the patient this time had injuries from firearms in addition to cuts, excision was required in addition to visible injuries.
Li Fan was slightly stunned, his brain was remembering.
"About 5mm was removed to prevent thrombus formation, but unnecessary excessive resection was not allowed, so as not to affect the end-to-end anastomosis of blood vessels."
Li Fan's eyes lit up, it was true what Tang Lou said was right.
"This kid!"
Li Fan also sighed in his heart, it is really good to have a super brain, this brat must be watching medical cases and surgical tutorials every day in university.
If I were Tang Lou, with such a good looks, I'm afraid I would be changing girlfriends every day!
Li Fan pulled himself together and cut off the damaged segment, ensuring that the two ends of the blood vessel were slightly oblique, so that Tang Lou could perform blood vessel anastomosis later.
After the surgery, Li Fan has completely regarded Tang Lou as a doctor of his generation. Tang Lou even remembered some details more accurately than himself.
Doctors are such an industry, and they all rely on their ability to make a living. If you have skills, you can be convincing.
It's just that this kind of technology requires experience to accumulate in addition to talent, so the intern stage is one step ahead, and if one more operation is performed, it will grow a little more than its peers.
Undoubtedly from this moment on, Tang Lou obtained the qualification to be the chief surgeon of these minor operations.
Coupled with his extraordinary talent and powerful brain, this son's future is bound to be limitless!
Li Fan observed that the edge of the patient's blood vessel rupture was still neat.
".small scissors"
Li Fan repaired the gap, and completely removed some dissection hematomas. After another 10 minutes, the debridement was finally completed.
"call!"
Li Fan let out a long sigh of relief: "I'll leave it to you!"
(End of this chapter)
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