Auto chess in the operating room

Chapter 33 No.30 Three Anonymous Suture Method

".Sharp-edged Mosquito Pliers."

Tanglou continued to direct the equipment nurse to bring up new tools.

Thin and translucent gloves ensured the most sensitive touch of fingertips. Tang Lou held a long silver mosquito clamp, with the front end clamping the tip of the knife, and stabbing the tip of the sharp knife obliquely from the center of the bottom of the V-mouth of the thick tendon. , and then penetrates from the dorsal side of the tendon
In terms of technique, the fish-mouth suture method has higher requirements for operation and more precise control of force.

"Everyone pay attention to Tang Lou's current operation. The core of the fish-mouth suture method is to use a blade to cut a tunnel on the thick tendon to accommodate the thin tendon."

Under the magnified lens, what everyone saw was like killing a fish. It entered through the mouth, fiddled with the stomach, formed a channel, and then opened another hole in the belly, and finally pulled the tendon out of the channel. Pour in, and pass out from the opening in the belly.

After this biting, the two severed tendons were tightly connected together.

"Kneeling to God Tang, how did you learn all this?"

"There is a morgue at home. If you have nothing to do, you can dissect human bodies for fun."

"The knee is broken!"

Everyone was amazed.

For the admiration in the observation room, Tang Lou didn't feel it, and even felt a little slow in his movements. There were only three ways.

However, he will not ignore the quality of suturing for the sake of brushing. After all, the patient's recovery is a doctor's greatest comfort.

After Tang Lou tightened the thin tendons to the required tension, at the interruption of the tunnel, the two tendons were fixed with mattress sutures.

"This is the third time I've reminded you. Let's look at the details again! Xiao Tang stuffed all the exposed thin tendon stumps into the thick tendon. Look at this frame again. After the suture is completed, in order to ensure the tendon's The surface was smooth, and he also sewed up the aponeurosis, and finally sewed the upper and lower pieces of the fish mouth to the thin tendons."

Everyone nodded frequently. The stitching was really meticulous. After such a treatment, the repaired tendon was integrated into one.

"It's amazing. It turns out that suturing a tendon requires so many details. If I just memorize these operations, it would take me several days. As for the psychological panic on the spot, it is impossible to be so calm."

"Clap clap clap!"

I don't know who was the first to applaud in the observation room. He admired it from the bottom of his heart.

Everyone applauded together. Today, Tang Lou did teach them a lesson they will never forget.

Everyone's interest was aroused: "Master Tang, let's try another suture method!"

"That's right, another one!"

Of course, the big guys are more of a booing, after all, it is extremely remarkable for a doctor, especially an intern, to be able to master three suture methods!

Huo Tong looked at the people in the observation room and was speechless for a while, you thought Tang Lou was Kong Yiji who knew how to write four kinds of characters.

After suturing the tendon, Tang Lou sutured the subcutaneous tissue and skin layer by layer.

Still quickly and neatly.

".No.[-] Straight Needle"

Tang Lou selected two severed tendons from the second area, and penetrated from the end of one of the tendons 0.5cm away.
Looking at the distance between Tang Lou's starting position and the tendon, everyone heaved a sigh of relief. After all, Qianlu's skills were exhausted, but they were also slightly disappointed.

"Hey, that's not right, if I remember correctly, the dressing method just now is not like this."

An intern discovered the nuances very keenly.

"Could it be."

Everyone's depressed mood just now was lifted up again, and they watched every step of the tenement house carefully.

"Sure enough, it's a new stitching method!"

It's just that they couldn't tell the reason for what kind of suturing method, so they all looked to Huo Tong for help.

"I'm not sure about this approach either"

"Isn't it?"

Everyone was in an uproar. Didn't even Director Huo know?

"Everyone, please be patient. The reason why Director Huo said this is because there have been several improvements in the history of tendon suturing. These subtle improvements are insignificant to the entire operation, but they have brought great benefits to the patient. Better and faster recovery.”

Cheng Jian added on the side.

"What Director Cheng Jian said is not bad at all. In addition to the three types of tendon suturing shown by Tang Lou before, there is another method called Kessler method that was often used in the past."

"You can see that the tendon end of Tanglou comes out, locks it and then crosses it and penetrates the tendon and exits from the opposite side. Then it locks the tendon and penetrates the muscle and exits from the tendon end. Finally, you can see the entire suture appears. A long flat rectangle with four knot locks on the four corners, this method is the Kessler method”

"The Kessler method is a classic suturing method, but in domestic clinical practice, experienced experts and scholars have found that adding a continuous circle of sutures to the tendon suture will make it stronger. But this is all oral and heart-taught experience. It is not specified in the specification. So the general beginners only know the Kessler method."

When Cheng Jian explained, Tang Lou also fell into a little bit of entanglement.

[If the host chooses to complete the stitching now, it can be counted as a stitching method. 】

"System, in fact, I can re-open a tendon, and then add a circle of continuous sutures on the basis of the Kessler method, which is the improved Kessler suture method."

[Yes, although only a circle of continuous stitching has been added, there is no clear name in the industry.However, the effect has been greatly improved, and it can be counted as a suture method]

"System, are you saying that this improved version was passed on orally because there are so many anonymous doctors with a lot of clinical experience who are dedicated to research? Because it is a joint effort, it is not named after an individual."

[Theoretically speaking, this is true. Many doctors have gained experience in clinical practice. It is just a bare-handed effort, but it has greatly increased the chance of recovery. Everyone tacitly calls it an improved version, rather than letting someone take it for themselves. have. 】

"Yes, so the valuable experience gained by so many doctors through experiments on so many patients has finally improved the chance of recovery. How can I single him out as a suturing method in order to complete the task?"

[The host has a gifted surgical master, which can theoretically increase the chance of recovery by 20%, which can be offset by the Kessler modified method. In other words, the host's use of the Kessler method can in principle be equivalent to that of ordinary doctors using the Kessler modified method]

"Of course I know, but the average doctor can't guarantee [-] percent recovery of the tendon even with the Kessler modification."

In the observation room, when everyone looked at the stopped Tang Lou and thought he was going to end with the Kessler method, his hand moved again.

Carefully and meticulously, a continuous loop of suture was added to the tendon junction.

"As expected of Tang Lou, he used the improved Kessler method, also known as the nameless suture method."

Cheng Jian finally came to a conclusion.

[As expected of the host! \()/]

[Task: The progress of fancy tendon suture is 4/7, the host continues to work hard! 】

(End of this chapter)