Auto chess in the operating room

Chapter 36

Tang Lou ignored Liu Tong and took a step towards the patient:
[Patient: Wu Xueqiao, male, 44 years old

Symptoms: Iron piece cut on left neck, brachial plexus injury. Most of C5 was broken, C6 was completely broken, and C7, C8, and T1 were normal.

Diagnosis: Surgical repair required C5, C6
system hint:

1. Continuous sutures cannot be used for epineurium suture, as blood will accumulate between the broken ends to form a hematoma, which will prevent the regenerated nerve fibers from passing through the anastomosis after organization

2. Suture the perineurium. Be careful not to damage the nerve bundles when separating the nerve bundles and bundle groups. Do not pass through the nerve fibers when suturing.

3. The sutured nerves should be placed in healthy tissue with rich blood supply, preferably on the muscle surface, to avoid placing it in scars or bone surfaces.

4. It is strictly forbidden to expose the nerve bundle, invert the outer membrane, and connective tissue embedded in the suture surface to hinder the growth of the nerve.

5. If there is arterial injury around the injured nerve, such as ulnar nerve injury in the wrist accompanied by ulnar artery injury, the artery should be sutured at the same time to ensure local blood supply]

"what are you doing?"

When Liu Tong saw that Tang Lou actually walked towards the patient and was still staring at the wound, he scolded him.

"Patients no longer have time to identify nerves and tendons with electrical stimulators. In order to quickly clarify, they can only judge through experience. In theory, carefully identify the differences in color, texture, cross-sectional structure, and surface blood vessels between the two. Gently pull judgment."

Tang Lou didn't care about Liu Tong's malice, and he immediately proposed the best plan in front of the patient.

"It's easy to say. You also said to judge by experience. Do you think we have such a wealth of experience based on our surgical experience?" Liu Tong sarcastically asked.

"Not us, just you!"

Tang Lou said lightly.

Just as Liu Tong was about to refute, Director Huo's instructions came from the observation room:

"The plan Xiao Tang said is indeed the best plan, and now we can only judge with the naked eye based on experience. Next, Director Shen, Director Cheng and I will assist in front of the camera and point out your mistakes in time."

"Okay, okay, okay, since Dr. Tang is so sworn in, either you can do the identification!"

How naughty Liu Tong was, he directly borrowed the donkey from the slope and kicked the ball to Tang Lou, without the dignity of an attending physician at all.

"Liu Tong, what are you messing around with! What do you mean let Xiao Tang come?"

Huo Tong can't stand it, it's too shameless, he has the demeanor of his youth, bah.

"Director Huo, let me try."

The faint voice of Tanglou reached the observation room.

Huo Tong was slightly surprised, a little impressed, and a little confused.

Is this kid smart or stupid?I'm helping him, I really don't know how to flatter him.

When Director Huo was slightly depressed, Liu Tong quickly stepped aside in the operating room.

"Please, Doctor Tang."

Liu Tong looked at Tang Lou with a sneer, and took the hot potato in his hands. Young people are impulsive.

"Xiao Tang, then you can try it, don't force it, and follow our instructions."

Seeing such a situation, Huo Tong couldn't say anything. The three directors zoomed in on the screen at the same time, fully exposing the field of surgery in front of their eyes.

Sure enough, the tendons and nerves were mixed together, a mass of blood, and even they had to spend some effort to identify them.

"Little Tang, listen, dissect and dissociate from the right side of the wound to the left side, you, slow down. Huh?"

Seeing the blade sliding on the screen, Huo Tong was startled, and soon along the passage of C5 nerve, the tissue was cut precisely, as if the dissection plan had been prepared in advance, and the severed end was soon exposed.

".Intraoperative see: most of the C5 nerve is ruptured"

Tanglou's rigorous and calm report reached the ears of the three directors in the observation room.

"Xiao Tang, you did a good job."

Huo Tong was stunned. Isn't this too fast?

"impossible."

In the operating room, Liu Tong stood on the side, looking at Tang Lou's hand as if he had predicted it in advance. He separated the tendons and nerves precisely, and was even so lucky to find the first brachial plexus nerve.

"Have you hung up?"

Liu Tong had the feeling that when he was playing a game of chicken, he would drop his pistol into a box and watch the opponent's pistol headshot him sadly.

Jealousy, Lan Shou.

Liu Tong leaned his head towards the patient's wound. He wanted to take a closer look.
Tang Lou focused on continuing to dissect and dissociate.

It was obvious that the observation room also fell into silence, and everyone watched with bated breath as the blades separated accurately.
Too old, Huo Tong felt that even if he separated himself, he couldn't do better.

"It is really a talent that I have only seen in my life!"

Five minutes later, Tang Lou completed the exposure of another nerve stump:

". Seen during the operation: C6 is completely broken."

Like a sophisticated instrument, Tanglou once again delivered a precise conclusion to the directors present.

".The rest are tendon injuries and ruptures. The broken ends have been sorted out. The C7, C8, and T1 brachial plexuses are normal and can be sutured for repair."

Tang Lou handed the equipment to the equipment gauntlet, and the latter's eyes were full of admiration.

"Little Tang doctor Niu Boyi (broken sound)!"

In the observation room, there was silence for three seconds, and I found that there was really nothing to order or suggest: "Very good, Xiao Tang, your anatomy is free and completed perfectly, so as to fully expose the nerve and tendon stump. Agree to proceed to the next step of suturing .”

Huo Tong looked at Liu Tong who was shrunk to the side, and he couldn't get angry, and added: "Liu Tong, you will do the follow-up stitches! Let Xiao Tang rest for a while."

"Let me be his assistant?"

Liu Tong's complexion changed, and he found it hard to accept that he, a majestic attending doctor, was reduced to the point where he wanted to be Tang Lou's underdog.

"Director Huo, I'm fine. I'm not tired. The suturing of nerves and tendons is more complicated. I dissected it myself, which is more handy. If it's Dr. Liu, I'm afraid he will make a mistake instead."

Tanglou didn't want to hand over the most critical suturing, and simply identifying nerves and tendons couldn't be included in the task.

After hearing this, Huo Tong pondered for a while: "Forget it!"

"No, I changed my mind. Xiao Tang is young after all, so I'll do the sewing."

Liu Tong didn't want to, but Tang Lou said he couldn't suture well?Who do you look down upon?

Anyway, he, Liu Tong, is also the backbone of the surgery, known as a fast surgeon, why is he not even qualified to be an intern?

Liu Tong's self-esteem couldn't take it anymore.

"Let me do it, Doctor Liu, I see you are tired and sweaty, it's weird."

Tang Lou looked at Liu Tong with some unkindness, trying to steal his surgery?impossible.

Feeling Tang Lou's gaze, he seemed to be questioning his shortness, sneering, and mocking him.

Being said to hit the pain point, Liu Tong felt an unprecedented humiliation: "Why am I so weak? I can see you have been stitching for a long time, and you are not tired. I can be tired? I have to do the stitching today."

"I, Liu Tong, am not good at anything else, but I have good physical strength!"

Liu Tong squeezed out of the tenement building and shouted to the mechanical nurse: "Security blade, needle holder, surgical microscope ready."

"Xiao Tang, you leave it to Dr. Liu to suture, and you watch from the sidelines."

Huo Tong finally gave the order. Xiao Tang had been doing it for a long time, and it was time to take a break. As for Liu Tong, I hadn't watched his operation for a long time. I don't know if his level has improved?

"Let me show you what it means to be the best surgeon! Learn, intern!"

Liu Tong held his breath and started to sew.

【Ding!Task: A taunt from a true surgical master: Find out more than four mistakes made by Liu Tong, who claims to be a fast surgeon, in suturing, guide them, correct them, and ridicule them.Task completion reward: 1 gold coin]

"System, are you doing something again?"

[Great doctors have tempers. For those who have malicious intentions, they must teach them how to behave!Hit it hard! 】

"Fuck, ruthless!"

(End of this chapter)