Auto chess in the operating room

Chapter 90

Under the gift of focus and tenacity, Tang Lou entered a state of selflessness.

Under the three-star incision, Tang Lou's posture in holding the knife is naturally just right. The Mai's incision, also known as the appendix oblique incision, is also the most classic incision method.

The middle and outer 1/3 of the line from the navel to the right anterior superior iliac spine is about 8 to 10 centimeters long. Such an incision is long enough, so Tang Lou naturally used the holding bow style.

Experienced surgeons are very clear that the most important thing for this incision is to control the incision edge to be perpendicular to this line, so the operator's hand is required to be stable. Be sure, some rookies often fail to control due to inexperience and nervousness when making the incision for the first time. Good strength, either cut too short, or cut crookedly.

In addition to the length, the incision is also layered in depth. The skin is incised first, then the superficial fascia, then the external oblique aponeurosis, internal oblique, transversus abdominis, transversalis fascia, and extraperitoneal fascia. , and finally the parietal peritoneum.

Under the three-star incision technique, Tang Lou is naturally perfect in controlling the strength and incision thickness.

Qing Ping's eyes lit up, and Tang Lou's movements were done in one go, one line, one knife, and each layer of structure, one knife, one knife, one knife
"Tian Linsheng!"

Because Tang Lou's movements were too neat and fast, Tian Linsheng didn't even react. After all, during Ma En's operation before, he had to observe each floor before he dared to do it, and sometimes, a floor had to be cut. Up several times.

Under Qing Ping's urging, Tian Linsheng just woke up like a dream, and his whole body was startled. Tang Lou's movements seemed to be no less than that of Doctor Qing!

This!
Tian Linsheng quickly bluntly separated the skin, subcutaneous tissue and external oblique aponeurosis that Tang Lou had cut through with a hook, and then managed to keep up with Tang Lou's speed, finally stretching the internal oblique and transverse abdominis muscles.

When Tang Lou finished cutting and stood aside, Tian Linsheng's forehead was already covered with cold sweat.

So fast and so beautiful!
Chen Wenhao, who was a few meters away, was also dumbfounded, and even began to doubt the accuracy of the personnel arrangement before the operation. Is such a technique really an intern can do?
As for cheating ghosts, I am afraid that the general indications are not as good as this level.

"Have you practiced?"

Even Qingping couldn't help asking.

"Well, one month before I came to study, the director of the hospital was afraid that I would embarrass myself, so I gave special training and performed three or four incision cases."

Tang Lou said lightly.

"Three or four?"

The corners of Qingping's mouth twitched, he couldn't reach this level after three or four years of work, so Tang Lou's talent was just too good.

It's just this talent
Qingping, who has always been calm, also gave birth to a trace of jealousy.

Holding the hook with both hands, Tian Linsheng glanced at Tang Lou, and could no longer feel the urge to compete with him for help. In his heart:
"Is there a morgue at home, and the incision technique can only be practiced by dissecting every day."

"Have you tried to find the appendix before?"

Qingping asked again, after all, the most important thing in appendicitis surgery is to find the appendix.

"No, I have seen three or four cases."

Qingping suddenly didn't want to ask Tang Lou any more questions, and even couldn't hear the two numbers three and four.

"Then take care of it. For conventional appendectomy, finding the appendix is ​​the key. This is also skillful. I summed up a formula myself: I will be promoted to be a grandfather, and my daughter will be married and return to her mother's house. There are three people."

"The so-called ascending is the ascending colon, the knot is the colonic belt, the ileum is the ileocecal part, and the third is the confluence of the three colonic belts. The rhythm of the whole bowel turning is:
Find the ascending colon first, and follow the colon to the ileocecal area. The place where the three colon bands converge is the root of the appendix. "

Qingping quickly turned to the appendix according to the formula.

"After the appendix is ​​found, it can be properly stretched back to the blind. Remember that if the mesentery is thick, it is best to puncture the proximal end of the mesentery with a needle to prevent vascular retraction."

For Qingping, appendicitis resection is very familiar, and all the operations were completed very quickly.

The steps are clear, the movements are clear, and Tang Lou has a new understanding. Compared with Liu Tong's proficiency, Qingping's operation can only be described as pleasing to the eye.

"Tang Lou, you come to complete the abdominal closure."

After checking that there was no bleeding and counting the gauze equipment correctly, Qingping handed over the location to Tang Lou.

"Ah."

Tang Lou was neither modest nor fearful, and steadily took the needle holder and suture thread from the nurse.

Under the three-star suturing technique, Tanglou's movements seemed to complement Qingping's operations.

Smooth, precise, the strength of each stitch, the length of the cable, the delicacy of the knot
This operation is simply at the textbook level.

Chen Wenhao and Tian Linsheng on the side were obsessed with watching.

The two work together so perfectly!
"Tang Lou, prepare for the next appendectomy tomorrow, go back today to review the structure of the appendix, and understand my formulas with heart."

Qing Ping also showed a love of talents, originally he just wanted to see Tang Lou's basic skills, but now he has changed his mind.

Compared to cultivating Ma En, Qingping felt that Tang Lou was the one who was most likely to complete the umbilicus cavity technology with him!

Director Cheng really found a good candidate for him in general surgery!

"it is good."

After completing the last injection, Tang Lou handed over the equipment to the nurse, completing the task, and looked at Tian Linsheng's position.

After all, Leng Yunze cooperated with him like this in the county hospital before, and before that, Liu Tong and Li Fan cooperated with him, so from the very beginning, Tang Lou got used to having someone to clean up the mess.

One after the other, Qing Ping and Tang Lou left the operating room, leaving behind a mess of feathers.

【Ding!New task, complete the first complete appendicectomy in life, task reward: 2 gold coins, and the card library is automatically refreshed once. 】

[Whether the host consumes 2 gold coins and refreshes the card library once]

"Refresh!"

[Consume 2 gold coins, card library refresh:]

[Card library refresh: Appendectomy (one star, 2), appendectomy (one star, 2), hernia repair (one star, 2), hernia repair (one star, 2), thyroid surgery (one star ,2)】

Tang Lou directly clicked on two appendectomies (one star, 2)

Take a look at your dashboard:

Level 5: Upgrade 24
Operation column (5/5): Suture (three stars, 9), diagnosis (one star, 3), appendectomy (one star, 2), dressing change (three stars, 9), incision (three stars, 9)

Gold: 2
羁绊（1/1）：1.外科圣手（二级，4/5）：减少30%感染率，增加30%愈合，减少患者30%疼痛
天赋（4/4）：1.缝合流水线（已激活）2.聆听3.专注4.韧性

Storage column (5/9): Exposure (three stars, 9), hemostasis (three stars, 9), emergency general (three stars, 9), appendectomy (one star, 2), debridement (two stars, 6)

After Tang Lou returned to the office, he packed up and went to the ward for rounds with a notebook in hand.

Half an hour later, Tian Linsheng returned to the office.

Some doubted life and sat on the stool.

Ma En and Wang Daquan also completed another group of appendicitis operations. When they returned to the office, they saw Tian Linsheng.

"Tada, how does Kazusuke feel?"

Wang Daquan asked immediately.

Tian Linsheng lowered his head and remained silent.

"What's the matter, being bullied by Doctor Qing? It's normal for the first time to help, and you will get used to scolding."

Wang Daquan came over and clamped his arm around Tian Linsheng's neck.

Tian Linsheng took advantage of the situation and threw himself into Wang Daquan's arms.

"???"

"...I'm still Lagouxia."

Tian Linsheng was crying, feeling aggrieved.

Ma En was also a little surprised, Tian Linsheng rubbed his nose in Wang Daquan's arms, and looked at Dr. Ma and Wang Dalin.

"Tang Lou is the first assistant today."

Tian Linsheng pouted, and said even more aggrieved: "Tomorrow he will be the chief surgeon!"

"what?"

Ma En and Wang Daquan were stunned all of a sudden.

Tang Lou, this intern who has only been here for less than a month, is the chief surgeon for appendicitis surgery?
Wang Daquan pinched Tian Linsheng's left cheek.

"It hurts, it hurts."

Ma En pinched Tian Linsheng's right cheek.

"I'm protruding (艹盘艺)"

Seeing Kang Hui's little squirrel face, Ma En and Wang Daquan were convinced that Tang Lou was really going to take the lead!
　Dear benefactors, Tang Lou will be performing the first operation in his life tomorrow, hehehe!Let’s celebrate without voting ^O^
　　
　
(End of this chapter)