"As Dr. Qing said, traditional LA requires the use of CO2 to form pneumoperitoneum for surgical operations under general anesthesia. CO2 easily diffuses under the skin to form emphysema, and diffuses into the blood through the omentum to cause hypercapnia, cardiopulmonary dysfunction, etc.

Complications, for ultra-high

In older patients, their cardiopulmonary function is often in a compensated state, so the application of LA is significantly limited. Suspension airless laparoscopy technology can complete minimally invasive surgery under continuous anesthesia, reducing the cardiopulmonary burden on extremely elderly patients.

Functional requirements and intraoperative anesthesia risks.”

While Tang Lou explained, he continued to slide the photo of his hand-drawn technique design.

Regardless of whether it was Tang Lou or Cheng Jianqingping who came up with this technique, several attending doctors became quiet when looking at Tang Lou's hand-drawn pictures of the technique.

They realized that this form of surgery had never been used before, in other words, it was specially designed for this patient.

Qing Ping and Cheng Jian had another idea. Originally, when establishing a provincial key acute abdomen subject, there were quantitative and quality requirements for new surgical procedures. If the surgical procedure proposed by Tanglou was successfully implemented, it would be an additional

the possibility of success.

"Tanglou, please explain the entire process of the technique carefully."

Cheng Jian rubbed his hands and his eyes shone brightly. The suspended airless laparoscopy technology sounded very high-end. Although its application fields are limited, it can solve the postoperative risks of extremely elderly patients, which is also a great benefit.

.

Cheng Jian even thought that with this innovative technique, Tanglou might be able to start a star-like medical career like those big names in the industry.

After all, creating a new technique while still an intern is a rare opportunity and talent.

Cheng Jian suddenly thought of the application of laughing gas in dressing changes for burn patients from another company in Tanglou who was still collecting case data.

Although these two small improvements were not enough to shake the medical world, with the growth of Tanglou, this pioneering medical attitude.

Cheng Jian's heart became hot, so he would let himself protect him during the early stage of Tanglou's growth.

After settling on this idea, Cheng Jian had a different mood when he looked at Tanglou's techniques. If he had the opportunity, he must let Tanglou go out and participate in more academic exchanges, medical forums, and of course more participation.

Accumulated experience in various surgeries…

[Ding, I have detected the ardent expectations of the department director, new task: to become a subject leader in the field of acute abdomen in the first hospital of the city, to become a star doctor, task time limit: long-term, task reward: expand the surgical storage column]

"Long term mission?"

Tanglou was slightly surprised and looked at Cheng Jian. Of course he would not disappoint Director Cheng and continued his analysis of the technique:

"First, epidural anesthesia is used. Then the first incision is made 1.0cm below the patient's umbilical cord as an observation hole. Artificial pneumoperitoneum is established in a piecemeal manner, controlling 1/2 of the conventional pressure, and a laparoscope is inserted.

The second step, which is also the core of this surgery, is to make an incision 3 fingers below the umbilicus as an operating hole. After exposing the appendix, the patient's abdominal cavity is lifted and fixed on the stent through external abdominal sutures to relieve pneumoperitoneum and pass through

The patient's abdomen is suspended to form an operating space. The average time for establishing a pneumoperitoneum is controlled at 3 minutes.

The last step is to establish another operating hole at McBurney's point, adjust the patient's head to the height of his feet, lift the appendix, and perform a routine free resection. After that, follow the routine process until the residual fluid in the abdominal cavity is sucked out. During the operation, it will be decided whether to leave it in or not depending on the situation. The abdominal drainage tube was removed, the hanging purse string and laparoscopic instruments were removed, and the abdominal incision was sutured.

above.

After Tanglou finished speaking, he stood quietly, waiting to answer the questions and opinions of the attending doctors about this technique.

Seeing Tanglou's condescending and calm demeanor as a general, several senior chiefs fell into silence.

"Bah bang bang!"

Shen Bingbing was worthy of being an elegant goddess. She was the first to take the lead in applauding. Naturally, Li Xiang and others followed suit, applauding together for Tang Lou, or for the person behind Tang Lou who designed such a technique.

Being able to give such an improved plan that has never been used to a young man like Tanglou as the first step in his debut is really a big investment.

Director Shen put down his palm, looked at Cheng Jian and Qing Ping, and said meaningfully: "From Tanglou's analysis and introduction, this improved surgery can be promoted and applied to super-elderly patients, and it has universal It is suitable. It can be used as a landmark surgical procedure in our city's first hospital, and it is of great significance to the development of the acute abdomen department. Director Cheng really opened our eyes during this consultation."

As expected of Director Shen, he saw the core of the matter and the naked temptation at a glance.

"Director Shen is right, and I can't believe it. Tanglou's improved surgery is indeed of great significance to the city's first hospital to develop the key acute abdomen discipline. But now we still need to solve this specific problem first. Case.”

Cheng Jian directly prevented Shen Bingbing from making any malicious speculations about the grand subject of discipline construction.

"Are you still insisting that such a groundbreaking, feasible, and profound technique is an improvement on Tanglou?"

Shen Bingbing was a little surprised in her heart. It seemed that Cheng Jian was determined to help Tanglou rise to the top. Could it be that some of his female junior doctors had gossiped about Cheng Sisi and a handsome trainee doctor? The avi was true.

If Tang Lou is Cheng Jian's approved future son-in-law, then it makes sense that such an important reformed technique would be in his name.

If this procedure goes smoothly, it will definitely be published in core journals, which is self-evident for the doctor's future.

Shen Bingbing even thought about whether the director of "Farewell My Concubine" was Chen Kaige or his father, and whether Han Han wrote the work himself or was ghostwritten by his father...

After all, this kind of improvement in surgical techniques is just the icing on the cake for an experienced doctor like Cheng Jian, but for a young doctor who is just starting out, he is a new genius.

After all, Zhang Ailing has a famous saying: Be famous as early as possible!

Shen Bingbing took another look at Tanglou's perfect appearance, coupled with such a genius's conceived surgical improvement. If she had been a few years younger, she would have fallen under the charm of such a male doctor.

However, it was a pity that she had already passed the age of constant bombardment, so she wanted to try the quality of the tenement building and asked directly and sharply:

"Tanglou, I agree with your general concept of this surgery. If it is a long-term research topic, I will undoubtedly give you applause. But as a specific plan for an operation that is about to take place, the details cannot be ignored. ignored, so I still have a few questions.”

Although Shen Bingbing's tone was soft, all the attending doctors felt that the storm was coming.

Sure enough, Shen Bingbing had no pity for the young and juicy Tanglou: "The subcutaneous tissue of the abdominal wall of super-elderly patients is loose, and the subcutaneous layer has poor suspension effect. It may not be able to form an effective surgical space, and there is also the risk of accidentally injuring the inferior epigastric artery. This

How do you solve the problem?”

Listening to Shen Bingbing's questions, all the attending doctors were worried about Tanglou. If this plan was really designed for him by Cheng Jian, the concept would be understandable, but it involves the details of the surgery, especially the loose subcutaneous tissue, which can cause accidental injuries.

Inferior arteries cannot be dealt with without practical experience.

Li Xiang and others secretly took a look at Cheng Jian's reaction. They were not panicked at all and even showed the same expectation.

Is it really an improved technique designed by Tanglou himself?

While several attending doctors had different thoughts, Tang Lou smiled slightly and looked at Shen Bingbing:

"Just suspending the subcutaneous tissue of the abdominal wall is naturally risky. However, I will use full-thickness suspension during the operation to avoid the abdominal wall blood vessels for puncture under direct vision. It is safe and reliable. The relaxation of the abdominal wall in the elderly can actually form

A more efficient surgical space.”

After Tanglou finished answering, he was not impatient at all. Instead, he urged Shen Bingbing: "Director Shen, if you have any other questions, I will answer them one by one."

"this..."

Seeing Tang Lou being calm and composed, several of the attending doctors became uneasy, especially Tang Lou's words: I will...
Chapter completed!