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Chapter 18: The operation is completed

The department consultation went from a tense confrontation to a final shock and came to an end.

At the end of the consultation, Tang Lou further added on the feasibility of his surgery: 1. The patient has no previous history of lower abdominal surgery, 2. The patient does not have immunosuppressive diseases or bleeding diseases, 3. There is no serious cardiopulmonary, renal or cerebral disease.

disease...

Seeing such rigorous analysis and argumentation, Shen Bingbing and others fully recognized Tanglou's plan.

However, due to the special status of the patient, Tanglou actually performed the surgery in the name of Director Cheng, Qingping personally acted as Tanglou's first assistant, and Shen Bingbing went into the operating room to observe.

Before the operation, both President Yang Hu and Vice President Yang Xiaodong were present. The patient's family members were his youngest son Chai Ming, the director of the Propaganda Department of the Municipal Party Committee, and his daughter Chai Shanshan.

Chai Ming has an elegant temperament. He is in his prime as a leading cadre. He has neat oily hair, a few strands of silver on his temples, and a crisp suit. He is very elegant.

Chai Shanshan is a top student at Zijingang University, but she became a cartoonist after graduation. She is a typical rich second generation who has no worries about food and clothing. She also has many friends in the entertainment industry. She stood aside with a slightly worried face.

Cheng Jian brought Tanglou, Qingping and others to have final exchanges with the patient's family.

Chai Ming spoke indifferently, giving people a feeling of being distant and condescending.

However, Dean Yang and others didn't think it was a big deal, as this was in line with the leader's style.

Vice President Yang Xiaodong was also very surprised by the suspended pneumoperitoneum plan proposed by Director Cheng, but after understanding it, he still agreed with it and boasted to Chai Ming.

Chai Ming naturally didn't know much about the surgery, but he felt reassured about the First City Hospital. Cheng Jian was also well-known in the Hecheng medical circle. With the assurance from Dean Yang and others, he happily signed and agreed.

On the other hand, Chai Shanshan, who was standing by, sent the surgical plan to a close friend of hers who was attending the Department of General Surgery at Zijingang University School of Medicine in Hangzhou.

Zijingang University Medical School can be said to be the most impressive hospital in Hangzhou, and her best friend is a prominent figure who graduated from Zijingang Medical College with a bachelor's, master's and doctoral degree.

However, maybe because I was at work, I didn't reply immediately.

After chatting with Dean Yang and others, Chai Ming was the leader of the municipal party committee after all, and hurried to the next meeting.

After Chai Ming left, Dean Yang and others gave some instructions to the medical team of Cheng Jian who was responsible for the surgery before leaving together.

Thirty minutes later, the operation officially began.

Outside the operating room, Chai Shanshan finally waited for the reply from her best friend Ma Shuya: "I have never heard of the suspended airless laparoscopy technique. Appendicitis surgery for super seniors like your grandfather is actually not difficult, but the later stage

Healing and preventing infection are the most critical."

"Why don't you arrange for the patient to go to Hangzhou for surgery? If you come to me for surgery, you can at least ensure that the success rate of the surgery is increased by 20%. And I have never heard of this suspension method, but after listening to your brief description, I think it is right.

The requirements for magicians are extremely high, and it is most likely specially formulated for your grandfather. If it is deployed for the first time. Is it based on the level of Hecheng..."

Chai Shanshan suddenly became anxious when she saw the slight disdain for Hecheng's surgical skills in Ma Shuya's tone and her doubts about the newly introduced technique of suspension.

A few minutes later, Chai Shanshan’s WeChat message rang again, and it was Ma Shuya again:

"Shanshan, I just told our boss, Professor Liu, about this plan. Professor Liu expressed that he was very interested in this plan and spoke highly of it! And according to his experience, as long as the surgeon's skills are good enough, the success of this plan will

The rate is very high. If he comes to treat the patient, the probability of recovery is over 90%."

"real?"

Chai Shanshan was very excited.

However, as the third type of female doctor besides men, Ma Shuya is a pure technical expert and can make up for it directly: "But Professor Liu is a Beidou-level figure in the field of acute abdomen disease in Jiangxia Province. Appendicitis

The level of surgery is among the top five in the province. Hecheng City No. 1 Hospital..."

Chai Shanshan's mood dropped again. In fact, she had always insisted that her grandfather go to Hangzhou for surgery, but she couldn't resist the old man.

Chai Long said: Isn’t it just a minor surgery for appendicitis? How can Dahe City be inferior to Hang City? Hang City, Hang City, I know how to go to Hang City. Today I am Chai Long and I have the conditions to go to Hang City. If I were an ordinary citizen

What? Just do it in Hecheng. I believe in Hecheng’s medical level.

Chai Long has been in the leadership position of Hecheng all his life, and he is deeply dissatisfied with the current younger generation, who either imitate the neighboring magic city, or copy the tricks of Hangcheng.

Hecheng's own accumulation is so deep that it can definitely develop its own characteristics, but it always imitates others and imitates others' doctrines, which is often like a tiger but not a dog.

Choosing to have the surgery in Hecheng this time was actually a silent protest against his nephews!

Chai Shanshan naturally understands her grandfather's thoughts, but even though she understands, she is still a little worried. Naturally, she does not expect Hecheng's surgeon to be able to catch up with Professor Liu's level.

Chai Shanshan posted: "I hope this surgeon is more reliable! A wronged expression."

After a while, Ma Shuya returned a scratching expression.

"This new technique is very cautious. I estimate it will take at least two hours. Please wait slowly."

"Of course it is possible that after laparotomy, if the findings are different from what was expected, it is not impossible to switch to conventional laparoscopic resection. Appendicitis surgery is still a relatively minor surgery. If conventional surgery is used instead, although the surgical healing will be slow

There is a possibility of infection and complications, and the recovery will be slower at most and the patient will suffer more, but overall it will not be life-threatening."

Ma Shuya sent another hug emoticon.

After Chai Shanshan read it, she responded with an expression that looked like she was crying.

The words of the female doctor are really hurtful invisibly.

Chai Shanshan regretted choosing the No. 1 hospital for surgery.

....

In the operating room, Shen Bingbing and Cheng Jian, who were watching, said it was impossible not to be nervous. After all, this was the second operation in Tanglou!

"Dr. Chen, let's get started."

The aura of Tanglou's chief surgeon completely overshadowed Qing Ping's, and the senior surgeon really felt like he was a small help.

Chen Wenhao was already a little numb. The surgeries performed by this guy in Tang Lou were more and more frightening every time.

Director Cheng and Director Shen watched in person, and the senior attending Qing Ping Yisuke?

And it is a new technique that has never been tried before.

To be honest, even Chen Wenhao, who has experienced many battles, has sweaty palms. Looking at the somewhat legendary old man lying on the operating table, his heart is pounding.

Although this surgery was a laparoscopic surgery, epidural anesthesia was still used at Tanglou's special request.

"Relax."

Tang Lou noticed Chen Wenhao's abnormality and encouraged him.

For some reason, Chen Wenhao's hands suddenly became much steadier, and his heart became much more stable.

He completed the anesthesia quickly and then stepped aside, showing a rare seriousness.

"1.0 trocar at the lower edge of the umbilicus is used as an observation hole, artificial pneumoperitoneum is briefly established, the pneumoperitoneum pressure is controlled within 6 mmHg (1 mmHg=0.133 kPa), and a 30° laparoscope is inserted."

Tanglou calmly began to instruct the equipment nurse and Qingping who appeared as first assistant.

After entering the operation, Tang Lou seemed to be a completely different person, his tone was serious and rigorous, and he had no scruples at all because of Qingping's identity. He really seemed to be commanding subordinate doctors, without being polite at all.

Qingping was also in a trance. At certain moments, Tanglou made him feel like Director Cheng, and he was back in the green days of Isuke.

There is no need to think too much, just follow the surgeon's instructions and make corresponding movements.

"A 0.5 trocar is made 3 fingers below the umbilicus as an operating hole for instrument operation, and the appendix is ​​exposed. After determining the position of the appendix, use a double-needle purse-string suture on the abdominal wall at the appendix, penetrate vertically into the abdominal cavity at a distance of 6 cm, and lead it out from the operating hole in stages.

Use the double needle, cut the double needle and tie it, lift the external abdominal suture and fix it on the support frame, release the pneumoperitoneum, and adjust the height of the support to create a satisfactory operating space."

Tang Lou's precise instructions continued to echo in the operating room.

"The process of establishing a pneumoperitoneum is controlled within 3 minutes. Create another 0.5 cm operating hole in the avascular area near McFarland's point, and take a posture with the head lowered and the feet high, leaning 20° to 30° to the left."

Under Tanglou's clear and closely connected instructions, the equipment nurse and Qingping were busy cooperating.

Qingping had given up on his own thinking and just followed the instructions. He was as busy and cheerful as a junior assistant who had just graduated.

Shen Bingbing and Cheng Jian on the side have completely calmed down and are completely immersed in Tanglou's skillful and calm command.

...

Forty minutes later, the door of the operating room opened and Tanglou appeared at the door.

Chai Shanshan stood up nervously, panicked, and rushed over. With Mashua's message in her mind, she asked anxiously: "Doctor, is there something wrong with the suspension laparoscopic surgery? It needs to be converted to traditional abdominal surgery."

Mirror method?”

Due to her anxiety, she didn't even notice the flat car slowly exiting behind the tenement building.

"The operation was quite successful." Tanglou was in a good mood and joked, "Want to see the removed appendix?"

Chai Shanshan looked at the handsome young doctor blankly: "Is it done?"

Obviously it doesn't take more than an hour, but Ma Shuya said that in her experience, appendicitis resections are usually controlled within 90-150 minutes, and with the introduction of new surgical techniques, it is stable at more than two hours.

Seeing that Chai Shanshan was in a daze and did not come to help move the patient, Tang Lou patted her gently: "Are you okay? Come here and help."

"oh."

Chai Shanshan was sober now, but she still didn't believe it: "So you ended up using traditional laparoscopic resection?"

"No, it's a suspended gasless laparoscopic surgery."

"How could it be so fast? Doesn't it mean that new surgical procedures need to be carried out very carefully, and this surgery is not very difficult and requires extremely high requirements on the surgeon?"

Chai Shanshan thought about Ma Shuya's analysis and the authoritative Professor Liu's comments, and began to worry again. It was not possible that she chose to close the door directly after opening it.

"Who told you that new techniques must be done slowly if they are difficult?"

The tenement building was speechless: "Hurry up and call the elevator."

Under Tanglou's instructions, Chai Shanshan called the elevator and then came back to help pull the car.

Due to the special status of the patient, Cheng Jianqingping accompanied him and personally escorted him back to the ward with a huge team of people.

Chai Shanshan held the car and walked forward while picking up her mobile phone and quickly sent a reply to Ma Shuya: "The operation has been completed and the doctor said it went well. But I'm still a little worried. It won't be an hour. You said no?"
Chapter completed!
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