Obviously, Tanglou is preparing to operate with both hands at the same time, using an ultrasonic hemostatic knife to treat the mesangium.

The ultrasonic hemostatic knife has very high requirements for the surgeon. The force and angle must be controlled well, and the tissue around the appendix must not be contacted.

Otherwise, it will cause electrical burns to the surrounding tissue and intestines. Dr. Huang once encountered a resident doctor under his supervision who performed improperly, resulting in excessive wounds and postoperative pain in the right lower quadrant of the patient.

When all the experts were feeling nervous, Cheng Jian and Qing Ping were actually there. After all, this was already the basic operation of Tanglou.

Sure enough, the next second, there were exclamations in the observation room!

"Pay attention to Tanglou's hand controlling the grasping forceps."

On the screen, one side shows the surgical field in the patient's abdominal cavity, and the other camera angle shows Tanglou's hand.

I saw that his hands were micromanipulating seven or eight times in a few seconds, constantly controlling the direction and angle of the grasping forceps.

At the same time, in the surgical field, you can see that the grasping forceps are not always in one position of the appendix, but are constantly being adjusted slightly.

At the same time, Tanglou's other hand controlled the ultrasonic hemostatic knife, which also entered through the single umbilicus.

This kind of picture is like Zhou Botong's technique of mutual exchange between left and right hands, or the left hand drawing a square and the right hand drawing a circle.

The simultaneous use of both hands to perform fine micro-manipulation requires a person's concentration, finger strength, and wrist flexibility.

"Slow coagulation mode,,,"

While operating with both hands, Tanglou issued further instructions at the same time. The equipment nurse was already used to it and completed the debugging immediately.

"Concentrate...the camera zooms out, panoramic view...the camera zooms in, close-up..."

Tang Lou controlled the pliers and ultrasonic hemostatic knife with both hands, and directed Ma En's oral trajectory at the same time, just like a senior director directing the cameraman.

The picture is not only clear, but also beautiful!

Exactly 3 seconds later, the mesoappendix blood vessels have completed coagulation.

There was total silence in the observation room until the tenement building was completely closed.

"This mesoappendix treatment is no worse than that of an ordinary chief physician."

Although Dr. Huang had some prejudices before, after seeing the operation in Tanglou, I have to say that it is really pleasing to the eye.

Professor Liu took a sip of tea and said nothing, but he was increasingly looking forward to the next operation.

Qingping glanced around, raised the corner of his mouth slightly, and thought to himself: This is where we are, the performance has just begun.

In the operating room, Tang Lou naturally remained focused.

The next step is to deal with the appendix stump. Tanglou observed that there was only 4mm left from the gangrenous edge of the patient's appendix root to the cecum.

"Absorbable thread, needle holding pliers..."

Naturally, Tanglou chose the most suitable treatment of simple ligation + "8" figure suturing of the cecal seromuscular layer.

Seeing Tanglou using absorbable threads with such ease, in such a small operating space, the experts were naturally a little unbelievable.

Especially the knotting of the tenement building is so beautiful. The spacing and size between the knots are even and beautiful.

"Such a solid basic skill, it seems that you really don't practice less in daily life. Shu Ya, you should take a closer look, there is still a lot to learn."

Professor Liu said to Ma Shuya beside him.

"Um."

Ma Shuya was convinced. In the department, her basic skills were admired by everyone before, but in front of a pervert like Tang Lou, she was still a little unsatisfied.

Of course, in addition to basic skills, Ma Shuya admired Tanglou's grasp of the entire operation process and rhythm demonstrated in this operation.

Too mature.

"Flush the abdominal cavity and place a drainage tube..."

Tanglou continued to issue instructions, and this operation soon entered the final stage.

What everyone didn't expect was that after Tanglou completed the operation of the surgeon, he didn't even let go of the final suture.

"this?"

Professor Liu watched Tanglou doing the simplest suture with great enjoyment, and his heart was slightly touched.

"No wonder his basic skills are so solid. Even though he has become the chief surgeon, he still does the simplest sutures himself. This attitude is worth learning."

Ma Shuya also admired Tanglou silently in her heart.

Only Qingping and the others were a little helpless and didn't know why Tanglou had this special habit of sewing.

Sure enough, after completing the sutures, Tang Lou changed his face and walked out of the operating room without looking back.

[Ding, mission: complete 40 cases of ERAT and 5 suspended gasless laparoscopic appendectomies within a week. Complete. Reward gold coins: 15, and the card library is refreshed once. 】

Tanglou looked at his own panel:

The panel of the tenement building:

Level 5: Upgrade 24

Surgery column (5/5): suture (three stars, 9), diagnostic surgery (one star, 3), appendectomy (three stars, 18), cholecystectomy (one star, 2), choledochojejunostomy

(two stars, 6)

...

Gold coins: 25

...

[Does the host consume 24 gold coins to upgrade? 】

"upgrade."

[The host chooses newly awakened talents: 1. Subject leader: can accelerate the growth of assistants, and has a chance to master 80% of the level of the host's spells. 2. Immunity: the host can be immune to infectious diseases, and is resistant to infectious diseases...]

After reading several talents, Tanglou naturally liked both the subject leader and the immune system very much, but after thinking about it, now that the general surgery department is developing provincial key subjects, he definitely cannot do it by himself.

"Choosing Talent: Subject Leaders."

Tanglou looked at his panel:

Level 6: Upgrade 32

Surgery column (6/6): suture (three stars, 9), diagnostic surgery (one star, 3), appendectomy (three stars, 18), cholecystectomy (one star, 2), choledochojejunostomy

(two stars, 6), incision (three stars, 9)

Gold coins: 1

Bond(2/2):

1.Surgical Master (Level 2, 3/5)

2. Chief Sword Aura (Level 1, 2/2)

Talents (5/5): 1. Sewing assembly line (activated) 2. Listening 3. Focus 4. Resilience 5. Subject leader

Storage column (5/9): Exposure (three stars, 9), Hemostasis (three stars, 9), Emergency Comprehensive Surgery (three stars, 9), Debridement (two stars, 6), Dressing change (three stars, 9),

...

...

During the preparation period for the operation in Tanglou, Cheng Jian returned to his office and quickly returned to the observation room with several cups of freshly brewed coffee.

"Director Wen, I really don't want to have a drink. It's rich and mellow, and I feel warm and energetic after drinking it."

"I'm used to drinking herbal tea."

Wen Dalong refused coldly, picked up the tea cup in front of him, took a sip, and chewed a few tea leaves in his mouth.

Professor Liu and Ma Shuya gratefully accepted the coffee from Cheng Jian.

Professor Liu took a sip gently and said, "Not bad, really good. Director Cheng, this trip to the First Municipal Hospital is really worthwhile."

Cheng Jian laughed.

"Tang Lou's surgical ability is indeed great. I also admit that he has certain attainments in suspended airless laparoscopic surgery, but being great does not mean that there is no doubt about the current volume of surgeries."

Seeing Cheng Jian and Liu Pingguo's victorious postures, Wen Dalong couldn't hold back after all and said coldly.

"No rush, we have time."

Cheng Jian took a sip of strong coffee and leaned half of his body on the back of the chair: "Director Wen, be patient."

“It smells so good~”

Wen Dalong watched Cheng Jian and others drinking warm coffee, then picked up the tea cup and found that it was already at the bottom of the cup. He was too embarrassed to ask Qing Ping to pour water, so he put down the tea cup and sat in a dull mood, frowning.

Ten minutes later.

In the operating room, preparations were made, and a new patient appeared in everyone's eyes.

What the experts did not expect was that the patient selected by Tanglou this time was a little boy less than ten years old.

"Director Cheng, this tenement building really knows how to select patients."

The extremely experienced Dr. Huang on the side said with some admiration and some worry:

"As we all know, acute appendicitis in children is more severe than in adults. Moreover, the greater omentum in children is underdeveloped, so the inflammatory reaction is not easily localized and prone to perforation. It may even cause systemic poisoning, and the prognosis is serious."

“So the surgeon’s understanding of the surgery needs to be deeper, and the surgeon’s operational requirements are also higher.”

“Furthermore, appendicitis in children and appendicitis in adults are more difficult to diagnose not only during the operation but also before operation. Because younger children have difficulty in accurately describing the history of abdominal pain, and because they are afraid of examinations, they are not cooperative enough during physical examinations.

It can easily affect a clinician's judgment."

"Yes, I agree with Dr. Huang, or we can change to an adult. The diagnosis of children is not so accurate."

"I suggest not to go up the difficulty level just for this observation. It is better to be cautious and choose an adult."

Wen Dalong finally found an opportunity to make up for it. In fact, even he did not dare to say that he could diagnose appendicitis in children 100% correctly, and there were even more uncertainties.
Chapter completed!