Chapter 144 Choose blunt separation?
"Ichisuke prepares for umbilical puncture..."
Tanglou was not polite at all and gave the order directly.
Ye Kai naturally didn't expect Tanglou to be so direct and not polite to him. After all, it was his home court.
At least you know their name, right?
This feeling is as if a rich boss came to a KTV, dragged one away, and took him to a small room without saying a word... and walked out after a while without even remembering his face.
Of course, even if the young lady stood in front of her after taking off her makeup, she would still be unrecognizable.
Just like Ye Kai now, you don't know what you look like under the surgical clothes. What's even more pitiful is that no matter how bad the young lady is, she can still pass through some weapons, some long armrests, and some magic chants in the process.
Leave a lasting memory.
However, in the operating room, Tang Lou didn't even give him a chance to speak.
Ye Kai felt aggrieved, but he had to follow Tanglou's orders. After all, he couldn't lose the reputation of Yan Ruoyun's medical team.
The puncture was completed quickly. Ye Kai's puncture was very good. In the past, when Lin Dong and others called him out, it was like being turned over, and he was as proud as a peacock with its tail spread. But now in Tanglou
My subordinates, because Tanglou has been here for a shorter period of time, is younger and more handsome, I feel really bad.
"As soon as possible, inflate CO2 to bring the pneumoperitoneum pressure to 12mmHg..."
Tanglou gave the instruction without any emotion at all without any pause.
Ye Kai was stunned for a moment, didn't he give himself a chance to breathe?
Ye Kai felt like he was being targeted. It was definitely the new official in Tanglou who took office to give him power.
I'll wait for you to perform the surgery in a while. I'll see if you can still do it non-stop.
Ye Kai took the instrument from the instrument nurse and started injecting CO2, and the pneumoperitoneum was quickly completed.
"Preparation for Laparoscopy..."
Tanglou did not waste any unnecessary nonsense and directly took charge of the entire operation. After all, the conditions in the operating room are no better than before. A group of people work together, so many basic operations are completed by assistants.
In fact, the assistants are grateful for these opportunities given by the chief surgeon.
However, due to Tanglou's status and qualifications, Ye Kai couldn't accept it.
However, Tian Linsheng on the side was different. Before he finished speaking the last word in the tenement building, he was already centered on his navel.
The laparoscope was under his hands, rotating 360° to explore the entire abdominal cavity to understand the situation, and he gave a very tacit conclusion:
"Intraoperative exploration: There are no adhesions or masses in the abdominal cavity..."
"There are no lesions in the liver and spleen..."
"There are no adhesions in the gastrointestinal tract, tumors..."
"No bleeding at any puncture point..."
When he mentioned the puncture without bleeding, Ye Kai raised his neck slightly. Puncture was something he was very good at.
It's just that Tian Linsheng's camera didn't stay for a second at all, and he said habitually: "Doctor Tang, your navel hole is very precise, completely avoiding all internal organs, and I have the confidence to do the puncture. It's really amazing
!”
Ye Kai's face turned dark instantly.
The Tanglou on the side also accepted it very calmly. He didn't want to say anything and just paid attention to the screen.
"Gallbladder size, inflammation and surrounding organs, tissue anatomy relationship..."
Tian Linsheng was not discouraged or discouraged as his rainbow fart did not make Tanglou react. After all, Tanglou was really awesome, and he could praise him even if he caught him casually.
Ye Kai suddenly became enlightened when he saw Tian Linsheng's shameless attitude and how quickly Tian Linsheng was promoted to a mirror assistant.
Ding, whose eyes were somewhat fiery, turned to Lin Dong and glanced at him:
"Not as handsome as Tanglou..."
"Not as young as Tanglou..."
"No tenement building has the potential..."
"The surgery seemed to be done just fine..."
"I'm almost going to be hospitalized, and my wife is starting to get her hair done..."
"Um, can I change my tutor(?????????)"
Ye Kai became desperate. His dog-licking career had not even begun yet, but he was ruthlessly killed by Lin Dong's frustration.
Lin Dong naturally did not expect that Ye Kai would be defeated by him, but he still watched Tanglou's operations calmly.
But so far, Lin Dong is still very satisfied with Tanglou's operation, but it is not particularly amazing. After all, Tanglou's surgery is only a one-star cholecystectomy, which is the standard of ordinary hospitalization.
"Assistant, pull the bottom of the gallbladder and push it together with the liver to the upper right..."
Tanglou did not stop the airtight order. Ye Kai wanted to say something, calling himself Ye Kai, but the instrument gauntlet had already thrown the instrument into his hand.
"Gently press the omentum..."
Tang Lou's next order was issued, and Ye Kai was slightly startled. He had already performed many cholecystectomies with Lin Dong, so he naturally understood what Tang Lou meant.
"Blunt separation?"
Ye Kai obviously didn't expect that Tang Lou would suffer from blunt separation the first time he went under the knife alone.
Blunt dissection refers to a surgical operation method in which the surgeon simply uses a scalpel handle, hemostatic forceps, and fingers to separate the original intact soft tissue.
Since there is a lot of connective tissue and pus attached to the gallbladder, only doctors who have a very good understanding of the anatomy of the gallbladder can use blunt dissection.
Generally, novices use sharp incision directly. For example, for example, a patient has an abscess on his arm. The young doctor is afraid that when dealing with the abscess, it will cause secondary damage and contamination, causing poisonous blood.
In order to avoid complications such as disease, I chose to ampute the leg directly above the wound, once and for all.
Blunt separation is naturally like a rotten apple with a small hole in it. In fact, the rest of the apple is still edible, so you just use a sharp knife to pick out the rotten parts.
The two are naturally superior to each other.
Lin Dong on the side was also a little surprised by Tanglou's choice. Even when he was performing blunt separation, he was cautious.
"Tanglou, be careful of accidental damage to nerves and blood vessels, avoid excessive tissue expansion, and reduce damage to tissue skills."
After all, Lin Dong had never seen Tanglou surgery before, so he gave guidance immediately.
However, before Lin Dong finished speaking, Tanglou had already cleaned out the adhesions around the gallbladder, especially the layer of pus and moss, which had been peeled off cleanly.
Throw it on the plate and look at the adhesions. It still maintains a clear anatomical structure.
"So fierce!"
Ye Kai's face changed slightly. After all, a young man of the same age as himself had mastered blunt separation so well. He was really jealous.
Why do people with such good skills still have dark and thick hair? Do they buy Bawang products wholesale at home?
If he had performed this blunt dissection, he would have damaged the colon and duodenum long ago. After all, the operating space was very small.
"Traction Hartmann bag..."
Compared to Ye Kai's slight distraction, Tang Lou didn't think it was anything special at all, and then put forward the next instruction.
Ye Kai finally regained his concentration. Tanglou was cruel to his assistant, but even more cruel to himself.
Such uninterrupted and delicate operations can cause tissue damage and complications if you are not careful.
It can only be said that Tang Lou’s concentration and proficiency during the operation were astonishing.
Sure enough, on the screen, Tanglou successfully separated the serous membrane behind the gallbladder angle and the loose connective tissue.
"Electric coagulation hook is ready..."
"Okay."
Unknowingly, Ye Kai was also led by the rhythm of Tanglou, and his energy was focused on the surgery.
Lin Dong on the side licked his lips, and it turned out that it was not Yi Yi who could be valued by Director Cheng, Dr. Yan and Dr. Qing.
This was just his first surgery, and he was already on par with a resident doctor who had performed hundreds of surgeries for many years.
Chapter completed!