On the second day, Hang Cuishan came to Tanglou very early. There was a patient with external abdominal hernia who needed surgery.

"Tanglou, please take a look at this patient's information. I have seen a case of inguinal hernia repair that you performed before. The patient recovered very well after the operation. I believe this one can also be used. You will perform the surgery in a while, and I will guide you.

At the same time, I have arranged for Dr. Duan Fei to be your assistant."

Tanglou took the patient information and looked at it: "This patient needs umbilical hernia repair?"

Hang Cuishan nodded: "Yes, umbilical hernia usually occurs in children and obese patients. This patient is caused by being too obese. The difficulty of the operation is slightly higher than that of inguinal hernia, but there are some slight differences. You can familiarize yourself with it in advance. We will take half an hour

Then the surgery will begin.”

Naturally, Hangcuishan has great trust in Tanglou's surgical capabilities, even if it was Tanglou's first umbilical hernia repair.

"Okay, I understand."

After Tanglou agreed, he directly entered the system space: "I need to exchange for umbilical hernia repair surgery and refresh the card library."

[Card library refreshed: Umbilical hernia repair (one star, 2), Umbilical hernia repair (one star, 2), Indirect inguinal hernia repair (one star, 2), Indirect inguinal hernia repair (one star, 2)

, Indirect inguinal hernia repair (one star, 2)]

Tanglou was speechless for a while, what the hell are three inguinal hernia repairs doing at this time!

Looking at his storage column with only 2 spaces left, Tanglou endured the heartache and selected two umbilical hernia repair surgeries.

Looking at the surgery column (6/6) and storage column (9/9), Tanglou has an urgent desire to upgrade. I want to do surgery. I want to do surgery!

Tanglou looked at Hang Cuishan very longingly: "Doctor Hang, after finishing this one, can you arrange a few more."

Hang Cuishan looked at the Tanglou, a little surprised, but also a little unbearable, fearing that it would put too much pressure on him:

"Tanglou, don't be impatient. Take your time. I don't want you to grow up to be comparable to Wang Chuan in this week. Director Cheng and I agree that as long as you have a stable demand for abdominal hernia surgeries every day, we will have a reason.

You have to pass a certain number of patients from Wang Chuan's side, and the flow is long and steady. As long as you keep doing it, with your learning ability, when you accumulate to a certain level, you will have the capital to compete with Wang Chuan."

"At that time, it would not be so easy for Wang Chuan to be the best in the field of external abdominal hernia. Our first step in sniping him has been achieved."

Hang Cuishan's mentality is very stable. The competition with Wang Chuan will not happen overnight. Of course, no one expects that Tanglou can achieve the skills that Wang Chuan has been training for several years in one week.

After all, it is a royal ship!

"Finish this one first, and there will be another one in the afternoon. Let's start with two a day. Don't put too much pressure on it."

Hang Cuishan gave another piece of advice, fearing that it would be counterproductive.

I heard that there are only two surgeries a day, and only 28 surgeries in two weeks, which is far from enough to complete the task of 50 surgeries.

Tanglou was a little disappointed, but now he could only do what he had to do first, and then think of ways to slowly increase the amount of surgery.

Half an hour later, the first umbilical hernia repair operation in Tanglou began.

The causes of umbilical hernia include underdevelopment of the umbilicus, incomplete closure of the umbilical ring or weak umbilical scar tissue.

Once the intra-abdominal pressure suddenly increases, the internal organs can protrude from the umbilicus to form an umbilical hernia. The abdominal pressure of obese patients is naturally higher than that of people of normal body size, which is why umbilical hernias are more common in obese patients.

The anesthesiologist performed continuous epidural anesthesia on the patient and quickly stepped aside.

The first assistant of this unit is Duan Fei, Hang Cuishan's most effective resident doctor. He is thin and has cheeks that are a bit like a squirrel. He is known as "Kang Hui" of the First Hospital of the City.

Duan Fei cooperated with Tanglou for the first time, and of course he wanted to see the level of Tanglou.

The incision for umbilical hernia repair is different from that in the groin.

"Marker..."

Tanglou didn't show any courtesy because it was his first time working with Duan Fei, and went straight into the rhythm. The equipment nurse prepared the marker and scalpel.

Tanglou quickly made a fusiform incision on the patient's umbilicus.

When Tang Lou handed the marker back, the instrument nurse had already put the scalpel into Tang Lou's hand. After doing several operations with Tang Lou, these nurses were also familiar with Tang Lou's style.

No nonsense, no jokes, just non-stop fast operation.

Under the three-star incision, Tang Lou controlled the scalpel and gently drew it on the patient's abdomen.

The skin and subcutaneous fat tissue are quickly incised.

"Damn, it's so fierce!"

Duan Fei had surgery on Tanglou for the first time. Just this incision made him stand in awe and meet a fierce man.

No wonder Tanglou is favored and robbed by so many attending doctors in general surgery.

Since the patient was too obese, in order to ensure a smooth operation, Tang Lou directly removed excess skin and subcutaneous fat tissue.

"It's easy."

Hang Cuishan also nodded in approval.

After Tanglou completed the incision, he moved on to the next step, incising the hernia sac along the periphery of the hernia hole.

However, since it was only a one-star umbilical hernia repair surgery, it was at the level of an ordinary resident doctor and the operation was quite satisfactory.

Hang Cuishan looked at Tanglou's operation and found it somewhat unsatisfactory. However, he felt relieved when he thought that this was Tanglou's first umbilical hernia repair surgery, but it was not as amazing as expected.

"Give him some time and take your time."

Hangcuishan quickly calmed down and realized that Tanglou's behavior was actually in line with common sense.

Duan Fei, who was cooperating with Tang Lou, paid close attention to Tang Lou's operations, and he also made a judgment in his mind. It was not as amazing as the legend said, but the level of the first operation was almost the same as his, and it was already powerful enough.

However, when he thought of Dr. Wang Chuan who came back later, Duan Fei became depressed. Even though Tanglou had great potential, he was still too young.

Can this hernia repair performed by ordinary residents really be competitive?

In the operating room, Hang Cuishan and Duan Fei's thoughts were racing, but Tang Lou, the surgeon, didn't care at all about his own operating level.

The operation is still serious and rigorous: "First assistant, check the hernia contents and adhesions."

Duan Fei calmed down and cooperated with Tang Lou: "During the operation, it was found that the contents of the hernia sac, the small intestine, the greater omentum, and the greater omentum have some adhesions, and they need to be ligated in groups..."

"Scalpel, scissors, pliers..."

Tanglou steadily ligated the omentum in groups, cut the hernia sac 2.0cm away from the skin edge of the hernia ring, and removed the attached omentum and skin together.

"good."

Looking at Tanglou's operations, Hang Cuishan discovered that even though Tanglou's level of operation and proficiency was similar to that of a resident doctor, his ability to deal with problems and make decisions was much higher.

In particular, Tanglou's concentration and continuous operation ability are far superior to ordinary people.

The more Duan Fei did it, the more he felt how extraordinary Tang Lou was. Even though he could do Tang Lou's operations, he couldn't do it as neatly and cleanly as Tang Lou. He thought he couldn't do it.

Especially in terms of detail processing and basic skills, the level of stitching in Tanglou is really amazing.

"It seems that this is really just his first attempt at umbilical hernia repair. With time, he may not be able to compare with Dr. Wang Chuan once he becomes more proficient."

While Duan Fei was thinking, Tang Lou had already begun to suture the peritoneum and the posterior rectus abdominis sheath transversely.

With fast suturing, even stitch spacing, and clean thread arrangement, under Tang Lou's operation, the rectus abdominis suturing was completed in a short time.

Next, the upper and lower leaves of the anterior rectus abdominis sheath are overlapping and sutured laterally.

Duan Fei looked at Tanglou's operation, his mouth opened slightly, and he wanted to say something, but he couldn't.

Originally, these sutures should have been the job of his first assistant, but after seeing Tang Lou's perfect skills, of course he didn't dare to show off in front of Guan Gong.

I watched helplessly as Tanglou sutured the subcutaneous tissue and skin layer by layer.

Too fast!

[Task: Expert in the field of external abdominal hernia, progress 1/50, reward 3 gold coins, and refresh the card library once. 】

[Card library refreshed: Umbilical hernia repair (one star, 2), Umbilical hernia repair (one star, 2), Femoral hernia repair (one star, 2), Indirect inguinal hernia repair (one star, 2),

Femoral hernia repair (one star, 2)】

Tanglou directly clicked on two umbilical hernia repairs, with a gold coin balance of 12.
Chapter completed!