This is an indirect inguinal hernia repair, requiring continuous epidural anesthesia.

As the anesthesiologist for this operation, Chen Wenhao completed the anesthesia very quickly, and then walked to the corner of the operating room. Under Wang Chuan's surprised eyes, he moved a very inconspicuous small bench from the corner and sat down happily.

Go up.

Letting Wang Chuan stand aside, Chen Wenhao usually had the habit of bringing a spare stool. Today, I don't know whether he was complaining about Tanglou or simply disliked Wang Chuan.

Regarding this, Dr. Wang Chuan was slightly dissatisfied, but he did not show it. He stood straight aside and watched Guo Caier's first operation.

He highly recognized Guo Caier's level. Although he was only twenty-eight years old, his skills in abdominal hernia surgery were already as good as those of ordinary attending physicians.

"Let's get started."

Guo Cai'er said softly to Liu Jinjin. The latter bowed and nodded. After all, Guo Cai'er is quite handsome, especially with his short, capable hair and dashing appearance.

Guo Caier looked at the patients on the operating table and felt a little excited. Today alone, she could perform two abdominal hernia operations. In the future, there will be even more patients with external abdominal hernias. Between her and

Dr. Wang Chuan will be given priority.

This kind of treatment and the amount of surgeries she could not imagine at Union Hospital.

"Marker."

Guo Cai'er gave Yuan Aldehyde unceremonious instructions.

He took the pen and carefully made an oblique incision on the patient's abdomen. Then he made a gesture with his finger to confirm that the position was accurate and the length was appropriate, and then he threw the marker directly to Yuan Aldehyde.

Then she raised her hand in mid-air, waiting for Yuan Hu to put the scalpel into her hand. During the whole process, she didn't even turn her head.

After taking the scalpel, he started incision. Guo Caier used a very standard bow-holding posture. The movements were very standardized and rigorous. After a while, he made an incision 2cm above the inguinal ligament parallel to the inguinal ligament.

An oblique incision.

The length of the opening is chosen very conservatively and is sufficient for subsequent operations.

After completing the incision, Guo Caier paused for a while and looked at his masterpiece carefully. The incision was neat and exposed clearly.

"Dr. Guo's incision is very beautiful."

As the first assistant, Liu Jinjin admired from the sidelines. Although he was younger than him, this incision was already comparable to that of an ordinary doctor.

Guo Cai'er was very happy, but he was very humble: "Dr. Liu, you're welcome, my hand incision is far worse than Dr. Wang's."

On the operating table, the two were exchanging commercial blows. Chen Wenhao on the side did not even look at them and let out a long yawn.

With this careful cutting speed and a large incision that can accommodate a pig, what's so good about it?

Yuan Aldehyde on the side also secretly laughed, but did not make a sound.

The instruments in hand have been waiting for a long time. Usually, at this time, Dr. Tang has completed the next step of incision of the external oblique aponeurosis.

I don’t know where Guo Cai’er’s sense of superiority comes from.

"Dr. Liu, let's move on to the next step, the incision of the external oblique aponeurosis. You can help me with traction."

Guo Caier instructed Liu Jinjin, and the latter nodded and cooperated well with Yishu's work.

Guo Caier was still very meticulous and completed the incision with standardized movements, and then paused briefly to give Liu Jinjin and the instrument nurse time to prepare.

She controlled the rhythm steadily, fearing that her operation would be too fast and the equipment nurse would not be able to keep up.

Yuan Aldehyde rolled his eyes, but didn't say much. The two hemostatic forceps in his hands were almost rusty.

After getting used to Dr. Tang's fast pace, and watching Guo Caijie's step-by-step operation, I felt like watching a video at 0.5x speed, which gave me an inexplicable sense of joy.

Guo Caier began to search for and incise the hernia sac. After all, the number of surgeries he performed was not very large, and each patient was different. Therefore, after searching for a while, he found and opened the hernia sac.

Yuan Aldehyde on the side narrowed his eyes and yawned in the same way.

Fifteen minutes later, Guo Caier began to dissociate the hernia sac.

Guo Caier inserted his index finger into the hernia sac and spent three minutes pushing the contents of the hernia back into the peritoneal cavity.

"Small hemostats..."

Guo Caier is still very satisfied with the speed of his operation, and this operation went very smoothly.

Precisely following the steps planned before surgery, he began to bluntly separate the spermatic cord tissue around the hernia sac.

Her operation was very delicate. In order to avoid damaging the vas deferens, she cooperated with Liu Jinjin at every step and adjusted the surgical field and lens. Twenty minutes later, she finally separated the neck of the hernia sac and saw the extraperitoneal fat.

Guo Caier's hands are very cautious and her movements are very gentle. She does not want to waste the patient's postoperative care in pursuit of the so-called speed.

After completing this step, Guo Caier checked carefully and found that there were no bleeding points or other injuries.

Only then was I very satisfied with the next step of high ligation of the hernia sac.

"Scalpel, small hemostat..."

Guo Caier's mind was very calm. He carefully incised the hernia sac longitudinally and stretched the periphery of the hernia sac to reveal a very large inner surface of the hernia sac neck, fully exposing his field of vision for the next operation.

“Very solid basic skills.”

Liu Jinjin secretly praised him, Guo Caier gave him the feeling of stability!

Every step was very meticulous. Although it took a little more time, it was ensured that there would be no problems at every step. It is worthy of being produced by Union Medical College Hospital.

"Line 4..."

Guo Caier gave Yuan Aldehyde serious instructions again.

Guo Caier is very confident about her suturing skills. This time she also chose the very difficult purse string suture. She wore microscope glasses and started the operation in a normal manner.

She is very meticulous in every stitch. After sewing a stitch, she will calculate the stitch length of the next stitch and the position of the subsequent knot.

In her opinion, although suturing is the most basic operation and is required for every operation, she takes it seriously to ensure that every suturing not only meets the functional needs, but also looks good in appearance.

Try to make it as uniform and beautiful as possible.

She was able to win Wang Chuan's trust and respect precisely because of her meticulous attitude. In order to make the stitches look good, she didn't mind spending a little more time and energy.

After sewing one side very carefully, in order to keep her hands steady, Guo Cairr would rather take a breather for a while and relax her hands for thirty seconds before continuing to suture the next section.

Guo Caier deeply understood the principle of sharpening the knife before chopping firewood. Sure enough, although it took one-third more trimming time, the final stitching result was very beautiful.

It's almost neat and even.

Wang Chuan nodded in approval, and even looked at Chen Wenhao and Yuan Aldehyde to see if they were surprised by the beautiful stitching.

However, what puzzled him was that Yuan Aldehyde and Chen Wenhao were not attracted at all, but were lazily immersed in their own daze.

Wang Chuan shook his head. A small hospital is a small hospital. These cooperating staff only care about their own work and have nothing to do with themselves.

There is no sense at all for such delicate operations.

Wang Chuan was a little disappointed and adjusted his posture after standing for a long time. The operation was already halfway through and would be over in more than an hour.

Next, Guo Caier completed the ligation of the hernia sac and began to repair the indirect hernia.

The reinforcement of the posterior wall of the inguinal canal was completed half an hour later.

Next comes the long process of stitching each layer. Guo Caier is very meticulous in each layer, and the stitching of each section is also rigorous and serious. It not only considers the function, but also achieves a certain degree of beauty.

In an operation that lasted more than two hours, in order to ensure the quality of the suturing, Guo Cai'er still trimmed a section after each suturing was completed to ensure that each time he held the needle, he was in the best condition and had the most stable hands.

Two and a half hours later, the operation was over.

A satisfied smile appeared on Guo Caier's face. This operation was performed perfectly, exactly as expected, and there were no surprises.

It can be said that the first operation was very successful.

"Xiao Guo, you did a good job."

Wang Chuan moved his numb legs and checked the time. With Guo Caier's qualifications, it was already a very good achievement to be able to complete the operation so quickly.

Moreover, the quality of Guo Caier's surgery is very high, especially the suturing, which is very enjoyable to watch.

While Wang Chuan was praising him, the anesthesiologist Chen Wenhao yawned loudly.

I originally thought that the doctor at Union Hospital was so awesome. Before starting, he was going to stare at the screen the whole time to study Guo Caier's surgical skills so that he could know himself and the enemy and provide Tanglou with some information for future responses.

But this operation was really long and stinky. To be honest, the level of suturing and the completion of the operation were indeed much better than those of doctors from the First City Hospital of the same age.

However, compared with Tanglou surgery, it is really... before I saw Tanglou surgery, there was no need to be so cautious.

It's all over if you act recklessly, just like a novice driver and an experienced driver in drag racing. As for the stitching, it's even more, click, click, do you still need to pause in the middle?

Moreover, the final stitching is not as beautiful as the stitching in Tanglou.

The most annoying thing is that the operation time is too long, right?

This feeling is like, in the same math class, Tanglou announced that it will be self-study ten minutes in advance, and Guo Cai'er from Union Hospital not only took the full class, but also took up the rest time and added the next class

Every physical education class has been used up.
Chapter completed!