The person being operated on in Tanglou was a femoral hernia patient.

Compared with indirect inguinal hernia, umbilical hernia, and femoral hernia account for about 5% of external abdominal hernias, and they mostly occur in women over middle age.

Femoral hernias have a higher chance of becoming incarcerated, so early surgical repair is recommended.

Generally speaking, the repair principle of femoral hernia is the same as that of indirect inguinal hernia repair, which mainly involves high ligation of the hernia sac and repair and closure of the femoral canal.

However, during femoral hernia repair, it is very easy to damage adjacent tissues, especially the bladder, small intestine and obturator artery.

Therefore, when performing femoral hernia repair, general doctors will be more cautious and move more gently.

But when Wang Chuan and Guo Cai'er saw Tang Lou's operation, they were really reckless and didn't seem to be worried about any accidents during the operation.

Generally speaking, for femoral hernia repair, the incision will be centered on the fossa ovale, 3CM below the inguinal ligament, or the incision will be made on the inside of the femoral artery, 1CM downward from the inguinal ligament.

But no matter which method is used, the surgeon will first use a marker to mark, determine and design the incision. After checking that it is correct, he will carefully perform the operation.

However, Tanglou directly skipped this step, took the scalpel directly from the instrument nurse, chose the bow-holding method, and started incision directly on the inside of the patient's femoral artery.

Moreover, the surgical incision is very short and extreme.

Guo Cai'er's mouth opened slightly, a little unbelievable. If she didn't dare to enlarge the incision so much, subsequent operations would be very difficult with such a small incision.

Even Wang Chuan's face changed slightly. His eyes were naturally on Guo Cai'er. He had seen such extreme knife edges before.

However, the last time, he was in the operating room of Union Medical College Hospital. He was just a second assistant, and the people on stage were famous professors from the Department of General Surgery of Union Medical College Hospital.

Even with Wang Chuan's qualifications, he was someone to look up to at that time, and the professor's incision skills were among the top ten in the country.

However, he actually saw a young doctor under thirty years old operating in the operating room of Hecheng City No. 1 Hospital.

On the operating table, Tang Lou didn't care about other people's opinions at all. He changed the way the scalpel was held and began to cut layer by layer.

Tanglou leaned forward slightly and used his fingertips to carefully cut through different layers of tissue.

Tanglou's knife edge was precise and fast, and his hands were steady and strong!

In just a few minutes, Tanglou began to search for the hernia sac, using the femoral vein as a marker.

"So fast?"

Guo Cai'er's mind was a little blank. Femoral hernia repair is a very difficult procedure among external abdominal hernia repairs. Moreover, Guo Cai'er had also read the patient's information and was eliminated by them.

This patient has a special constitution and has many chronic diseases. It is very possible for an accident to occur during the operation. Therefore, to be on the safe side, she did not take risks.

While Guo Caier was distracted, Tang Lou had already begun to peel off the hernia sac, and the instrument nurse and first assistant cooperated with Tang Lou without stopping.

The connection between the steps is extremely tight, and each one is highly concentrated, without any trace of the laziness that I had before.

Guo Caier's heart was filled with turmoil. It turned out that the previous equipment nurse really disliked her slow movements.

"Hemostatic forceps..."

Tanglou's instructions resounded in the operating room. After receiving the instruments, Tanglou quickly started blunt dissection.

Two hemostats were flipped dizzyingly inside the patient's body. After a few minutes, the hernia sac had been separated from the femoral vein, great saphenous vein and surrounding tissues.

At a glance, on the screen, the separated tissue anatomy is clearly layered, each part is complete, and there is no trace of damage or defect.

"It's just art."

Even Wang Chuan had to admit that Tanglou's separation was done cleanly and beautifully.

As long as you are a surgeon, who wouldn't want to perform such a gorgeous operation? What shocked Wang Chuan the most was that Tanglou didn't even pause during the entire process.

It is obvious that he is very familiar with the patient's tissue structure and anatomy, and he is not worried about making mistakes at all.

"Scalpel..."

After the separation of the tenement building, without even taking a breath, I started directly to the next step of incising the hernia sac.

"Ichisuke, check the contents of the hernia..."

Duan Fei cooperated very skillfully with Tang Lou to complete the investigation. After the report, Tang Lou's hands had already begun to collect the contents of the hernia.

"Number 5 needle, thin thread..."

After only half a minute, Tanglou began to gradually peel off the hernia sac to above the neck of the hernia sac and began to suture it through.

"Surgical scissors..."

The excess cyst wall fell off immediately, and it was quickly and neatly removed.

"Doesn't he need to be repaired?"

Guo Caier was already a little confused. If she were undergoing this operation, she would stop and observe at least three times to confirm that everything was correct before proceeding to the next step.

But Tanglou didn't pause at all and seemed to have 100% confidence in his operation.

Moreover, what shocked Guo Cai'er was that Tang Lou's hand was always very steady during the entire operation, and there was not a trace of error during the continuous operation.

"How many surgeries did it take to have such a pair of stable hands?"

Guo Caier secretly looked at Dr. Wang Chuan aside. Before this, she had always felt that there could not be a doctor in the First City Hospital who could surpass Dr. Wang.

Not to mention someone younger than Wang Chuan, even if he was the chief physician, she didn't think he was better than Dr. Wang. However, now that she saw Tanglou's operation, her mind was filled with those strong and steady hands.

Wang Chuan's expression also became very solemn. On the screen, Tanglou had already started suturing the inguinal ligament.

Intermittent suturing is very common, but when Tanglou started suturing, Wang Chuan's heart twitched.

Tanglou controls the needle holder, and the strength, accuracy, and direction of each needle, as well as the final stitch length, are all the same.

It's like a machine, every stitch and every knot has the same action.

Moreover, with Wang Chuan's eyesight, he could naturally see that Tanglou avoided many nerves, blood vessels, and tendons in the suture path he chose, which meant that all secondary injuries were eliminated.

Wang Chuan knew that this level of suturing could not be achieved through surgery, it was a kind of talent.

Even at Union Medical College Hospital, Wang Chuan dared to say that he couldn't find a hand.

Five minutes later, Tanglou completed the suturing of the falciform border of the fascia lata and the pectineal fascia. The whole process continued smoothly without any pause.

"sharp."

Wang Chuan sighed and had to admit that even he could not match Tanglou's sewing skills.

Guo Caier's whole body was wilted. She had to spend at least twice as much time on this step, and she didn't dare to do it like Tanglou did for fear of compressing the femoral vein and great saphenous vein.

.

Five minutes later, Tang Lou began to repair and sew the incision layer by layer. Although Tang Lou continued to operate, a little sweat still appeared on his forehead.

The equipment nurse looked at Tang Lou who was attentive, picked up a white gauze, and wiped the glistening sweat from Tang Lou's forehead. His face turned slightly red and he showed a happy smile.

Wang Chuan felt inexplicably sad when he saw such a harmonious scene between nurses and doctors. The nurses in the operating room had always kept a distance from him, right?

Wang Chuan's mentality was a little unstable, and he sighed again.

There was actually a doctor in the No. 1 Hospital of the City who was more handsome than him, more popular than him, younger than him, and whose surgical skills were far ahead of him.

Five minutes later, the entire operation in Tanglou was completed.

Wang Chuan suddenly came back to his senses, his body began to stiffen, and he felt a little flustered. Why did he stand here?
Chapter completed!