Tang Lou looked at his fingers with a solemn expression. He did not expect that entering the operating room for the first time would be such an extreme event.

I felt a little nervous and a little hopeful.

The first step before surgery is to wash and disinfect hands. Tanglou dipped a sterilized brush in disinfectant soapy water and carefully applied it first to the fingertips, then to the hands, wrists, forearms, elbows, and the lower half of the upper arm.

Wash your arms alternately.

After scrubbing for a full three minutes, rinse with clean water, with the fingertips facing up and the elbows facing down, from the fingers to the elbows.

“1…2…3!”

After repeating it three times, Tanglou dried his hands with a sterile towel, folded it into a triangle, and placed it on the wrist with the bottom edge of the triangle facing the proximal end. The other hand took the two drooping corners of the towel and rotated it toward the proximal end.

, until it is ten centimeters above the upper arm, then turn the towel over and wipe the other hand clean in the same way.

All actions are standard. Washing hands before surgery is a kind of disinfection, more like a ritual, just like foreigners praying before eating.

Tang Lou understood that from this moment on, he was a real doctor who could face patients directly.

Take a deep breath and soak your hands in ethanol.

After five long and anxious minutes, the entire set of actions was finally completed.

Stepping steadily into the operating room, Li Fan was already waiting, and Xu Lanlan and another assistant were waiting for the opportunity.

Seeing Tanglou come in, Li Fan nodded.

"Xiao Tang, next I will perform debridement and you will suture. This patient's left arm was scratched by an iron tool, accompanied by high-speed liquid jet injuries and open soft tissue injuries."

Li Fan said while debriding the patient.

"1% povidone-iodine solution!"

Li Fan ordered, and the assistant quickly prepared and provided the solution. Three minutes later, the sterilization was completed.

"Saline solution...sterile gauze..."

During the operation, Li Fan completely lost his previous hip-hop look and became serious.

Li Fan lowered his head and put his hands on the patient's wound. Starting from one point, he cut off the skin at the wound edge continuously in a circular manner, then pulled the skin away to completely remove the contaminated fascia tissue under the skin.

After another five minutes, Li Fan finally removed the source of pollution.

"Xiao Tang, the rest is up to you!"

According to Li Fan's assessment, Tanglou can complete such a simple wound. Even if the suturing is slightly imperfect, it is a critical moment like this. As long as there is no infection, it is already thankful.

Moreover, he will guide you on the side. The worst case scenario is to remove it and sew it up again.

Tanglou stood at the position of the surgeon, and his mind was inevitably agitated. This moment he had finally waited for came.

Taking a deep breath, Tang Lou glanced at the lesion area after Li Fan's debridement and decided on a suture plan.

"Simple interrupted suturing is generally used for suturing skin, subcutaneous tissue, muscles, fascia, peritoneum and other tissues. It is especially suitable for suturing infected wounds or wounds with possible infection, which facilitates timely removal of stitches and drainage without affecting adjacent sutures.

Wire."

While waiting for his assistant to get the equipment, Tang Lou said that he was giving feedback to Li Fan that he was capable of the job.

Li Fan nodded, Tang Lou seemed to be somewhat sure of his actions.

"Simple interrupted suturing is simple and quick to operate; the tension of the suture can be adjusted according to the conditions of different wound edges during suturing, and has little impact on the blood circulation of the wound edge; individual suture breakage after surgery does not affect other sutures; it can be used in case of wound infection.

Flexible suture removal and drainage.”

After Tanglou discussed the advantages of the suture method, Li Fan had already put down most of his heart.

It wasn't Tang Lou's reasonable and appropriate choice of suture method, but his clear mind and calm attitude when he performed the surgery for the first time.

It was the first time I went to the operating table. I had been practicing for almost a year. I was so nervous when I went up that the hand holding the needle was shaking slightly.

All operations were performed under the guidance of the resident doctor. After the operation, I felt confused.

At this moment, Tang Lou looked like an experienced veteran with calm judgment.

Li Fan couldn't help but secretly praise in his heart, some people are like the ancestors who enjoy the food.

Tang Lou controls the needle pliers, driven by his arms under the two-star suturing technique.

The hands control the needle and thread stably and accurately. The needle passes through the skin, through the epidermis, dermis, and through the subcutaneous tissue across the incision to the opposite side of the skin. Each stitch is knotted separately.

Just like the rumors about that stitching assessment, Tanglou's stitching lengths were even, the lines were arranged cleanly, and the knotting was just right, with every knot on a straight line.

"He is truly gifted."

The more Li Fan looked at it, the more frightened he became. The biggest disadvantage of simple interrupted suturing is that the suturing time is longer and more sutures are consumed. If the suturing technique is not up to standard, it may lead to uneven tissue alignment.

But now, under Tang Lou's precise control, the tissue incisions are perfectly connected, and the most amazing thing is that Tang Lou's movements are smooth and smooth.

His speed is really fast, very fast!

It would have taken at least five minutes to do it by myself, but in Tanglou's hands, the stitching was completed in less than three minutes.

"Doctor Li, I'm fine."

The assistant takes the needle pliers etc.

"Dr. Xiao Tang is so amazing."

Xu Lanlan was managing the equipment at the side, her beautiful eyes full of admiration.

"Expert in suturing, smooth and fast, Xiao Tang, you did a good job. With this suturing speed and quality, we will definitely be able to treat a few more patients."

Li Fan praised from the bottom of his heart.

[Ding! The mission is growing rapidly. The gap between suture (three stars, 9) and suture (one star, 1) is still short of 5/9. Complete case 1/1, reward 1 gold coin, and refresh the card library. 】

Tanglou looked at his own panel:

Host: Tanglou

Level 2: Upgrade 6

Surgery column (2/2): Suture (two stars, 3), Diagnosis (one star, 3)

Gold coins: 3

Bond: not activated

Talent (1/1): Sewing Assembly Line

Storage Column (1/9): Suture (one star, 1)

[Card library refreshed: Debridement (one star, 2), Debridement (one star, 2), Suture (one star, 1), Suture (one star, 1), Debridement (one star,

2)】

Looking at the card library and his remaining gold coins, Tang Lou was stunned for a moment. If he wanted to complete the task, he could just click on the suture technique.

But, looking at the debridement, I thought of so many patients in the corridor. Now, including the attending doctor, there are only three doctors in the emergency department. I and Li Fan are on the same team, and there are two other doctors. So many patients.

Totally overwhelmed.

Interns with some basic skills in suture surgery can still use it, but basically no one can do debridement, especially in chemical plant explosions. In addition to injuries from hard objects, there are also injuries from liquid splashes and even flame burns, such complex wound infections.

, it is simply not something that ordinary interns can handle.

Although some seriously ill patients have been sent to the city hospital, after all, Yuxian Hospital has recently been sending most of the patients with minor injuries on their way.

The county hospital is really short of staff and stretched!

Tanglou was hesitating. Without debridement, how could we suture it?

...

...

"If the system redeems the debridement technique (one star, 2), can it help?"

[Deep, the patient is being scanned...]

[Most of the infected wounds of patients are comprehensive injuries, and one-star debridement can only meet some of the requirements and is not enough to support complex patients. However, if two-star debridement can be combined, it can be enough to deal with all infected wounds.]

...

...

"Dr. Li, two more patients have been sent to the emergency department. One has a cheek injury and is in relatively critical condition. The other has a thigh injury that has damaged blood vessels and requires vascular debridement."

"Dr. Huang and Dr. Fan's schedule is also full, and these two have been assigned to ours. Both patients need surgery as soon as possible!" Xu Lanlan said anxiously.

"This debridement is relatively complicated and difficult to handle. I probably won't be able to do it on my own, so I need to seek help. How is the surgery going? They are the most powerful. Go and ask."

Li Fan also had sweat on his forehead, feeling a little overwhelmed.

Soon Xu Lanlan came back with a grimace and anger.

"Dr. Liu said that their surgical department has too much time to take care of itself. Dr. Li is not skilled in medical skills, so he still solves the problem himself." Xu Lanlan repeated angrily, "Although their surgical department is also very busy, he, as the attending physician, still has plenty of time."

"This bastard!"

Li Fan naturally understood that Liu Tong was retaliating against him for what happened yesterday, and he was very angry. But thinking of the two patients in critical condition, Li Fan took off his surgical clothes: "Xu Lanlan, you prepare the preliminary work, I will go and beg him personally!
Chapter completed!