Chapter 22 My role model
Twenty minutes later.
A highly difficult debridement surgery was completed, cleanly.
"...Be sure to give antibiotics after surgery to prevent infection..."
"...Local pressure bandage is applied, and the drainage strip is removed 24 to 36 hours later. The sutures are removed 3 to 5 days after the operation..."
Tanglou ordered while finishing the work.
Listening to Tang Lou's instructions, Xu Lanlan felt a little strange, but she didn't think of it. Naturally, she fully accepted Tang Lou's professional advice.
"Okay. Your surgery is really fast. Dr. Li's surgery over there is still in progress."
"That is, after all, I am young and have good physical strength."
"Okay."
Xu Lanlan also nodded. After all, Dr. Li has performed several surgeries at a high load. Dr. Xiao Tang, who has a big belly, is not as energetic as Dr. Tang!
Seeing that Tanglou's body was not very strong, Xu Lanlan's cheeks turned red, and she looked gentle and graceful, which was quite lasting!
The usual conversations in the operating room made several senior doctors frown in the observation room.
Cheng Jian had some questions: "This doctor is very proficient in operating techniques, and his speed is even worse than mine. Shouldn't he make such a mistake?"
"mistake?"
Huo Tong was observing Tanglou's figure, feeling familiar, but he didn't pay much attention to the postoperative arrangements. He looked at Cheng Jian: "Doctor Cheng, what do you say?"
"The calculation of recovery time and infection rate is a bit too radical. Generally speaking, for this level of debridement, the drainage strips in the later stage should be removed between 24-48 hours. As for the most conservative removal of sutures, it is within 5 days, which is generally controlled.
In 6 to 7 days. But this doctor only calculates 80% of the normal time."
Cheng Jian's reputation as an expert is certainly not for nothing. After analyzing it, Huo Tong kept nodding.
Liu Tong's eyes lit up, and he regained a little face, but this was just a small oversight, not a big mistake. He was ready to wait until there was a bigger trap in the Tang House before revealing his identity!
An intern cannot be so thoughtful all the time!
Huo Tong didn't notice Liu Tong's abnormality, but was surprised by the picture on the screen.
"No way, he is going to...be an assistant to Dr. Li Fan?"
Huo Tong was surprised. After all, boss-level directors like them, or experts from the city hospital, all have status. How could they be assistants to a resident doctor?
"Yes, I must get to know such a doctor after the surgery. Not only is his medical skills a model for our generation, but he is also a generous person."
Cheng Jian also sighed and became more and more interested in the subsequent surgery.
Liu Tong, who was standing by, could only pray in his heart that there was something wrong in Tanglou, otherwise he would really be setting up a stage to sing for others!
...
"Are you okay over there?" Li Fan was nervously dealing with the injury. This patient is more serious and complicated than he thought. "
“Very smooth.”
Tanglou gave Li Fan a confidence.
Hearing what Tang Lou said, Li Fan was greatly relieved and felt a little embarrassed inside, as if he was his younger brother!
The success or failure of the vascular repair surgery largely depends on whether the debridement is complete, so Li Fan had to concentrate on continuing the surgery.
He has completed the first step of controlling the bleeding.
During debridement surgery, bleeding should be controlled first and preparations should be made to stop massive bleeding at any time.
Li Fan first compressed and bandaged the patient's wound to temporarily stop the bleeding. However, because the patient's injured blood vessels were many and involved, Li Fan had no choice but to use a tourniquet.
"...Gauze tape..."
Li Fan made a small incision in a place where a tourniquet could not be used, exposing the proximal section of the injured artery. After separation, a gauze band was wrapped around it to block the blood flow and stop the bleeding if necessary.
With provincial-level debridement skills, Tang Lou naturally understood clearly that Li Fan's skills were quite satisfactory. He had indeed been practicing in the emergency department for so many years.
Li Fan chose gauze tape. Although it is okay, a better choice is a thin soft rubber tube. However, Tang Lou is not a pretentious person, and not everyone expects him to be able to achieve perfection.
Unknowingly, Tang Lou had begun to look at Li Fan with an expert's eyes, and even evaluated him instinctively.
"...Clean the wound..."
Li Fan began to clean the wound and surrounding skin, removed foreign objects, and then rinsed it.
This shows that Li Fan's movements are much clumsier than those of Tang Lou because of his body shape and hand shape.
Just like a piano master has a pair of perfect long fingers, Tang Lou's hands are also worthy of God's appreciation, just like his good looks.
Li Fan continued to extend the incision up and down along the direction of the blood vessels to fully expose the blood vessels.
"not good!"
Li Fan was shocked. When the two ends of the blood vessel were completely exposed and he was about to control it, the wound began to bleed!
"... Use finger pressure to stop bleeding, use nurse instruments, non-destructive blood vessel clamps..."
The Tanglou on the side had quick eyes and quick hands and immediately gave the order.
Under Tanglou's instructions, Li Fan instinctively used his fingers to apply pressure to stop the bleeding. At the same time, the instrument nurse immediately handed over the non-destructive blood vessel clip.
"Huh~ It's so dangerous."
Although Li Fan has rich experience, he is relatively dull and often reacts slowly when dealing with emergencies. This is why he is still a resident doctor in his forties.
Li Fan smiled helplessly, this time relying on Tanglou to save the day.
After the wound was under control, Li Fan immediately loosened the tourniquet.
At this time, the entire blood vessel has been exposed to the surgical field, and the repair and suturing of the blood vessel must be performed on the healthy wall.
Therefore, the damaged tissue on the vessel wall must be fully removed from the contaminated and damaged parts; Li Fan carefully inspected the intima of the blood vessel.
Since the patient this time had injuries from firearms in addition to cuts, he needed to be removed in addition to the injuries visible to the naked eye.
Li Fan was stunned for a moment, his mind recalling.
"Remove about 5mm to prevent thrombosis, but do not remove too much unnecessary to avoid affecting the end-to-end anastomosis of the blood vessels."
Li Fan's eyes lit up, yes, Tang Lou was right.
"This boy!"
Li Fan also sighed in his heart, it is really good to have a super brain. This brat must have been reading cases and watching surgery tutorials every day in college.
If I were a Tanglou, with such good looks, I would probably change my girlfriend every day!
Li Fan steeled himself and resected the damaged section, making sure that both ends of the blood vessels were slightly oblique, so that Tanglou could perform vascular anastomosis later.
After this surgery, Li Fan has completely regarded Tang Lou as a doctor of his generation. Tang Lou even remembers some details more accurately than himself.
Doctors are an industry where everyone relies on their ability to make a living. If you have the skills, you can convince others.
It's just that this kind of technology requires experience to accumulate in addition to talent. Therefore, if you are one step ahead during the intern stage and perform one more surgery, you will grow a little more than your peers.
There is no doubt that from this moment on, Tanglou was qualified to perform these minor surgeries.
Coupled with his extraordinary talent and powerful brain, this boy's future is bound to be limitless!
Li Fan observed that the edge of the patient's blood vessel tear was still neat.
".Small scissors..."
Li Fan repaired the cracks and completely removed some dissection hematomas. Ten minutes later, the debridement was finally completed.
"call!"
Chapter completed!