Vascular anastomosis is a relatively difficult technique among sutures, and is rarely practiced by interns, especially in this case of complex vascular injury.

Liu Tong looked at the screen with some expectation and some panic. Normally speaking, it was impossible for Tanglou to do it, but another voice in his mind told him that he might really be able to do it.

Cheng Jian is also an old man waiting for Tang Lou's performance. In fact, Li Fan's previous skills were lackluster, which was a bit out of place for him, so he wanted to see if this doctor could give him a surprise.

Different from surface suturing, the anastomosis of blood vessels requires the use of instruments, which tests the doctor's wrist and fingertip control.

...

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"Mechanical nurse, head lens preparation, microscope magnification 5 times."

Tanglou chooses to suture the large arteries first, and then anastomoses the small blood vessels. Generally, if the caliber of blood vessels is >2mm, a headoscope can be used.

Tanglou wears a black head mirror and looks like a mechanically transformed person, with a cold and rigorous beauty.

"...Needle holder, microscopic forceps, microscopic scissors, microvascular clamps are ready..."

Vascular anastomosis has very high operational requirements, so microsurgical instruments must be used. Tanglou handled the instruments with ease, exuding a battle-hardened temperament.

...

...

Seeing Tanglou's professional techniques and the neat and beautiful movements of his hands, Cheng Jian and Huo Tong nodded frequently in the observation room.

"High-quality vascular anastomosis is the key to ensuring smooth blood vessels after surgery. Therefore, the surgeon must have skilled vascular suturing skills. This doctor's action can be said to be textbook level, stable and beautiful. I didn't expect to come to your hospital today.

Such an unexpected gain.”

Cheng Jian was very happy. After all, it was a blessing to witness such a beautiful operation with his own eyes.

"Dr. Cheng is right. This kind of surgery is really beautiful and beautiful. Liu Tong, you must learn from it. Don't sit back and look at the sky in the future, claiming to be a quick surgeon. Compared with this doctor, you are not only inferior."

Just speed."

Huo Tong also took this opportunity to teach Liu Tong not to be obsessed with power and neglect his skills. As the director of surgery, even he was a little jealous of such a smooth operation.

Liu Tong held it back, he was really a dumb man eating Coptis chinensis, but he really couldn't find any fault with the skills displayed by Tanglou:

"What kind of monster is this?"

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"... Ringer's solution 200ml + 10mg heparin for backup..."

Tang Lou calmly issued instructions, and the operating room once again became his stage. Li Fan beside him was completely suppressed by Tang Lou's aura.

Several times, Li Fan wanted to remind and guide him, but before the words came out, Tang Lou did it in a more graceful way than he could have imagined.

"...No. 9 non-invasive line..."

For items larger than 2mm, we generally use No. 7 to No. 9 threads, but Tanglou chose the thinnest one. After all, he has master-level suturing skills, so he doesn’t panic at all.

If there are only tiny blood vessels with a diameter of less than 2mm, non-invasive sutures No. 9 to No. 11 will generally be used.

There are many ways of anastomosis of blood vessels, basically including: interrupted blood vessel suture, blood vessel cannula suture, blood vessel end-to-end anastomosis, blood vessel end-to-side anastomosis, blood vessel side-to-side anastomosis, etc.

For this artery, Tanglou chose end-to-end anastomosis.

Under the control of his slender and powerful fingers, he quickly found the far end of the blood vessel, and sharply dissected the proximal end to both sides while preserving the soft tissue around the blood vessel.

In this operation, it is extremely important to control the free distance, neither more nor less. Tanglou accurately achieved the ultimate limit of 1cm.

Li Fan was already stunned: "This guy's control is too strong. This is testing at the limit. I would definitely choose the most conservative 2cm."

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...

"Amazing! This doctor is so confident in his control." Cheng Jian's eyesight is amazing. This doctor's pursuit of surgical techniques is too perfect. A vascular anastomosis is already top-notch in Hecheng.

Huo Tong became more and more frightened as he watched. He didn't even have time to say anything. For a boss of his level, Tanglou's technique was also a perfect lesson.

Through the zoom lens in the live broadcast room, they can see more details and better understand the hard work that goes into these operations.

"You see, not only does he have amazing control, but his on-the-spot reaction is also unparalleled. When a normal person faces a vasospasm, he will react for one to two seconds, but he is so unpredictable that in less than a second, he

Use mechanical expansion to relieve it."

"Yes, it is indeed very informative. Generally, only veterans know how to flush blood vessels with heparin saline to observe whether there are translucent localized bulges on the blood vessel walls!"

Liu Tong was also a little confused when he listened. It was the first time for him to know about this method of flushing blood vessels with heparin saline to distinguish the translucent localized bulges in the blood vessel wall.

It is impossible to react to such small details on the spot unless you have actually encountered or dealt with them.

"Does this kid's family run a hospital? Only by spending time in the operating room every day can he perform such sophisticated treatment."

Liu Tong is no longer envious now, but has begun to despair. Is this really an intern?

So what do you plan to do after spending more than ten years struggling?

Cheng Jian was all excited: "Director Tong, you must copy this operation video to me later. I will use it as a training tutorial for the doctors in our hospital."

Huo Tong also nodded: "Yes, it is thanks to Liu Tong's foresight that he left a valuable teaching material to our county hospital."

Liu Tong couldn't be happy at all now, and his whole body was wilted.

"It's good to know that there is a gap between you." Seeing Liu Tong's dejection, Huo Tong thought he was impressed by Tanglou's medical skills and suffered a blow.

"He is about to start the most critical suturing. He will sew one stitch each at 0° and 180°, or 90° and 270° for the anastomosis of the blood vessels as a fixed traction line. You can see that his angles are not bad at all, and his skills are profound!"

Cheng Jian now feels the pleasure of explaining the Tanglou, for fear that others will not understand its subtleties.

While everyone was admiring the superb skills of Tanglou, another person walked in from the door of the observation room.

"Hey, what's going on with you? Doctor Cheng and Director Huo, why are you observing the operation? Whose operation makes you watch so seriously?"

It was Shen Jun, the director of the emergency department, who walked in.

"Shh!"

Cheng Jian was a little disturbed, frowned dissatisfied, and then said: "Director Shen, you came at the right time. This case of vascular anastomosis is really classic. Please forgive me for being rude. I don't have the time to talk to you about anything else. Come on,

Come and take a look together. You will be fascinated too."

It was rare for Cheng Jian to encounter such a live broadcast, so naturally he didn't want to be interrupted, so he still stared at the screen and waved with his hand.

"Oh? So interesting."

Shen Jun understands that Cheng Jian is a technical master and a technology addict with a picky vision. How can there be a surgery that he admires so much?

Psychologically, I don't believe it.

"I want to see what it can do that will surprise me!"
Chapter completed!