"Isn't this just a vascular anastomosis?"

Shen Jun looked at the operating table. For chief doctors like them, if there are levels of surgical procedures, ordinary suturing is the lowest level. Vascular anastomosis is a little more complicated, but it is only between level one and level two. Very basic surgery.

Generally speaking, large hospitals like city hospitals will have regular trainees who rotate in various departments. It usually takes about 15 months in general surgery to master disinfection, aseptic techniques, water and electrolyte balance and disorders, surgical shock, trauma, and surgery. Infection, preoperative preparation and postoperative treatment principles, etc.

As for the mastery of surgical techniques, the most basic ones are: surgical dressing changing techniques, surgical incision, exposure, suturing, ligation, hemostasis, etc.

Therefore, suturing is a basic skill of a doctor. Shen Jun would never have imagined that such a basic operation could make Cheng Jian unable to move his eyes.

"Is there really something special about it?"

Shen Jun also calmed down and looked at the screen:

Tang Lou fixed the traction thread at the anastomosis of the blood vessel, and now controlled the suturing at the midpoint of the two needles, and used it as the traction thread to suture with equal margins and equal stitches between them.

The difficulty here lies in controlling the equal margins and equal needle spacing. This is microsurgery, and the distance in the field of view is different from the actual distance, so it must be practiced repeatedly before you can master it.

This kind of micro-operation is like a watchmaker wearing an eyepiece repairing complex and precise gears and components.

The gears are dead and hard, but the human tissue moves and is likely to bleed. The situation changes rapidly, and every operation has its own specific situation, so it is not only the movement that is tested, but also the calm response.

The most important principle when suturing blood vessels is to prevent blood leakage. This does not mean that the denser the sutures, the better. Too dense will increase the chance of blood vessel embolism.

Theoretically, the edge distance of sutured blood vessels should be 1 to 2 times the thickness of the vessel wall, and the needle pitch should be 2 to 3 times the edge distance.

The accuracy requirements for this control are undoubtedly very high. It is amazing that an ordinary doctor can control it within this range. Occasionally, a few needles will exceed the range.

But now under the magnification of the live broadcast camera, everyone is stunned.

Margin: 1x, 1x, 1x...

Every injection in Tanglou was inserted into the hearts of the senior doctors present. They were all in a daze. I am afraid that even the textbooks would not dare to write this.

Margin: 2x, 2x, 2x...

While everyone was still immersed in the magical operation, Tanglou had already completed one side of the blood vessel, flipped the blood vessel clamp and blood vessel, and exchanged the position of the traction wire. The broken end of the blood vessel was turned over to the unsutured side.

"...heparin water..."

Tanglou controlled the suturing steps very clearly and did not get carried away at all. This kind of operation would probably make the doctors present proud for a while. This kind of technique is worth bragging about all day long.

After the flushing was completed, Tanglou even did not forget to flush out the remaining thrombus and foreign matter in the cavity again to confirm.

After finishing the procedure, he did not rush into anastomosis just because they were the same blood vessels, but instead observed again to confirm that there were no sutured walls.

"Careful and meticulous, it is indeed a textbook surgical procedure, professional!"

Naturally, Shen Jun did not escape the law of true fragrance and couldn't help but admire it.

"After seeing this, I want to go to the operating table and perform a stitch." Cheng Jian looked at Shen Jun's reaction and was very proud. The technique that he praised was naturally worth learning by everyone present.

In the next half of the anastomosis, the same technique was repeated, but everyone watched it with gusto and wished they could press the pause button and explain it carefully.

Tang Lou loosened the blood vessel clamp and gradually began to restore the blood flow to this artery.

"No, vasospasm!"

In the observation room, everyone felt as if they were undergoing surgery. Their moods were up and down, and their hearts sank when they saw vasospasm. This patient's condition is really complicated. Tanglou's surgery is perfect enough, but There were still some minor accidents.

Of course, this is also one of the charms of surgery. Sudden accidents test the nerves of doctors. For senior doctors, this situation is too common.

No matter how many examinations you have done before surgery, how many rigorous department consultations you have gone through, and how many comprehensive plans you have formulated, the moment you have your heart broken.

Just like the classic line in "Forrest Gump", life is like a box of chocolates, you never know what the next one will taste like.

This is why doctors need to undergo regular training and rotation, often lasting two or three years.

Generally, interns write hospitalization medical records in the first few years. There should be no less than 60 minor cases and no less than 15 major medical records.

After several years of experience, I was able to participate in and complete several surgeries under the guidance of superior doctors.

Many interns have lost all their passion, become confused, withdrawn, and changed careers at the beginning of their careers.

However, being able to enter a large hospital and have an internship career is already a blessing from God. Some departments in tertiary hospitals have reached such a perverted level that they are not suitable unless you have a doctorate.

Medical students were angels with broken wings in their previous lives, and this is absolutely true.

Senior doctors who have experienced the disaster of 1981 are very curious about how Tanglou will deal with it next.

Liu Tong also clenched his fists: "I don't believe you, an intern, can handle such a sudden situation."

Everyone was watching the operating room attentively.

Li Fan was also very worried. They said that the authorities are confused, but the bystanders know better. Li Fan really wanted to say that the bystanders are even more confused.

"...2% lidocaine, quick..."

Tanglou's instructions appeared clearly before everyone held their breath.

"It's amazing. Lidocaine is a commonly used local anesthetic in medical clinics. It was first used to treat arrhythmias. It is currently the drug of choice for the prevention and treatment of acute myocardial infarction and various heart diseases complicated by rapid ventricular arrhythmias."

"By controlling the heart rate and slowing down the pumping of blood, thereby slowing down the load on blood vessels, this method really solves the problem from the source."

Everyone in the observation room secretly praised it.

"Due to the full surge in surgeries today, the department's stock of lidocaine has been used up. It has been transferred to other departments and is currently unavailable."

The nurse replied nervously.

Li Fan was also in a cold sweat. He had never thought that lidocaine would be used in vascular anastomosis. However, the spasm of blood vessels came too suddenly. Today was a special situation. All departments were busy, including the nurse station.

The current allocation is probably a bit uncertain.

Everyone in the observation room and the operation was excited again. Unconsciously, everyone turned their attention to Tanglou, waiting for his decision.

"Papaverine diluent?"

The little nurse shook her head, her nerves became tense instantly, and she almost wanted to cry under the pressure.

Feel guilty!

Everyone was already amazed by the proposal of the second solution to Tanglou, but it was a pity that it was still not available.

After all, it is a county hospital, and in a special period when the operating rooms in all wards were full and the staff was stretched thin, Li Fan performed many operations in succession without thinking too carefully, and the preoperative preparation was indeed insufficient.

In the observation room, Shen Jun was also sweating.

"It's okay. We don't have papaverine diluent, so we can use warm saline to wet compress the anastomosis. Although the effect is not very good, it is currently the best way."

Tanglou said calmly, with a warm tone that immediately relaxed the little nurse's tense nerves.

Looking at the professional Tanglou, the little nurse's eyes were full of admiration, but not everyone can make a temporary decision on the best solution according to the corresponding medical conditions in such a short period of time.
Chapter completed!