Chapter 244 Flying Knife Expert?
"Then start the preoperative preparation."
Zha Qiu simply said: "However, when Dr. Tang performs the surgery, Professor Liu still needs to provide remote guidance."
The equipment of Zijingang Hospital is very advanced, especially in terms of concept. It has long implemented 5G medical treatment, which is telemedicine.
With the joint efforts of colleagues from the general surgery department, anesthesiology department, teaching department, information center and hospital cultural construction office, many remote surgical guidance and teachings have been successfully carried out. The entire process is consistent and accurate, with high-definition images and no delay in sound quality transmission.
"Okay, then Dr. Tang, you go do the pre-operative preparations first, and I'll contact Professor Liu and make arrangements for other surgical assistants."
Ma Yashu is also a very capable person. After finishing his words, he started to execute them.
Doctors Zha Quanquan and Ji Dangren, as well as Dr. Kevin, chose to observe the operation, each with different thoughts.
According to Tang Lou’s pre-operative explanation, because Huang Haiquan took medicine indiscriminately and had vomited many times before, dehydration and electrolyte imbalance needed to be corrected.
Blood, plasma and albumin were transfused at the same time to ensure nutritional supply after surgery.
Before the operation even started, Tang Lou's professionalism and thoroughness had already won Ma Shuya's complete trust.
Twenty minutes later, Tanglou walked into the operating room of Zijingang General Surgery. Compared with Hecheng No. 1 Hospital, the various instruments were much more advanced, and the medical staff were also very professional and complete.
However, due to the special status of Tanglou, the equipment nurse and anesthetist were full of curiosity.
After all, "flying knife" is very common in China. Doctors who can go to Zijingang General Surgery Department to do "flying knife" are well-known experts in their cognitive ability.
Since Tang Lou was fully armed after entering the operating room, Tang Lou's age and appearance were not apparent at all.
Therefore, the equipment nurses and anesthetists all thought that Tang Lou was a senior expert from another hospital and respected him very much. They were also walking on thin ice in operation, for fear of losing the face of the general surgery department.
I also sigh that Dr. Ma Yashu is worthy of being a resident doctor, and he can help an expert of this level.
"General anesthesia with endotracheal intubation."
Tang Lou entered the operating room, the surgeon's aura was fully activated, and he gave instructions very calmly.
"As expected of a well-known expert, he is so impressive."
The anesthesiologist frowned, took a deep breath, and started anesthesia without daring to slack off.
The equipment nurse, seeing how cautious the anesthetist was, felt her palms become a little sweaty for some reason.
"This expert has such a strong aura."
Moreover, in front of her, there are Dr. Cui and Dr. Zha, senior orthopedic surgeons, who are studying and observing. They are indeed experts in "flying knives".
Of course, these are only within their cognition. What makes them most stressed is that the operating room is connected to a telemedicine system. Even Professor Liu, the boss of the General Surgery Department, is silently observing and learning from one end.
"As expected of Professor Liu, he performed surgeries for more than 20 hours during the day from yesterday to today, and he was still observing and studying most of the night."
"Doesn't this further prove how extraordinary this surgeon is? Even though Professor Liu is so tired, he is still observing and learning."
The equipment nurse and the circulating nurse exchanged glances. They were both amazed and admired this magical "flying knife" doctor even more.
The subsequent operations in Tanglou also continued to confirm the inferences of the cooperating nurses and anesthetists.
Tanglou quickly adjusted the patient to the supine position.
"Scalpel..."
Under the three-star incision method, Tanglou has long been a master in choosing abdominal incisions. There is no need for such things as markers. The knife can cut wherever the eye can see.
The shining silver scalpel, using the standard Tanglou style of holding a bow, made a sharp cut, making a 5cm straight incision in the rectus abdominis muscle of the left upper abdomen.
"Doesn't he even use markers? A boss is a boss!"
After the anesthesiologist completed his task, he stood next to Dr. Cha and the others and said with some surprise.
Seeing Tanglou's incision technique, Dr. Cha, Dr. Cui, and Dr. Kevin's eyes were completely attracted.
"It's amazing!"
Such precise incision techniques can only be achieved by having performed more than a thousand surgeries, or by practicing thousands of pig feet and cutting thousands of pieces of pork belly at home!
Professor Liu in the remote system has watched Tanglou surgery for the second time, but he still found it enjoyable.
Originally, he was supposed to be a guide, but at this moment, it really turned into pure observation and appreciation. He said nothing and looked obedient into the microphone.
It even made the nurses and anesthesiologists sigh that this "flying knife" doctor is so charming.
If it were a live broadcast room, I would love to shoot a few rockets!
"The next step is to position the proximal jejunostomy."
With Tanglou's talent and concentration, he went directly to the second step without resting at all. The surgical style was as airtight as ever.
Even the experienced instrument nurse and Ma Shuya of Zijingang General Surgery Department are a little uncomfortable with it.
Especially when Tanglou determines the speed of jejunostomy, the incision originally chosen by Tanglou is already close to the limit size. In Ma Yashu's opinion, the performance is very poor. Even Professor Liu in the remote system is doing it for Tanglou.
Sweated a lot.
Especially since Huang Haiquan had undergone laparotomy before, it was very difficult to find the jejunum.
Unexpectedly, Tanglou did not hesitate at all. In less than two seconds, he directly found the duodenal flexure ligament at the left transverse process of the second lumbar vertebra, and at the same time issued an order to the first assistant:
"Lift the jejunum 20CM away from the starting position of the jejunum for stoma use."
Ma Shuya originally wanted to take this opportunity to take a breath, but she couldn't control it and said in shock: "Dr. Tang, how did you find the jejunum so quickly? And, is 20cm too extreme? In the previous surgery I participated in, the director
It is said that the general range is between 15-20cm, but your accuracy requirements are too high."
Regarding Ma Yashu's question, Tanglou was a little confused: "The diameter of the jejunum is thicker, the intestinal wall is thicker, the fat in the mesentery is less, and the mesenteric blood vessels are straighter. Aren't they all distinguishing features? Isn't it difficult to find?"
Hearing what Tang Lou said, Ma Shuya was stunned. It seemed that finding the jejunum in Tang Lou's eyes was like picking out the only red bean among the three beans. It seemed that as long as he was not blind,
That’s ok?
Is it that simple? I'll try.
Ma Yashu followed the distinguishing characteristics mentioned by Tang Lou and looked at Shu Ye again, as if to be reminded, the jejunum seemed to be a little different.
"This point."
As if he noticed that Ma Yashu had some difficulty in distinguishing distances, Tanglou used the tip of the pliers to remind him.
"oh."
Ma Yashu blushed and carefully lifted up the jejunum according to the position of the tenement building. Maybe this is the difference between geniuses and ordinary people.
Ma Yashu feels that the difference between herself and Tang Lou in terms of choice of surgery and self-requirements is like the difference between a tone-deaf tone-deaf and Jay Chou's absolute sense of sound.
This is talent, don't accept it.
"Next, the catheter is inserted into the jejunum."
Chapter completed!