Tanglou looked at Liu Tong and used forceps to pull out the appendix, exposing the entire abscessed area to his vision. Then he saw the silver forceps cutting off the entire tail and ligating it.

"...Vascular forceps, line 7..."

Liu Tong gently lifted the appendix where the abscess had been removed, and made a purse-string suture on the cecal wall about 0.5cm away from its root.

The so-called purse string suture is to sew the appendix continuously in a circle around the incision, bury the middle incision into the ileocecal intestine, and tie the sutures in.

It's like putting things in a purse and tying a hole.

"...carbolic acid, ethanol, normal saline..."

Liu Tong continued to treat the stump mucosa with carbolic acid, etc. After doing this, he checked and found that there was no bleeding.

"Tanglou will help me check out the gauze and instruments. If everything is correct, it will be up to you to close the abdomen."

Liu Tong has completed his mission.

"Okay."

Tanglou quickly started to check, but the hook on the patient's wound was still there, and Leng Yunze felt a little aggrieved.

"I'm not lemon juice, I'm really not lemon juice."

Leng Yunze continued to pull the hook, and watched with greed as Tanglou took the No. 4 thread, needle holder, and needle pliers from the equipment nurse.

"That's something I've been craving for a long time."

Leng Yunze has not tried it once so far!

The hook he held with both hands cooperated with Tang Lou, and he watched helplessly as he began to sew layer by layer under his eyes.

Tanglou used interrupted sutures. The first layer was naturally the muscle layer, followed by the external oblique aponeurosis, and then Leng Yunze was the wise retraction hook.

This feeling is like grabbing the hands of the goddess I have been pursuing for several years from behind, and then tying her in front of the tenement building.

Watching Tang Lou pinch her goddess’s little face...

"Bah!"

Soon, under the Tanglou Sanxing suture technique, the subcutaneous and skin were perfectly sutured.

[Ding, activate the suture assembly line and restore the host’s energy.]

[Task: Devil’s Special Training. Complete a case of incision on a patient, reward 1 gold coin, and the card will be automatically refreshed]

...

Liu Tong looked at Tang Lou and Leng Yunze. One was in high spirits, as if he had found a treasure, while the other was sluggish and dejected.

He was slightly disappointed. Although he didn't like Tanglou very much, his attitude and passion for surgery were really not comparable to Leng Yunze's.

It was just more than two hours of pulling the hook. As for Xiao Tang with such a grimace, look at him. He has been changing dressings for a week, and I have never seen him complain about pain or tiredness.

I also completed a case of appendicitis surgery and it was like nothing happened!

Liu Tong shook his head in disappointment and left the operating room.

As the first assistant, Tanglou naturally had no reason to clean up the mess, so he glanced at Leng Yunze and said: "Thank you, thank you."

He turned around and walked out of the operating room. After all, his special training schedule was full.

The equipment nurse and Leng Yunze are left. The nurse will naturally not tolerate the intern: "Second assistant, I will leave these to you. I have to prepare for the next operation."

After saying that, he took the instruments and left, leaving Leng Yunze alone with sore and numb hands and a messy operating table.

...

...

After Tanglou completed the appendix surgery, he entered the practice room of the county hospital.

After all, the county hospital didn't have that many patients for Tanglou to practice, so Huo Tong and Shen Jun decided to let Tanglou practice using pig's trotters during the rest of the time.

On the long test bench, there were ten pig trotters.

Tanglou was very surprised. When had the department been so generous to interns? When he got closer and picked it up, he saw that there was a silk thread on the elbow of the pig's trotter, and a mark was hung on the thread.

"Xu Lanlan buys it, Dr. Xiao Tang, come on."

Looking over, there is also a silk thread hanging on the second pig's trotter, with a small sign on it reading:

"Sister Nan Nan buys it, and Xiao Tang gives the county hospital some credit."

The third pig's trotter also has a small sign on it, which reads:

"Li Fan, boy, please don't embarrass your master."

The latter ones are provided by nurses in several nursing departments, and also contributed by several patients.

Looking at these pig trotters, Tanglou was moved and dumbfounded.

[Detecting expectations from friends, new mission: Hope of general practice: Although incision can be performed through equipment, as a basic operation of a doctor, the system encourages the host to practice it on its own. Every time it practices incision for six hours, gold coins will be rewarded

1]

"good."

Tanglou stood next to the first pig's trotter. At the end of the table, Xu Lanlan had already prepared various scalpels.

[The practice of incision surgery, the first step is to choose the appropriate scalpel, the second step is the correct delivery method, the third step is the correct way to hold the knife, the fourth step is the correct way to handle the knife]

After Tanglou chose the scalpel, he began to practice holding it.

[The sword-holding technique is divided into four basic postures: 1. Bow-holding posture, 2. Pen-holding posture, 3. Grasping posture, 4. Overhand posture. 】

Tanglou is naturally familiar with the first two types, and the third gripping type, holding the knife. This method of holding the knife is very stable, has a wider cutting range, and is used for cutting with greater force.

Such as amputation, tendon incision, or long skin incision.

Tanglou pressed the pig's trotters with one hand and tried to use a grasping method with the other hand to simulate amputating the patient's limbs.

Bang Chi Bang Chi, the sharp scalpel cut off a section of the elbow.

After that, Tanglou began to simulate tendon cutting and cut the tendons on the pig's trotters.

The feeling of using a pig's trotter knife is closest to that of a real person.

Tanglou cuts again and again, moves the knife again and again...

After cutting the first pig's trotter, Tanglou began to use the reverse pick type.

The so-called counter-picking method relies on fingertips to use force to open the abscess. It is usually used to incise abscesses to prevent damage to deep tissues.

Tanglou controlled the protruding surface of the blade, perpendicular to the tissue of the pig's trotters, and began to practice counter-picking...

After practicing the four ways of holding the knife, Tanglou began to practice the process of holding the knife again.

First, mark the pig's trotters with a pen, then simulate disinfection, then spread a towel, fix the skin that needs to be incised, and finally make the incision...

In the second week, Tanglou finished one patient every day, and spent the rest of the time in the practice room, cutting pig trotters, and suturing a patient before the end of the morning.

This cycle continues.

People in the department don't know how the incision practice in Tanglou is going. Anyway, the food in the department has improved a lot this week.

Suckling pig's trotters, sauced pig's trotters, braised pig's trotters, boiled pig's trotters...

Moreover, everyone discovered that Tanglou uses knife-style pig's trotters, which are cut into the smallest pieces and are suitable for making soup...

Tanglou uses reverse-style pig's trotters, which have the most and densest openings, which are suitable for flavor and are suitable for eating with sauce...

Tanglou uses pen-shaped pig's trotters, which have the best-looking cuts and are suitable for blanching...

The second week passed by in a hurry

In the third and fourth weeks, Tanglou soon completed a whole month of special training.

The panel of the tenement building:

Level 5: Upgrade 24

Surgery column (5/5): suture (three stars, 9), diagnosis (one star, 3), debridement (two stars, 6), dressing change (three stars, 9), incision (three stars, 9

)

Gold coins: 6

Bonds (1/1): 1. Surgical Hands (Level 2, 4/5): Reduce infection rate by 30%, increase healing by 30%, and reduce patient pain by 30%

Talents (4/4): 1. Suture assembly line (activated) 2. Listening 3. Concentration: The host's concentration increases by 50% during surgery 4. Resilience During surgery, the host's physical endurance increases by 50%

Storage Column (3/9): Exposure (three stars, 9), Hemostasis (three stars, 9), Emergency Comprehensive Surgery (three stars, 9)
Chapter completed!