With his talent, concentration and resilience, Tanglou entered a state of selflessness.

Under the three-star incision, Tanglou’s position of holding the knife is naturally just right. The McLaren incision is also called the oblique appendix incision, which is also the most classic incision method.

The middle and outer 1/3 of the line from the umbilicus to the right anterior superior iliac spine is about 8 to 10 centimeters long. This incision is long enough, so Tanglou naturally used the bow-holding style.

Senior surgeons know very well that the most important thing for this incision is to control the incision perpendicular to this line, so the surgeon's hand is required to be steady and sure. Some rookies often cannot control the incision when they are doing it for the first time due to their inexperience and nervousness.

Good strength, either the cut is too short or the cut is crooked.

In addition to the length, the incision is also layered in depth. The skin is incised first, then the superficial fascia, then the external oblique aponeurosis, internal oblique, transversus abdominis, transversalis fascia, and extraperitoneal fascia.

, and finally the parietal peritoneum.

Under the three-star incision technique, Tanglou naturally has perfect control over the intensity and thickness of the incision.

Qing Ping's eyes lit up as he realized that Tanglou's movements were done in one go. Only one knife was used for each line, and only one knife was used for each layer of the structure, one knife, one knife...

"Tian Linsheng!"

Because Tanglou's movements were so neat and fast, Tian Linsheng didn't even react. After all, when Ma En was performing surgery before, he had to observe each floor before he dared to start, and sometimes, even one floor had to be cut.

Go up several times.

Under Qingping's urging, Tian Linsheng woke up as if from a dream, and his whole body was shocked. Tanglou's actions seemed to be no less generous than Dr. Qing!

this!

Tian Linsheng quickly separated the skin, subcutaneous tissue and external oblique aponeurosis of Tang Lou's incision using a hook. Then he barely kept up with Tang Lou's speed and finally retracted the internal oblique and transversus abdominis muscles.

By the time Tanglou finished incising and stood aside, Tian Linsheng's forehead was already covered with cold sweat.

So fast and so beautiful!

Chen Wenhao, who was a few meters away, was also stunned. He even began to doubt the accuracy of the personnel arrangements before the operation. Could such a technique really be done by an intern?

What a liar, I'm afraid ordinary doctors are not as good as this level.

"Practice?"

Even Qingping couldn't help but ask.

"Well, one month before I came to study, the director of the hospital was afraid that I would be embarrassed, so he gave me special training and did three or four incision cases."

Tanglou said calmly.

"Three or four?"

The corner of Qingping's mouth twitched. He couldn't reach this level after three or four years of work. He could only say that Tanglou's talent was too good.

But this talent is also...

Qingping, who had always been calm, also developed a hint of jealousy.

Tian Linsheng held the hook with both hands and glanced at Tanglou. He no longer had the heart to compete with him for help. He said in his heart:

"My family runs a morgue, so I can practice this kind of incision technique by doing dissections every day."

"Have you ever tried to find your appendix before?"

Qingping asked again, after all, the most important thing in appendicitis surgery is to find the appendix.

"No, I have seen three or four cases."

Qingping suddenly didn't want to ask Tanglou questions, and he even couldn't hear the two numbers three and four.

"Then you have to watch out. For routine appendectomy, finding the appendix is ​​the key. This also requires skills. I have summarized a formula myself: I will be promoted to a grandfather, and my daughter will be three people after she gets married and returns to her parents' home."

“The so-called ascending refers to the ascending colon, the knot refers to the colonic band, the ileum refers to the ileocecal part, and the third refers to the convergence of the three colonic bands. The entire rhythm of turning the intestines is:

First find the ascending colon, follow the colon to the ileocecal area, and the place where the three colonic bands converge is where the root of the appendix is."

Qingping followed the instructions and quickly reached his appendix.

"After the appendix is ​​found, it can be appropriately retracted back to the blind part... Remember that if the mesentery is thick, it is best to pierce the proximal end of the mesoenterum with a suture needle to prevent blood vessel retraction..."

...

For Qingping, appendicectomy was very familiar, and he completed all the operations quickly.

The steps are clear and the movements are clear. Tanglou has gained a new understanding. Compared with Liu Tong's skill, Qingping's operation can only be described as pleasing to the eye.

"Tanglou, you come to complete the confinement."

After Qingping checked that there was no bleeding and that the gauze and equipment were correct, he handed over the position to Tanglou.

"Um."

Tanglou was neither modest nor fearful. He steadily took the needle holder and suture from the nurse's hand.

Under the three-star suturing technique, Tanglou's movements seemed to complement Qingping's operations.

Smooth, precise, the strength of each stitch, the length of the line, the exquisiteness of the knot...

This surgery was simply textbook level.

Chen Wenhao and Tian Linsheng on the side were both fascinated by it.

The two of them work together perfectly!

"Tanglou, I will prepare for the next appendectomy tomorrow. I will go back today to review the structure of the appendix and understand my formula carefully."

Qingping also developed a love for talents. Originally he just wanted to see Tanglou's basic skills, but now he changed his mind.

Compared to training Ma En, Qing Ping felt that Tang Lou was the one most likely to complete the navel cavity technique with him!

Director Cheng really found a good candidate for his general surgery department!

"good."

Tanglou finished the last injection and handed the equipment directly to the nurse. He also completed the task and looked at Tian Linsheng's position.

After all, Leng Yunze had cooperated with him in the county hospital before, and Liu Tong and Li Fan had cooperated with him before that, so from the beginning Tanglou was used to having someone to clean up the mess.

One after another, Qingping and Tanglou left the operating room, leaving chicken feathers everywhere.

[Ding! New mission, complete the first complete appendicectomy in life, mission reward: 2 gold coins, the card library is automatically refreshed once. 】

[Whether the host consumes 2 gold coins and refreshes the card library once]

"refresh!"

[Consumption of 2 gold coins, card library refreshed:]

[Card library refreshed: Appendectomy (one star, 2), Appendectomy (one star, 2), Hernia repair (one star, 2), Hernia repair (one star, 2), Thyroid surgery (one star)

,2)】

Tanglou directly clicked on two appendectomies (one star, 2)

Take a look at your own panel:

Level 5: Upgrade 24

Surgery column (5/5): suture (three stars, 9), diagnosis (one star, 3), appendectomy (one star, 2), dressing change (three stars, 9), incision (three stars,

9)

Gold coins: 2

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. Sewing the assembly line (activated) 2. Listening 3. Focus 4. Resilience

Storage column (5/9): Exposure (three stars, 9), Hemostasis (three stars, 9), Emergency Comprehensive Surgery (three stars, 9), Appendectomy (one star, 2), Debridement (two stars, 6)

After Tang Lou returned to the office, he packed up his notebook and went to the ward for rounds.

Half an hour later, Tian Linsheng returned to the office.

Some people who doubted life sat on the stool.

Ma En and Wang Daquan also completed another group of appendicitis surgeries. They returned to the office and saw Tian Linsheng.

"Tada, how are you feeling, Issuke?"

Wang Daquan asked immediately.

Tian Linsheng lowered his head and remained silent.

"What's the matter? Doctor Qing made a fool of me? It's my first time to help. It's normal. I'm used to it after being scolded."

Wang Daquan came over and put his arm around Tian Linsheng's neck.

Tian Linsheng took advantage of the situation and threw himself into Wang Daquan's arms.

"???"

"...I'm still a hooker..."

Tian Linsheng cried, feeling aggrieved.

Ma En was also a little surprised. Tian Linsheng wiped his nose in Wang Daquan's arms and looked at Doctor Ma and Wang Dalin.

"Tanglou is the first one to help today."

Tian Linsheng pouted and said even more aggrievedly: "He will be the chief surgeon tomorrow!"

"ha?"

Ma En and Wang Daquan were both stunned.

Tanglou, this intern who has only been here for less than a month is the chief surgeon of appendicitis surgery?

Wang Daquan pinched Tian Linsheng's left cheek.

"Hiss...it hurts, it hurts..."

Ma En pinched Tian Linsheng's right cheek.

"I..protrude(艹艹)"
Chapter completed!