After Wang Daquan and Ma En left, Tian Linsheng rubbed his hands and looked at the tenement building with burning eyes.

Seeing that Tang Lou was going to write medical records in front of the computer, he quickly pulled out the chair and wiped it with his sleeve: "Doctor Tang, sit down."

"Doctor Tang, you really have to shut up my abdomen tomorrow!"

Tian Linsheng was a little excited and a little nervous. After sitting down in the tenement building, he quickly poured a cup of tea.

"Tian Linsheng, I found that you have the potential to be a bitch."

Tanglou took the tea. He was really thirsty after drinking coffee in Director Cheng's office before. He took a few sips and said, "As expected, tea tastes better, and coffee is a bit bitter."

"Hey, Dr. Tang, from now on, all your medical records and reports will be handed over to me. I'm going to have my abdomen closed tomorrow. I'm a little nervous. I want to buy a piece of pork to practice suturing. Why don't you give me some advice?"

Tian Linsheng worked hard to prepare for the war. After all, the current second senior brother is too expensive, and he is too poor.

"Yes, you can buy another section of pig large intestine and small intestine, and practice stump suture, figure-eight suture and purse-string suture. These are the most basic. I will let you try them if you have the opportunity."

Tang Lou thought about it for a while. After all, these are the most basic operations. Wouldn't it be too embarrassing if he went out and said that Tang Lou's assistant couldn't even do sutures well.

"The stump is sutured...Okay, okay, then I'm going to buy pork now."

Tian Linsheng was very excited, and he became more and more grateful to Tanglou. It takes a long time for an intern to get the opportunity to suture.

If it were a normal approach, he might have to wait until Wang Daquan left the army before he had the opportunity to suture and close his abdomen. But Tanglou would obviously let him try even the stump of the appendix and even turn his intestines?

Just thinking about it makes me a little excited!

"Thank you, Doctor Tang."

Tian Linsheng took a few steps, turned around again, and bowed seriously to the tenement building. After a surgeon performs his first operation, the future will become smoother, and the more he accumulates, the more natural he will grow.

The faster it is, the more opportunities there are for surgery, creating a virtuous cycle.

Following Tanglou, he was completely on the same bandwagon.

After all, no one wants to be hooked for a lifetime.

Soon Tian Linsheng bought back pork, a section of pig intestines more than ten centimeters long and a section of pig small intestines more than ten centimeters long.

I just don’t know why, but the meat seller looked at him strangely, and even gave him a bottle of Nutritional Express...

...

...

In the practice room, Tang Lou specifically explained to Tian Linsheng the four common ways of holding a knife, as well as basic operations such as interrupted sutures, simple continuous sutures, and mattress sutures.

Every method is naturally as smooth as mercury falling to the ground. Under the three-star technique, there is no other hospital in the city that can match it.

Tian Linsheng was naturally dumbfounded. Only after such a close encounter did he realize how amazing the tenement building was!

Ma En is nothing in front of Tanglou!

Tian Linsheng became more and more excited and happy. Under the instructions given by Tanglou, he was able to perform needlework, arrange the threads, and control the strength. It was like an enlightenment.

Tian Linsheng really felt that in just a few hours, he had learned skills that he would not have been able to master even if he had been working in the operating room for three years.

Feeling grateful and ashamed at the same time, looking at the sutures demonstrated by Tanglou, Tian Linsheng spent five times as long and couldn't even achieve three successes.

But he is not discouraged. Tian Linsheng's greatest advantage is his good temper and good attitude.

After the explanation, Tang Lou left to see the information on patients who needed surgery tomorrow.

Tian Linsheng kept practicing. He didn't want to live up to the opportunity Tanglou gave him.

...

...

Tanglou returned to the general surgery office and looked at the patient information for tomorrow's surgery:

Patient gender: female

Patient age: 66 years old

Brief medical history: I was admitted to the hospital at noon today because of "metastatic right lower abdominal pain for more than 2 days" and "the cause of abdominal pain is yet to be investigated (acute appendicitis?)".

He has denied any special medical history in the past; he developed periumbilical pain more than 2 days ago without obvious triggers, which was persistent, dull distending pain, paroxysmal intensification, and no radiating pain. After a few hours, the pain transferred and became fixed in the right lower abdomen, with nausea and no vomiting.

There were no symptoms such as diarrhea, frequent urination, urgency, dysuria, gross hematuria, and cough.

Physical examination: T: 36.0℃, P: 84 times/min, R: 21 times/min, BP: 120/90mmHg;

The abdomen was obese and full, with no abdominal wall varicose veins, gastrointestinal pattern and peristaltic waves; McFarland point tenderness, rebound tenderness and muscle tension in the right lower abdomen. No mass was palpable, and the liver and spleen were not reached under the ribs. Murphy

The patient's sign was negative; abdominal percussion showed drum sounds, no percussion pain in the liver and spleen areas, no percussion pain in the kidney areas, negative moving dullness, bowel sounds 3 times/min, and no sound of air or water passing through.

Auxiliary examination: Abdominal CT in the outpatient department of our hospital showed a tubular soft tissue density shadow of about 0.8cm in diameter in the ileocecal area, with fecal stones visible inside, exudative lesions around it, increased adjacent fat density, and thickening of the right retroperitoneum.

;

Diagnosis: Acute suppurative appendicitis, appendectomy will be performed tomorrow morning.

...

After reading it, Tang Lou was also a little surprised. This patient was obese and plump, so the operation would be more difficult compared to the normal body type. Moreover, because the fat was too thick, sometimes the physical examination would be unclear compared to the normal body type.

However, with two-star appendectomy and one-star diagnostic technology at hand, Tang Lou was still very confident.

Soon it was the morning of the second day.

Since Tang Lou was still an intern and was not qualified to practice medicine, Qingping continued to enter the operating room with Tang Lou and Tian Linsheng in the name of chief surgeon.

Of course, Qingping also has considerations for escorting and dealing with unexpected events.

Chen Wenhao continued to be responsible for the anesthesia. When he saw the surgeon at Tanglou, he was already used to it and the anesthesia was quickly completed.

This time he was a lot smarter. After Qingping shamelessly sat on his stool, he secretly took one out from the other side and sat on it happily.

Surgery is like dating a partner. After one or two times, the novelty has disappeared, and then it becomes routine. Looking at the tenement building, the posture remains unchanged... Chen Wenhao yawned.

After taking McLaren's incision and opening the abdominal cavity, we saw a lot of pus gathering. Exploration showed that the fat hanging area where the colon band gathered was thick, congested, edema, stiff, and a little pus was attached.

If it were Ma En, he might have panicked, but Tanglou remained calm.

Qingping on the side naturally noticed the patient's abnormality, but seeing that Tanglou's operation did not stop, he did not shout to stop.

Tanglou calmly and quickly dissociated the ileocecal part, and then explored it with his fingers. He frowned slightly and found that the obvious shape of the appendix was not touched at the regular position.

"The patient has a subserosal appendix, which is common in ordinary people. The appendix is ​​wrapped by intestinal fat hanging, and the fat hanging needs to be sharply dissected."

Tanglou naturally told Qingping to listen to avoid being told to stop.

Qingping nodded: "Agree."

I was surprised in my heart. I felt that compared to the last time, this kid had made a lot of progress. Subserosal appendix was not uncommon, but it was considered a minority. Generally, when you encounter it for the first time, you would be nervous and panicked.

This Tanglou has a great attitude and is knowledgeable. It seems that he has not been wasted these past few days and is really reviewing the various symptoms of appendicitis surgery seriously.

"Have you read a lot of cases?"

Qingping asked.

"Well, I read a lot of journals and studied dozens of appendicitis conditions and ways to deal with them."

Tanglou's eyes are not red, and his heart is not beating. After all, it is not an exaggeration to call himself a senior expert in two-star appendicectomy surgery.

"Not bad, not bad."

Qingping has always liked people who are serious and studious, and Tanglou is also very talented.

As Tanglou said, his hands were not idle, and he quickly dissected the fat hanging, revealing the appendix inside which was about 0.5*1.5cm.

Consistent with the image data, Tanglou continued to use forceps to explore the appendix cavity to determine the root.

The more Qingping watched, the more frightened he became. There was nothing wrong with Tanglou's steps, and his speed was much faster than ordinary people.

A few minutes later, Tanglou completed the appendectomy.

"Tian Linsheng, watch out. I'm doing purse-string sutures on the appendix stump now. After the sutures are done, the stump will be buried..."

Chen Wenhao on the bench suddenly woke up from his drowsiness. Isn't this Tanglou also an intern? Why is he still teaching?
Chapter completed!