Tang Lou and Shen Bingbing switched roles, and the equipment nurse and anesthetist Chen Wenhao on the side were surprised.

When roles are exchanged during the operation, it is usually the lower-level doctors who are unable to solve the problem. The senior doctor next to him will shake his head slightly, sigh, take an unpredictable step, take the scalpel with one hand, and divide the problem by three times, five times, and two times. Solve it easily, and then gain the next level of worship and licking.

But now Tanglou has replaced Director Shen, what does this mean?

However, Tanglou didn't pay any attention to these. With his talent and concentration, he directly took over the leadership of the endoscope.

Under the aura of the chief surgeon, Shen Bingbing stood in Yisuke's position, not out of place at all.

Tang Lou was seen controlling the front end of the endoscope. While Shen Bingbing was still waiting anxiously, Tang Lou's next command had already sounded:

"Zebra guidewire, catheter preparation..."

Hearing these two words, Shen Bingbing was naturally very familiar with them. Apparently Tang Lou had pushed open the ch’s valve and the endoscope had entered the appendiceal cavity.

"This is too fast."

Shen Bingbing felt a little uncomfortable, but considering that Tanglou had watched Professor Liu Bingrong's surgery video repeatedly, Professor Liu must have taught the pushing technique in the video.

Thinking about it this way, Shen Bingbing felt better.

Soon, the equipment nurse sent over the yellow zebra guide wire. Zebra guide wire is generally used to explore the path of non-vascular lumen, and also has the function of dilating ducts of different widths.

For example, it is like the vanguard of a march or a scout. They must first explore or pave a road so that the regular troops behind can proceed smoothly.

At first glance, the Zebra guidewire looks like a coil of extremely flexible steel wire covered with plastic. It consists of a guidewire rod, a spring soft head and a plastic coating.

The guide wire in Tanglou's hand is very flexible and not easy to bend. The PTFE coating has very good lubricity, which is convenient for insertion.

Looking at the zebra guidewire, Shen Bingbing thought of the first time she used it. At that time, she cooperated with the surgeon to perform urethral dilation on a male patient. She tried to find the urethral opening for the first time, and her face turned red. Under the guidance of the surgeon, she finally succeeded. It was easy to find, but a long zebra guidewire had to be inserted into the patient's narrow urethra. Shen Bingbing was so embarrassed that she wanted to be cremated on the spot.

Can you imagine a young girl holding a loop of guide wire and squeezing it into the male patient's urethra? It's really exciting.

My hands were shaking, the guide wire was still slippery, and the thing was still soft and soft, so I didn’t dare to pinch it hard at all.

But now, I have never seen anything weird, crooked from left to right, and let Shen Bingbing insert the urethra. By the way, I can also evaluate the surgeon who performed the circumcision surgery on the patient as having good skills and good aesthetics.

While Shen Bingbing was lamenting how time flies, Tang Lou had already quickly inserted the yellow zebra guide wire, and the fierce posture shocked Shen Bingbing.

"Tanglou, please slow down. Although the zebra guidewire is flexible enough, if you are so reckless, you may still damage the outer plastic skin. If it remains in the lumen, it will leave sequelae."

"It's okay, I know what's going on."

Tang Lou had an expression on his face that he was driving his newly bought yellow sports car to 180 miles on a country road.

"You are so confident!"

Shen Bingbing cursed in her heart, if her junior doctor dared to drive like this, he would never be able to get on my stage again.

However, after all, they were all counting on Tanglou now, so Shen Bingbing reminded her a few times and stopped stopping him.

After all, Tanglou quickly and accurately inserted the zebra guidewire into the appendiceal cavity. Then with the guidance of the guidewire, the catheter naturally entered the appendiceal cavity easily.

"Zizzizi~"

Purulent secretions have been seen gushing out of the catheter opening.

“When did endoscopic retrograde appendicitis treatment with ERAT become so simple?”

Shen Bingbing was in a daze. Although ERAT was well-known, Hecheng City No. 1 Hospital had not started it because of its complex operation, extremely high requirements on the surgeon, and restrictions on the number of patients.

"Preparation for appendiceal cavity flushing..."

Tanglou's calm instructions indicated that the next step could begin, and Shen Bingbing immediately began to cooperate.

Speaking of which, it has been a long time since she tried to be passive. After all, at this age and with an aura that has been through many battles, she controls the rhythm.

Wei Wei felt a little uncomfortable, but under Tang Lou's order, her body still cooperated obediently.

There is no doubt about Shen Bingbing's skill. With her cooperation, the two of them quickly flushed out the appendix cavity.

The next step is to enter the very joint, which is also the core of this operation: endoscopic retrograde appendicography (ERA).

"Contrast agent preparation..."

Tanglou's next order was pointed out precisely.

Contrast agents (also known as contrast agents, edia) are chemicals injected into human tissues or organs to enhance image observation.

The density of these products is higher or lower than the surrounding tissue, creating contrast that facilitates image display of the patient's appendiceal cavity.

Naturally, this surgery used the most commonly used iodine preparation.

As the contrast agent was injected, an oval-shaped coil soon appeared on the monitor, which was the shape of the appendix cavity.

"A fecal stone was found during the operation, and balloon lithotomy was performed to confirm that the appendix was not perforated."

As an assistant, Shen Bingbing faithfully reported the results of the operation to Tang Lou, the surgeon, to facilitate his judgment and analysis of the entire operation.

In Jiang Shu's acute appendicitis, apart from the pus that had been washed away, the culprit was this bezoar. As long as it could be removed, the operation would be 90% complete.

"Balloon Catheter..."

Tanglou originally wanted to use basket lithotomy, but the balloon catheter method mentioned by Shen Bingbing was almost the same.

The so-called balloon catheter, also called a balloon expansion catheter, is a very classic interventional device. There is an extra balloon on the head of a conventional catheter, which looks like a lollipop. By controlling the air pressure of the balloon, it changes its size and causes...

To expand the diseased area.

Three-star appendectomy naturally includes all appendicitis treatment procedures. Under Tanglou's operation, the intervention of the balloon catheter was completed very skillfully.

"Plastic stent implantation and preparation for pus drainage..."

The tenement building still has the style of leaving no breathing space between steps, and Shen Bingbing on the side was also a little surprised.

Has this guy rehearsed this technique hundreds of times in his head?

With the expansion of the balloon catheter, the placement of the plastic stent was naturally very easy. With a perfect operating space, Tanglou was able to fully remove the bezoar in a smooth and smooth manner.

Seeing the fecal stone taken out, Shen Bingbing felt completely relieved.

"Saline solution, antibiotic preparation..."

Tanglou did not let Shen Bingbing go, and did not give her any chance to breathe. He directly gave Shen Bingbing the final drainage of pus and flushing of the appendix cavity.

Under normal circumstances, when the main surgeon removes the bezoar, the task has indeed been completed, and the next auxiliary work is done by an assistant.

If Shen Bingbing was still young, the end result of the chief surgeon's reward would naturally be a thousand thanks. But now, she is already the deputy director.

Shen Bingbing was embarrassed to say it openly, after all, Tanglou was there to save her, but she felt aggrieved.

I wanted to give Tanglou a wink, but the latter had long been accustomed to letting go of the shopkeeper. From the resident doctor Ma En to his own doctor Qingping, it seemed that it was no big deal to have an additional deputy director Shen Bingbing.

Looking at the tenement building who didn't show any sympathy for her, she walked directly to the bathroom.
Chapter completed!