The surgery will begin soon.

Since it was a high ligation of the hernia sac, the patient received continuous epidural anesthesia.

Chen Wenhao, as the anesthesiologist for this operation, sat aside in the slightly deserted operating room after the operation was completed, feeling a little uncomfortable.

Seeing that Duan Fei, the chief surgeon of the Tang House, didn't even have a decent audience, Chen Wenhao dragged the extra small bench over and sat down on it.

Looking at Tanglou, I was also a little worried for him. After all, Dr. Wang Chuan will start the operation tomorrow. Moreover, according to his anesthesia schedule, Dr. Wang Chuan will only perform one surgery tomorrow. The remaining

All three surgeries were performed by Guo Caier.

"The foreign monks like to chant sutras."

Chen Wenhao also sighed with emotion. After all, Guo Caier also has the aura of Union Hospital.

However, Chen Wenhao was soon attracted by the tenement building on the operating table: "So reckless?"

On the operating table, Duan Fei's eyes widened. Since he was absent for a day or two, it was the first time for him to see the Tanglou surgery involving three-star hernia sac high ligation and a third-level abdominal external hernia specialist.

Level 3 external abdominal hernia expert’s bond: Ability to perfectly complete external abdominal hernia repair, with 0% postoperative recurrence rate, 0% infection rate, and 0% intraoperative accident rate.

Therefore, Tanglou is not worried at all. There will be things that ordinary doctors avoid: abdominal wall nerve damage, spermatic cord blood vessel damage and vaginal blood circulation disorder, bladder damage, large blood vessel damage in the groin area, etc.

There was no marking of the starting hand, and the scalpel was used to make an oblique incision parallel to the inguinal ligament 2cm above the midpoint of the patient's inguinal ligament toward the pubic tubercle.

The position of the oblique incision is very precise, and the length of the incision is also the shortest distance possible.

A scalpel in Tang Lou's hand was like juggling, cutting through the subcutaneous tissue and fascia with just one stroke, accurately and neatly.

Duan Fei held his breath and watched Tanglou's operation. Within ten seconds, the outer ring of the inguinal canal was revealed.

"this..."

Duan Fei confirmed an absurd fact. During the several surgeries in which he was absent, Tanglou's surgical level had made another qualitative leap.

At least, in the city's first hospital, he has never seen the doctor who can perform the operation to this extent. No, even when he attended academic conferences in the province with Hang Cuishan, he had never seen such a high-level hernia sac.

High ligation.

In the blink of an eye, Tang Lou had already made a small incision on the external oblique muscle, using the most precise pen-holding technique.

After that, it was changed to the bow-holding position and cut along the fiber direction.

What was most unacceptable to Duan Fei was that when Tanglou cut through the external oblique aponeurosis and outer ring opening, he neither paused nor asked for assistance. It was clear that this step could easily injure the ilioinguinal nerve!

This feeling is like Tanglou driving a Ferrari supercar, speeding down the pedestrian street in the downtown area, ignoring the pedestrians on the road.

"Are you really not afraid of overturning?"

Duan Fei shook his head.

Next, Tang Lou had cut open the cremaster muscle and looked for the hernia sac before the spermatic cord.

"One assistant lifted the hernia sac and confirmed the contents of the hernia."

Tang Lou gave the order, and Duan Fei quickly cooperated. He was obviously very skilled in operations as a resident doctor, but in comparison with Tang Lou, he looked extremely clumsy.

After Duan Fei completed his report, Tang Lou immediately began to collect the contents of the hernia, controlling the instruments with both hands, with a small range of movements, but the operation was in place.

Since this patient's hernia sac was large, Tanglou quickly analyzed it and made a direct incision at the hernia sac, performing circumferential dissection and cutting, while leaving the distal hernia sac open.

"sharp."

Duan Fei looked at Tanglou's crazy operation, and his heart was filled with flames. He no longer had any awe for Wang Chuan's surgery tomorrow.

Duan Fei had a feeling that even Dr. Wang Chuan, who was studying at Xiehe University, could not achieve the level of Tanglou.

Duan Fei looked at the camera on the side and looked forward to it. Then he copied the video of Tanglou's surgery so that his friends of the same age could take a good look at it.

On the operating table, Tang Lou was racing against time, trying to complete the operation as soon as possible so that he could move on to the next operation. After all, Dr. Wang Chuan's operation had not yet started completely, and he wanted to quickly complete fifty external abdominal hernia surgeries in the past few days.

With his talent and concentration, Tanglou quickly lifted up the proximal hernia sac, inserted his index finger into the sac to hold against the sac wall, and wrapped the index finger of his other hand in gauze to pull the sac wall away.

The outer tissue is gently pushed down to the neck of the hernia sac.

On the screen, extraperitoneal fat can be clearly seen, and the inner wall of the hernia sac can be seen as white and thickened.

"No. 1 silk thread, needle pliers..."

Tanglou continued to issue instructions, and the instrument nurse immediately handed over the instruments. As a nurse who had gone through many vicissitudes of life, of course he had seen other doctors perform the same surgery, but in front of the handsome Dr. Tang, none of them could do it.

They were also very unhappy that Guo Cai'er from Union Medical College Hospital and Dr. Wang Chuan, whose appearance was only one-fifth of Dr. Tang's, actually robbed Dr. Tang of many surgeries.

After all, it is very enjoyable to operate with Dr. Tang. They can wipe Dr. Tang's sweat during the operation, and touch Dr. Tang's hand when passing the instruments, even though they are separated by a thin transparent glove.

Of course, what's even better is that during the preoperative preparation stage, I can listen to Dr. Tang explain the surgical process, the preparation of various instruments, and the matters that need to be paid attention to during the operation. Dr. Tang is gentle and patient.

It's nothing like Dr. Wang Chuan and that little goblin from Xiehe. They have a pair of nostrils pointing upwards, a pre-operative preparation, and explanations from the surgeon. It's really the subtext of a stupid nurse.

While the medical nurse was aggrieved on behalf of Tang Lou, Tang Lou had already completed the purse-string suture on the neck of the hernia sac.

Then the inner ring was repaired, the spermatic cord was retracted outward and upward, and the hole in the inner ring on the transverse abdominal fascia was separated and exposed. Under Duan Fei's envious eyes, 2 stitches were sutured to shrink the enlarged inner ring.

"Needle No. 7, thread 5-0..."

Next comes the quick and interrupted suturing of the cremaster muscle.

"Too fast."

Duan Fei praised that this operation reduced the time by at least half as expected.

After the incisions were closed layer by layer at the end of the tenement building, the operation was declared successful.

Chen Wenhao, who was sitting on the stool, also licked his lips. He really liked working with Tang Lou. After all, every time he completed an operation, he could get a share of the operation fee. It could also be completed in one day like Tang Lou.

For eight surgeries, you can get eight payments.

However, the average doctor only performs four operations a day, but it takes the same time and the operation fee is reduced by half.

For example, Dr. Wang Chuan's subsequent surgeries also took up one day, but they only performed four surgeries.

Thinking about it this way, Chen Wenhao felt that Dr. Wang Chuan was also a weakling.

"Dr. Tang, we support you."

After the operation, the instrument nurse and Chen Wenhao said words of encouragement before leaving the tenement building.

Since Dr. Wang Chuan officially started the operation the next day, although the number of operations was reduced, Tanglou still completed six operations on this day.

[Ding, mission: External abdominal hernia expert, progress 48/50, reward 3 gold coins, card library refreshed once. Gold coin balance: 24]

...

...

The next day, Dr. Wang Chuan and Guo Caier's first operation started on time in the morning. It was an indirect inguinal hernia repair. Guo Caier was the surgeon, and Liu Jinjin, a resident doctor under Shen Bingbing, was responsible for the first assistant.

Wang Chuan, on the other hand, was watching and guiding.

Compared to Dr. Wang Chuan's advice to stay away from strangers, Guo Cai'er was polite before the operation, and Liu Jinjin certainly expressed his honor.

Anesthetist Chen Wenhao and equipment nurse Yuan Aldehyde did not look very pretty, especially Yuan Aldehyde who just responded coldly and stood aside quietly.

Guo Caier frowned slightly, but she just sneered inwardly. When the operation started, she would show them what the standard of Union Hospital doctors was.

Of course she also heard that Tanglou completed 6 surgeries yesterday, but in her eyes, he was just a young doctor with better physical strength, and the amount of surgeries alone could not scare her.

Performing an operation well, allowing patients to recover better and reduce the recurrence rate is what a good doctor pursues.
Chapter completed!