After hearing Tanglou's plan, Liu Jinjin was unsure, so he pretended to go to the toilet. After arriving in the bathroom, he called Wang Chuan directly and informed Tanglou of the surgery plan.

"You said he used GPRVS plus VSD negative pressure sealing drainage technology?"

The person on the other end of the phone was obviously shocked.

"Yes, Dr. Wang, I have not been exposed to VSD negative pressure closed drainage technology, so I am not sure whether it is reasonable to let Tanglou continue the operation or to change the plan."

Since he was Wang Chuan's uncle, Liu Jinjin certainly did not dare to make any arbitrary decisions.

The other end of the phone was silent for a while, and then said in a somewhat excited tone:

"I completely agree with Tanglou's plan. I have also thought about the VSD negative pressure closed drainage technology, but I was worried about the quality of the doctors in the First City Hospital, so I didn't propose it. In fact, this surgery is also one that I want to promote when I return to the First City Hospital.

Surgery. It has a very good therapeutic effect on early incision infection of abdominal external hernia.”

"so smart?"

Liu Jinjin did not expect that Wang Chuan would rate the plan proposed by Tanglou so highly.

"Of course. VSD technology was pioneered by Fleischma of ULM University in Germany. In recent years, Union Hospital has applied it clinically, especially for the drainage of various wounds. The negative pressure closed drainage technology has been used in the treatment of early deep incision infections after tension-free abdominal wall hernia repair.

It has achieved good results and has gradually begun to be used in orthopedics and general surgery."

Wang Chuan on the other end of the phone carefully introduced that VSD was a surgical technique that he was mainly involved in at Union Hospital. He knew the principles and ins and outs clearly. If it weren't for the different positions and the inappropriate timing, he really wanted to arrive there.

Let’s discuss the operating room in the tenement building together.

Speaking of medical research, Wang Chuan had forgotten about his uncle's injury and began to educate Liu Jinjin on VSD technology. After all, he could become a trainee doctor at Union Medical College Hospital. Wang Chuan still had his unique attainments and technical persistence.

"The principle of VSD technology is that, firstly, sealing maintains the high negative pressure that serves as the drainage force, and at the same time isolates the drained area from the outside world, effectively preventing contamination and cross-infection."

"The second point is that high negative pressure sealing can continuously drain exudate, necrotic tissue, bacteria, toxins, etc. from the wound surface, so that "zero accumulation" can be achieved in the drainage area, and the wound surface can quickly obtain a clean environment."

"The third point is to increase the blood supply of the wound, improve the microcirculation of the wound, and promote the growth of granulation tissue. VSD can significantly enhance the proliferation and microvessel density of vascular endothelial cells and fibroblasts in the superficial dermis of the wound edge tissue."

On the other end of the phone, Wang Chuan obviously became more and more interested as he talked, and his tone was a little excited.

"The fourth point is to regulate the activity of gelatinase in the wound, improve microcirculation within the wound base, inhibit the degradation of collagen and gelatin, and promote wound healing."

"The last thing is to reduce periwound edema and reduce vascular permeability. VSD can significantly promote wound healing by enhancing the expression of substance P secreted by peripheral nerve terminals and calcitonin-related gene peptides, affecting the expression of endogenous epidermal cell growth factors.

role.”

After introducing the principles and the superiority of the technique, the person on the other end of the phone sighed, obviously a little regretful that Tang Lou was actually on the opposite side of him.

Shao Qing, Wang Chuan said the last words:

"Dr. Liu, this surgery in Tanglou is also a very meaningful operation regardless of the patient aspect. I hope you can watch it. After you finish it, describe the process of the surgery to me. Please."

Liu Jinjin held the phone and nodded, obviously not expecting Wang Chuan to have such comments about Tanglou's surgery plan.

After coming out of the toilet, Liu Jinjin hurried to the treatment room and said to Tang Lou: "Doctor Tang, I completely agree with your surgical plan. But, um, can I watch during the operation?"

Tanglou didn't think anything was wrong, but Duan Fei's expression on the side was not so good. In his opinion, Tanglou had agreed to perform surgery on his relative. Liu Jinjin proposed to watch. This was not because he was worried about Tanglou and wanted to

Just watch it in person.

Seeing that Tang Lou had no objection, Duan Fei shook his head. Tang Lou was still too young and had a too good temper.

If a more senior doctor were to perform the surgery on his family members while watching, it would be a shame.

"Dr. Liu, you can come and observe, but you have to keep quiet and don't speak in a gibberish manner. No other people are allowed to come and observe, so as not to affect Dr. Tang's surgery."

Duan Fei is a few years older than Tang Lou. In addition to being an assistant to Tang Lou, of course he also has to do the rest to protect him. Now Tang Lou is the treasure of their medical team.

Moreover, although Duan Fei always achieved physical success by following Tang Lou, he really benefited a lot. I don’t know if it was an illusion. Following Tang Lou’s surgery, Duan Fei unknowingly memorized many operating techniques.

Fei can be sure that he has definitely improved a lot compared to a month ago.

In addition, the most important thing is that with the number of surgeries performed in Tanglou between six and eight surgeries per day, the surgery fees allocated are very objective!

The little wife has increased her pocket money from five yuan a day to ten yuan!

This month has already been Duan Fei's largest bonus ever since he started working in the industry.

"Dr. Duan, don't worry, Dr. Tang. I understand." Of course Liu Jinjin would observe the operation quietly, let alone find other doctors to watch together. The fewer people who know about this operation, the better.

"Well, Dr. Tang, I'll take my relatives to sign the papers first and pay the fees."

In order to prevent Tanglou and others from knowing the identity of Aunt Wang Chuan and uncle, Liu Jinjin went directly to communicate with them and arrange preparations before the operation.

After everything was ready, at noon, the operation in Tanglou started on time.

In order to leave a good impression on Tang Lou and Duan Fei, Liu Jinjin took a shower in advance, changed into new SpongeBob SquarePants underwear, and put on brand new hand-washing clothes, then walked into the operating room and stood aside obediently.

He had a mission for this surgery, and he was also curious about what the surgery that Dr. Wang so praised was like.

Regarding the fact that the tenement building did not take a break at noon and had an additional surgery, the instrument nurse and anesthetist had no complaints at all.

Especially the equipment nurse was very happy to be able to stay with Dr. Tang for a while longer.

Because the patient had a recurrent hernia and the incision was infected early, it is different from conventional external abdominal hernia repair.

In the design of the tenement building, the anesthesiologist first gave the patient local anesthesia.

Tanglou then removed the sutures from the incision skin and subcutaneous tissue, and thoroughly debrided the incision.

Under Samsung's first-hand debridement technique, the entire process was clean and tidy, causing no secondary damage or secondary contamination at all.

This process was very fast. Just this move made Liu Jinjin stunned.

The subsequent surgery to augment the visceral sac with a huge patch shocked Liu Jinjin even more.

Since it is a secondary separation wound, the operation requirements for doctors are very high. When dissecting the hernia sac at a high position, from the transversalis fascia to the preperitoneal space, Tanglou directly chose to use the index finger to perform blunt dissection in all directions in the preperitoneal space.

separation.

This is a very amazing move. Blunt separation with the index finger is very prone to accidents and injuries, and the stability of the finger strength is very high.

Regarding the choice of Tanglou, Liu Jinjin's heart was directly in his throat. He felt like a foodie using a pair of one-meter-long iron chopsticks to pick up a piece of tender tofu from the pot.

Controlling these long iron chopsticks requires very strong finger strength, and the target is a piece of tender tofu. If you use a little force, it will break, but the force is not enough and you can't pick it up. Even if you pick it up, you still need to go through it.

A long path requires terrifying stability and continuity.

"I go..."

Seeing Tanglou's reckless operation, Liu Jinjin really wanted to curse, wondering if this guy could do anything.

Three minutes later.

"I go..."

Liu Jinjin saw that Tanglou completed the blunt separation with ease, forming a wider gap.

Liu Jinjin suddenly had some doubts about life. Why did it look like this operation was easy?

It was clear that the surgeon was required, and the assistants cooperated with each other. The nearly 20-minute operation was completed in Tanglou's hands in less than 3 minutes with just a pair of physical hands.

"Why!"

Liu Jinjin looked at the nurse on the side looking obsessively at the scene of the tenement building concentrating on the operation, and then thought of a fact that made him even more heartbroken.

That is, the peerless appearance of Tanglou.

"Oh my god, it's so unfair. How come he's so handsome and so good?"

Liu Jinjin felt like his heart was breaking into pieces.

At this time, Tanglou had already started to implant the patch, and a huge patch of 12X12cm was inserted into the preperitoneal space.

"Hold needle pliers and do not absorb sutures..."

The instrument nurse obediently handed over the silk thread and needle-holding pliers.

Tanglou's hands, which had just completed the blunt separation, began to sew without stopping.

Then, Liu Jinjin's mood fell again. Tanglou's hand stitching was so perfect even in his sleep.

Ten minutes later, Tanglou had completed the suturing of the external oblique aponeurosis.

Next, Tanglou began to perform VSD negative pressure sealing drainage technology. According to the length and depth of the incision, he began to trim the VSD foam to a suitable size and placed it into the incision.

Liu Jinjin unknowingly watched with gusto, and even had the urge to take notes.

During Liu Jinjin’s curious observation, Tanglou completed the sealing of VSD’s special semi-permeable biofilm.

"Drainage tube, negative pressure suction device..."

Tang Lou gave an order that was very unfamiliar to Liu Jinjin.

"Saline solution..."

Under Tang Lou's command, Duan Fei began to flush the VSD channel with physiological saline.

Amid Liu Jinjin's curiosity, Duan Fei completely removed the necrotic tissue in the wound...

Ten minutes later, under Liu Jinjin's half-comprehensive confusion, Tanglou completed the VSD negative pressure sealing drainage procedure.

"Observe the drainage fluid after 5-7 days. If it shows light yellow or clear fluid, the incision redness and swelling subside, and no bacteria are found in the drainage smear, the VSD can be removed. The incision can be sutured a second time."

After Tanglou finished the explanation, he announced that the entire operation was successfully completed. After that, Duan Fei was responsible for the post-operative follow-up.

The whole surgery took just over an hour, and I could take a break at lunch.
Chapter completed!