Chapter 256 Familiar surgical skills?
"Director Wu!"
Dr. Fei suddenly woke up and was so frightened that he suddenly said: "That one was in critical condition just now, so... I just... But Dr. Tang is really good! You see, he is almost finished."
Although Dr. Fei's skills were not good, his response was very quick and he jumped directly to the final result. He also acted as if he had a keen eye for people and acted according to urgency, which saved the patient's thigh.
"Almost done?"
Deputy Director Wu was a little in disbelief. After too long, he hurriedly stepped forward and asked in a somewhat unkind tone: "What specific step has the operation reached? Are there any mistakes during the operation?"
"Director Wu, the operation was very successful, and Dr. Tang also used temporary blood vessel bridging technology, which bought time for limb salvage and also ensured the circulation of blood supply."
Dr. Fei spared no effort in praising Tanglou. After all, the operation was successful, and he was very proud of it.
Moreover, due to Tanglou's identity, this surgery was actually in his name, and the subsequent surgery fees, etc...
Dr. Fei pointed directly at the sutures being completed in Tanglou.
"Director Wu, look at the stitching. It's even and beautiful. It's at the textbook level."
As for Director Wu's sudden intrusion, Tanglou had no reaction and continued to operate quickly and step by step.
The movements are still smooth and smooth, and the instructions are given calmly: "Unblock the blood vessel anastomosis, alkalize urine in time, replenish blood volume, and prevent and treat acute renal failure."
Seeing Tanglou who was still focused, Director Wu obviously didn't expect it, and looking at the finished stitching of Tanglou, it was indeed textbook level.
However, because it came relatively late, the nerve anastomosis and vascular anastomosis in the middle were not seen.
Director Wu frowned. He didn't know how to criticize him for a moment. He could only look at Dr. Fei who was standing aside: "Fei Zhe, arterial damage repair is a secondary surgery. Since you are here, how can you let Xiao Tang, a surgeon?
Do you want a training doctor to do it? And it uses new technology, temporary blood vessel bridging, do you know? You don’t know how to report it to me, if something goes wrong!”
"Nothing will go wrong."
Tanglou, who was in the middle of the operation, replied with certainty, and then began to suture the incision.
"you!"
Director Wu didn't expect that Tang Lou would be so loud. He was about to criticize a few words, but then he saw Tang Lou's last wound being sutured, and was suddenly attracted to him.
On the thigh, due to the special location and the complicated nature of the patient's wound, Tanglou directly used four or five kinds of suture methods during the suturing process to perform targeted sutures.
"This seam level."
Deputy Director Wu was stunned for a moment, and for some reason, he felt familiar, as if he had seen it somewhere.
While Tanglou was sewing quickly, he continued to explain: "I have fully considered the bridging technology. As for the bridging material, the general principle is that it is easy to take, close in diameter, and moderately elastic. The femoral artery uses blood transfusion tube strips.
, use scalp needle strips for the radial artery, and use ordinary intravenous infusion tubes for the popliteal artery..."
Listening to Tanglou's analysis, Deputy Director Wu was surprised to find that the materials corresponding to each blood vessel were very tight.
Tanglou continued: "In terms of the use of bridging materials: the cut length should be sufficient, avoid tension when bridging, pre-fill heparin, secure the ligation, and pay close attention to its patency and blood supply to the distal limbs after placement..."
Professionally speaking, Deputy Director Wu is very professional. A little bit of Tanglou made him understand: "It's really interesting."
However, after another thought, Deputy Director Wu still raised his concerns and asked a few specific details: "Temporary blood vessel bridging, then why did you include the accompanying veins, as well as the issues of tissue septal tension and limb swelling?
"
Hearing Deputy Director Wu's question, Dr. Fei was shocked. Yes, why didn't he think of it? He looked at the tenement building.
You didn't think about it, did you?
The latter's hands continued to be sutured, and his mouth continued to output: "Director Wu, the question raised is indeed very critical. Those with ruptured veins will be temporarily bridged and then reconstructed to avoid poor blood flow in the limbs, blood stasis, and subsequent decrease in blood supply.
Muscle fibrosis and infection occur. As for preventive deep fasciotomy and decompression of the calf, it can relieve the tension of the tissue compartment, relieve the compression of the blood vessels by limb swelling, facilitate the return of the lower limbs, reduce the incidence of vascular crisis, and avoid ischemia.
Reperfusion injury.”
Tanglou's answer was impeccable, and his hand movements were also perfect.
"Okay, the suturing is completed. After the operation, active anticoagulation, anti-infection, anti-spasm, support and diuresis, prevention of renal failure and other treatments are performed. Closely observe the blood supply of the distal limbs, pulse of the dorsalis pedis artery, sensation, movement, skin temperature and other changes.
.”
Tang Lou looked up at his little assistant.
Dr. Fei was as obedient as a quail under the aura of the surgeon in the tenement building: "Okay, okay."
After agreeing, he remembered that Director Wu was still standing next to him, so he quickly put away his humble face and kept smiling to relieve the embarrassment.
"Director Wu, my operation has been completed. There is still something to do at the general surgery department. I will leave first and leave the rest to Dr. Fei."
After finishing the tenement building, he didn't stop any longer and went directly to the changing room.
[Ding, new mission, emergency rescue completed, reward 2 gold coins, card library refreshed once. 】
Seeing Tanglou, he left calmly like a big boss. Director Wu felt strange. How could a young doctor be so skilled in repairing femoral artery injuries, and how his surgical habits were like those of a senior director.
How can I describe the feeling of this scene? It's like a three or four-year-old doll with a Mediterranean hairstyle, holding a white porcelain teapot in his hand, sipping tea.
So old-fashioned!
However, looking at the completion of the operation and Tanglou's response to the core issues, Director Wu was at a loss to say anything.
Should I call him 666?
After thinking about it, Director Wu looked at Dr. Fei, and with a suffocated breath, he burst out: "Look at me, then look at you! You look like a quail! Although this surgery is okay so far.
But if something goes wrong later, you will be responsible! Do you understand?"
"I understand, I understand."
Dr. Fei was as obedient as a quail and nodded. However, he was very confident as he participated in the entire operation in Tanglou. However, to be conservative, he still said: "Director Wu, in this case, I will take Dr. Tang's surgery later."
This surgery video is sent to you. You are checking it. If you find any negligence, we can make it right before it's too late."
Dr. Fei had this picture in his mind:
Director Wu's mother: "Xiao Ming, didn't I tell you not to kneel down and look at the computer all the time! Save some paper towels."
Deputy Director Wu nodded and thought about it, maybe he would find some flaws in the video.
"Assuming you still have some sense of caution, you can send it to me later."
Deputy Director Wu left in a hurry again. After all, there were still many things to do in the department.
Chapter completed!