While Liu Jinjin and Yang Min were feeling emotional, Guo Caier came over.

"Doctor Guo, why are you here?"

When meeting Guo Cai'er, Dr. Wang Chuan's confidant physician, who also comes from a Peking Union Medical College background, Liu Jinjin and Yang Minmin were of course very polite.

Guo Caier's eyes lit up when he saw Liu Jinjin and he said: "Doctor Liu, do you have time now? Dr. Wang has a partial liver resection and needs an assistant. You can either come with me."

"

Liu Jinjin nodded immediately. He was very happy to be an assistant to Dr. Wang Chuan. He thought about it: "Although partial liver resection is difficult, I should be able to do it as an assistant. And with Dr. Wang as the surgeon, I can do it."

It must be fine."

"Well, then come with me to prepare for the surgery. This surgery should take quite a long time."

Guo Caier said this and turned around to lead the way.

...

...

Tanglou also entered the operating room at this moment.

The resident doctor, Dr. Wu, was obviously a little surprised when he saw Tang Lou come in. He was not the attending physician he was familiar with.

"Doctor Wu, this is Dr. Tang, the chief surgeon assigned by the inpatient department."

The intern noticed Dr. Wu's doubts and immediately introduced him.

When he heard Dr. Tang, Dr. Wu became even more stunned. After all, he belonged to Shen Bingbing, so usually his surgical partners were from Director Shen's family. He seemed not to remember that the attending physician's surname was Tang.

However, Tanglou didn't give him much time to think. After firing the diagnostic technique, he directly issued the order, and the chief surgeon's aura was fully activated:

"The patient's physical condition is poor. Have preoperative antibiotics and gastrointestinal decompression been done? Has the water and electrolyte balance been corrected? Can the blood volume be replenished?"

Hearing Tanglou's professional and detailed questions, as well as his strong aura, Dr. Wu's uneasiness was completely suppressed. It seemed that the person coming was a big shot, maybe the attending physician from other departments, maybe the director.

level.

After all, the First City Hospital is still very large, with many departments, and it is normal for him to have some that he is not familiar with. He is worried, but he must not show his timidity.

"Report to Dr. Tang that a nasogastric tube has been placed in advance, gastrointestinal decompression has been continued, simultaneous infusions have been made to correct water loss and electrolyte imbalance, anti-shock treatment has been completed, and blood transfusions have been carried out..."

Dr. Wu was as obedient as a little white rabbit in front of Tanglou's imposing manner. After all, before you know the temper of a big-shot doctor, being cautious, obedient and sensible is the only magic weapon.

"Use broad-spectrum antibiotics and give appropriate analgesics..."

Tanglou continued to issue orders and at the same time signaled the anesthetist to start working.

Because the patient was older and in poor physical condition, intensive and local anesthesia was used.

"Scalpel..."

Tanglou walked to position C very naturally, reached out and took the scalpel from the instrument nurse.

"Ichisuke, wait for me to make an incision on the midline of the upper abdomen, enter the abdomen in time, and suck out the abdominal fluid and gastric overflow."

After hearing what Tang Lou said, Dr. Wu didn't pay too much attention. After all, in his opinion, Tang Lou definitely needed to mark and make incisions on the incision. The time was enough for him to prepare, and he did not prepare the instruments at the same time.

While Dr. Wu was stunned, Tanglou chose the classic bow-holding style, using three-star incision, one cut, one cut, and one cut.

After three movements with the same frequency, the same distance, and different strengths, the abdominal surgical field was directly exposed.

"What are you still doing?"

Tanglou frowned.

"Damn, how could it be so fast?"

Dr. Wu was startled, and immediately regained his composure and quickly carried out the operation: "Right away, right away!"

Dr. Wu quickly followed Tanglou's incision and probed into the abdomen to clean up the internal fluid accumulation and stomach overflow.

"Explore to find the location of the lesion."

Under Tang Lou's command, Dr. Wu carefully began to expose the stomach and the front wall of the duodenum, not daring to be careless.

"Intraoperative findings: perforation of the stomach and the anterior wall of the duodenum. It can be seen that the tissue around the perforation is obviously congested, edematous, hard, and has overflow of gastric or duodenal juice."

After Dr. Wu finished his report, under Tang Lou's instructions, he continued the exploration. After careful inspection, he completed the exploration and determined the perforation sites. There were three in total.

"So serious!"

Compared to Tanglou's calmness, Dr. Wu's face was solemn.

"Non-absorbable thread... fillet needle... microscope glasses..."

Tang Lou directly gave the order and started the suturing operation. Since the small perforation of the stomach wall and the surrounding hard area were not large, he planned to perform interrupted seromuscular suturing.

Since Tanglou chose the thinnest thread, the operation is very difficult, and if the strength of the seromuscular layer suturing is not well controlled, it is very easy to tear the tissue.

Seeing that the suturing in Tanglou was so difficult at the beginning, Dr. Wu also broke into a cold sweat. He is really brave for a skilled man!

On the display screen, Dr. Wu watched Tang Lou operate the needle-holding forceps, very quickly and stably converging the seromuscular layer to cover and perforate.

After that, the omentum is covered and sutured to the abdominal wall. The tissue structure of the omentum is very easy to tear. Therefore, when inserting the needle, you need to be quick and accurate, just like using a needle to pierce a membrane. If

If the strength and angle are not well controlled, it is very easy to tear. However, if you wear it too fast, the silk thread is very thin and easy to break.

Doctor Wu held his breath and watched Tang Lou's operation. It wasn't until Tang Lou punctured several times in succession that he finally confirmed that Dr. Tang's suturing skills were among the best in the entire general surgery department.

"Strange, how come you haven't met such a powerful boss before?"

While Dr. Wu was pondering, Tanglou had already completed the first perforation site and was directly suturing the second perforation.

The second perforation is located deeper and is larger, causing severe inflammation and edema, so it is not suitable to be sutured directly.

"Dr. Tang, how do you suture this case?"

Dr. Wu now completely regards Tang Lou as a highly respected old doctor, so he asked for advice very humbly.

"Severe edema like this will cause stenosis and obstruction of passage if directly sutured. Therefore, we can use the greater omentum to directly block the perforation, and then use non-absorbable sutures to fix and suture the greater omentum to the intestinal wall around the perforation.

.”

Tanglou's words did not affect the operation of his hands at all.

"Got it."

Dr. Wu nodded in admiration. He was indeed a big shot. Dr. Tang must have practiced hundreds of surgeries with just one suturing hand.

Three minutes later, Tanglou completed the textbook-level suturing and moved on to the third suture without stopping.

"Doctor Tang, you don't need to take a rest."

Dr. Wu was a little worried, fearing that Tang Lou’s continuous sutures would not give him enough concentration and energy, and Dr. Tang had not stopped during the operation until now.

After all, in his opinion, he had to be very careful with every stitch during the previous suturing. After the suturing, he would almost collapse.

Moreover, the third perforation involved a perforated duodenal ulcer. To a resident doctor like him, the duodenum was like a sailor hearing about the Cape of Good Hope, and he was filled with fear of death.

And full of desire to conquer.

Huge setbacks and supreme achievements coexist! This is the obsession of every surgeon.

"continue."

Tang Lou didn't waste any time and had already started suturing on his hands. He directly chose to perform interrupted sutures on the edge of the perforation, which was very bold in Dr. Wu's opinion. Moreover, if you look closely, you can see that the direction of Tang Lou's suture opening is in line with the twelve fingers.

The longitudinal axis of the intestine is vertical.

"When suturing the duodenum, remember not to use excessive force when ligating the suture. Just bring the edges of the perforation on both sides together closely."

Feeling the nervousness and excitement of Dr. Wu on the side, Tanglou very naturally conveyed that, with the aura of the surgeon and the talent of the leader of the discipline, Dr. Wu nodded, having a deeper understanding of Tanglou's operation, and more admiration and emotion.

I unconsciously felt calmer.

"Sutures like this can prevent severing of surrounding tissues with edema and inflammation. After suturing, cover the surface with the omentum, and then suture it to the surface of the intestinal wall with non-absorbable sutures to fix it."

Tanglou was talking and demonstrating at the same time. A very difficult gastrointestinal perforation repair surgery was completely turned into a teaching demonstration.

After another five minutes, after counting the equipment, Tanglou stopped and awarded Dr. Wu the right to close the abdomen in a very ceremonial manner.

"One help, close the abdomen."

"Thank you, Doctor Tang."

Dr. Wu was very happy to stand on the operating table. It was a great honor to be recognized by a great doctor and to have his abdomen closed, even though he had had his abdomen closed countless times.

"Continue gastrointestinal decompression after surgery to prevent gastric dilation. Generally, decompression needs to be continued for 2 to 3 days until intestinal function recovers."

"Daily infusion during fasting to maintain nutrition, water and electrolyte balance, and blood transfusion when necessary."

"Use broad-spectrum antibiotics."

After Tang Lou gave the final postoperative medical instructions, he was the first to leave the operating room.

Listening to Dr. Tang's departure, Dr. Wu sighed with envy: "When will I be able to become such a dashing surgeon?"

Continuing to perform abdominal intubation with peace of mind, Dr. Wu asked the intern beside him:
Chapter completed!