Chapter 284 Doctor Tang, how did you do it?
Captain Huang's head was pounding. He had obviously misunderstood what Tang Lou meant, and he was a little unsteady on his feet: "You said the operation failed, and Xiao Du is dead?"
Dean Yang also looked very ugly. If the operation really failed, it would be a big shame. How could he explain to Captain Huang?
"No, no, you misunderstood me. I meant that the operation has been completed."
"Done?"
"How is that possible! How long has it been?"
Chen Qilong was so familiar with this operation that he directly questioned it. He now strongly suspected that there was something wrong with the operation in Tanglou.
Liu Shiliang also looked at Tanglou angrily: "Do you know what you are talking about? If something goes wrong with the operation, I promise to send you back to where you came from!"
"Dr. Tang, you always perform surgeries very quickly. Is there anything strange about this?"
When Ma En saw that Tanglou was under suspicion, he became unhappy. In the last medical incident, apart from Director Cheng taking care of the few gangsters, Tanglou had to solve the biggest problem, Zhang Yuan.
Ma En knew that Tanglou had specifically sought out Zhang Yiming, the boss of Toutiao, for his own sake. This was all a favor. For doctors like them, the favor of a big shot was so precious, and it would be lost once it was consumed.
He remembered Tanglou and Director Cheng's kindness to him.
So at this moment, Ma En didn't care about offending Director Liu, and directly stood with Tang Lou to defend him and bear the pressure of several big bosses with him. Of course, he believed in Tang Lou's surgical skills more.
Seeing Ma En and Tanglou's attitude, Dean Yang's face became gloomy, and his tone was a little unkind: "This is how your general surgery department is doing things now. What's your attitude? If something happens to Du Sanduo's condition today,
See if I don’t deal with you.”
Dean Yang forced out an ugly smile: "Director Chen made you laugh."
Liu Shiliang also complained to Tanglou: "Why don't you go to the operating room with us to see how Du Sanduo is doing and whether he can be saved."
Chen Qilong was not very interested in the subsequent punishment of the First City Hospital, but directly asked Tang Lou: "Xiao Tang, since you said that the operation has been completed, then tell me about your operation process. I think
See what’s going on, and is there any possibility of remedying it?”
Chen Qilong certainly didn't think that Tanglou had completed all the operations, after all, the time was too short.
"Yes, how did you perform the approach? Did you use percutaneous nail placement?"
Liu Shiliang also questioned him professionally. It would be better if minimally invasive percutaneous nail placement was used.
"Percutaneous nail placement is indeed a minimally invasive surgery, but it has its own shortcomings. In order to allow Sanduo to recover 100%, I adopted a modified transspinal muscle space approach."
Tanglou explained as he walked, not impatiently.
"What, you said you used a modified transparaspinal muscle space approach."
Chen Qilong and Liu Shiliang thought they heard wrongly.
"Yes, oh, this surgery is indeed not commonly used. If the two directors are not familiar with it, I can introduce it in detail. Compared with the percutaneous nail placement surgery, the improved transspinal muscle space approach has better trauma.
The height of the front edge of the vertebra is restored, better intraoperative soft tissue damage, shorter incision length and less intraoperative bleeding, fewer adverse reactions, better reduction height of the injured vertebra, and less paravertebral soft tissue damage..."
Tanglou is really professional and comprehensive, explaining things in simple terms and popularizing science.
"Ahem."
Dean Yang coughed, "What do you mean? If the two directors are not familiar with each other, can you tell if you are speaking in human language?"
Just when Dean Yang wanted Tanglou to shut up and the junior class was trying to do something, he noticed the two directors who had fallen silent.
"well?"
Since he entered a management position, Dean Yang didn't know the value of Tanglou's words at all, but the two directors who had been on the front line all year round did.
Liu Shiliang and Chen Qilong looked at each other, their eyes full of shock. People who have never done this surgery may not know it, but they understand very well that the few points Tang Lou said comprehensively and accurately summarized the improved meridian vertebra.
All advantages of the paramuscular approach.
In other words, this young doctor has really conducted in-depth research on the modified paravertebral muscle space approach!
Chen Qilong asked curiously: "So you successfully performed the modified paravertebral muscle space approach?"
Tanglou nodded confidently: "Of course."
"You are also familiar with anterior decompression, internal fixation, bone grafting and fusion for thoracolumbar fractures."
"certainly."
Chen Qilong pondered for a while. This young doctor was really immodest and immediately asked: "Then what do you think of intraoperative bleeding?"
Tanglou blurted out without thinking: "There are three possible reasons for bleeding: first, improper handling of segmental blood vessels, which should be clamped and cut during the operation and then double ligated; second, vertebral body bleeding, which is unavoidable when removing the vertebral body.
, the blood source should be prepared, and suction should be performed at the same time to shorten the operation time; the final possibility is venous sinus bleeding, mainly when resecting the posterior wall of the vertebral body, the posterior wall of the vertebral body, posterior longitudinal ligament, and gelatin sponge can be removed in stages
Apply pressure to stop bleeding.”
After Tang Lou finished speaking, he glanced at Chen Qilong: "Don't worry, Director Chen, I controlled it very well and there was no bleeding during the operation."
Liu Shiliang pursed his lips, but in the end he did not speak, because he found that Tang Lou's understanding of this technique was no worse than his.
And every time he has an operation, there will inevitably be some bleeding.
Chen Qilong was a little surprised and surprised, and asked directly: "Then what do you think about the abdominal aorta or inferior vena cava injury?"
Tang Lou continued: "I don't care much about this, after all, this kind of situation will not happen to me. If it does happen, it can only be said that the surgeon needs to be more careful and focused. This includes the anatomical separation of the vertebral body and the avoidance of
The vertebral body screw is too long.”
Ma En took advantage of the opportunity: "Dr. Tang's concentration, physical strength, and energy have always been the best in the city's first hospital."
Liu Shiliang: "..."
This is obviously a criticism meeting, but why is it open as if it has become a commendation meeting?
Moreover, Liu Shiliang sadly remembered that he had a black face once, and the abdominal aorta was damaged during the operation!
Dean Yang's expression also became weird, and it reminded him of Tanglou's performance in the emergency training camp when he first came to the First City Hospital.
Could it be that this brat, who has been in the First City Hospital for less than a year, has grown up enough to undergo such a difficult surgery?
Chen Qilong continued to ask: "So if spinal cord injury occurs during the operation, is it a serious complication?"
Tanglou responded fluently: "It was caused by the decompression operation, or it could also be caused by the bolt entering the spinal canal by mistake."
Liu Shiliang was completely silent, as if he had encountered it before.
While several people were walking to the door of the operating room while asking questions, Guo Caier and the nurse came out pushing a flat cart from the operating room.
Seeing the huge crowd, Guo Caier was also a little surprised.
"Is the operation really completed?"
Liu Shiliang asked again.
"The operation was very successful."
Guo Caier immediately said excitedly that she was also very excited to be able to complete such a difficult operation.
When Captain Huang heard that the operation was successful, he rushed forward immediately, helped the flat car, and looked at Du Sanduo on the bed. The anesthesia had slowly faded. When he saw the captain, Sanduo smiled naively: "Captain, Guo
The doctor told me that I can get out of bed in 4 weeks."
Chen Qilong and Liu Shiliang also stepped forward and carefully inspected Du Sanduo. They used the most authoritative evaluation method in the world.
Then, they were surprised to find that after the Tanglou surgery, they had already felt pain in their lower body, which they had no idea about before. Du Sanduo was also able to control the stretching of his toes, which meant that the compressed nerves were completely resolved.
Especially the control exercise of the toes, which had just ended not long ago. Based on the experience of Chen Qilong and Liu Shiliang, they certainly knew that Du Sanduo could recover to at least 90%.
"Captain Huang, Du Sanduo's surgery was very successful and he can recover at least 90%. In other words, not only can he live a normal life, but he has a high chance of returning to the fire brigade."
Chen Qilong made a very rigorous judgment.
"really!"
Captain Huang was very excited when he heard this.
"Dr. Tang, how did you do it?"
Liu Shiliang asked in disbelief.
"We all have video recordings in the operating room."
Dean Yang's mentality has stabilized. As long as the operation is successful, he doesn't care who performed it.
Tang Lou, Guo Caier, and Dean Yang accompanied Captain Huang and sent Du Sanduo to the ward.
Chen Qilong and Liu Shiliang went directly to take the video test and went to the office to watch it together.
Clicking on the video, three minutes later, the two old directors stopped breathing:
Chapter completed!