In the operating room, Lin Jia had already arranged various matters.

Since the patient had severe heart failure, the internal medicine department used cardiac glycosides, diuretics, etc. to control the heart failure in advance before officially starting the surgery.

As soon as he heard that it was the first operation in Tanglou's return to the first hospital in the city, Chen Wenhao rushed over directly to cooperate with Tanglou's anesthesia.

"Doctor Tang, long time no see."

Chen Wenhao shouted very happily and started the routine general anesthesia with tracheal intubation and hypothermic extracorporeal circulation at the same time.

It is really a pleasure to see the operation in Tanglou again.

"Scalpel..."

Tang Lou gave the first command, and Lin Jia quickly cooperated. I miss him so much. Lin Jia secretly looked at Tang Lou's side face. He was so handsome!

Tanglou used the bow-holding technique to make an incision in the middle of the patient's chest. Under a three-star level incision, the incision and exposure were completed in just a few clean strokes.

"It still tastes the same."

Lin Jia stood aside and watched Tanglou's pleasing operation, which was indeed not comparable to that of doctors from other hospitals in the city.

"First aid, carefully observe whether the positions of major blood vessels are consistent with the disease, whether there is stenosis, and further check the type of single ventricle..."

Tanglou began to issue instructions one after another in a calm tone.

Wu Changlin concentrated on it, tried his best to keep up with the rhythm of Tanglou, and started to perform various operations. As expected of Tanglou, Dr. Wu was under great pressure from the very beginning.

"First aid, check the coronary vessels for malformations and their direction, and try to choose transatrial repair..."

"Okay, Doctor Tang."

Wu Changlin was still thinking about what to do, but Tanglou directly proposed a solution to him.

"As expected of him, Dr. Tang has great control over the entire operation."

Sun Danfeng on the side silently memorized the operation sequence of the Tang Tower. The more he looked at it, the more he admired it.

"Dr. Tang, how should we deal with some patients who need ventricular repair?"

Sun Danfeng completely regarded Tanglou as an expert and was not ashamed to ask.

"If it is repaired through the ventricle, a fishmouth-shaped incision can be used. The location of the ventricular incision should be chosen to avoid coronary blood vessels."

Tanglou didn't even think about it and just blurted out that he was too familiar with ventricular correction surgery.

"Oh, I understand."

After hearing Tang Lou's teachings, Sun Danfeng's eyes lit up and he simulated it in his mind. This is what happened. He was indeed Dr. Tang.

While Tang Lou was performing an operation in the operating room, Director Qian Gang also came to the office. He was also very surprised when he heard that Tang Lou performed the difficult operation.

Director Qian Gang thought for a while, then pointed to the remaining doctors in the department and said: "Dr. Tang just happened to return to the department today to perform a difficult ventricular septal reconstruction method in the operating room. Leave whatever you have to do to me.

Study, study.”

"OK!"

The other residents and several interns in the department were very excited. Tanglou was now well-known, especially for the amazing deeds he had done at Zijingang Medical College.

Director Qian Gang was also very interested in the surgery in Tanglou, so he took a group of people to the observation room.

And when Qian Gang took people from the Department of Cardiovascular Medicine to the observation room, several interns and residents spread the news.

"Dr. Tang performs difficult surgeries in the operating room. Anyone who has no skills can come to the observation room to study and get a glimpse of Dr. Tang's style."

In the general surgery department, Guo Cai'er also received a message from an intern. He saw that it was Tanglou who had returned. He looked at the arrangements in hand and ran to the observation room.

However, Tanglou naturally knew nothing about this and was still carrying out Lin Lin's surgery seriously.

Next, comes one of the difficulties of this operation, which is to expose the two sets of atrioventricular valves in the heart through the atrial incision and the connected chordae tendineae and RT muscles. The positioning of the ventricular septum is very demanding on the doctor's experience and clinical experience.

judgment.

In the observation room, Director Qian was staring at the screen intently. Even he wanted to know how Tanglou would deal with it.

Since the patient did not have an atrioventricular valve straddling, Tanglou thought about it for a while and chose the thick trabeculae between the right and left RT muscles as the dividing line, and selected Sichuan sutures to make the marking line.

In the observation room, Director Qian nodded very appreciatively: "What a fine muscle trabecula as the dividing line. It's exquisite."

"Hemipericardial patch...scissors..."

In the operating room, Tanglou issued instructions like a whirlwind without any pause. In the observation room, everyone felt as if they were watching at 2x speed with no intervening advertisements.

"Everyone, please pay attention. The next step is to select the patch and perform appropriate trimming on site according to the patient's condition. This step is a great test of the surgeon's experience and vision, and is also the key to determining the success or failure of this operation."

After hearing Director Qian's explanation, the residents and interns who were sitting straightened their necks and looked at the operations on the screen.

He was also exclaiming: "It's too difficult to do this. You can trim and improve the patch directly on site. If you cut too much or not enough, it will be fatal. Dr. Tang's control is too strong."

"Yeah, cut it into an oblong patch of appropriate size according to the ventricular septation, and use continuous sutures and padded mattress needles to reinforce it. Just this set of operations will take me several years of practice before I dare to

Go to the operating table."

"Wow, look, Dr. Tang has finished pruning. Have you noticed that Dr. Tang's pruning is just like the previous incision? It was all done with one knife, without any sloppiness at all."

"It's so amazing. Before Dr. Tang's surgery, all the doctors in the First City Hospital were eclipsed."

An intern sighed with emotion.

If it were placed in other hospitals, if a young doctor like Tanglou dared to describe it like this, he would have been criticized by the old experts and senior chief physicians. But at this moment, Director Qian Gang did not feel offended at all, but he agreed with it very much.

nodded.

"As long as Tanglou stands on the operating table, all the other doctors are just foils."

"Look, after Dr. Tang trimmed the patch, it was completely the same size as the two ventricular cavities after being placed in it."

"Actually, I want to say that this surgery seems to be very simple."

An intern muttered something silly.

For such a young man who knew nothing about the world, many attending doctors who had been exposed to this operation silently shed tears in their hearts.

Sure enough, when looking at the surgery performed by the big guys, novices are easily confused and have the illusion that it is just a cut, a patch, and a stitch for reinforcement.

How simple! You will definitely learn it in no time.

The fact is that once you do it, it’s useless!

All walks of life, at home and abroad, in ancient and modern times, are nothing more than this.

In the operating room, Tanglou continued the next step of the operation. The separated blood flow passed from the left atrium through the mitral valve through the left ventricular outflow tract and then into the aorta...

Ten minutes later, the operation was successfully completed.

In the observation room, Director Qian Gang licked his lips, feeling that he still had more to say.

"Fellow doctors, I have an idea. Dr. Tang is currently studying at Zijingang Hospital and will finally come back. How about letting him do more surgeries so that everyone can learn them all at once?"

"Okay, okay!"

"Director Qian, let me go take a look. Recently, there have been several patients with different symptoms in our department who need ventricular correction. Okay, let Dr. Tang give us guidance."

Qian Gang looked at the Tanglou on the screen. He was very familiar with the energy and physical strength of the Tanglou. As the saying goes, if you go to Zijingang to do it, you might as well do it at home. At worst, you will be paralyzed from exhaustion.

It's a trivial matter for a little nurse to help you with three or four of you.

"Then it's settled. I'll give you ten minutes to prepare. Everyone will bring your own dry food, mineral water, diapers, self-heating hot pot, etc. We will gather in the observation room in ten minutes."

"Okay!"

After hearing Director Qian's instructions, all the doctors began to disperse. In the Department of Cardiovascular Medicine, the surgeries recently accumulated, which are representative, difficult, and complex, and what everyone wants to see, all started one by one.

Gather together in the operating room where the tenement building is located.

Qian Gang rubbed his hands and smiled: "Doctor Tang, I am Qian Gang. You see that it is a rare time for you to come back, so you can show off more to your colleagues in the department. Don't worry, this time you will be able to do a lot."

[Ding, new task, crazy show operation, demonstrate various ventricular correction techniques for colleagues in the first hospital of the city. Task reward, for each case completed, 2 gold coins will be awarded. The card library will be refreshed]

Tanglou didn't expect that what was originally just a rescue mission would suddenly turn into a mission involving a large number of gold coins. It was amazing! He was worried about where to get so many gold coins.

"Okay, Director Qian."

The tenement building is full of energy.

On the other hand, Wu Changlin's legs softened a little. He was familiar with the story of Dr. Tang, the perpetual motion machine.

Lin Jia's eyes lit up and he crossed his legs, as if he could be exhausted by Dr. Tang again: 'Wow, it's so exciting!'
Chapter completed!