Tanglou ignored Liu Tong and took a step towards the patient:

[Patient: Wu Xueqiao, male, 44 years old

Symptoms: Iron plate cut on the left neck, brachial plexus injury. Most of C5 was broken, C6 was completely broken, C7, C8, and T1 were normal.

Diagnosis: Surgery required to repair C5, C6

System prompt:

1. Continuous sutures cannot be used for epineurial suturing, as blood will accumulate between the stumps and form a hematoma. After organization, the regenerated nerve fibers will be prevented from passing through the anastomosis.

2. Suture the perineurium. When separating nerve bundles and bundle groups, be careful not to damage the nerve bundles. Do not let the needle pass through the nerve fibers when suturing.

3. The sutured nerves should be placed in healthy tissue with rich blood supply, preferably on the muscle surface, to avoid placing it in scars or bone surfaces.

4. It is strictly prohibited to expose the nerve bundles, invert the adventitia, or insert connective tissue into the suture surface to hinder nerve growth.

5. If there is arterial damage around the injured nerve, such as ulnar nerve injury in the wrist accompanied by ulnar artery injury, the artery should be sutured at the same time to ensure local blood supply]

"What are you doing?"

Liu Tong scolded him when he saw Tanglou actually walking towards the patient and staring blankly at the wound.

"Patients now have no time to use the electrical stimulator to identify nerves and tendons. In order to quickly sort out, they can only judge through experience. Theoretically, they can be carefully identified through the differences in color, texture, cross-sectional structure, and surface blood vessels. At the same time, supplemented by

Use gentle tug to judge.”

Tanglou didn't care about Liu Tong's malice. He immediately proposed the best plan in front of the patient.

"That's easy to say. You also said you should judge based on experience. Do you think we have such rich experience in surgery?" Liu Tong said sarcastically.

"It's not us, it's just you!"

Tanglou said calmly.

Just as Liu Tong was about to refute, Director Huo's instructions came from the observation room:

"The plan mentioned by Xiao Tang is indeed the best one. Now we can only judge it based on experience and naked eyes. Next, Director Shen and Director Cheng and I will assist in front of the camera and point out your mistakes in time."

"Okay, okay, okay, since Dr. Xiao Tang is so sworn in, it's up to you to identify it!"

Liu Tong was so naughty, he just borrowed the donkey down the slope and kicked the ball to Tanglou, without any dignity of the attending physician.

"Liu Tong, what are you talking about? What do you mean by asking Xiao Tang to come?"

Huo Tong couldn't stand it, it was so shameless, he had the same demeanor as when he was young, bah.

"Director Huo, let me try."

The faint voice of the tenement house reached the observation room.

Huo Tong was slightly surprised, a little impressed, and a little confused.

Is this kid smart or stupid? I am helping him, which is really disrespectful.

When Director Huo was slightly depressed, Liu Tong quickly gave up his position in the operating room.

"Please, Doctor Xiao Tang."

Liu Tong looked at Tanglou with a sneer and took the hot potato into his hand. Young people are impulsive.

"Xiao Tang, just give it a try. Don't force it. Follow our instructions."

Huo Tong didn't know what to say when he saw such a situation. The three directors enlarged the screen at the same time, fully exposing the surgical field in front of their eyes.

Sure enough, the tendons and nerves were mixed together in a bloody mass, and even they had to spend some effort to identify them.

"Xiao Tang, listen, dissect and dissociate from the right side of the wound to the left side... Hey, slow down... Damn... Huh?..."

Looking at the sliding blade on the screen, Huo Tong was immediately shocked. Soon, the tissue was accurately cut along the channel of the C5 nerve, as if an anatomy plan had been prepared in advance, and the severed end was quickly exposed.

"...Seen during the operation: Most of the C5 nerve was severed..."

Tanglou's rigorous and calm report reached the ears of the three directors in the observation room.

"Xiao Tang, you did a good job."

Huo Tong was stunned. Isn't this too fast?

"impossible."

In the operating room, Liu Tong stood on the side, watching Tang Lou's hand as if he had predicted it in advance, accurately separating the tendons and nerves, and was even lucky enough to find the first brachial plexus.

"Is it cheating?"

Liu Tong had the impression that when he was playing a game of chicken, his handle dropped into a box, and he looked sadly at his opponent's headshot with his handle.

Jealousy, Lanshou.

Liu Tong leaned his head towards the patient's wound. He wanted to take a closer look...

Tanglou continued to focus on dissection and dissociation.

It was obvious that the observation room also fell into silence. They all watched with bated breath as the blades separated accurately...

He was so old that Huo Tong felt that even if he separated them by himself, he couldn't do any better.

"It's truly a talent that I only see in my life!"

Five minutes later, Tanglou completed the exposure of another nerve stump:

"...See during the operation: C6 is completely broken..."

Like a precise instrument, Tanglou once again delivered a precise conclusion to the directors present.

"...The rest are tendon injuries and ruptures, and the broken ends have been sorted out. C7, C8, and T1 brachial plexus are normal and can be sutured and repaired..."

Tanglou handed the instrument to the handguard of the instrument, whose eyes were filled with admiration.

"Xiao Tang Doctor Niu Boyi (broken sound)!"

In the observation room, there was silence for three seconds and found that there was really nothing to give or suggest: "Very good, Xiao Tang, your dissection was completed perfectly to fully expose the nerves and tendon ends. I agree to proceed with the next step of suturing.

.”

Huo Tong looked at Liu Tong, who was shrinking aside, and became very angry. He added: "Liu Tong, you can do the follow-up sutures! Let Xiao Tang rest for a while."

"Let me be his assistant?"

Liu Tong's expression changed, and he found it difficult to accept that he, a dignified attending doctor, had been reduced to helping a tenement house.

"Director Huo, it's okay. I'm not tired. Suturing nerves and tendons is more complicated. I dissected it myself and am more comfortable. If it were Dr. Liu, I'm afraid he would make a mistake."

Tanglou doesn't want to hand over the most critical sutures to others. Mere identification of nerves and tendons cannot be included in the task.

After hearing this, Huo Tong pondered for a while: "That's fine!"

"No, I changed my mind. Xiao Tang is young after all, so I should do the sewing."

Liu Tong didn't want to do it at first, but Tang Lou said he couldn't sew it up well? Who are he looking down on?

After all, he, Liu Tong, is also the backbone of the surgical department and is known as a fast surgeon. How come he is not qualified to even help interns?

Liu Tong's pride couldn't stand it anymore.

"I'll do it, Dr. Liu. I see you are tired and sweaty. You feel weak."

Tanglou looked at Liu Tong unkindly, trying to steal his surgery? Impossible.

Feeling Tanglou's gaze, he seemed to be questioning his shortcomings, sneering, and mocking.

Being told that the sore spot was hit, Liu Tong felt humiliated like never before: "Why am I weak? I've been watching you suture for a long time, and you're not tired. How can I be tired? I have to do the suturing today."

"I, Liu Tong, am not good at anything else, but I have good physical strength!"

Liu Tong squeezed out of the tenement building and shouted to the mechanical nurse: "Security blade, needle holder, and surgical microscope are ready."

"Xiao Tang, just let Dr. Liu do the suturing while you watch from the sidelines."

Huo Tong finally gave the order. Xiao Tang had been doing it for a long time and it was indeed time for him to rest for a while. As for Liu Tong, I hadn't observed his surgery for a long time. I wonder if his skill had improved?

"Let me show you what it means to be the best in surgery! Learn from it, intern!"

Liu Tong held his breath and started suturing.

[Ding! Mission: Taunts from the True Surgeon: Find out more than four mistakes made by Liu Tong, a self-proclaimed surgical expert, in his suturing, guide them, correct them, and ridicule them. Mission completion reward: 1 gold coin]

"System, are you causing trouble again?"

[Great doctors have tempers. For those who have malicious intentions, they must teach them how to behave! Hit them hard! 】
Chapter completed!