Chapter 90 Tanglou is going to be the main swordsman
With talent, concentration and resilience, Tanglou entered a state of selflessness.
Under the Samsung incision, the knife-holding posture of Tanglou is naturally just right. The Mai incision is also called the oblique incision of the appendix, which is also the most classic incision method.
One third of the line between the umbilical and the right anterior superior spine, the length is about 8 to 10 cm. Such an incision is sufficient, so the Tang Building naturally used the bow-holding style.
Senior surgeons are very clear that the most important thing to control the incision is perpendicular to this line, so the surgeon's hands are required to be stable and sure that some rookies often do not control the strength when they first cut, because they are inexperienced and nervous. They either cut too short or are crooked.
In addition to the length, the depth of the incision is also layered. First, the skin is cut, then the superficial fascia, then the external oblique muscle aponeurosis, the internal oblique membrane, the transverse abdominal muscle, the transverse abdominal fascia, the extraperitoneal fascia, and finally the wall peritoneal.
Under the Samsung incision, Tanglou naturally had a perfect control in terms of strength and incision thickness.
Qingping's eyes lit up on the side, and Tanglou's movements were completed in one go, with only one knife, and each layer of structure was only one knife, one knife, one knife...
"Tian Linsheng!"
Because the Tang Building's movements were too neat and too fast, Tian Linsheng didn't react. After all, during the operation of Marx and En had to observe each layer before he dared to take action, and sometimes, he had to cut one layer several times.
Under Qingping's urging, Tian Linsheng woke up from a dream and was shocked. Tanglou's actions seemed to be no less than Dr. Qing!
this!
Tian Linsheng quickly cut the skin, subcutaneous tissue and external oblique aponema that was cut through the Tanglou through blunt separation through the hook, and then barely kept up with the Tanglou's speed, and finally pulled the internal oblique and transverse abdomen.
When the Tang Building was cut and stood aside, Tian Linsheng's forehead was covered in cold sweat.
Too fast and so beautiful!
Chen Wenhao, a few meters away, was also stunned and even began to doubt the accuracy of the personnel arrangements before the operation. This method was really something that the intern could do?
What a fool is, I'm afraid the general treatment is not as good as this level.
“Practiced?”
Even Qingping couldn't help asking.
"Well, a month before I came to study, the director of the hospital was afraid that I would be embarrassed, so he trained for a while and had three or four cases of incision."
Tanglou said lightly.
“Three or four?”
Qingping's mouth twitched, and he couldn't reach this level after three or four years of doing it. It can only be said that Tanglou is very talented.
But this talent...
Qingping, who has always been calm, also felt a little jealous.
Tian Linsheng held the hook with both hands and looked at the Tang Building. He could no longer have the desire to compete with him for Ichisuke. In his heart:
"There is a morgue at home, and you can only practice this incision technique every day."
"Have you tried to find the appendix before?"
Qingping asked again, after all, the most important thing in appendicitis surgery is to find the appendix.
"No, I've seen three or four cases."
Qingping suddenly didn't want to ask the Tang Building any questions, and even couldn't listen to the two numbers three or four.
"Then you think it's important to find the appendix for routine appendectomy. This is also a skill. I summarized a mantra myself: I'm a grandfather, and my daughter has three people after getting married and returning to her parents' home."
"The so-called ascending means ascending the colon, the junction means the ileum, the circumcision part, the three are the summaries of the three colonic belts, the rhythm of the entire intestine is:
First find the ascending colon and follow the colon to the ileocecal part. The sum of the three colonic bands is where the root of the appendix is located.”
Qingping quickly turned to the appendix as he followed the formula.
"After finding the appendix, you can appropriately pull the ileocele... Remember that if the mesangial mesangial is thick, it is best to stitch the proximal mesangial end to prevent blood vessel retraction..."
...
For Qingping, appendicitis removal was so familiar that all the operations were completed soon.
The steps are clear and the movements are clear. Tanglou has a new understanding. Compared with Liu Tong's proficiency, Qingping's operation can only be described as pleasing to the eye.
"Tanglou, you come and finish the tummy."
After Qingping checked that there was no bleeding and counted the gauze equipment, he handed over the location to the Tang Building.
"Um."
Tanglou was not humble, nor was he afraid, and he steadily took the needle holder and suture from the nurse.
Under the Samsung suture technique, Tanglou's actions were like a reflection of Qingping's operations.
Smooth and precision, the strength of each needle, the length of the line, the precision of the knot...
This operation is simply textbook-level.
Chen Wenhao and Tian Linsheng were both obsessed with watching.
The two of them cooperated perfectly!
"Tanglou, I will prepare for the next appendectomy tomorrow. I will go back today to review the appendix structure and carefully understand my formula."
Qingping also developed a love for talent on the side. He originally wanted to see the basic skills of Tanglou, but now he has changed his mind.
Compared to cultivating Ma En, Qingping thinks that Tanglou is the one who is most likely to complete the umbilical cavity realm technology with him!
Director Cheng really found a good seedling for him in general surgery!
"good."
After completing the last needle in the Tang Building, he handed the equipment directly to the nurse, and he also completed the task and looked at Tian Linsheng's position.
After all, Leng Yunze cooperated with him in the county hospital before, and Liu Tong and Li Fan cooperated with him before, so from the beginning, the Tang Building was adapted to someone cleaning up the mess.
One after another, Qingping and Tanglou left the operating room, leaving behind a mess.
[Ding! New task, complete the first complete appendicitis resection in life, task reward: gold coins 2, the deck library will be automatically refreshed once.]
[Whether the host consumes 2 gold coins, refresh the deck once]
"refresh!"
【Consuming 2 gold coins, refreshing the library:】
【Document Refresh: Appendectomy (one star, 2), Appendectomy (one star, 2), Hernia repair (one star, 2), Hernia repair (one star, 2), Thyroid surgery (one star, 2)]
Tanglou directly selected two appendectomy surgeries (one star, 2)
Check out my own panel:
Level 5: Upgrade 24
Surgery column (5/5): suture (Samsung, 9), diagnostic (one star, 3), appendectomy (one star, 2), dressing change (samsung, 9), incision (samsung, 9)
Gold Coins: 2
Bond (1/1): 1. Surgery (Level 2, 4/5): Reduce infection rate by 30%, increase healing by 30%, and reduce patient pain by 30%
Talent (4/4): 1. Stitching assembly line (activated) 2. Listening 3. Focus 4. Toughness
Storage column (5/9): exposure (Samsung, 9), hemostasis (Samsung, 9), emergency comprehensive (Samsung, 9), appendectomy (1 star, 2), debridement (2 star, 6)
After returning to the office, Tanglou packed up his notebook and went to the ward to check the room.
It took half an hour later that Tian Linsheng returned to the office.
Some people doubted their lives and sat on the stool.
Another group of Ma En and Wang Daquan had also completed the appendicitis surgery. When they returned to the office, they saw Tian Linsheng.
"Tiantian, how does Ichisuke feel?"
Wang Daquan asked immediately.
Tian Linsheng lowered his head and remained silent.
"What's wrong? I was beaten by Doctor Ao? The first time I was accustomed to scolding me, it's normal."
Wang Daquan walked over and clamped his arm around Tian Linsheng's neck.
Tian Linsheng took the opportunity to pounce on Wang Daquan's arms.
“???”
“…I’m still Lagouha…”
Tian Linsheng felt very aggrieved in his crying voice.
Ma En was also a little surprised. Tian Linsheng rubbed his nose in Wang Daquan's arms and looked at Dr. Ma and Wang Dalin.
"Tenhwa is the only one who helped today."
Tian Linsheng pouted and said even more aggrievedly: "He will be the chief sword tomorrow!"
"ha?"
Ma En and Wang Daquan were all shocked all of a sudden.
Tanglou, this intern who has only been here for less than a month, is the main surgery for appendicitis?
Wang Daquan pinched Tian Linsheng's left cheek.
"Hiss... it hurts..."
Mar En pinched Tian Linsheng's right cheek.
"I...provoke (fuck)"
Chapter completed!