Tang Lou continued: The second layer is for the rectus abdominis incision. The posterior rectus abdominis sheath and peritoneum are sutured in one continuous layer, and the muscle and anterior sheath are sutured in one layer. With such suturing, the rectus abdominis heals with only one tendon cut.

In addition, the surgical openings that meet the internal and external oblique muscles of the abdomen are sutured continuously and in full thickness.

The third layer: The skin and subcutaneous fat are sutured intermittently with silk thread, and the needle is inserted to the bottom of the subcutaneous fat without leaving any dead space.

As Tang Lou said, Tian Linsheng tried hard to remember that Tang Lou really explained things in a simple and profound way, which was very valuable for a novice like him.

Tian Linsheng is now very lucky to be able to study with Tanglou, and secretly vows in his heart that he must learn from Tanglou in a down-to-earth manner.

For the next fifty minutes or so, Tian Linsheng slowly and struggled to sew.

An appendicitis operation took Tanglou less than twenty minutes, but Tian Linsheng took more than twice as long to complete the abdominal closure.

Qingping was watching from the side, and Tian Linsheng could only say that the completion was passable. This was despite Tanglou's reminders from time to time.

After everything was done, Tian Linsheng was naturally responsible for the aftermath, while Qingping left the scene first with his hands behind his back.

Tanglou looked at Tian Linsheng's horrific suturing and took care of it: "Tian Linsheng, please observe in time after the suturing. If there is effusion or liquefaction or pus at the surgical site, separate it appropriately with curved forceps and place gauze strips for drainage."

, timely treatment can most likely avoid secondary sutures.”

After all, he would not be infected under the constraints of his second-level surgical master, but it might be possible if Tian Linsheng did it alone.

"Okay, Doctor Tang."

Tian Linsheng was naturally convinced and quickly nodded to write it down.

...

...

In the next few days, Tian Linsheng naturally took charge of Tanglou's medical records and dressing patients.

"As for you, isn't this just a reward for you? Tiantian, you are almost turning into a licking dog in a tenement building, licking dogs, licking dogs, and licking until there is nothing left."

Wang Daquan couldn't bear to see his former second assistant degenerate like this.

"Wang Daquan, you don't understand. If you follow Dr. Tang, I will definitely have everything you need."

Tian Linsheng chuckled and typed the medical records happily: "It's not my fault, maybe Dr. Tang is more proficient in laparoscopic techniques than Dr. Ma."

Wang Daquan snorted disdainfully: "What is Dr. Tang? He is just an intern like you. Tanglou can only perform the most conventional McLaren's incision appendectomy, which is still far from laparoscopic surgery. Dr. Ma is a tough guy.

It took me a few years to try it for the first time.”

Tian Linsheng shook his finger: "Doctor Tang, it's different."

"Isn't it just that he has done some first-level appendectomies in the county hospital and accumulated some experience. When he is ready for second- and third-level high-end surgeries, see if he has seen them before."

Wang Daquan is very clear about the level of county hospitals. There are many minor injuries and illnesses, and interns have relatively more opportunities to practice. But when it comes to serious illnesses and large-scale surgeries, let alone Tanglou, even

The heads of their departments may not have done it.

Although Ma En was mediocre at the city's first hospital, at the county hospital, his level was definitely higher than that of the surgical director.

The vision of large hospitals is different.

The only thing that made Wang Daquan sad was that Tang Lou gave birth to a beautiful baby boy, which fascinated Director Cheng's daughter.

"I won't tell you anymore. I'm going to change the dressing for my perianal brother."

Tian Linsheng was happy to help Tanglou solve all kinds of things. After all, Tanglou gave him the opportunity he had dreamed of for a long time, and he taught himself all his experience without reservation.

Tian Linsheng knew how to be grateful, so he tried his best to reduce Tanglou's burden. However, he was confused. Will Tanglou always be full of energy?

"Tch, let's see whether Dr. Ma or Tang Lou masters the laparoscopic technique first."

Wang Daquan knew that he could no longer count on him.

While changing pharmacies, Brother Zhou proudly held a tablet newly bought by his wife and waved it towards Nurse Linga: "I brought it myself this time, hehehe. Don't tell me, Doctor Tang's diversion method

It’s really good. I’ve never felt any pain since he changed my dressing.”

"Oh, then maybe you can feel pain again this time."

Lin Jia said coldly, after all, Tang Lou has gone to the operating room now, and she can no longer cooperate with Tang Lou, so she is naturally in a bad mood.

"What do you mean?"

The perianal brother was a little puzzled, and then he saw a familiar face walking in.

"Holy shit, it's you! Dr. Lin Zhen, the ruthless doctor who destroys flowers."

Lin Jia looked confused and corrected: "His name is Tian Linsheng, Dr. Tian, ​​Dr. Lin Zhen."

Brother Zhou chuckled and analyzed proudly: "Nurse Lin doesn't understand. It's born in the fields. Look, it's born in the fields, it's born in the woods, it's born in the woods!"

"You are such a logic genius!"

Lin Ga rolled her eyes. She would pinch her legs if this kind of joke was told in Tanglou's mouth. As for Brother Zhou, hehe, it was boring.

Lin Jia took the tablet and said, "Doctor Tang said that the tablet is no longer needed. Confiscate it."

Brother Zhou pursed his lips, Tanglou was not there, Nurse Lin was more than one level more cruel.

Can't afford to offend, can't afford to offend!

Tian Linsheng came over when he was ready: "Nurse Lin, let's get started."

"Um."

Linga regained his cold demeanor and cooperated mechanically, just like an assistant machine that was incapable of emotions.

Tian Linsheng looked at the familiar affected area around the anus and was filled with emotion. After several dressing changes in Tanglou, the wound recovered quickly and the material was removed very smoothly. There was no adhesion at all, and there was no suppuration or bleeding.

Tian Linsheng carefully changed the dressing, changed it for a while, rested for a while, changed it for a while, and walked around for a while.

The perianal brother was sweating profusely, and the smell was still familiar: "Nurse Lin, please give me the tablet. I think I really need it."

"Oh yo yo~"

After all, without 30% pain relief, and Tian Linsheng's strength may be light for a while and heavy for a while, secondary injuries are inevitable.

Linga nodded: "Here~"

I dozed off by myself. After all, there was nothing to see. Tian Linsheng's dressing-changing technique was both stinky and lengthy.

Brother Zhou took deep breaths several times and finally completed the dressing change.

Tian Linsheng gently shook his numb hand and finally completed the dressing change.

Linga yawned several times and finally completed the dressing change.

The scene was slightly awkward, everyone turned their heads, and the three faces looked at each other with disgust.

The first dressing change without Dr. Tang, I miss him~

....

In the next half month, Tanglou continued to perform appendectomies, and naturally became more and more skilled. Tian Linsheng also kept trying.

On average, I buy pork once every few days and practice suturing and various stump treatments.

Time flies by.

[Ding, mission, rapid growth: Complete ten appendicectomy operations, completed. Reward 2 gold coins, refresh the card library]

Appendectomy (two stars, 6), appendectomy (two stars, 6), appendectomy (two stars, 6) combined appendectomy (three stars, 18)

Duang! Duang! Duang!

...

...

Ten appendicitis surgeries were successfully completed.

Cheng Jian and Qing Ping sighed, and Tanglou's first laparoscopic surgery was officially scheduled.

Tanglou looked at the framed sketches sent by Du Xue on the table, and the seven small cheese cat dolls given by Xiao Yun'er on the small flowerpot.
Chapter completed!