In response to Qingping's question, Tian Linsheng had already given up struggling and looked at Tanglou expectantly.

Tanglou did not stop moving his hands and said calmly: "There are four commonly used methods of treating the mesoappendix."

Qing Ping raised his eyebrows, which was interesting. He became more and more concerned about the test, and after thinking about it, he increased the difficulty: "Then you can tell me the advantages and disadvantages of these methods, and which method I might use?

"

Regarding this issue, Tian Linsheng's head was already as big as Lei Jiayin's. Watching the confrontation between Tanglou and Qingping, he felt a sense of pleasure as if gods were fighting.

Sure enough, in the next step, Tanglou started the analysis directly:

"The first method is to separate the mesoappendix and use titanium clips to clamp the mesoappendix and artery once or in stages. The distal end is cut off with an electrocoagulation hook until the root of the appendix is ​​separated."

"This method is the simplest to operate and the easiest to master. It is generally suitable for beginners. If Dr. Ma is here today, he will naturally use this method."

The implication is that given Qingping's rank, he would naturally disdain to use such crude moves.

Qing Ping raised the corner of his mouth. For veterans, they do have this kind of arrogance and no longer look down on this elementary technique: "Continue."

"The second method is coagulation. The mesenteric blood vessels are electrocoagulated for 3 to 5 seconds until the mesentery turns white, or the mesoappendix is ​​clamped by the ultrasonic scalpel to directly coagulate the blood vessels."

"It's just that this method may cause side injuries. Because the wound is large, a few patients may have pain in the right lower abdomen after surgery. A doctor like Dr. Qing, who is rigorous and pursues perfection, will naturally not use this method."

After Tanglou finished speaking, he glanced at Qingping. The latter's satisfied eyes were full of approval, which won my heart.

Tian Linsheng didn't understand the first half of "Tang Lou", but he really heard the second half of the sentence. It turned out that Dr. Tang's dog-licking skills were also perfect.

"anything else?"

Qingping also became interested, how much Tanglou knew, and continued to ask.

Naturally, Tanglou would not disappoint Qingping and directly pointed out the third way:

"The third method is called a linear cutting stapler to directly cut off the mesoappendix to the root. This method is good for everything, but the cost is too high, so it can be ruled out."

"good."

Qingping's appreciation of Tanglou has been strengthened. It is not easy to be able to name the four methods. If you can analyze the advantages and disadvantages of each method, you need to do enough homework.

Before, he was afraid that if Tang Lou was exposed to laparoscopic appendectomy so quickly, he would be proud and restless. But now it seems that the worries are unnecessary, and he is fully prepared.

Tian Linsheng, on the side, also sighed, it was too violent.

Chen Wenhao sat on the small bench, his ears pricked up, and he was also very curious about Tanglou's analysis.

"The last method is ligation. Use absorbable sutures on the mesoappendix twice, and cut off the distal end with an electrocoagulation knife. However, this method has extremely high requirements for the surgeon."

Tang Lou raised his head and looked at Qing Ping: "With Dr. Qing's superb skills, of course, this method is the most suitable and the most effective. Therefore, I am convinced that Dr. Qing uses this method."

If it weren't for the inconvenience of wearing gloves in the operating room, Qingping would have applauded Tanglou for his comprehensive and accurate analysis.

Especially the word "perfection" is so apt.

It’s not like some uneducated people who only know how to hold grass in one sentence!

"Well said, then Dr. Tang, let's continue."

"good."

"...Absorbable thread, electrocoagulation knife ready..."

Qingping gave the order smoothly, and the equipment nurse on the side quickly followed.

Tang Lou's laparoscope has been adjusted for the best view. Thanks to his natural resilience, Tang Lou's hand is still very steady after all this time.

Under Qingping's skillful operation, the treatment of the mesoappendix was quickly completed. After that, the separation forceps were used to gently clamp the root to squeeze out any possible fecal stones.

In principle, there are many ways to deal with the roots, but Qingping is convinced that Tanglou must know them all, so he will not compare them anymore.

Qingping directly used absorbable threads to perform purse-string sutures and bury the stump.

It wasn't until this step that Tian Linsheng felt deeply attached to it. He stitched the purse strings together. He had tried many times with pig intestines and pig intestines.

After removing the appendix, Qingping began to flush the abdominal cavity and placed a drainage tube.

After doing all this, Qingping finally completed all operations.

Tian Linsheng watched eagerly.

"Tian Linsheng, responsible for suturing."

Qingping originally wanted to be stitched by Tanglou. After all, Tian Linsheng's foundation was too poor, but after thinking about it, it was a bit inferior to Tanglou's level.

With this idea, Qingping himself felt ridiculous. As an intern, he actually felt that being rewarded with sutures was an abomination.

This tenement building really cannot be judged by common sense.

Tian Linsheng glanced at Tang Lou gratefully, and when he saw the latter's encouraging eyes, he nodded heavily, making sure not to embarrass Dr. Tang.

In the next twenty minutes, Tian Linsheng completed the suturing in a decent manner. Although it cannot be compared with Tanglou, it is already very good.

These days, pork, pig intestines, pig intestines, and the teachings of Tanglou still have an effect.

"Tian Linsheng, you did a good job."

Before Qingping left, he praised him for the first time and gave a profound instruction:

"Tanglou, please come to my office later to look at a patient's information. I have a laparoscopic cholecystectomy tomorrow. If I need help, please help me hold the mirror."

...

...

Half an hour after the operation, Tian Linsheng still seemed to be dreaming. He actually completed a laparoscopic appendectomy suturing!

He was also praised by Qingping, who was always known for his strictness.

However, Tian Linsheng knew very well that all this was given by Dr. Tang. Dr. Tang might be able to perform laparoscopic appendectomy soon, so he must work harder to keep up with his pace.

Tian Linsheng regained his composure and started typing in the medical records again.

At this time, Wang Daquan came back from ward rounds. When he saw Tian Linsheng, he asked curiously: "Dr. Qing's surgery today, how about Tanglou holding the mirror? Did Dr. Qing scold me?"

Wang Daquan could imagine that Tanglou was at a loss for the first time. This was a nightmare that every newcomer had to go through. Anyway, he was used to being scolded and was very shameless.

"Are you scolded for holding the mirror? Isn't it very simple to hold the mirror, just look at the field of surgery?"

Tian Linsheng recalled the operation of the tenement building, it was a seamless process.

"Are you kidding? You said holding a mirror is easy? Do you think it's the same as pulling a hook?"

Wang Daquan looked at Tian Linsheng in disbelief. This guy must have lost his mind.

"It's very simple. I saw Dr. Tang holding the camera and moving it a few times with Dr. Qing's operation, and the operation was completed. Dr. Qing had no chance to curse."

Tian Linsheng briefly described it.

Wang Daquan's face was full of doubts, how could it be possible?

"Where's Dr. Ma? You didn't go to the ward rounds with him, why did you come back by yourself?"

Tian Linsheng didn't see Ma En and asked with some confusion.

"Oh, Dr. Ma originally wanted to come back to prepare for a laparoscopic cholecystectomy. He will cooperate with Dr. Qing tomorrow. On the way back just now, Dr. Qing called him over."

While Wang Daquan was talking, Ma En walked into the office angrily.

He threw the ward round case information on the table, as if he had been greatly humiliated.

"What's wrong? Doctor Qing scolded you?"

Ma En took a deep breath and was very puzzled: "I wasn't originally scheduled to help Dr. Qing, but just now Dr. Qing called me to the office. Guess who I saw? I was really pissed off. He
Chapter completed!