Several big guys leaned their necks forward and looked at the screen in the surgical operating area. Generally, few novices would dare to use the Endo-GIA cutting and closing device.

When dealing with the gangrenous edge of the appendix root, simple ligation and purse-string embedding are the most common treatments, and they are also the most familiar treatment methods for doctors who undergo traditional laparotomy through McFly incision.

The Endo-GIA cutting and closing device is exclusive to laparoscopic resection and is specially invented to facilitate operation in small operating holes.

The head of the entire closure device is long and pointed, and there are two rows of small silver particles protruding on the two edges of the sharp mouth, making it look like a ferocious sharp-billed crocodile.

In the lens controlled by Ma En, the silver obturator tip controlled by Tang Lou plunged into the root of the patient's appendix.

Looking at the patient's severely gangrenous and perforated appendix root, Qingping and others also understood Tanglou's intention. This was the most direct and fastest way.

However, this guy is too decisive and is not afraid of over-removing the appendix?

"It is not enough to simply remove the root. This method is a choice only made when you are extremely helpless, because what will further test the surgeon's skill is to use an absorbable thread to reinforce the resection site."

Song Yang said worriedly from the side.

Sure enough, on the screen, under Tanglou's quick operation, the occluder was like a greedy silver crocodile, biting down the base of the patient's appendix to only about 0.5cm from the cecum.

"3-0 absorbable thread, needle holding pliers"

Without any pause, Tanglou directly ordered the instrument nurse to prepare the next suture.

"Aren't you worried at all? The 3-0 absorbable suture has extremely high requirements for the level of suturing. If the suture is too strong, it will break easily. If the suture is too weak, the suture will loosen and become infected easily."

Song Yang looked at the determined Qingping and the indifferent Cheng Jian and asked with some confusion.

How dare he leave this kind of laparoscopic absorbable suture to an intern in his medical team?

"Doctor Song, don't worry. I don't know about Tanglou's other skills, but for his suturing skills, I dare say you won't find anyone better than him in any hospital in our city."

Cheng Jian smiled slightly, very calmly, and even looked forward to the sewing of the tenement building.

"this..."

Song Yang couldn't understand the world a little bit.

Soon, Tanglou completed the continuous stitching of the stump under Ma En's mirror. The needle threads were evenly spaced, and the stitch length and margins looked like they were copied and pasted.

Clean and beautiful!

"How about it?"

Qingping looked at the textbook-level stitching of Tang Tower and sighed: "The first time I saw Tang Tower's belly closed, I was more surprised than you."

Song Yang suddenly didn't want to talk.

He remembered that after working for three or five years, he still locked himself in the study every night and practiced sewing with chicken wings and pig's trotters. He thought that his sewing was good enough...

But how old is this Tanglou? His suturing skills have already surpassed those of his more than ten years.

Next, Tanglou still didn't stop and directly placed the appendix into the dirt bag and took it out from the puncture port.

"The patient has a lot of abdominal and pelvic fluid accumulation, and the pus needs to be sucked out before placing a drainage tube."

Tanglou gave the next step of instructions. In order to better absorb the accumulated fluid, he first adjusted the patient's position, with the head higher and the feet lower, so that the pus that leaked out would collect in a lower position.

In the process of changing the patient's position, Ma En was at a loss as to how this guy in Tanglou could perform operations beyond his knowledge.

"Block the intestines to prevent them from falling and blocking the surgical field of view, and suck out the pus that can be seen within the field of view."

Tanglou's clear instructions followed immediately, making Ma En feel at ease.

"oh."

However, just after a few puffs, Ma En's face turned red again.

"Gauze, gauze!"

Ma En looked at the tenement building doubtfully, not knowing why.

"Due to body position, intestinal fat, fallopian tubes, etc. are easy to block the suction device. You can use gauze to top the suction device and use the gauze as a filter."

"Got it."

Ma En really admired Tanglou so much. What a long head this guy had. If he had encountered such endless situations, he would have collapsed a long time ago.

[Countdown to 15 minutes...]

Tanglou listened to the countdown of the system. Although he was a little anxious, he still carefully evaluated and finally decided to thoroughly flush the abdominal cavity. Although it would be faster to just wipe with gauze and suction with a suction device, it would carry the risk of subsequent infection.

Upon hearing Tanglou's order, Qingping, Cheng Jian and others on the side also nodded slightly. They were really afraid that Tanglou was greedy for speed and rashly chose to shut down.

Thorough irrigation of the abdominal cavity naturally means more time consuming and more tedious procedures, but only by completely removing the empyema can the patient avoid complications such as postoperative tenesmus, which may not seem serious but actually indicate that the surgery was deficient.

[Countdown to 7 minutes...5 minutes...]

After finally rinsing the abdominal cavity, Tang Lou carefully checked that there was no bleeding and at the same time checked the integrity of the instruments.

Just when Ma En was about to take over the task of suturing, Tang Lou directly took over the needle holder.

"Dr. Ma, I don't have much time to fix the mirror. I'd better do such a small thing as suturing myself."

Tanglou smiled very humbly.

[Hypocritical human being, you just dislike him for being slow! Countdown to 3 minutes...]

"If you see through it but don't tell it, you are still a good friend."

【....】

I saw Tang Lou taking over the sewing work.

Ma En's face looked much better. It seemed that Tang Lou was still very sensible. After all, he was made an assistant because he was the only one in the department who could cooperate with Tang Lou to hold the mirror.

After all, it was impossible for a big shot like Qing Ping to come, and Tian Linsheng was still too young.

Tanglou can clearly realize that he is his senior, and it is very comfortable for him to be able to complete the suturing work of his assistant.

Watching Tanglou's rapid suturing, Ma En became more and more satisfied with it. To be honest, this operation really pushed him to his limit, and he almost collapsed.

Ma En stretched and yawned:

Tanglou is a good person, he knows the general situation and knows how to advance and retreat, which can be regarded as giving him enough face.

【Countdown to 10...9..8...】

[Ding! Complete your first laparoscopic surgery within an hour, you will be rewarded with 4 gold coins, and your card library will be refreshed. 】

After finishing the last stitch and handing the instrument to the nurse, Tang Lou walked to the bathroom without any care or enthusiasm.

Qingping, Cheng Jian, Song Yang and others naturally left the operating room, but they only realized it when they walked out of the operating room.

Only an hour has passed!

Only the instrument nurse and Ma En were left in the operating room. The instrument nurse twisted around and said, "Dr. Ma, I'll leave this to you. Doctor Tang has made me exhausted."

Ma En looked at the messy operating table: "???"

Suddenly he remembered what Tang Lou had told him before to complete the entire operation within an hour...

"Damn, he just thinks I'm slow in sewing!"

A sound of belated humiliation resounded throughout the operating room.

...

...

After returning to the office, Tian Linsheng brought tea and water and helped type out medical records.

Half an hour later, Ma En returned to the office gloomily.

While everyone in Tanglou was busy in the office, Cheng Jian received a call from the dean that a difficult patient with appendicitis would be sent to the First City Hospital.
Chapter completed!