A simple description of external abdominal hernia means that an organ or tissue in the body leaves the normal anatomical part and protrudes to the body surface through a weak point, defect or hole formed congenitally or acquired in the abdomen.

The scene is similar to that in the Alien movie, where the alien is about to emerge from the host's belly, and the hole that has not yet been penetrated is bulged.

External abdominal hernia is one of the most common diseases in general surgery, and inguinal hernia has the highest incidence, accounting for more than 90%, followed by femoral hernia, accounting for about 5%, and the rest include incisional hernia, umbilical hernia, lumbar hernia, etc.

Tang Lou was naturally very familiar with external abdominal hernias after undergoing two-star inguinal hernia repair surgery, but in this situation, he had no interest in arguing with Wu Ye and chose to leave directly.

Seeing that Tang Lou chose to evade, Wu Zhiyi became more and more certain that Tang Lou had a guilty conscience, but he wanted to dampen the spirit of this young man who had been in the limelight in general surgery recently.

Wu Ye chuckled lightly and glanced at Ma En.

He walked up to stop Tang Lou and pushed the medical records in his hand over: "Tang Lou, take a look at this case and comment on my diagnosis and surgical plan. When Dr. Qing and Dr. Yan were consulting in the department,

You talked very eloquently and put forward a lot of insights."

"I also want to ask you for advice today. What do you think of this patient? You won't be disrespectful, right?"

Wu Ye looked at the Tanglou with deep meaning.

Wu Ye had said so, so Tanglou naturally couldn't refuse. He simply glanced at the patient's information:

The patient, a 45-year-old male, was hospitalized with a reversible mass in his left groin for more than ten days. He had no past history of hypertension, diabetes, skin diseases, etc., and had no habit of smoking or drinking...allergy to foreign bodies...

He looked at Wu Ye's surgical plan again: Bassini surgery was recommended...

From Tanglou's point of view, relying solely on this medical record, Wu Ye's surgical plan was quite satisfactory, with no major problems.

Tanglou glanced at it briefly and returned the medical records to Wu Ye. The professional Caihong said: "Doctor Wu, this is a very good treatment for this patient, and the surgical plan is also quite reasonable."

When Wu Ye saw Tang Lou wearing a professional smile and complimenting himself so falsely, his punch seemed to hit cotton, which made him feel even more depressed.

After thinking for a while, he continued to ask: "Oh, since you think the surgical plan is reasonable, Tanglou, can you tell me specifically why it is reasonable? Why should I choose this method that is no longer mainstream?"

There was a reason why Wu Ye used this medical record to question Tanglou. This patient was a little special, so he adopted the traditional Bassini method.

With the development of the times and the advancement of science and technology, this method still has a broad application foundation in remote areas and primary hospitals.

However, as the first hospital in Hecheng City, it has fully launched tension-free repair, which is the current gold standard in the treatment of inguinal hernia.

Therefore, Wu Ye deliberately asked Tanglou this way, and also emphasized the word "mainstream method". If Tanglou didn't even know the tension-free repair technique, there would be no need to continue.

In the field of external abdominal hernia, he is just a layman, so there is no need to play the piano to others.

Wu Ye was waiting for Tanglou's answer with great interest. His expression was as if he had set a trap on the road in advance, waiting for others to walk by and fall into it.

"Wu Ye, that's enough. Tang Lou, please ignore him."

Ma En really couldn't stand it anymore, so he stood between the two of them and winked at Tanglou, "Go away!"

[Ding, new mission: teach him how to be a man! Improve Wu Ye’s surgical plan. Reward for completing the mission: 2 gold coins, and the card library is refreshed]

Tanglou really didn't want to pay attention to it at first, after all, it would do no good to offend anyone, but now there are gold coins and the card library has been refreshed.

But, is my Tanglou a money-minded person?

"Dr. Wu, I think your question should be revised."

Tang Lou looked at Wu Ye without changing his expression, and at the same time pushed Ma En away from him.

When Ma En saw the aura of Tanglou, for some reason, his heart skipped a beat, and a villain popped up in his mind: Damn it, he can also have an external abdominal hernia?

After all, he has worked with Tang Lou many times. Seeing Tang Lou's expression, Ma En was convinced, and another villain popped up in his mind: Damn, he really knows it!

After completing the questions and answers in his mind, Ma En weakly stepped aside.

"Alas~"

Ma En was in a complicated mood and after reprimanding himself for being ignorant and incompetent, he looked at Wu Ye, who was about to be hit, and comforted him a little.

Wu Ye was stunned for a moment: "Tanglou, what do you mean?"

"I think yours should be changed to this. Please tell me specifically what is unreasonable. Is there a better solution?"

Without waiting for Wu Ye's reaction, Tang Lou directly added: "This way I can help you put forward suggestions and improve a better plan."

"You said my plan is unreasonable. Is there a better plan?"

Wu Ye didn't expect Tanglou to be so rude, and his whole body was trembling with anger. However, he initiated this matter himself, and he asked Tanglou for advice. He could only hold his breath: "Oh, then I'm going to ask him for help."

Listen to Dr. Tang’s advice.”

Ma En on the side was also very curious. Wu Ye had just discussed this plan with himself and was quite proud of it.

Ma En, as a resident doctor, has naturally done a lot of external hernia repairs, but most of his experience was tension-free repair. He knew a lot about Bassini surgery but had rarely performed it.

At least he felt that Wu Ye's plan was quite reasonable.

Tang Lou had already started his performance at this time: "Dr. Wu just used the 'mainstream method' to humiliate me. Did he think I was a novice who knew nothing about external abdominal hernia?"

Wu Ye was noncommittal and looked at Tanglou coldly. He wanted to see what kind of flowers Tanglou could tell.

Tang Lou said slowly: "The mainstream method mentioned by Dr. Wu is the tension-free repair technique. But what Dr. Wu is now using is the more classic Bassini technique."

Wu Ye's eyes froze slightly, Tang Lou seemed to know a lot about hernia repair.

Sure enough, Tanglou answered Wu Ye with action: "Bassini surgery is a hernia repair surgery created by the famous Italian surgeon Bassini in the 1880s. It is regarded as a "milestone" in the history of hernia surgery and can be called a classic."

"This surgery emphasizes the importance of separating the transversalis fascia and reconstructing the inguinal canal, which is also the essence of the surgery."

"However, the separation of the posterior wall of the inguinal canal requires extremely high anatomical knowledge, and the reconstruction of the inguinal canal will test the doctor's suturing skills and operational details. If the doctor is not experienced, he is often prone to intraoperative and postoperative pain due to tension.

, and if the three-layer structure is too tight during suturing, it may cause the inguinal canal to be unable to restore its inclination and length, leading to a higher recurrence rate.”

“That’s why tension-free hernia repair was born.”

"He was proposed by American physician Li in 1986."

"This kind of repair uses artificial biological materials as a patch to strengthen the posterior wall of the inguinal canal. This method overcomes the interference of traditional surgery on the normal tissue anatomy, has clear layers, and there is no tension in the surrounding tissue after repair, so it is named "No"

Tension hernia repair.”

“Currently commonly used are plain sheet tension-free hernia repair and hernia ring filling tension-free hernia repair.”

...

After Tang Lou finished speaking, he blinked at Wu Ye: "Doctor Wu, what I said is right. If there are any mistakes or omissions, please let me know."

Wu Ye's face had turned dark for a long time. To be honest, even if he knew how to perform these operations and knew who proposed it, he really couldn't remember the precise information about the year.

This is probably the sadness of a scumbag in front of a top student.

It's like the difference between photos taken by Huawei P30 in 2019 and photos taken by Nokia 5300 mobile phone in 2006.

The detailed description of the tenement building was extremely precise, but when Wu Ye recalled the past, the key points were all blurry pixels.
Chapter completed!