Chapter 167 The incredible ability to learn spells!
After the operation, Tang Lou returned to the office, while Duan Fei and Hang Cuishan walked behind.
"How about it."
Hang Cuishan asked calmly. At first, Duan Fei was a little self-reliant on his status. A resident doctor was always a little unhappy working as an assistant to an intern.
Duan Fei recalled it and concluded: "To be honest, the level of Tanglou's umbilical hernia repair surgery can almost be achieved by senior residents. However, his basic skills and surgical feeling are much better than ordinary people.
Especially his incision and suturing techniques are amazing."
Hang Cuishan also felt the same way: "Yes, Tanglou's talent is very good. The first umbilical hernia surgery can achieve this level, which is beyond the reach of ordinary people."
Duan Fei walked a few steps and looked a little solemn: "If he were an ordinary person, of course this would be enough. But for him, it is still a bit young. After all, he had already far surpassed this level before he went to study.
.”
Of course Duan Fei had seen Wang Chuan's surgery. It was precisely because Wang Chuan's surgical skills far exceeded those of ordinary surgeons that he was noticed by the professors at the Imperial Union Medical College Hospital and invited to further his studies.
Wang Chuan is only thirty-four years old this year. He has enough potential and has accumulated enough surgeries. He is energetic, ambitious and talented.
After all, Tanglou is only 26 years old. Although he may have talents comparable to Wang Chuan, he has accumulated too little time, mastered too few techniques, and his proficiency is not enough.
"I hope he can grow up faster."
However, Duan Fei understands that surgical operations are not theoretical knowledge. Only continuous practice can lead to quantitative changes and qualitative changes. It is only a week since Wang Chuan comes back. Even if Tanglou can do four surgeries a day, there will be less than 30 extra-abdominal surgeries a week.
Hernia surgery volume.
This amount of surgery is not even a fraction of the amount of surgeries Wang Chuan has performed.
No matter how talented Tanglou is, how skilled can he be?
Moreover, various accidents may occur during the operation. Being able to deal with and handle these emergencies calmly is a sign of a doctor's maturity, and these take time and need to be experienced by patients one by one.
For example, Duan Fei has accumulated enough surgeries in umbilical hernia repair. The basic operations may be similar to Tang Lou's, but in terms of knowledge, he is confident that he is much richer than Tang Lou.
He encountered massive bleeding during hernia repair, and then he realized that the three blood vessels that most frequently bleed were the abnormal origin branch of the obturator artery, the deep branch of the inferior epigastric artery, and the external iliac artery and vein.
He had suffered a lower abdominal wall nerve injury, so he knew that once severed, the severed end should be tied immediately to prevent nutrient blood vessels from bleeding.
He encountered blood supply damage to the testicles, so when suturing the spermatic cord through the inner and outer rings, do not sew too small, otherwise it may cause strangulation of the spermatic cord.
He had also experienced abdominal organ damage, so he knew how to tie the intestines when ligating the hernia sac...
Duan Fei believed that he had experienced all the possible accidents described in textbooks, so he was able to take his time on the operating table.
Therefore, he understood how difficult it was to become an experienced surgeon and how much pressure Tanglou had to face.
"Doctor Hang, putting such a big responsibility on Tang Lou's shoulders, isn't it putting too much pressure on him?"
Duan Fei walked beside Hangcuishan, a little worried, worried about Tanglou and the situation of their medical team after Dr. Wang Chuan returned.
"We just have to trust him."
Hang Cuishan paused and quickened his pace: "I'm going to have an abdominal hernia surgery in the afternoon. You'd better help me."
"good."
Duan Fei looked at Hang Cuishan's back and nodded, but he didn't think that this kind of temporary fixing would have much effect.
...
...
The second surgery started on time in the afternoon.
It's still the same operating room, still the same team of medical staff.
In the afternoon, there was still a patient who needed umbilical hernia repair. The only difference was that the patient was less than 6 years old.
In other words, this is an umbilical hernia repair surgery for children. Compared with adults, children's bodies are in the developmental stage and some tissues and organs have not yet matured, so the requirements for doctors are higher and they need to have a better understanding of anatomy.
profound.
According to Hang Cuishan and Duan Fei's estimates, this operation will be more difficult and the corresponding operation will take longer.
Hang Cuishan took advantage of the anesthetist's time to get up and quietly occupied his small bench.
Because he was a child, basic anesthesia plus local infiltration anesthesia was used.
When the anesthetist returned after completing the anesthesia, he saw the old god of Hangcuishan sitting on the small bench without any intention of getting up.
The anesthesiologist rolled his eyes and stood aside. In his heart, he regretted not listening to Chen Wenhao's warning and cooperating with Tanglou for the surgery. He didn't need to prepare anything else, but the stool must be backed up.
On the operating table, Tang Lou also started his operation.
The choice of incision for children is different from that for adults.
"Marker..."
After Tang Lou took the pen, he quickly made an arc-shaped incision below the patient's navel.
Duan Fei stood aside and was slightly surprised: "Isn't this incision a bit small?"
Although such small incisions are not impossible, generally only chief-level doctors have the confidence to do so.
As for Tanglou's level, Duan Fei clearly remembered it in the morning, it was almost the same as his own, and he would never dare to be so exaggerated.
Duan Fei reminded him gently.
"Scalpel..."
Tanglou ignored it, took the scalpel directly, and very quickly incised the patient's umbilical skin, followed by the subcutaneous fat tissue.
Duan Fei's eyelids twitched slightly, what's going on in this tenement building?
Although he admitted that Tanglou's incision was very powerful and the exposure was very good, but with his skill level, can such a small incision be completely performed?
If the incision was enlarged midway, it would not be as reliable as cutting it in place at once. It was just Tanglou's surgeon, so Duan Fei saw that he ignored him and stopped talking.
I just hope he doesn't regret his overconfidence and recklessness soon.
"Um?"
However, what Duan Fei expected did not happen. Tanglou's hands were very stable, and the skin of the umbilicus was successfully separated from the hernia sac. After separating the hernia sac to the umbilicus, he made a very neat incision.
"this..."
Duan Fei couldn't keep his eyes open as he watched as Tang Lou quickly completed the process of retracting the contents of the hernia.
"Scissors..."
The excess hernia sac is cleaned with a few cuts.
"Needle-holding pliers, absorbable thread..."
With the cooperation of the nurse, Tanglou has begun to suture the peritoneum and the posterior rectus abdominis sheath.
"With one help, pull the rectus abdominis muscles on both sides of the hernia hole."
Tanglou gave the order calmly, Duan Fei came to his senses and immediately cooperated.
Tang Lou nodded slightly and began to stitch the rectus abdominis intermittently. It was still even and beautiful.
Three minutes later, Tanglou completed the interrupted suturing of the rectus abdominis muscle.
Fifteen minutes later, Tanglou completed the transverse suturing of the anterior sheath of the rectus abdominis.
Twenty minutes later, Tang Lou sutured the inner side of the skin of the umbilicus to the anterior sheath of the rectus abdominis muscle.
"Beauty line..."
Under Duan Fei's incredible eyes, Tanglou completed the suture of the navel, fully preserving the appearance of the navel.
After another fifteen minutes, the entire operation was completed.
Back and forth, it took less than an hour and a half, which was one-third faster than the morning surgery.
When Tang Lou walked out of the operating room, Duan Fei was still a little unbelievable.
Hangcui Mountain is also a bit unbelievable.
"This is only the second channel, and he has already reached this level?"
Duan Fei and Hang Cuishan have done too many external abdominal hernia operations, so he understands the understanding of umbilical hernia repair in these operations in Tanglou, and also understands his deep understanding of the anatomy of umbilical hernia surgery.
Tanglou in the afternoon was completely different from Tanglou in the morning. Duan Fei was certain that Tanglou's current level of umbilical hernia repair had reached the level of an ordinary chief physician, even better than Hang Cuishan.
Hang Cuishan was still sitting on the small bench. He hadn't gotten up yet, but the corner of his mouth had been raised for a long time.
Tanglou's learning ability and understanding ability are so strong that it's incredible.
It took a long time before Hang Cuishan moved his buttocks under the anesthesiologist's resentful eyes and gave the order cheerfully:
"The number of surgeries will be increased tomorrow, two in the morning and two in the afternoon."
...
Chapter completed!