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Chapter 245 Perfect enterostomy

"Line 0... does not absorb the line..."

Tanglou directly made a purse-string suture with a diameter of 1.5cm on the mesenteric surface of the selected jejunum using No. 0 non-absorbable suture.

Ma Shuya had already seen Tanglou's textbook-level suturing techniques, so he wasn't too surprised.

Dr. Cui and Dr. Cha, who were watching on the sidelines, as well as Dr. Kevin, an expert in kinesiology, were astonished.

Dr. Kevin was especially excited. Athletes' injuries, such as Achilles tendon suturing, ligament suturing, and nerve anastomosis suturing, are very demanding.

Different surgeons produce very different recovery results.

A good surgeon can theoretically make the athlete recover 100%, which means that the athlete can return to his peak.

Thinking about the superstars who have fallen due to injuries in the NBA, Dr. Kevin's mind immediately jumped to the Bulls' youngest MVP Rose, the former superstar of the Trail Blazers, Huang Mamba Roy, and the legendary top three talented players in history.

Auden, wait.

The more he watched Tanglou's surgery, the more Dr. Kevin became filled with expectations. If Tanglou performed the next CBA player's surgery, he would definitely be able to return to his best condition!

As for the admiration and appreciation of the observing doctor, Tanglou didn't care at all. With his talent and concentration, he had no time to pay attention to other things.

"Hemostatic forceps...F14 catheter with 3 holes in 5cm..."

After Tanglou finished sewing, he gave another key command with an expressionless face and a calm tone.

The corner of the instrument nurse's mouth twitched. This expert's speed was too fast. She was usually accustomed to a relatively slow frequency. Suddenly, it was so fast. It was really uncomfortable, but it was quite exciting.

Immediately provide the equipment to Tanglou.

When the nurse in the tenement building ran out of equipment, she would not let Ma Yashu go, and directly ordered her to cut a 0.3cm hole in the center, directly into the intestinal cavity.

Tanglou's overbearing order: "Get 15cm in for me!"

Mashua pursed her lips nervously: "Oh~"

"After the catheter enters, the front end points to the distal section."

Tang Lou controlled Ma Shuya's movements and rhythm while keeping up with him, shrinking the sutures of the purse strings and ligating the purse strings.

The whole process went smoothly. Ma Shuya, who was originally relatively jerky and nervous, cooperated with Tang Lou's movements under Tang Lou's skillful and patient guidance. After a while, she became smoother and even actively catered to Tang Lou's movements.

"The next step is to embed the catheter..."

Seeing Tanglou's smooth operation and the rapid growth that Ma Shuya was able to achieve, Professor Liu on the other side of the remote system also nodded frequently.

"Dr. Tang is really amazing. Not only is his surgical movements precise, he is also much faster than me."

"Place the extraluminal catheter along the longitudinal axis of the intestine."

Tanglou continued to instruct Ma Yashu, and at the same time he did not stop giving orders to the equipment nurse:

"No. 0 non-absorbable line... 20ml of normal saline ready..."

"Dr. Tang is so amazing. He even made the equipment nurse and Dr. Ma unable to stop at the same time. They are busy but not chaotic. It is really amazing!"

The anesthesiologist looked at Dr. Tang with admiration, but unlike himself, a woman couldn't figure it out, let alone control two girls at the same time.

Next, I saw that Tanglou chose interrupted sutures very accurately, embedding the catheter in the intestinal seromuscular layer, and controlling the length to a very extreme 4cm.

"The syringe injects physiological saline from the end of the catheter..."

"Synchronously check the patency of the catheter and whether there are any omissions at the suture site..."

Tanglou's orders resounded in the operating room very efficiently and clearly.

Obviously, Tanglou is very clear about the entire operation process and every detail.

"What a calm mind, and his ability to control the medical staff in the operating room is top-notch. At such a young age, he has the ability to coordinate operations that many senior surgeons don't have. It really puts me to shame."

Doctor Cha on the side sighed inwardly.

"The next step is to fix the catheter. This operation has been completed flawlessly so far!"

Dr. Cui was also full of praise, and even felt a little distressed. He just asked Dr. Tang to perform the surgery, and asked Professor Liu to get up from his sleep to give guidance.

Under Dr. Cui's eyesight, Dr. Tang's enterostomy skills may be ranked among the top three in the entire Jiangxia Province. Professor Liu is a bit underwhelmed in front of him.

"It's true that the waves behind the Yangtze River push the waves ahead."

In the remote system, Professor Liu was completely relieved. He was more reassured about Tanglou's surgery than his own surgery.

After all, I am getting older and have undergone a high-intensity surgery. Now it is almost one o'clock in the morning. I really can't bear it anymore and I yawned.

Professor Liu quietly logged out of the system and got into bed. Mrs. Liu was sleeping. She frowned and held the old man's head in her arms tightly.

His lips gently touched Professor Liu's hair, and he slept very soundly.

Professor Liu blushed, shrugged his nose, and almost suffocated due to the stuffiness. However, he did not dare to move too much and disturb his wife's sweet dream, so he slowly moved his nose to the gully. Fortunately, it was deep enough to breathe fresh air.

.

"Oh, after decades, I still can't change this habit. Is it really...that I'm so like a bear?"

Professor Liu, who was extremely sleepy, soon fell asleep, his head arched.

Mrs. Liu hugged Professor Liu just like she hugged a bear doll when she was a girl, full of security.

...

...

In the operating room, Tanglou's operation was also at its final stage.

A small hole was poked at the closest point from the jejunostomy to the abdominal wall, and the tail end of the catheter was led out. The jejunum was closely connected to the peritoneum.

"Non-absorbable thread..."

Finally, Tanglou fixed the catheter, sutured 4 stitches, and said to Ma Yashu:

"Remember, in the future, you must check this step to ensure that the lifted jejunal loop has no tension and no twists."

"Okay, Doctor Tang."

Ma Yashu nodded very seriously. Following Dr. Tang's surgery, she could still gain a lot of skills and details.

"The next thing to note is the post-operative precautions. As the small intestine suction tube is used to decompress the intestines, remember to connect the negative pressure suction device immediately after the operation for suction."

Since Ma Yashu didn't know much about this surgery, and he was about to return to Hecheng after the operation, he was afraid that there would be any oversights later, so he stayed behind and waited for Ma Yashu and the nurses to clean up the mess and perform the surgery at the same time.

Notes later.

"Okay, okay."

Ma Yashu listened very carefully and remembered that the feeling that Tanglou gave him now was exactly the same as that of Professor Liu. He was rich in experience and every word was full of knowledge, which benefited her a lot.

"The second point is that as a small intestinal catheter for supplying nutrition, milk, sugar water or elemental diet can be infused 6 hours after surgery, 50ml per hour, and the amount can be doubled the next day. On the third day, it can be changed to every two hours

200~300ml.”

"Okay, Doctor Tang."

"In addition, the base of the fistula intestine and surrounding skin should be wrapped with Vaseline gauze or coated with zinc oxide ointment to protect it."

When he said this, Tang Lou looked at the equipment nurse.

"Oh. Okay."

The equipment nurse also immediately remembered seriously, Dr. Tang is really patient, professional and rigorous.

"Finally, the time for extubation of the enterostomy catheter should not be less than 10 days after the operation to avoid contamination of the abdominal cavity after extubation. After extubation, the abdominal wall fistula can heal on its own."

After saying the last sentence, Tang Lou went directly to the bathroom, ignoring the people in the operating room.
Chapter completed!
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