Doctor’s Life Simulator
Chapter 203: In the small place of Hecheng, there are also big cows in the 1st hospital in the city
In the operating room, Zhuang Tong and Zu Liang, who were on the sidelines, said it was impossible not to be nervous. After all, this was Qin Lang's second laparoscopic appendectomy!
"let's start."
Under the aura of Qin Lang's master knife, it completely overshadowed Director Pang, but Director Pang really felt a sense of insignificance.
The anesthesiologist was already a little numb, and the operations performed by this guy Qin Lang were more frightening each time.
Zhuang Tong, Zu Liang personally watched, and Deputy Director Pang helped?
And it's a new spell that has never been tried before.
To tell the truth, Rao is a battle-hardened anesthesiologist with sweaty palms. Looking at some legendary old man lying on the operating table, his heart is also a little drummed.
Although this operation was a laparoscopic operation, at the special request of Qin Lang, epidural anesthesia was still used.
"Relax."
Qin Lang saw the abnormality of the anesthesiologist and encouraged him.
For some reason, the anesthesiologist's hand suddenly stabilized a lot, and his heart also stabilized a lot.
The anesthesia was completed quickly, and then he stepped aside, rarely serious.
"A 1.0cm incision at the lower edge of the umbilicus, a 1.0cm trocar was placed as an observation hole, an artificial pneumoperitoneum was established briefly, and the pneumoperitoneum pressure was controlled within 6mmhg (1mmhg=0.133kpa), and a 30° laparoscope was placed."
Qin Lang calmly began to command the equipment nurse and Director Pang, who was a guest assistant.
Entering the operation, Qin Lang seemed to have changed completely. His tone was serious and serious. He didn't have any scruples because of Director Pang's identity.
Director Pang was also a little dazed. At certain moments, Qin Lang made him feel like Director Zhuang, and he was back in the green days of a helper.
Don't need to think too much, just follow the command of the main knife and make corresponding actions.
"Make a 0.5cm incision at the 3 fingers below the umbilicus, insert a 0.5cm trocar as an operation hole for instrument operation, expose the appendix. Double needles are drawn out of the operating hole, cut the double needles and knot them, lift and fix the extra-abdominal suture on the support frame, release the pneumoperitoneum, adjust the height of the support frame, and form a satisfactory operating space.”
Qin Lang's precise instructions continued to echo in the operating room.
"The process of establishing a pneumoperitoneum is controlled within 3 minutes. Another 0.5cm operating hole is established in the avascular area near McBurby's point.
Under Qin Lang's clear and cohesive instructions, the instrument nurse and Director Pang were busy cooperating.
Director Pang had already given up his mind, it was enough to do as he was busy and cheerful, like a young assistant who had just graduated.
Zhuang Tong and Zu Liang on the side were completely at ease, completely immersed in Qin Lang's skillful and calm command.
...
Forty minutes later, the door of the operating room opened, and Qin Lang appeared at the door.
Chai Shanshan stood up nervously, panicked in her heart, and rushed over with Ma Shuya's information in her mind, and asked anxiously, "Doctor, is there a problem with the suspension laparoscopic surgery, and I need to switch to the traditional abdominal cavity? mirror method?"
Because of her anxiety, she didn't even notice the flat cart slowly exiting behind Qin Lang.
"The operation was quite successful." Qin Lang was in a good mood and joked, "Want to see the cut appendix?"
Chai Shanshan blankly looked at the handsome young doctor: "Done?"
Obviously it didn't take more than an hour, but Ma Shuya said that in her experience, the routine appendicectomy should be controlled at 90-150 minutes, plus the new surgery was carried out, it was stable at more than two hours.
Seeing that Chai Shanshan was a little dazed and didn't come to help transport the patient, Qin Lang patted her lightly: "Are you okay? Come and help."
"Oh."
Chai Shanshan woke up a little now, but she still couldn't believe it: "So you still used traditional laparoscopic resection in the end?"
"No, the suspension airless laparoscopic surgery is used."
"Then how can it be so fast? Doesn't it mean that the deployment of new surgery needs to be very cautious, and this surgery is not very difficult and requires extremely high requirements for the operator?"
Chai Shanshan thought of Ma Shuya's analysis and the authoritative Director Han Hu's comment, and began to worry again, not because it was not easy to do after opening it, so she chose to close her belly. This kind of rumors on the rivers and lakes is not without.
"Whoever tells you new techniques must do it slowly if the difficulty is high."
Qin Lang was speechless: "Go and call the elevator."
Chai Shanshan called the elevator under Qin Lang's order, and then came back to help pull the car.
Due to the special status of the patient, Zhuang Tong and Zu Liang accompanied a mighty group of people to **** them back to the ward in person.
Chai Shanshanxu held the car, picked up the phone while walking in front, and quickly replied to Ma Shuya: "The operation has been completed, and the doctor said it went well. But I'm still a little worried. It's less than an hour, you said no. problem?"
"What? You said it's done! A frightened look." Ma Shuya couldn't believe it at all.
Soon a second WeChat message was sent: "Take a photo of the cut appendix, and I'll take a look."
Chai Shanshan looked directly at Qin Lang.
Qin Lang was only joking with Chai Shanshan, but she didn't expect that she would really see the pathological specimen.
Chai Shanshan took a photo of the severed appendix and sent it.
Chai Shanshan naturally doesn't understand, but as the attending physician of Zijingang, she is naturally knowledgeable.
Looking at the appendix, pus moss, and connective tissue in the photo, the separation was clean and there was no adhesion at all.
For general surgical pathology specimens, the pus moss is basically torn up directly during the processing process, and there is no such thing as pus moss at all, which is not as complete as the peeling in the photos.
Especially in the part of the appendix that was cut out, the anatomical level of the incision was clear.
Ma Shuya directly sent six exclamation points: "!!!"
Because of the sigh, the next step directly sent a voice: "Shanshan, are you experts invited from other places? It is an unheard of hanging airless laparoscopic technique, and it is such a perfect case specimen separation. , even the timing of surgery is extremely rare.”
Chai Shanshan looked at Qin Lang, and she naturally knew that the young man in front of her was the one in charge. She took a candid photo while Qin Lang was not paying attention.
Qin Lang: "..."
For a handsome guy like Qin Lang, he has been photographed too much, and he is too familiar with the shutter sound of the camera.
Chai Shanshan also noticed Qin Lang's gaze, blushed slightly, and quickly turned around.
Ma Shuya sent three colored expressions directly.
"Wow, what a handsome little brother! Still a doctor, I have a feeling of being in love..."
Chai Shanshan turned back with a black line on her face: "This is the expert you want! The doctor who performed the surgery for my grandfather. What are you thinking!"
"What a joke, he looks so handsome and his skills are so good? When did Hecheng have such a powerful doctor? I don't believe it."
Chai Shanshan: "It's true. Three blank-eyed expressions."
"Shanshan, I suddenly wanted to transfer to the First Hospital of Hecheng City. With three shy expressions, only Dr. Lu Min and the new Dr. Wang Heng in our department can see it. But compared with this doctor, it is nothing. what."
Chai Shanshan: "..."
After putting down the phone, Chai Shanshan's mood suddenly brightened. Seeing Ma Shuya's praise, she felt a sense of pride in her heart.
Who said that in a small place in Hecheng, there are also big cows in the first hospital of the city!
Soon several people sent the patient to the ward. Due to the effect of anesthesia, after the patient woke up, he said a few words to Director Zhuang and others, and then fell into a drowsy sleep.
The signs of life are stable, and Zhuang Tong and others are also the stones that have been unloaded from their hearts.
"Director Zhuang, congratulations, the operation was very successful."
Zu Liang congratulated him. Of course, he was not congratulating the operation, but Qin Lang behind the operation. With such a talented surgeon, the emergency department of Hecheng First Hospital can naturally take the lead in carrying out the hanging type operation in Zhejiang Province. Pneumoperitoneum laparoscopic surgery.
Seeing that Chai Long fell asleep, Zhuang Tong and others naturally left wisely.
"Qin Lang, you did a good job."
"Qin Lang, not bad!"
Zhuang Tong and Zu Liang praised Qin Lang.
After the crowd dispersed, Chai Shanshan received another WeChat message from Ma Shuya:
"Dear Shanshan, I just told the boss about the photo and the operation time. The boss said he wanted to know the patient's recovery after surgery, so..."
Ma Shuya naturally knew that this was the patient's privacy or that it was Chai Shanshan's grandfather, which was a bit rude.
"Small matter, I will report to you my grandpa's vital signs and daily recovery later, my Dr. Ma."
"Hey! Shanshan, can you ask for the prestige of the chief swordsman when reporting your illness?"
"Roll off~"
...
...
In the next few days, Qin Lang was naturally in charge of Chai Long's post-operative rounds. Under Qin Lang's perfect operation, Chai Long had no infection at all, and the speed of wound healing was also very gratifying.
Zhuang Tong and others are extremely surprised, especially Deputy Director Pang, who is even more surprised. He is already contacting lower-level hospitals and brother units to screen suitable elderly appendicitis patients.
In the surgical team of the emergency department, after this case, the role has undergone a very subtle change. In the past, whether it was ward rounds or on duty, Liu Peichun took Qin Lang with him, but now Qin Lang has taken the lead.
Liu Peichun naturally has no complaints about this~www.readwn.com~ After all, he was able to persuade Director Zhuang and Director Zu Liang of General Surgery to propose an improved surgical technique and let Director Pang help him during the consultation in the department.
Liu Peichun has been working harder and harder these days. After all, he realized that Qin Lang's growth speed made him not even qualified to be a helper.
On Friday night, Liu Peichun helped Qin Lang knock on the case.
Tang Yue's prestige sent over: "Qin Lang, let's rest tomorrow. There is Lantai's signature variety show "Ace" on the Moon River in Hecheng. It is said that Wang Xinling and Zhou Shen are the guests of this issue. I have relatives there. The film crew, I'll be in Hecheng in a while, let's go to the audience together, and we can even make a cameo appearance."
Qin Lang is not particularly interested, but Tang Yue is very interested, so let's accompany her.
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