Xie Wanying was a little surprised. This is her first close-up visit to laparoscopic surgery, and the teacher should know that she is an absolute rookie in this area.
Anyway, listen to the teacher's arrangement.
Wash your hands before the operation and re-enter the operating room, ready to stand next to the teachers to observe.
Similar to traditional surgery, disinfection and draping are required. The difference is that the pneumoperitoneum must be established first for laparoscopy. Cut a small opening on the umbilical cord and insert it into the puncture device, inject an appropriate amount of co2 gas into the abdominal cavity, inject a certain amount of gas into the insufflation machine to maintain the pressure, pull out the cone core and replace it with a laparoscope. At the same time, the situation in the patient's abdominal cavity will appear on the monitor screen.
Then insert cannulas at the lower left and right sides of the abdomen and above the pubic symphysis. Surgical instruments such as ultrasonic scalpels should be put into these cannulae. Laparoscopic surgery generally three doctors. In addition to the chief knife and one assistant, there is a special mirror hand.
The speculum hand, as the name suggests, has to use a laparoscope to illuminate the surgical field of view for the chief surgeon. The main surgeon generally operates the ultrasonic scalpel, and the first assistant takes other instruments, such as curved forceps suction device, to assist the main surgeon in operation.
From this point of view, the division of labor in laparoscopic surgery and traditional surgery has both similarities and differences.
Today's surgery is especially for low rectal tumors, and laparoscopic surgery is not easy to operate. The students standing in the corner are looking forward to the miracle of the technology giant.
Liu Chengran, who continued to be the first assistant, helped the chief surgeon to establish a pneumoperitoneum, and inserted a laparoscope into the patient's abdominal cavity.
A color picture of the patient's abdominal cavity immediately appeared on the monitor, and the view captured by the laparoscope was outside the intestinal tract, which was different from the view inside the intestinal tract with a digestive scope. So it can be seen that the patient's intestines are faintly wriggling.
The laparoscope was then handed over to the chief surgeon for abdominal exploration. Like traditional surgery, the purpose of exploration is to determine whether the tumor can be cut and how much needs to be cut.
Holding the laparoscope, Tan Kelin looked at the monitor screen and said to someone behind him, "Stand up a little bit."
The chief knife's every move attracted everyone's attention.
All the students in the operating room heard the chief surgeon calling for someone to come up, and immediately saw Xie Wanying go up and watch the monitor screen with the chief surgeon.
The students immediately exploded inside:
"who is she?"
"A resident doctor?"
"It's the doctor of this hospital, it should be."
"It can't be a fellow student or an intern."
"Female doctor?"
"Why was a female doctor called up by Dr. Tan?"
One or two whispered to each other, forgetting the order to mute the sound, as if they were a lot stimulated by this scene.
Luo Yanfen, Li Wenhao and the three of them were even more stunned: What does the teacher want this rookie to do? The problem was that they didn't think that such a young Xie Wanying could have enough clinical skills for Tan Kelin to ask her to do something.
"Speak again!" Sun Yubo turned back and shouted impatiently at those who spoke.
When can the quiet operating room become a vegetable market? !
All the yelling stopped for a second.
The operating room returned to dead silence.
The students' attention returned to the progress of the operation.
The monitor screen showed the scene of the laparoscopic perspective moving in the patient's abdominal cavity. Sometimes the screen changes quickly, and sometimes slowly.
It is not a teaching demonstration, and without a teacher to explain, it is difficult for the students to fully understand the situation in the screen.
Luo Yanfen and Zhang Zhongqiang asked Li Wenhao, who was in charge of the seventh bed, with inquiring eyes: Did you see anything
Li Wenhao shook his head.