Chapter 144: Careful Explanation
At this time, Director Li Ziqiang had already stood in the position of the chief surgeon, and Liu Hao also moved to the position where Sun Xiaojie had stood before and started his operation as an assistant.
I saw that Liu Hao had already taken a new sterile tray, and then picked up a new pair of scissors, and then began to skillfully cut the medical gauze, because in the next operation, it was still necessary to soak the medical gauze in iodophor to sterilize the patient before the operation.
In the previous operation, Director Li Ziqiang had a minimally invasive surgery in front of Liu Hao, remembering that it was when Liu Hao had just come to the emergency department from the Department of Hepatobiliary Surgery, at that time, Director Li Ziqiang was to let Liu Hao get in touch with this minimally invasive surgical field, so Director Li Ziqiang personally demonstrated minimally invasive surgery to Liu Hao when he did the first operation.
Although, Director Li Ziqiang personally used minimally invasive surgery in front of Liu Hao to do a few surgeries, and every time during the operation, Director Li Ziqiang just did it, and did not explain it to Liu Hao, after a few surgeries, Director Li Ziqiang just said a sentence to Liu Hao, if it is specific, it is four words: "Draw inferences from one another!"
Until now, Liu Hao still keeps in mind the four words that Director Li Ziqiang told him!
However, today, when Director Li Ziqiang performs this operation, there is a big difference from before.
At this time, Liu Hao had already soaked the cut medical gauze in iodovolt, and also took it to Director Li Ziqiang's side, and at this time, Director Li Ziqiang also started the operation, and at the same time, his explanation also began.
Director Li Ziqiang started to explain from the first step, that is, the simplest disinfection, although now what Director Li Ziqiang explained has been explored by Liu Hao in the future operation, but Director Li Ziqiang still explained it seriously.
"Liu Hao, you have a good look, the first step is, of course, the disinfection work before the operation. In the disinfection, Liu Hao, you must remember that the area of disinfection must be large, at this step, do not feel sorry for the hospital about these gauze and iodophor, the work of the hospital is this, moreover, the hospital will not care about the little thing you save for him, even if you save the hospital, the leaders of the hospital will not thank you for half a word, and besides, these iodophor will not be counted on the patient. Liu Hao, you have to remember that when disinfecting the patient, the gauze that controls the soaked iodophor should start from the middle, and then gradually spread to the periphery of the patient's wound, but it must be disinfected from all sides to the inside, if it is disinfected like that, it is meaningless, and it will not play the role of disinfection and sterilization. ”
After hearing Director Li Ziqiang's serious explanation, Liu Hao nodded and responded: "Okay, I remember, Director!"
Liu Hao knew what Director Li Ziqiang said, and Liu Hao also did what Director Li Ziqiang said.
However, for Director Li Ziqiang's detailed explanation, Liu Hao did not have any disgust and boredom in his heart, on the contrary, Liu Hao at this moment listened very carefully and watched very carefully, at this moment Liu Hao's expression and concentration looked like an intern student who had just graduated from medical school and entered the hospital.
After Director Li Ziqiang finished the disinfection work, he threw the gauze soaked in iodine into the medical trash can on the side, and then put the tweezers in his hand aside, and then stretched out his hand to Liu Hao at the same time, and said: "Liu Hao, give me the scalpel!"
Liu Hao, who was on one side, after hearing Director Li Ziqiang's words, also hurriedly strode from the position where Sun Xiaojie was standing to the position where Li Mengchen was standing before, which is often referred to as the position of the first assistant.
After coming to the position where Li Mengchen was standing, Liu Hao skillfully picked up a knife handle and a thin knife edge, and the hands skillfully put the blade on the top of the knife handle, and after the blade was smoothly stuck, a scalpel was assembled in this way, and then, Liu Hao put the scalpel in the hand of Director Li Ziqiang.
Director Li Ziqiang Next, Director Li Ziqiang was explaining and operating: "When cutting the patient's skin with a scalpel, it is 1cm of the patient's skin, and this length is also the standard for installing a 10-piece trocar puncture. Liu Hao, you must remember that the specifications of this trocar trocar remember the length of the patient's skin cut, because this is all particular. If the patient's skin is cut too long, it will not be stable enough when the trocar is placed in the next step, and if the patient's skin is cut short, the patient's skin will be forcibly stretched open when you are placed in the next step, which will cause great damage to the patient's skin tissue. ”
Director Li Ziqiang explained very carefully and thoroughly, and the content of what Director Li Ziqiang said also made Liu Hao feel very strange, since Liu Hao started to do surgery, he has always operated in accordance with the standards of the super divine medical system, for example, when cutting the patient's skin, Liu Hao is also cut according to the length of the speed of light of the auxiliary medical function of the super divine medical system, so Liu Hao has always been unclear about the concept of the length of the incision skin, because when there are no more surgeries that rely on the auxiliary medical function of the super divine medical system, Liu Hao has silently memorized the length of the incision, so every time he is doing surgery, when Liu Hao is incising the patient, Liu Hao can follow that standard.
It wasn't until today, when Director Li Ziqiang explained the length of the incision skin, that Liu Hao had a real concept of the length of the patient's skin incision.
As Director Li Ziqiang's operation progressed, Director Li Ziqiang's explanation was also synchronized with the steps of the operation: "Liu Hao, you must firmly remember these two points on the outer edge of the rectus abdominis muscle on both sides of the midpoint of the umbilical xiphoid process, because these are the two most common locations for placing the trocar in minimally invasive abdominal surgery, so you must keep it in mind." ”
Hearing Director Li Ziqiang's special instructions, Liu Hao nodded: "Okay." ”
At this time, Director Li Ziqiang had already used a scalpel to open the wound for placing the three trocar trocars, and then turned around and took down the three trocar trocars one by one from the iron frame on the side.
Just when Liu Hao felt incredible, Director Li Ziqiang had already placed the three trocars on the patient's body steadily, and after placing the three trocars and trocars, Li Ziqiang said to Liu Hao: "Prepare for the laparoscope!"
After hearing Director Li Ziqiang's words, Liu Hao nodded: "Okay." Then Liu Hao began to pick up the laparoscope that was put aside.
And Li Mengchen and Sun Xiaojie, who were resting on the side, couldn't help but laugh softly when they saw Liu Hao, who was the master of heaven, doing the work of assistants at this moment.
Liu Hao skillfully manipulated the laparoscope into the patient's body through the trocar puncture, and then the nurse in the operating room heard Liu Hao say "open", and the patient's internal situation appeared on the electronic screen.
As the electronic screen showed the situation in the patient's abdomen, Director Li Ziqiang began to say again: "Liu Hao, when you do this step, you first look at the lump on the side of the patient's stomach curve, and then carefully look at the situation around the lump, in fact, this step is also an observation! Although this step does not need to be done, it is also very important, because only when you observe it well, look carefully, and have a number in your heart, and then you can understand how to start to cut the lump accurately." ”
Liu Hao, who was on the other side, after hearing Director Li Ziqiang's words, began to turn his head to look at the large electronic screen according to Director Li Ziqiang's explanation.
After Liu Hao took a serious look at the patient's lump, he was about to open his mouth to report, but Director Li Ziqiang spoke: "Through the observation of the mass on the greater curvature side of the stomach in the patient's body, I learned that the length of the mass on the greater curvature side of the patient's stomach is about 0.7cm, and through careful observation, no potholes were found on the surface of the patient's lump, which means that the patient's lump has not undergone that atherolike change!"
Liu Hao also nodded after hearing Director Li Ziqiang's words, and at this time, Director Li Ziqiang spoke again: "Next, we are here to observe the patient's lump, through observation we can clearly see that the patient's lump has been connected to the gastric wall tissue, here I also want to say, this lump has adhesions and no adhesions, we are basically two surgeries when we cut, so we must also observe this step, and we have done it in our hearts!"
Director Li Ziqiang gave a detailed explanation to Liu Hao in this step, and Liu Hao also listened very seriously and attentively, Liu Hao did not expect this operation, but also a surgery that he had already studied and had detailed relevant knowledge in his heart, but he did not expect that after Director Li Ziqiang's explanation, there was so much fresh knowledge that he had never known.
At this moment, after explaining this step, Director Li Ziqiang took out a long pair of tweezers and a long electric knife from the iron frame, and then inserted the two nearest trocar puncture devices into the patient's body.
At this moment, Director Li Ziqiang began to control the long tweezers in his hand and the long electric knife in his hand, and began to continue to explain the next steps to Liu Hao.