Chang Zhang Gu stood on the operating table.

Zhou Dongfeng had a look of scrutiny and expectation.

The instrument nurse next to her quickly prepared the suture bag, ready to hand the instrument to Zhang Gu at any time.

Zhang Gu was in no hurry to stitch it up.

He first put on gauze, put on sterile gloves, and started from the ileum where it entered the cecum, gently pulling the intestines, and gradually arranging them upwards.

Zhou Dongfeng saw Zhang Gu's action, and a smile appeared on his face.

"It's not bad to know that you need to deal with your bowels after this surgery. ”

"The technique is also quite professional, and it seems that I have worked a regular basis. ”

This kind of surgery has great intestinal interference, and intestinal treatment can reduce the occurrence of postoperative intestinal adhesions and intestinal obstruction.

The colon is an interperitoneal organ with a fixed position, and there will be no adhesive intestinal obstruction, while the jejunum ileum has a high degree of mobility, if it is not treated well, the probability of postoperative adhesion is large, and serious intestinal obstruction will be formed.

So as soon as Zhang Gu got started, he started from the ileum.

Zhou Dongfeng also nodded frequently.

Zhang Gu then gently pulled the omentum and covered it on top of the intestinal tube to form a barrier with the abdominal wall, so as to avoid the formation of adhesions between the wound in the abdominal cavity and the intestinal tube.

After doing this, Zhang Gu began to stitch up.

"1-0 absorbable sutures. ”

The instrument nurse hurriedly handed it over, Zhang Gu took it, and recalled the suture part of the duodenectomy in his mind.

Although they are two different surgeries, these basic skills are the same.

A duodenectomy skill card is equivalent to raising many of Zhang Gu's basic skills to the elementary level.

In this case, the peritoneal layer is sutured, followed by the anterior rectus abdominis sheath, followed by the subcutaneous tissue, and finally the skin. From the inside to the outside, there are four floors in total.

Zhou Dongfeng stared at Shuye, wanting to see how Zhang Gu's first shot was taken.

After the first stitch, the tension of each stitch depends on the strength of the first stitch, so the suture of the first stitch is particularly important.

I saw Zhang Gu quickly drop his hand, cross the end of the incision, enter the needle vertically from the outside to the inside, and then from the corresponding position of the peritoneal layer on the opposite side of the incision, the needle is vertically removed from the inside to the outside, the knot is tied, the sutures are tightened, and the strength of the sutures is uniform and moderate.

After a set of movements, there is no jerky feeling.

Zhou Dongfeng's eyes lit up: "Not bad!"

No wonder he praised Zhang Gu to the director, just by looking at this first shot, you can see the level.

It turns out that quietly, this kid has made such a big progress!

Zhou Dongfeng was relieved.

It seems that in the future, I can spend more time and focus on cultivating Zhang Gu.

With the first shot to lay the foundation, Zhang Gu is also getting smoother and smoother.

At the last stitch, Zhang Gu did not lift the thread for the first time, but lifted the thread segment before the needle into a double strand and knotted it with the single strand after the needle.

At this point, the peritoneal layer is sutured.

"It's a good end. Zhou Dongfeng bowed slightly, he had confidence in Zhang Gu's level of stitching.

Originally, he also planned to give Zhang Gu a technical cover-up.

After seeing Zhang Gu's performance, Zhou Dongfeng's tense nerves relaxed a little.

Young people, they can already be relied on.

Next, the suture of the anterior sheath of the rectus abdominis muscle and the subcutaneous tissue, Zhang Gu was also decent, and nothing went wrong.

Even Zhang Gu's grasp of the amount of sutures between different parts of the subcutaneous tissue made Zhou Dongfeng's eyes light up.

For the subcutaneous tissue part with weak tension resistance, the suture volume of Zhang Gu is large to ensure that it can resist incision tension. On the other hand, the amount of suture tissue on both sides of the incision is relatively small and the two sides are equal, ensuring that the skin on both sides is smooth and beautiful after healing.

Every part should be handled properly.

to the suture of the final skin layer.

Zhang Gu uses a triangular needle, 4-0 can absorb a single strand of suture, and perform continuous intradermal suture, and the suture at the end is knotted and buried in the incision.

This absorbable suture does not need to be removed after surgery, and the suture is beautiful at one time, and the incision marks are not conspicuous after healing.

Looking at the whole stitching process, Zhou Dongfeng has secretly decided.

In the future, all the abdominal sutures of the operation were handed over to Zhang Gu.

After taking off the surgical gown.

Zhou Dongfeng said with relief: "There is a lot of progress! You are right to praise the director." However, you still have to practice and learn more, our director Yao Na's stitching is the most beautiful, and I will give you a chance to observe it another day. You see how the master sews it. ”

Zhang Gu knows that he still needs to improve. He is currently only at the elementary level, which is equivalent to the general level of the municipal level.

He hurriedly agreed.

Then he began to inch in: "Teacher Zhou, if my sutures can barely get into your eyes, I will also have the opportunity to open my stomach in the future!"

Zhou Dongfeng didn't shirk this time, and said directly: "Yes, the next surgery will give you the opportunity to open your abdomen." ”

Zhang Gu was happy in his heart, Mr. Zhou is a good person!

When the two of them came out of the operating room, they heard the woman and the man praying anxiously. The little grandson kept looking at the door of the operating room, looking very anxious.

"Bless the operation must be smooth, safe and sound, so that my mother can live a healthy life for decades. ”

"As long as my mother can be good this time, I will definitely quit my job, return to my hometown, and do my filial piety. ”

The little grandson immediately noticed that the door of the operating room was open, and suddenly looked up and looked over.

Scared and expectant, he looked at Zhang Gu and Zhou Dongfeng.

For fear of telling bad news from the doctor's mouth that they can't bear.

Zhang Gu said with a smile: "The operation was very successful, and after a few days of observation and recovery, the patient will be able to be discharged directly if it goes well." Later, the hospital bed will be pushed out, and after the anesthetic has passed, you can have a brief exchange with the patient first. ”

As soon as I said this, I saw that the tense spirits of several people were completely relaxed!

The little grandson suddenly burst into excitement.

The woman was limp, but she had a joyful smile on her face.

The man kept saying "great" in his mouth, and then ran over in a few steps, bowing and shaking hands, and thanked Zhou Dongfeng and Zhang Gu for their kindness.

Seeing the happiness of his family, Zhang Gu's mood was much brighter.

After a few words of reassurance, Zhang Gu came to the duty room.

Look at the new words that come to mind.

"After completing a foreign body intestinal obstruction surgery, the final score was 1.8 points according to the comprehensive evaluation of the difficulty coefficient, performance, and operation time of the operation. ”

However, Zhang Gu understood it when he thought about it.

It is just an ordinary intestinal obstruction operation, which is far less difficult than the last duodenal tumor resection. In addition, Zhang Gu was the deputy that time, and this time he only participated in the simplest abdominal suture, and it is natural that the score is low.

"Since the score is less than 2.0 points, the reward is not enough to be issued, and it will be accumulated and distributed next time. ”

Zhang Gu sighed, okay! It seems that this scoring mechanism still encourages him to get high scores.

When you become the main knife in the future, it will never be possible to get a score below 2.0 again.

It's still a matter of showing more and getting more opportunities for surgery.

At this moment, Shen Wenting's head came in, and she looked envious: "Brother Zhang! ”

Ma Chenglin: Is it an experiment?