Chapter 105: Proceeding

"What is the most important thing about a good surgeon?"

Staring at the operation process on the screen, he asked coldly as if talking to himself.

The sound was not loud, but it was so clearly audible in the quiet classroom that all the doctors and nurses pricked up their ears and listened quietly.

"It's the basics!"

No one answered, and he replied coldly.

Speaking of which, the rest of the room naturally understood that Leng Yan was acting as a surgical explainer.

"Basic theories, basic knowledge and basic techniques, these are the basic skills of a surgeon. Your understanding of the basic theories and basic knowledge of surgical site anatomy, physiology, pathology, surgical immunity, bleeding mechanism and infection is fundamental to the courage to perform surgical operations! The techniques of surgical field exposure, anatomy, resection of the lesion site, hemostasis, suturing, drainage and aseptic operation are the guarantees for the smooth progress of the operation! ”

"There are slight differences in treatment methods due to the different parts of the surgery, but fundamentally, the principle of the operation itself is the same! Whether it is done well or not mainly depends on the mastery of basic theories and basic techniques, as well as the proficiency of basic techniques. ”

"In the final analysis, these things must be reflected in the proficiency of the operator's operation, which cannot be faked, and an insider, no, even a layman, as long as he sees the surgical process, he can naturally distinguish the level of a surgeon's operation."

Several surgeons naturally understood what Leng Yan said, and those nurses, including intern Cao Weiqing, couldn't help but pay full attention to the operation on the screen after listening to Leng Yan's words at this time, and tried to distinguish the proficiency of the operator's operation.

。。。。。。

When the scalpel is cut, there is no hesitation, without a pause!

The skin was like a piece of water tofu, and a smooth and straight incision quickly opened, and it opened slightly to the sides, revealing a red color.

After passing the dermis, in order to reduce bleeding, Tian Lu immediately switched to a monopolar electric knife and continued to cut the subcutaneous tissue and muscles along the incision.

Looking at the movements on the screen, Leng Yan stopped talking, and his lips couldn't help but tremble slightly.

In the eyes of the nurses, they just saw that Tian Lu's operation was very decisive and smooth, and there was very little bleeding, but only he and other neurosurgeons could really understand what an incredible thing Tian Lu was doing now!

As Leng Yan just said, although it is only the most basic operation, it is these operations that reflect the basic skills of a surgeon!

And at this moment, I'm afraid no one doubts Tian Lu's basic skills anymore, because in the eyes of everyone, between Tian Lu's movements, there is hardly any time left to think!

For the average physician, after each action, it is always necessary to think about what is the next step and how should it be done? It's like a top shooter, after one shot hits the target, you always have to aim first before you shoot the next shot!

No matter how short the aiming time is, you always have to aim at it!

But in the cold eyes, the speed of Tian Lu is too fast!

Every time the knife fell, there was absolutely no hesitation, as if it was being held by a mechanical arm, according to the set program, along the set route, layer by layer cut Wu Dayong's flesh and skin!

It's like a robot!

It was cold, including Zhang Jie in the back row, and both of them couldn't help but hold their breath at this time!

They are not Zhang Qianqian and Lin Jun, who were assistants to Tian Lu at the beginning, compared with those two inexperienced students, Leng Yan and the others understand better what it means for Tian Lu to be able to do this!

"Teacher Li, gauze strips!"

At this moment, a low shout suddenly came from the loudspeaker!

Leng Yan's heart suddenly shook.

During the live broadcast of the operation, Leng Yan had already chosen to turn down the volume, so if it was just a general tone, it would not be audible in the teaching room, so at this moment, the low drink in the loudspeaker must be a loud cry in the operating room!

Could it be that the two people who were assistants during the operation were also in a daze like themselves?

。。。。。。

In the operating room, Li Qiang was awakened by Tian Lu's cheers, and his old face turned red, and he hurriedly picked up the gauze strip and put it in the incision.

After looking up and confirming that Li Qiang and Qian Yue were both focused on the operation, Tian Lu said: "The following is to separate the paravertebral muscles, in order to reduce the loss of the paravertebral muscles, I will close to the spinous process and the bone surface separation of the pyramid plate, please try to cooperate with me to operate, do the two teachers understand?" ”

He shouted three times in a row just now, and almost yelled out the last time, which made Li Qiang react, so this time he simply asked directly.

"Don't worry."

Both of them turned red at the same time, and Li Qiang and Qian Yue nodded hurriedly in response.

Maybe it was the situation just now that the two of them had already adapted a little, and when they separated the paravertebral muscles, although the operation of Tian Lu was still so smooth and neat, the two of them were not shocked by the talent, and they could already cooperate well.

After fixing the separated paravertebral muscles and revealing the spine, Tian Lu's movements finally slowed down.

At this time, whether it was in the operating room or in the demonstration room, many people finally breathed a long sigh of relief.

Slow down well!

If at this time, Tian Lu's operation is still as fast as just now, I'm afraid Leng Yan can't help but run to the operating room, and then take a scalpel to cut him open to see if there is really a robot hidden inside.

Wu Dayong's disease is ependymoma in the spinal cord, and the vertebrae must be opened. Tian Lu was very careful to protect the dura, using a cutting drill to lift the cone plate layer by layer, until finally leaving a thin layer of inner bone plate, then using periosteal glass, pried the cone plate open, and then used tissue scissors to cut the interspinous ligament and ligamentum flavum to remove the spinous process of the lamina.

When removed, the underlying dura is revealed.

With the cooperation of Li Qiang and Qian Yue, Tian Lu first repaired the bone margin with tools such as rongeurs, scissors and scissors, and then checked the epidural hemorrhage, and directed the two to start cleaning the local vision. The same work, Li Qiang and Qian Yue are obviously much better than Zhang Qianqian and Lin Jun at the beginning, Li Qiang flushed, Qian Yue used a suction tube to attract, three times five divided by two, and it was quickly completed.

The operation was done here, and the coldness in the classroom couldn't help but straighten up, and his eyes narrowed slightly.

Now, let's start the microscopic operation!

With the help of Li Qiang and Qian Yue, Tian Lu placed the bench, and then set up the position of the microscope, and at the same time, in the teaching room, the lens on the screen also shifted to the image under the microscope in a timely manner.

Li Qiang picked up two strips of gauze and placed them on both sides of the exposed dura, and then without opening the field, Qian Yue also consciously picked up the suction tube, continuously attracting the liquid in the surgical field.

In both rooms, many people's breathing became long again.

Under a microscope, the sense of distance and the volume of the object change dramatically, and it is difficult for the average person to perform such a delicate operation in such a small area without long-term training.

It can be said that if those operations represent the basic skills of a surgeon, then the operations under the microscope are the real standard that reflects the technical level of a neurosurgeon!

At the end of the day, neurosurgery is an extremely sophisticated surgical specialty!

In neurosurgery, most of the surgeries need to be done under the microscope, and only when the performance in the later links is good enough, Tian Lu's strength can be truly recognized by everyone!

Taking a deep breath, Tian Lu put his eyes on the eyepiece of the microscope, and after his eyes adjusted to the image under the microscope, he held the clip in his left hand and the operation in his right hand, and at the same time stretched out to the square inch under the microscope。。。。。。

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I still haven't been able to get it all right, and the latter part is not satisfied, and it needs to be greatly modified, so wait for noon or afternoon.

Of course, today is at least three watches.