0013 Ectopic, acute suppurative appendicitis
Zheng Ren fell into a knife, incision 5cm, standard small incision appendectomy procedure. The instrument nurse is Xie Yiren, who focused on watching Zheng Ren's movements. Before it was about to be completed, he estimated the next step and handed over the instrument.
Cooperating with standards, very professional.
Electric burning stops bleeding, small bends (pliers) are bluntly separated, and a "misdiagnosis" operation was started step by step.
In the classroom, Cen Meng looked at the screen happily and said to himself: "You are so confident with such a small incision."
"Yes, there are few openings for standard appendectomy that are so small."
“I’ve really learned this time.”
The sarcastic comments were like slaps, slapped Director Pan's face one after another, making a slap.
His head was getting lower and lower, and he was ready to sweep his face.
Supporting Director Pan's belief, only Zheng Ren's peak performance of the pancreatic duodenectomy, which was like a flying immortal in the sky, was left.
The Xinglin Garden is more lively than the classroom.
After all, it is a live broadcast on the Internet, and no one knows each other. There is no conflict of interest, only simple academic discussion.
So it's more direct and unpleasant.
"Does the 5cm cut of the upper right abdomen want to go to heaven?"
"The person diagnosed acute appendicitis. According to his diagnosis, the inflammatory cord in the gallbladder area is a suppurated appendix. Don't pussy, just watch the great master's surgery quietly."
"This is the most outrageous operation I've ever seen. It's a miracle that this doctor can survive until now without being beaten to death."
Neither the discussion in the classroom nor Xinglin Garden fell into Zheng Ren's ears.
The operating room was very quiet. Zheng Ren used small gauze to protect the wound. He stretched out his hand and fell a handful of middle-bent pliers on his hand.
"Attractor, wear a condom." Zheng Ren patted the middle bend on the sterile sheet, focused on the Shuye, and said coldly.
Xie Yiren made a mistake in his judgment for the first time, and quickly twisted the suction cover on and took it into Zheng Ren's hand.
The suction device made a "hiss" sound, breaking the silence in the operating room.
Zheng Ren held the suction device in one hand and bluntly separated the peritoneum with a bent forceps in the other hand. The moment the peritoneum was opened, the suction device was inserted.
"Cen Meng, go and prepare to brush your hands." When Director Liu saw Zheng Ren wanting to attract the device and preparing to open the peritoneum, he arranged for him.
He didn't speak loudly, but it happened to let Director Pan hear it clearly.
This is contempt, unconcealed contempt.
Zheng Ren's surgery has nothing to be picky about since the skin opening. If he really picks on the bones in the egg, the technical authority will be questioned.
But Director Liu was sure that Zheng Ren had a wrong diagnosis. When he opened his peritoneum, he arranged for his own person to brush his hands and prepare to take over the next surgery. This was also the slap step that Director Liu had long thought of.
Reading the script as he expected, Director Liu showed a smile on his face.
He was not going to have this surgery, even if it was complicated acute cholecystitis, there was no need for him to have it. Cen Meng could do it if he was hospitalized.
Just sit here and use your eyes to mock Director Pan.
In the live broadcast room of Xinglin Garden Forum, barrage began to flood the screen.
"Grass! It's really done according to appendicitis. Such awesome doctor is so rare."
"If you don't even need an assistant, where does he get his confidence?"
"Attractor? Is this live broadcast here for fun? If he can suck out the pus, I will eat all the pus in a live broadcast."
…………
The suction quickly fell into the opening of the peritoneum, just so that a trace of pus would not flow out.
As soon as I put it in, a mass of yellow and green pus was pulled out of the pipe of the suction device.
The amount of pus was very large, and the suction device sucked for 32 seconds.
In the classroom, Cen Meng, who was about to take the order to brush his hands, was stunned, and Director Liu's smile froze on his face.
Pus? Generally, pus will not exudate in cholecystitis. The most common clinical practice is acute appendicitis.
Is it really acute appendicitis? Everyone has diagnosed it wrong?
Impossible! Whether it is Cen Meng or Director Liu, they are desperately recalling the ultrasound of acute suppurative appendicitis. Even if it is an ectopic appendix, there should be a hint of B-ultrasound.
Cen Meng stood at the door, not leaving, not leaving.
He began to shake. If it was really appendicitis, he would stand in the operating room after taking his hands and getting slapped in the face by the live broadcast? If that was the case, it would be embarrassing.
In the Xinglin Garden live broadcast room, the barrage was completely flooded with the screen.
"It's so awesome. I can really suck out the pus and it won't break the gallbladder."
"Is the brother who just said he wanted to live broadcast okay? Is the pus delicious? Wait for the live broadcast."
"I'll go...is it really appendicitis? Why haven't I seen such a case?"
"Suppurative appendicitis, I actually made only a 5cm incision. I am so confident. Which big guy is running a live broadcast?"
After 32 seconds, no pus appears in the suction device.
Zheng Ren put the suction device on the sterile gauze laid by Xie Yiren to avoid contaminating the surgical area.
Then start to continue to isolate the peritoneum.
The peritoneum was opened 3cm, and something thick and large, purple-black and purple-black appeared.
Continue to separate, separate the peritoneal tissue by 5cm, and a purple-black thing pops out directly.
Congestion, edema, and white pus moss.
No matter what shape it is, as long as you are a surgeon, you can recognize it at a glance, and the thing in front of you is the appendix.
It can only be the appendix.
It must be the appendix.
The classroom was silent.
Director Liu's smile was frozen on his face, and the orbicularis muscles could not stop trembling, just like electricity.
Director Pan's waist was gradually straightening, looking straight at the screen, and clenched his fists with both hands.
In the live broadcast room of Xinglin Garden, the barrage briefly disappeared, as if everyone realized that this was really an appendectomy, an appendectomy with the opening in the upper right abdomen.
After silence for 47 seconds, the barrage began to appear intermittently.
【A paralyzed, I really saw the big bull.】
[What I am curious about is how he diagnosed it. None of the test reports given before the operation can be determined to be ectopic appendix. I can guarantee that the surgeon must have hidden other tests.]
[It is said that you dare to diagnose it with an MR in the lower abdomen. A mortal, trembles in front of the great gods.]
Zheng Ren's hands were very stable, his movements were not fast, but he was very accurate.
Due to congestion and edema, Zheng Ren did not adopt routine ligation, but used sewing methods. Small needles and thin threads shuttled up and down between 5cm square inches, and were at ease.
The suppurated appendix was cut off and threw it into the specimen with forceps.
Zheng Ren stretched out his hand, Xie Yiren's movements were a little slow and hesitant.
"Xiao Wan, scissors." Zheng Ren seemed to know what Xie Yiren was thinking, and focused on looking at the operating area without looking back.
"After the appendix is cut off, it should be rinsed in warm salt water. What should he do if he wants small bends and scissors?" Someone asked a question in the classroom.
Although it is a question, it is completely gone without the blatant contempt that preoperatively is.
Yes, not to mention the operation, just being able to accurately judge the ectopic appendix is enough for countless surgeons to brag for the rest of their lives.
Moreover, the surgery was so beautiful. It took only 3 minutes from the time of skin opening, and half a minute of pus was absorbed.
In order to avoid being slapped in the face, people in doubt can only hold it in. When asking questions, they only dare to use the lowest voice, similar to slandering.
【Small bend? Scissors? What is this to do?】
[What else should I show when my appendix is removed? Big Niu, you are already very awesome. Leave a classic memory for us, don't play with it.]
【What do you know, aren’t they better than you?】
Xinglin Garden is worthy of being a professional website. Once you find the awesomeness of the artist, most of them will immediately kneel.
Only technology can get close to technology. People who are willing to browse such professional websites are basically technical flow. They essentially express a worship attitude towards high-level surgery.
[He is freeing the pus moss attached to the gallbladder wall!]
【God, isn’t he afraid of damaging the edema gallbladder?】
[Worship! I want to know which master is doing surgery, I want to go further in my studies!]
……………………
Chapter completed!