Zheng Ren performed a standard small-incision appendectomy with a 5cm incision. The instrument nurse was from Xie Yi. She watched Zheng Ren's movements attentively. Before completing the operation, she anticipated the next operation and handed over the instrument.
Meeting standards and very professional.
Electric cautery was used to stop the bleeding, and the small curve (forceps) was used to bluntly separate the patient. A "misdiagnosed" surgery was started step by step.
In the demonstration classroom, Cen Meng looked at the screen happily and said to himself: "With such a small incision, I am really confident."
"Yes, the incision for standard appendectomy is rarely this small."
"I really learned something this time."
The yin and yang comments were like slaps, hitting Director Pan's face again and again, making a snapping sound.
His head lowered lower and lower, ready to be embarrassed.
The only thing left to support Director Pan's belief was Zheng Ren's peak performance of combined pancreaticoduodenectomy, which was like a fairy from heaven.
In the Xinglin Garden, Bishi Classroom is even more lively.
After all, it is a live broadcast on the Internet, no one knows anyone, there are no conflicts of interest, only pure academic discussions.
So it's more direct and harder to listen to.
"A 5cm incision was made during exploratory laparotomy in the right upper quadrant. Does the surgeon want to go to heaven?"
"He diagnosed acute appendicitis. According to his diagnosis, the inflammatory cord in the gallbladder area is the purulent appendix. Don't push me, just watch the surgery quietly."
"This is the most outrageous surgery I have ever seen. It is a miracle that this doctor can survive until now without being beaten to death."
Whether it was the discussion in the classroom or the Xinglin Garden, Zheng Ren could not hear it.
The operating room was very quiet. Zheng Ren used a small gauze to protect the wound. When he reached out, a pair of medium-curved pliers fell on his hand.
"Suction device, wear a condom." Zheng Ren patted the middle curve on the sterile drape, looked at the surgical field intently, and said a little coldly.
Xie Yiren made a mistake in his judgment for the first time and quickly screwed on the suction device and patted it into Zheng Ren's hand.
The suction device made a hissing sound, breaking the silence in the operating room.
Zheng Ren held the suction device in one hand and used curved forceps to bluntly separate the peritoneum with the other hand. The moment the peritoneum is opened, the suction device is inserted.
"Cen Meng, go and get ready to brush your hands." Director Liu made arrangements when he saw Zheng Ren asking for a suction device and preparing to open the peritoneum.
He spoke not loudly, but just enough for Director Pan to hear clearly.
This is contempt, unabashed contempt.
Zheng Ren's surgery, from the incision to the present, has nothing to fault. If you really want to find fault, the technical authority will be questioned.
However, Director Liu was convinced that Zheng Ren had made a mistake in diagnosis. When he opened the peritoneum, he arranged for his own people to brush his hands and prepare to take over the next operation. This was also a slap in the face that Director Liu had long thought about.
Seeing that the script was progressing according to his expectations, Director Liu had a smile on his face.
He wasn't going to undergo this surgery. Even if it was complicated acute cholecystitis, he didn't need it at all. Cen Meng could always handle it by being hospitalized.
All he has to do is sit here and mock old Director Pan with his eyes.
In the live broadcast room of Xinglinyuan Forum, barrage after barrage began to fill the screen.
"Fuck! It's really based on appendicitis. It's so rare to see such an awesome doctor."
"He doesn't even need an assistant, how can he get the confidence?"
"Aspirator? Is this live broadcast just for fun? If he can suck out the pus, I will live broadcast and eat all the pus."
… …
The suction device quickly fell into the opened opening in the peritoneum, just right so that no trace of pus would flow out.
As soon as it was put in, a ball of yellowish-green pus was drawn out from the tube of the suction device.
The amount of pus was so large that the suction device lasted 32 seconds.
In the demonstration classroom, Cen Meng, who was about to take the order to clean his hands, was stunned, and Director Liu's smile froze on his face.
Pus? Generally, cholecystitis does not cause pus exudation. The most common clinical condition is acute appendicitis with pus exudation.
Is it really acute appendicitis? Did everyone make the wrong diagnosis
impossible! Both Cen Meng and Director Liu were desperately trying to recall the B-ultrasound manifestations of acute suppurative appendicitis. Even if it is an ectopic appendix, B-ultrasound should always have a prompt.
Cen Meng stood at the door, neither leaving nor leaving.
He began to waver. What if it was really appendicitis? If he brushed his hands and stood in the operating room, would he be slapped in the face during the live broadcast? If that were the case, it would be a shame and a shame.
In the Xinglinyuan live broadcast room, the barrage completely filled the screen.
"It's awesome. It can really suck out the pus. It won't rupture the gallbladder."
"Is the brother who just said he was going to live broadcast okay? Is the pus delicious? Just wait for the live broadcast."
"Let me go... Is it really appendicitis? Why have I never seen such a case?"
"Suppurative appendicitis, only a small incision of 5cm is made. I'm so confident. Who is doing the live broadcast?"
After 32 seconds, pus no longer appeared in the suction device.
Zheng Ren placed the suction device on the sterile gauze spread by Xie Yiren to avoid contaminating the surgical area.
Then proceed to separate the peritoneum.
The peritoneum was opened 3cm, and a thick, large, purple-black thing popped out.
The separation continued, and the peritoneum was separated by 5cm, and a purple-black thing popped out directly.
Congestion, edema, and white pus.
No matter what the shape is, any surgeon can recognize it at a glance. The thing in front of him is the appendix.
It can only be the appendix.
It must be the appendix.
There was dead silence in the classroom.
Director Liu's smile was frozen on his face, and his orbicularis oculi muscles couldn't stop trembling, as if he had experienced an electric shock.
At this moment, Director Pan gradually straightened his back, looked directly at the screen, and clenched his hands into fists.
In the Xinglinyuan live broadcast room, the barrage disappeared briefly, as if everyone realized that this was really an appendectomy, an appendectomy that opened on the right upper abdomen.
After 47 seconds of silence, barrages began to appear intermittently.
Paralyzed, I really saw Daniel.
What I'm curious about is how he made the diagnosis. None of the test reports given before the operation could confirm that it was an ectopic appendix. I can guarantee that the operator must have hidden other checks.
It's as if you dare to make a diagnosis after a lower abdominal MRI. Mortals, tremble in front of the great God.
Zheng Ren's hand was very steady, his movements were not fast, but he was very accurate.
Because the appendiceal artery was congested and edematous, Zheng Ren did not use conventional ligation, but sutured it. The small needle and fine thread shuttle up and down between the 5cm square inches with ease.
The purulent appendix was severed and thrown into a specimen basin with forceps.
Zheng Ren stretched out his hand, but Xie Yiren's movements were a little slow and hesitant.
"Xiaowan, scissors." Zheng Ren seemed to know what Xie Yiren was thinking. He looked at the operating area intently and said without looking back.
"After the appendix is removed, it should be rinsed with warm salt water. Why does he need a small bend and scissors?" Someone in the classroom asked a question.
Although it was doubtful, the blatant contempt before the surgery was completely gone.
Yes, regardless of how good the surgery is, just being able to accurately diagnose an ectopic appendix is enough for countless surgeons to spend a lifetime.
Moreover, the surgery was so beautiful. From the time of incision to now, it only lasted only 3 minutes, of which half a minute was spent sucking out the pus.
In order to avoid being slapped in the face, those who have doubts can only hold it in. When asking questions, I only dare to use the smallest voice, which is similar to slander.
Xiaowan? Scissors? What is this for
The appendix has been removed, what else is there to show? Daniel, you are already very good. Leave us a classic memory. Don’t let it go to waste.
What do you know, people are not better than you
Xinglinyuan is indeed a professional website. Once they discover something awesome about a practitioner, most of the people will immediately kneel down.
Only technology can get close to technology. People who are willing to browse such professional websites are basically technical people. They have an essentially worshipful attitude toward high-level surgeries.
He is freeing the abscess attached to the gallbladder wall!
Oh my god, isn't he afraid of damaging his edematous gallbladder
Worship! I want to know which expert is doing the surgery, I want to go to further training!
… … …
The pink cover looks so eye-catching, change it to your favorite style as soon as possible, the random one will not work as expected. Also, please vote for recommendation and take a bow.