The Surgeon’s Studio

Chapter 22: 0022 Two difficult surgeries

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I really knelt down.

After a brief silence, the barrage in Xinglin Garden began to flood the screen.

Ordinary appendectomies are rarely performed so quickly, let alone that the patient in front of me is a pregnant woman in her second trimester. People present can understand how difficult it is to remove the appendix during pregnancy, even if they have not actually performed it.

But even such a seemingly extremely difficult case was completed within ten minutes.

At this time, more people entered the live broadcast room one after another, but they only saw the ending.

Late again? Seek comfort.

You missed 100 million. If you miss this live surgery, you miss the biggest opportunity in your life.

Isn't it an appendectomy during pregnancy? How could it end so quickly? I just made a cup of coffee and prepared to watch the game for three hours.

Some complained, some joked. But those who really understand and understand are still stuck in a swamp of confusion, unable to extricate themselves.

After another minute, people began to shout 666 one after another.

The incision was accurately positioned, local anesthesia was in place, and the surgery was done cleanly and neatly, awesome!

I thought I was going to pull an all-nighter when I suddenly had the inspiration to write an article about selective incisions. Does anyone have any recommended papers

In my opinion, anesthesia is the most critical step. I don’t know about you, but I have never seen a case where the patient did not feel pain under local anesthesia.

Although the operation ended inadvertently, the live broadcast room was not closed. Everyone regarded the live broadcast room as a chat room from n years ago and talked freely about their experience of this surgery.

Some doctors said that surgical videos should be regarded as teaching videos. Some doctors said that when discussing the medical records tomorrow, they would use this pregnancy appendectomy as a case study.

In the classroom of No. 1 Hospital in Haicheng City, Director Pan once again sat calmly on the sofa, looking at the empty operating table and smiling.

Director Liu's face was still full of surprise. He was completely confused.

Zheng Ren has been working in the First Department of General Surgery since he was assigned to the First Hospital of Haicheng City. Director Liu knows best what level Zheng Ren is.

I have treated appendicitis independently for hundreds of times, so it’s not a big deal.

But the surgery for appendicitis during pregnancy that had just been completed gave Director Liu a critical blow.

If I did it myself, would it be so neat and tidy

Won't.

Not at all.

Even with continuous epidural anesthesia, I would definitely choose the right side of the rectus abdominis above McBurney's point as written in the textbook as the incision.

But in that case, just looking for the appendix would take a long time. Director Liu cannot control whether turning the intestines will cause excessive stimulation to the patient and worsen threatened abortion.

How could this guy Zheng Ren choose the points so accurately? Who taught this

If Zheng Ren hadn't performed this operation, Director Liu would have taken the operation video back and studied it over and over as if he had found a valuable treasure.

Just the issue of surgical approach can provide enough inspiration.

It’s really abominable!

Director Liu clenched his fists fiercely and quietly released the anger deep in his heart.

"How's it going, Director Liu." Old Director Pan started to talk trash, "Zheng Ren is still young. If you have any opinions about this surgery, just tell me. I will lead Xiao Zheng to improve it."

Opinion? Damn your opinion! Director Liu's anger was directly ignited.

What opinions can I have? What opinions can I have! I really wanted to take the surgery video back to study, but you actually asked me what my opinion was.

Director Liu clenched his back teeth, knowing that no matter what he said now, he would be sprayed right back by Director Pan, and he would be completely defeated.

Wait patiently and wait for Zheng Ren to make a mistake.

Just one mistake is all it takes, just one!

In the Xinglinyuan surgery live broadcast room, many people did not disperse and were chatting nonsense.

Ten minutes later, I suddenly saw a new image appear, and I was about to lift a patient to the operating table.

Let me go, two combos!

Fortunately, I didn't leave, and this time I caught up with the live broadcast from the beginning.

Oh my god, let me just say that the coffee was not in vain. There was even a live broadcast of the surgery. Hahahaha, I was completely swollen. My lucky, lovely Nestlé Instant, love you, mmm.

The live broadcast room, which had gradually become quiet, suddenly became excited.

There are not many opportunities to watch the entire surgery process in person, and everyone cherishes it.

Almost everyone took advantage of the pre-operative preparation process to pick up their mobile phones at the same time and drop depth bombs in every WeChat group, blowing up all their colleagues, friends, and classmates who were not sleeping.

What did I see? Why do my eyes feel so hot

Is the master going to need a heart stent? Such obese patients are prone to myocardial infarction.

The cases are out, the live broadcast is really good, and there are real-time cases. Damn, it’s still appendicitis. Is the master going to challenge various appendectomies of varying degrees of difficulty

The moment a mountain of meat was moved to the operating table, the barrage filled the screen.

Unlike appendicitis during pregnancy, almost all doctors have performed appendectomies on obese patients. Even if they are not doctors specializing in general surgery, they have all been exposed to this kind of patients when they were in the rotation department or internship.

This type of patient is not uncommon and is not as difficult to treat as ectopic appendix. But every doctor will feel a headache. Just the liquefaction of fat after surgery and dressing changes three times a day is enough to make people feel ecstatic.

But it's not done by myself, it's done by a master. Who would think it's a big deal to watch the excitement? Countless barrages flooded the screen, all shouting 666 to Zheng Ren.

There is no reward mechanism in Xinglin Garden, so you can’t see rockets and sports cars flying around.

However, more and more people are online, which has set a new record for the number of people online at the same time in Xinglin Garden.

Everyone’s attention is focused on the two data mentioned in the case: 168cm and 225kg. Coupled with the impactful mountain-like abdominal fat tissue, it is like a beautiful girl that teases the heartstrings of doctors who stay up late at night and watch the live surgery.

"Director Liu, you can do it." Old Director Pan said while flipping through the patient's medical records on the computer.

As soon as the patient arrived, he was taken to the operating table, and only a first course record was completed. However, Director Lao Pan discovered during the first trip that the problem was the same as appendicitis during pregnancy. The patients were all from counties around Haicheng.

Old Director Pan never harms anyone, but after all, he has been engaged in medical treatment for so many years, what kind of evil tricks have he not seen before

Just based on this kind of detail, he could tell that there must be something wrong with the patient's origin.

They are all surrounding counties, and they are all extremely difficult and difficult patients to treat.

See the ghost when there is no problem.

"It's Zheng Ren who is lucky. What does it have to do with me?" Director Liu had climbed out of the quagmire of despair, cheering up and denying Old Director Pan's speculation.

This kind of thing must be denied as long as it is not caught in bed.

"Humph." Old Director Pan did not argue with him, and concentrated on watching the image on the screen, tapping the dilapidated "Pipe Cone" with his right hand.

Cen Meng looked pale and stood behind Director Liu.

He is the chief resident of the first department of general surgery, and he has never regarded Zheng Ren as his competitor. In his opinion, Zheng Ren was too young and had not done any surgeries independently, so he was not worthy of competing with him.

But today, the three appendectomies of various kinds so far told him clearly and silently that Zheng Ren's level had surpassed him by an unknown number of orders of magnitude, and had even surpassed Liu, who was known as the best surgeon in Haicheng. The director may not know either.

"The laparoscopic equipment was not given to him, right?" Director Liu asked provocatively, without suppressing his voice, and deliberately said it to Old Director Pan.

"The endoscopic equipment happened to be broken. I sent it for repair and they said it would take a week to get it back." Cen Meng replied.

Appendectomy in obese patients is currently best performed laparoscopically. After the appendectomy during pregnancy, Director Liu was cruel and asked Cen Meng to put away the endoscopic equipment and never give it to Zheng Ren.

Old Director Pan frowned, and the speed of tapping "Guan Cone" with his fingers seemed to become faster.