Please vote for recommendation and take a bow.
++++++
After seeing the patient's condition clearly, the live broadcast room of the Xinglinyuan Forum became a mess.
Dozens of IDs started complaining almost at the same time.
He turned out to be a fat man, which is terrible.
Three years ago, I had an appendectomy where the fat tissue was 10cm thick. After the operation, the fat liquefied and I had to change the dressing for a month. I still have nightmares.
Feel the same.
Feel the same +1
…
Same feeling +10086.
Fat liquefaction is a very head-scratching problem, and to some extent, it is even more troublesome for pregnant women than during pregnancy.
If an attending physician receives a diagnosis of acute appendicitis during pregnancy, he can apply to the director to perform the operation, and no one will blame him.
But if the director is asked to come to the stage because the patient is too obese... then you have to pray that the director wins the lottery and is in a very good mood. Maybe the director is his biological father or godfather, otherwise he is just waiting to be sprayed to death by the director.
When watching the live broadcast of appendectomy during pregnancy, everyone kept shouting 666. This is a very difficult operation that few people have done.
But everyone has basically experienced appendectomy for obese patients. The ups and downs are all shared by everyone. For a while, barrages were flying all over the sky, and the surgical field had disappeared in the dense barrage.
The continuous epidural anesthesia was quickly completed, Zheng Ren began to disinfect, and Xie Yiren stood quietly in front of the instrument table, waiting for a new battle.
After the disinfection was completed, Zheng Ren stretched out his hand and the handle of the scalpel was handed into his hand.
The skin is opened and the incision is 5cm.
Originally, it gradually became quiet as the show started, but the barrage suddenly erupted in the live broadcast room where I was ready to enjoy the surgery.
With such a small incision, what does the master want to do
Come on, you can't even see the peritoneum with this kind of incision.
I would like to ask the master which hospital he is in, and I would like to study further.
All the doctors watching the live broadcast had the idea that a 5cm incision is just right for ordinary appendicitis, and it may be called a small incision. But for an obese patient with a fat layer as thick as 10-12cm, such a small incision seems to be unable to do anything.
I'm going to have a laparoscopy.
Agreed, laparoscopy must be done.
Don't be stupid, boy, have you seen the laparoscopic equipment? The great god wants to challenge the limits of mankind! Worship, mortal, and tremble before the great god.
Zheng Ren did not undergo laparoscopic appendicectomy at all. It was not because Cen Meng put away the equipment, but when Zheng Ren was doing appendectomy training in the system space, he discovered that the laparoscope was not perfect.
So he planned to use a small incision to complete the operation, completing a task that was impossible in the eyes of other doctors.
To minimize fat liquefaction, the first point is to use less electrosurgery to stop bleeding, and it is best not to use it at all. The second is to avoid pollution as much as possible. The third is to use negative pressure suction after surgery, and the drainage time is maintained for about 2-3 days.
But Zheng Ren could not use the last solution that had been proven to be effective, because once indwelling drainage and negative pressure suction were used, it would not be a perfect surgery.
Fortunately, he has other ways to achieve a perfect completion of the surgery with a high probability.
After all, Zheng Ren is a man who has performed thousands of appendectomies in one go without eating, drinking, or sleeping!
After opening the skin, Zheng Ren inserted the knife in with a confident and steady movement. The scalpel was inserted deeply, and the handle of the knife was submerged in the fat layer.
This knife seemed to be inserted into the hearts of the doctors watching the operation.
Director Pan's eyebrows furrowed even more tightly, and at the same time, the live broadcast room exploded again.
This is killing!
Are you so sure? It stands to reason that no matter what the previous measurement was, it will change after the patient lies down. This knife was too reckless. A slight mistake can damage the patient's intestines.
I was shocked and suffocated. If I don't show up tomorrow, please inform my colleagues in the department to collect the body from me.
Zheng Ren didn't know anything about the discussion about this knife.
He pulled out the scalpel, asked Mr. Xie for a piece of iodophor gauze, wiped his left middle finger, and then inserted it. At the same time, he held an extended large curved pliers in his right hand and inserted it along the narrow incision.
The surgical field is zero.
No matter how awesome the system is, it would not dare to broadcast the situation inside the cavity live. If that were the case, Zheng Ren would be taken to tea by the relevant departments the next day.
Seeing the weak and almost imperceptible movements of Zheng Ren's fingers and the big curved pliers, Old Director Pan, Director Liu in the classroom and the live broadcast room fell silent at the same time.
No one would have thought that this would happen.
Soon, Zheng Ren took out his fingers and large curved forceps, and reached out for sterile gauze to protect the incision to prevent pus from contaminating the incision.
It turns out that he bluntly separated the fat layer, muscle fascia, and all the way to the peritoneum.
People were speechless when they saw two pieces of sterile gauze stuffed into the already narrow incision. Not to mention the people watching the surgery, even the surgeon on the stage probably couldn't see what was going on inside.
But what Zheng Ren did next shocked everyone.
He disinfected the middle finger of his left hand again, and then inserted it again with the extended large curved pliers.
I... simply don't know how to comment. If the first live broadcast had been about doing an appendectomy, I think I would have picked up the phone right now and called the police that someone was live streaming someone killing someone.
Is this the legendary blind exercise? Can anyone tell me
What on earth is the magician doing? This kind of arrogant operation has blinded me.
Among the countless comments expressing surprise, Zheng Ren was once again trying to enlarge the curve. Two large curved pliers occupied all the positions, making it difficult for even fingers to enter.
However, the first large curve remained in the abdominal cavity, and the new second large curve also remained there. The doctors who were watching the live video knew what this meant.
The surgeon had already "touched" the appendix without a surgical field and relied on his rich clinical experience, and began to ligate the ligaments and arteries.
The live broadcast room became quiet for the first time, with not a single barrage.
Everyone was immersed in the unimaginable and unbelievable emotions that this guy must be a monster, and they couldn't extricate themselves.
Post a barrage? It doesn't exist at all, everyone is stupid.
Even the anesthesiologist beside Zheng Ren was dumbfounded. He opened his mouth wide and stared at Zheng Ren blindly.
Xie Yiren, who only had a big heart, didn't care what Zheng Ren did. He just relied on his feelings to estimate what Zheng Ren was going to do next, and handed over the corresponding equipment.
Xie Yiren has great confidence in Zheng Ren.
There was no dazzling magic operation. Every step of Zheng Ren was familiar to all the doctors, and he knew exactly what to do next, but he just couldn't believe that it was all true.
Because he is doing it blindly.
The next step is to cut off the appendix artery...
Then I saw Zheng Ren holding the smallest blade with the extended large curved pliers and inserting it.
Then it’s time to…
Then it’s time to…
If everything goes well, the operation should be over.
When this idea occurred, Zheng Ren began to slide the large curved pliers out of the incision.
Without blind surgery in the surgical field, would the appendix have been severed? Is the appendix artery ligated tightly? Will there be bleeding