"Burn my calories!" Zheng Ren changed his clothes and before he entered the operating room, he heard the voice of a middle school student shouting.
This must be Chu Yanzhi. Now she can only burn calories. After all, she hasn't slept all night.
Entering the operating room, Xie Yiren had already dressed and stood in front of the instrument table to count the instruments.
Zheng Ren went to wash his hands and when he came back to disinfect, he asked, "How much did they drink?"
"Eleven boxes per person, and finally drank up all the big green sticks in the crayfish shop." Chu Yanzhi opened her arms exaggeratedly, trying to describe the height of the box, but failed in the end.
"You're really looking for death." Zheng Ren cursed fiercely while disinfecting.
"It's about Su Yun." Chu Yanzhi was one of the few people who had no sense of Su Yun's charm. She immediately passed the blame on Su Yun, "I tried to persuade him many times, but he insisted on drinking. "
"Alas." Zheng Ren sighed.
I hope Su Yun can learn his lesson and don't think that girls can't drink. If this continues, sooner or later he will be incontinent due to Chang Yue's drinking.
After disinfection, laying out sterile drape, putting on surgical gown, and laying out another layer of sterile drape, Zheng Ren stood under the shadowless lamp and prepared for surgery.
The scalpel in his hand was a little bright.
The incision was not made according to the standard appendix incision, nor was it made a small incision like the night of the appendix.
Zheng Ren made an incision of nearly 10cm next to the right rectus abdominis muscle.
Because the patient is very thin, after incision, the subcutaneous tissue and muscles are simply separated to reach the peritoneal layer.
Zheng Ren frowned. It was visible to the naked eye that the patient's peritoneum had turned black. In other words, the infection has lasted for a long time, at least more than three days.
This man's vitality is really strong, and he can survive appendicitis to perforation and acute peritonitis. You know, the severe pain of a perforated appendix is not something everyone can bear.
Zheng Ren stretched out his hand, and the condom-wearing suction device touched his hand.
In the Xinglin Garden live broadcast room, the live broadcast is in progress.
Because it was early in the morning, the number of people was relatively small, only a few hundred people.
Yes, there are fewer people. Normally, when this unknown account broadcasts a live broadcast, there are at least a thousand people watching.
The peritoneum turns out to be black. Is this infection still treatable
The master can also remove feces. I thought he was a hepatobiliary and pancreatic surgeon.
Young man, have you just arrived? Did the great god perform 49 appendicitis miracles in one night
There is no doubt that the suction device must be inserted in the first moment after opening the peritoneum to suck out the pus, digestive juices, and food residues in the abdominal cavity to prevent them from flowing out and causing secondary contamination.
It’s strange, why didn’t I see any food residue
Yes, I had a gastric perforation a few days ago, and there were lumps of meat.
The master is so cool. He made it clear that he wanted to dig out the feces, but when he opened it, it was clean.
The suction device sucked out pus and exudate, but no food residue or feces.
Zheng Ren felt uncomfortable. Although the difficulty of the operation had been reduced, it meant that the man lying on the operating table had not eaten for three to five days.
No wonder he has a big frame but is skinny.
After sucking out the pus and exudate in the abdominal cavity, Zheng Ren used peritoneal protection and carefully opened the abdominal cavity.
A large black appendix appeared in the surgical field.
There was a perforation at the base of the appendix, and the area around the perforation was gangrenous and carbonized.
Zheng Ren carefully peeled off the tissue around the appendix, and his movements were more than twice as slow as any previous surgery.
The carbonized tissue is extremely brittle and has been adhered to the surrounding tissue for many days. If you are not careful, peeling off the carbonized gangrenous tissue will cause irreversible damage to the surrounding tissue.
Although the surrounding tissue looked pale and miserable, at least there was no gangrene, and recovery might not be possible.
It's so nervous to watch... This is the appendix artery, right? A gangrenous appendix artery won't spurt out blood.
Are you a doctor? After gangrene, the appendiceal artery will shrink and be partially blocked. As long as the ligation is secure, there will be no bleeding. The difficulty lies in how to tie it firmly. The edema in the non-gangrenous area above the appendiceal artery is really serious. If you are not careful, the ligated knot will fall off when the edema disappears.
It is possible to sew two stitches, but the strength is difficult to control, and tears may occur if you are not careful.
Soon, the doctors in the live broadcast room began to discuss the condition attentively. Discussing with each other can indeed break through personal limitations. Before Zheng Ren reached the point of ligating the appendix artery, they had already discussed the difficulty of the operation.
Although this is only the most basic knowledge, it is rare for everyone to have an appendix that is gangrenous to this extent.
With the advancement of social civilization, medical and health conditions have improved greatly every year. Hospitals are located all over the country. Even if there are no tertiary hospitals, there are always community hospitals and barefoot doctors.
Even in the most remote villages, there are barefoot doctors who can treat appendicitis.
I endured the severe pain caused by appendicitis until it was perforated, and then I endured the infection and toxic shock...
Neither Zheng Ren, who was undergoing surgery, nor the many doctors in the live broadcast room had ever encountered this before.
What kind of person is this!
Zheng Ren carefully used a pair of tiny tweezers to gradually separate the adhesions between gangrenous tissue and normal tissue, taking every step with great care.
"Wipe the sweat." Zheng Ren said.
Chu Yanzhi very obediently came to Zheng Ren with a piece of gauze.
Zheng Ren turned his head and left the surgical field. Chu Yanzhi wiped the sweat from the sterile cap on his head.
"Do you want an assistant? I had surgery in West China." Chu Yanran said suddenly.
"No need." Zheng Ren refused directly.
Pooh! A single guy who can't find a girlfriend.
If you are so straight, where can you find a girlfriend
Chu Yanran's suggestion didn't cross Zheng Ren's mind at all. He was nervous about moving gently, otherwise it would cause large-area tissue tears, which would have a great impact on postoperative recovery. It's not that the surgical field is not enough and the situation inside cannot be seen.
Under the current circumstances, even if Chu Yanran came to power, there wouldn't be much she could do to help.
It's just that his attitude in speaking is too direct, alas, poor single guy.
The stitches are tied! Start sewing!
Don't push me, your barrage is blocking my view.
Use a large round needle? My guess was indeed correct, large round needles and deep seams can prevent tearing.
Stop talking nonsense. It's your turn. Now the surgical field is full of torn tissue and oozing blood. You can handle the patient's rescue.
Yes, then cut the diaphragm and perform heart compressions directly under direct vision.
Zheng Ren moved the needle in his hand dexterously and penetrated deeply into the body tissue under the appendix artery.
Relying on the feel of his hand, Zheng Ren kept inserting the needle until it was below the edema area. Then with a flick of his wrist, the large round needle came out from the other side.
Handing the needle holder to Xie Yiren, Zheng Ren tied a very complicated surgical knot with his hands.
My heart is about to burst out of my chest.
It will tear if you are not careful, so be careful.
I'm not worried at all. Can a master still make such a mistake
666~~~The strength is just right. How did he develop his feel
Damn it, Xinglinyuan can’t give rewards, otherwise a burst of positive energy will be sent to the great god.
After ligating the appendiceal artery, Zheng Ren rested for more than ten seconds, and then began to peel off the gangrenous appendix that was adhered to the peritoneum, omentum, and nearby intestines again.
===========
The story of Eleven Boxes of Big Green Sticks was told by a... not a friend, but a sister I know. She said that when she graduated from Chinese Opera, she drank from morning to night with the most drinkable boy in the class. She drank eleven cases and made the boy wet his pants. Just treat it as a joke, I don’t know if it’s true or not. Anyway, on the day of the meal, I saw her drinking a bottle of whiskey casually, just like drinking water.