Chapter 23: Blind appendectomy

Ask for a referral, hehe.
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After seeing the patient's situation, the Xinglinyuan Forum live room was in a mess.
Dozens of IDs start to spit at almost the same time.
[It turned out to be a fat paper, it was terrible. 】
[Three years ago, I made a fat tissue with a 10 cm thick appendectomy. After the fat liquefaction, the dressing changed for a month, I still have a nightmare. 】
[The same feeling. 】
[Same +1]
......
[Same +10086.]
Fat liquefaction is a very frustrating problem, and even to some extent, it is more headache than pregnant women during pregnancy.
If an attending physician receives acute appendicitis during pregnancy, he can apply to the director for surgery, and no one will blame him.
However, if the patient is too obese and asks the director to come to the stage... then it is necessary to pray that the director will buy the lottery and win the prize. Or the director is his own relative or cognac, or else he will be killed by the director.
When watching the live appendectomy during pregnancy, everyone continually shouted 666, which is a difficult, but rarely done, surgical procedure.
However, the appendectomy of obese patients has been experienced by all of them. Among them, the sweet and sour taste is the same. When the curtain is full, the field has disappeared into the dense barrage.
Continuous epidural anesthesia was quickly completed, Zheng Ren began to disinfect, and the Xie Yi quietly stood in front of the instrument table waiting for a new battle.
After the disinfection was completed, Zheng Renyi reached out and the scalpel handle was handed to his hand.
Open skin, incision 5cm.
Originally, as the stage began to calm down, I was ready to appreciate the sudden opening of the barrage in the live broadcast room.
[With such a small incision, what does God want to do? 】
[I am going to go, this incision can not even see the peritoneum. 】
[Which hospital where the is going, I want to go to study. 】
All doctors who watched the live broadcast had the idea that a 5 cm incision would be just a common appendicitis, perhaps a small incision. But for an obese patient with a fat layer of 10-12 cm thick, it seems that such a small knife can't do anything.
[It is to do laparoscopy. 】
[Agree, you must do a laparoscopy. 】
[Don't be stupid, do you see laparoscopic equipment? God wants to challenge the limits of mankind! Worship mortals, tremble in front of the Great God. 】
Zheng Ren did not do a laparoscopic appendicitis resection. It wasn't because he was slamming the equipment, but when he was doing the appendectomy training in the system space, Zheng Ren found that the endoscope could not reach perfection.
So he is going to complete the operation with a small incision, completing a task that is impossible in the eyes of other doctors.
To minimize fat liquefaction, the first point is to use less electric knife to stop bleeding, it is best not to use. 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 at 2-3 days.
However, Zheng Ren, the last program that has been proven to be effective, cannot be used, because once the indwelling drainage is used, the way of negative pressure attraction will not be a perfect level of surgery.
Fortunately, he has other ways to achieve a perfect degree of complete surgery.
After all, Zheng Ren is a man who does not eat, drink water, and does not sleep to do thousands of appendectomy!
After the skin was opened, Zheng Ren inserted it in a knife, the movement was confident and stable, the scalpel was deeply inserted, and the handle was submerged by the fatty layer of fat.
This knife seems to be inserted in the heart of the doctors who watch the surgery.
Director Pan’s eyebrows were a little tighter, and at the same time, the pot was blasted again in the live room.
[This is killing! 】
[Is there such a big grasp? It stands to reason that no matter what the previous measurement is, the patient will change after lying down. This knife is too rash. A slight mistake will hurt the patient's intestines. 】
[I was shocked and suffocated. If I don’t show up tomorrow, I will inform my colleagues in the department to collect the corpse. 】
Regarding the discussion of this knife, Zheng Ren did not know.
He pulled the scalpel out and asked the Xie to ask for an iodophor gauze, wipe the left middle finger, and then insert it. At the same time, take a long, large curved pliers in the right hand and plunge into the narrow incision.
The surgical field is zero.
How can the system be so powerful that it does not dare to broadcast the situation inside the cavity. If that is the case, the next day Zheng Ren will be taken to the tea by the relevant departments.
Looking at the movements of Zheng Ren's fingers and big curved pliers to the point that it was almost imperceptible, the old Pan director, Director Liu and the live broadcast room in the classroom were silent at the same time.
No one would have thought that this would happen.
Soon, Zheng Ren took out his fingers and big bending pliers, and reached out to use sterile gauze to make a slit protection to prevent pus from contaminating the knife edge.
It turns out that he is a blunt separation of fat layer, muscle fascia, up to the peritoneum.
Looking at the original small incision and stuffing two pieces of sterile gauze, people are speechless. Not to mention the people who watched the operation, even if it was the surgeon on the stage, I was afraid that I could not see what was inside.
But then Zheng Ren’s action shocked everyone.
He disinfected the left again and then inserted it again with the extended big bending pliers.
[I... I don’t know how to comment. If the first live broadcast is to do the appendectomy, I think I will definitely pick up the phone to call the police, and someone will kill it live. 】
[Is this the legendary blind exercise? Can someone tell me? 】
What is the surgeon doing? This kind of arrogance has already flashed my golden dog's eye~EbookFREE.me~ countless surprises in the barrage, only to see Zheng Ren once again want to lengthen the big bend, two large curved pliers occupied It is difficult to enter with all the fingers in all positions.
However, the first big handle left in the abdominal cavity, and the new second big handle left there, which means what the doctors who are watching the live video are clear.
The surgeon has "touched" the appendix with rich clinical experience without the surgical field, and began to ligature the ligament and artery.
For the first time in the live room, I was quiet and there was no barrage.
Everyone is immersed in unimaginable, incredible, this goods must be in the enchanting mood, it is difficult to extricate themselves.
Hair bombing? It doesn't exist at all, everyone is stupid.
Even the anesthesiologist around Zheng Ren was stupid. He opened his mouth and looked at Zheng Ren’s blind exercise with a stunned look.
Only the big heart of the Shea people did not care what Zheng Ren did, but by virtue of the feeling, to estimate what Zheng Ren is going to do next, he handed the corresponding equipment.
The Xie Yi people have confidence in Zheng Ren.
There is no dazzling magical operation. Zheng Ren is familiar with every doctor at every step. It is very clear what to do next, but I can't believe that it is all true.
Because he is blind.
The next step is to cut off the appendix artery...
Then I saw Zheng Ren inserting the smallest blade with the long curved pliers.
Then the...
Then the...
If it goes well, the surgery is over.
When this thought appeared, Zheng Ren began to straighten the big bending pliers out of the incision.
Didn't the blindness of the surgery field be cut off? Is the appendix artery ligated tightly, will there be bleeding?