soon,
The emergency room began to boil.
Especially the group of interns.
"What? Dr. Lin admitted a patient with appendicitis? Cut the appendix?"
"Open surgery?"
"Hahaha, surgery is on again, here is my chance!"
"Doctor Lin, Teacher Lin, I signed up to be the second assistant!"
"Woo woo woo~~~ Teacher Lin, I want to learn! I love to learn, and I feel uncomfortable if I don’t study for a day! Asking for a second assist in surgery!"
"Study makes me happy, Teacher Lin, can I be the second assistant of surgery?"
"Appendicitis is small, but it's also an operation. I haven't had an operation yet. I hope it will be the first operation in my doctor's career!"
"@宋子明, @黄子谦, two eldest brothers, just grab the first assistant position, and the second assistant will leave it to us interns."
Song Ziming: "Hehe...Want to take my chance? Don't think about it!"
Huang Ziqian: "Hehe...Want to take my chance? Don't think about it!"
Although the appendicitis is small, I can learn something by following Lin Feng's surgery.
How is it possible to give up this opportunity to interns?
Don't think about it! !
Interns: "……………………"
Brother Dog than, grab my chance! !
Pooh!
...
...
9 hours later,
The operation begins.
Dr. Zhang Yuan is still ‘instructing’.
First help was robbed by Huang Ziqian, and second help was robbed by Song Ziming. The other interns cried and cried, "dogbi brother"!
Wash your hands, dress, wear gloves...
First, the doctor shaves and cleans the hair, otherwise it will be embarrassing~~
Then, the anesthesiologist injects anesthetic into the patient's epidural.
Soon, the anesthesia was over.
Routine disinfection drape (cover the entire person, exposing the surgical site).
Lin Feng took the scalpel and made an incision in the patient's right lower abdomen.
"Mc's incision": It is an oblique incision of the appendix, which is a commonly used incision in appendectomy. The size of the incision can be adjusted according to the condition of the operation.
Of course, many young and lively doctors like to behave (pretend to be forceful), and pursue the size of McIntosh's incision. The smaller, the more professional they look.
Cut!
With ease!
Get familiar with it!
The cutting size, Lin Feng does not pursue.
Because the size of the incision is determined according to the patient's physical characteristics and condition, not for force.
The scalpel cuts through the skin and subcutaneous tissue layer by layer, exposing the surgical field of vision.
Then separate the external oblique muscles and internal oblique muscles, retract, open the peritoneum with tension, and protect the peritoneum.
Lin Feng looked inside.
It is found that the omentum moves downward, which is one of the symptoms of appendicitis.
Without Lin Feng's hands, the second helper Huang Ziqian has skillfully retracted the omentum, down the colon belt, and found the appendix at the end point where the colon belt converges in the ileocecal area.
"It's appendicitis..."
In the surgical field of vision, it can be found that the appendix is congested, edema, and purulent exudate.
Yellow pus, a little nauseous, but the medical staff were unmoved.
"pliers……"
Dr. Nisuke Huang Ziqian handed the appendix forceps to Lin Feng.
Appendices forceps: The front end is enlarged to form a hollow structure, which can just fix the tubular appendix in it. Compared with surgical instruments such as vascular forceps and tweezers, the appendix is less likely to be damaged or broken.
Lin Feng used appendix forceps to clamp the appendix.
The next step is to dissociate.
Remove all the tissues around the appendix.
The intern watched attentively.
But Lin Feng's speed is very fast!
Swipe~~~
Within 10 seconds, the peeling is over!
Interns: "………………"
"So fast!"
"I haven't entered the state yet!"
"Woohoo~~~"
"Watched for nothing!"
"No, I want to go back twice as slow!"
A burst of crying~~~
After all peeling, the entire appendix was completely and vividly displayed in front of Lin Feng.
It was shaking, as if saying:
"Don't cut me! Don't cut me!"
Lin Feng is about to inherit the purse string suture at the cecum 1cm from the root.
Then Lin Feng raised the knife and dropped the appendix.
Take the appendix away.
Then press the hemostatic forceps at the root ligature to the cecum, tighten the purse-string, and remove the hemostatic forceps.
Then bury the remaining end of the appendix into the cecum, tie the knot, and cut the thread.
At this point, the operation is almost over.
Explore the abdominal cavity, no problem.
Then began to clean the abdominal cavity, close the abdomen and suture.
The series of processes are extremely fast and dazzling.
Get it done!
knock off!
The entire surgical process takes less than 20 minutes.
soon!
A group of onlookers talked about it.
"This appendicitis should be regarded as the most basic ordinary appendicitis in the textbook?"
"But Teacher Lin's speed is really fast."
"As expected of Teacher Lin, appendicitis is all about giving experience."
"Huh... what did I learn?"
"Uh... I don't seem to have learned anything."
"I seem to be shouting 666 all the time~~~"
"Isn't that enough?"
".................."
"Tie the iron, old heart!"
At this moment, the instructing doctor Zhang Yuan, standing behind everyone, looked at the sky.
Lost in thought.
"What am I doing here? Guidance? Does Lin Feng need my guidance?"
"I'm probably a mascot, right?"
"Emmm~~~~"
. .
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