Start with the universal emergency physician

Go straight to the fourth battlefield.

Originally, I thought that Ye Chen would continue to use the suspension technique, but this time Ye Chen had to undergo single-port laparoscopic surgery.

The commonly used laparoscopic technique is the three-hole method, which, as the name suggests, is to open three holes in the patient’s stomach to assist in completing the operation.

In the single-hole method, only one instrument needs to be inserted to remove the appendix.

The single-hole method is better than the three-hole method and the double-hole method, with almost no visible scars on the abdominal wall, excellent cosmetic results, and very good postoperative recovery results.

It’s just that the operation is very difficult, so it is not widely used.

The three-hole operation is not a simple matter for some doctors, let alone a single port.

Ye Chen also used the single-hole surgical method!

“Adjust the bed, the patient’s feet are 15 degrees above the head, tilted 15 degrees to the left, and the pneumoperitoneum pressure is 10mmHg.”

Under Ye Chen’s orders.

Nurses and aides got busy.

Ye Chen then incised a 2 cm long approach along the subumbilical ring.

“Director Liu, please help me lift the patient’s other abdominal wall.”

“Ah, good!”

Liu Hongjie immediately complied, using cloth tongs and Ye Chen to lift the abdominal wall from both sides of the umbilicus, and placed a 10mm and two 5mmTrocars respectively, 10mmTrocar is located at the left end of the incision, and 5mmTrocar is placed at the midpoint and right end, and inserted through different apertures, the direction is obliquely to the right lower abdomen, and the 30-degree speculum and two separation forceps have been bent into the abdominal cavity together to explore to check the position of the appendix and the degree of lesions.

Finding an appendix is the same as an open appendectomy, and Ye Chen’s eyes are different from others, and he can see where the appendix is at a glance.

Then, a large straight leather needle with line 7 is inserted directly above the abdominal wall projection of the right lower abdominal appendix, and the tip of the appendix is sealed in the abdominal cavity with a laparoscopic needle holder, and then the appendix is stretched outside the skin from the abdominal wall.

The patient is 24 years old, thin and not much fat, and the blood vessels of the appendix can be clearly seen, but the electrocoagulation hook is used to close to the appendix to perform electrocoagulation cautery treatment on the appendix mesangium, and successfully reaches the base of the appendix.

The two clamps combined to bypass the root of the appendix with a No. 7 silk thread, the slip knot in vitro was tied tightly with a knot pusher, and after the ligation was again 1 cm apart on its distal side, it was short between the lights, the stump was 5-7mm long, and the inner membrane of the stump was destroyed by electrocoagulation.

Because the patient had severe inflammation, in order to avoid infection caused by contaminated wounds, Ye Chen put the appendix specimen into the specimen bag and pulled it out.

The patient has little purulent exudate in the abdominal cavity, and directly uses gauze to dry it, and finally suture the umbilical wound.

The last time is 31 minutes.

【Ding! Successful removal of the Lv.8 lesion appendix earns +160 XP, +320 XP, and +800 RMB in money. 】

【Ding! Congratulations to the host and apprentice for completing the operation together, task progress: 4/10].

After watching this operation, Liu Hongjie was so shocked that his jaw dropped.

For single-port laparoscopic surgery, the speed varies from doctor to doctor, with an average time of 55 minutes and close to an hour.

And Ye Chen’s speed is much faster than the average!

This technique has definitely reached the level of a chief doctor!

And after four surgeries in a row, there were no problems!

“Master, you are too strong, I think… I can’t learn…”

Ye Chen walked off the operating table and said lightly: “You are so smart, you will definitely learn it in the future.” ”

Although it was only an appendicitis operation, after seeing Ye Chen’s technique, Liu Yiyi simply respected Ye Chen.

The master she worships is really amazing!

Liu Yiyi secretly made up her mind.

Be sure to study with Master seriously.

Liu Hongjie also thought in his heart that he must cultivate Ye Chen into his own person!

Fifth operation.

Liu Yiyi and Liu Hongjie were both looking forward to whether Ye Chen would use the new method.

However, Ye Chen said: “This time I will not do laparoscopic surgery, but open surgery.” ”

Now everyone was shocked.

Do open surgery directly?

That’s not difficult, the most traditional surgical method.

Liu Hongjie smiled in his heart: After all, it is only a resident doctor, so many surgical methods are enough, and they are all so tired, it is nothing to change the easy surgical method.

However.

It wasn’t what they thought.

Because Ye Chen used a small incision excision.

Appendicitis resection is most commonly performed with a diagonal incision 5-7 cm long through the Mai’s point, which will leave a less aesthetic scar at the end.

Minor incisionectomy is an improvement by surgeons in the positioning, size, and surgical operation of the incision in appendicitis.

Small incision appendectomy is effective.

It is also one of the commonly used surgical methods in surgery.

However, the difficulty is not comparable to ordinary open surgery.