Chapter 13 Ectopic Acute Suppurative Appendicitis

Zheng Ren dropped the knife, the incision was 5cm, and the standard small incision appendectomy was performed. The equipment nurse was from Xie Yi, and watched the movements in Zheng Ren's hands intently. Before it was about to be completed, he estimated the next operation and handed over the equipment.

With the standard, very professional.

Electrocautery to stop the bleeding, blunt separation of the small bend (forceps), and a "misdiagnosed" operation was started step by step.

In the classroom, Cen Meng cheerfully looked at the screen and said to himself, "With such a small incision, I'm really confident."

"Yeah, standard appendectomy openings are rarely so small."

"This time I really learned."

The yin and yang's strange comment sounded like a slap, slapped on Director Pan's face one after another, with a crackling sound.

His head was getting lower and lower, ready to be swept across the floor.

Supporting Director Pan's beliefs, only Zheng Ren's performance of the combined pancreatoduodenectomy performed like a fairy in the sky was left.

In Xinglin Garden, it is more lively than Shi classroom.

After all, it is a live webcast, no one knows anyone, there is no entanglement of interests, only pure academic discussions.

So it's more direct and harder to hear.

"Does the surgeon want to go to heaven?"

"The diagnosis was acute appendicitis. According to his diagnosis, the inflammatory cord in the gallbladder area is a purulent appendix. Don't force it, just watch the operation of the Great God quietly."

"This is the most outrageous operation I've ever seen. It's a miracle that this doctor can survive until now without being beaten to death."

Whether it was the discussion in the classroom or Xinglinyuan, Zheng Ren could not hear it.

The operating room was very quiet. Zheng Ren used a small gauze to protect the wound. When he reached out, a pair of middle-curved pliers landed on his hand.

"Aspirator, wear a condom." Zheng Ren slapped the middle bend on the sterile sheet, looked at Shuye intently, and said indifferently.

Xie Yiren's judgment made a mistake for the first time, and he quickly screwed up the sleeve of the suction device and patted it into Zheng Ren's hand.

The suction device made a "hissing" sound, breaking the silence in the operating room.

Zheng Ren held the suction device in one hand and bluntly separated the peritoneum with curved forceps in the other. As soon as the peritoneum opens, the suction device is inserted.

"Cen Meng, go and prepare to brush your hands." Director Liu arranged for Zheng Ren to open the peritoneum when he saw that Zheng Ren wanted an aspirator.

His voice was not loud, but it was just enough for Director Pan to hear clearly.

This is contempt, unabashed contempt.

Zheng Ren's surgery, from the opening of the skin to the present, has nothing to be picky about. If it is really nitpicking, the technical authority will be questioned.

But Director Liu was convinced that Zheng Ren made a mistake in his diagnosis. When the peritoneum was opened, he arranged for his own person to brush his hands and prepare to take over the next operation.

Seeing that the script was progressing according to his expectations, Director Liu showed a smile on his face.

He is not going to have this operation, even if it is complicated acute cholecystitis, he does not need to have it at all, Cen Meng can always handle it in this hospitalization.

I just need to sit here and mock Director Pan with my eyes.

In the live broadcast room of Xinglinyuan Forum, barrages began to swipe.

"Grass! It's really done according to appendicitis, such an awesome doctor is too rare."

"He doesn't even need an assistant, where does he get the confidence?"

"Aspirator? Is this live broadcast a joke? If he can suck out the pus, I will live broadcast and eat the pus."

…………

The aspirator quickly fell into the opening of the peritoneum, just right, not even a trace of pus would flow out.

As soon as it was put in, clumps of greenish-yellow pus were drawn out from the tube of the aspirator.

The amount of pus was large and the suction took 32 seconds.

In the classroom, Cen Meng, who was about to take orders to brush his hands, was stunned, and Director Liu's smile froze on his face.

pus? Generally cholecystitis does not appear pus exudation, the most common clinical is acute appendicitis exudation pus.

Is it really acute appendicitis? Is everyone diagnosed wrong?

impossible! Both Cen Meng and Director Liu are desperately recalling the B-ultrasound performance of acute suppurative appendicitis. Even if it is an ectopic appendix, there should always be a hint from the B-ultrasound.

Cen Meng stood at the door, neither walking nor not walking.

He began to shake. If it was appendicitis, he would stand in the operating room with his hands brushed, would he be slapped in the face by the live broadcast? If that were the case, it would be a shame.

In the live broadcast room of Xinglinyuan, the barrage was completely swiped.

"It's awesome. It can really suck out the pus, and it won't break the gallbladder."

"Is the brother who said he was going to live broadcast okay? Is the pus delicious? Just wait for the live broadcast."

"I'm going... Is it really appendicitis? Why haven't I seen such a case?"

"Suppurative appendicitis, only a small 5cm incision is made. I am really confident. Which big cow is making a live broadcast?"

After 32 seconds, pus no longer appears in the suction.

Zheng Ren put the suction device on the sterile gauze laid by Xie Yi to avoid contaminating the operating area.

Then proceed to separate the peritoneum.

The peritoneum was opened 3cm, and a thick and large, purple-black purple-black thing came out.

Continue to separate, the peritoneum is separated by 5cm, and a purple-black purple-black thing jumps out directly.

Congestion, edema, and white pus moss.

No matter what shape it is, as long as it is a surgeon, you can recognize it at a glance, and the thing in front of you is the appendix.

Only the appendix.

Must be the appendix.

The classroom was dead silent.

Director Liu's smile was frozen on his face, and the orbicularis oculi muscle couldn't stop shaking, as if it had been electrocuted.

At this moment, Director Pan gradually straightened his waist, stared directly at the screen, and clenched his fists slightly.

In the live broadcast room of Xinglinyuan, the barrage disappeared for a while, as if everyone realized that this was really an appendectomy, an appendectomy that opened in the upper right abdomen.

After 47 seconds of silence, the barrage began to appear intermittently.

[Paralyzed, I really saw Daniel. 】

[What I am curious about is how he was diagnosed. None of the test reports given before the operation can be determined to be an ectopic appendix. I can guarantee that the surgeon must have hidden other checks. 】

[It's as if you can make a diagnosis by doing an MR of the lower abdomen, mortals, tremble in front of the Great God. 】

Zheng Ren's hands were steady, not fast, but accurate.

Because of the congestion and edema of the appendix artery, Zheng Ren did not use conventional ligation, but sutured. The small needle and thin thread travel up and down between the square inches of 5cm, with ease.

The purulent appendix was severed and thrown into the specimen basin with forceps.

Zheng Ren stretched out his hand, Xie Yiren's movements were a little slow and hesitant.

"Xiaowan, scissors." Zheng Ren seemed to know what Xie Yiren was thinking, and said without looking back at the operating area.

"After the appendix is ​​removed, it should be rinsed with warm saline. What does he want Xiaowan and scissors for?" In the classroom, someone asked a question.

Although it was a question, there was absolutely no blatant contempt that he had before the operation.

Yes, not to mention the operation, just being able to accurately judge the ectopic appendix is ​​enough for countless surgeons to blow it for a lifetime.

Moreover, the operation performed by others is called a beautiful one. It only took 3 minutes since the skin was opened, and half a minute of it was sucking pus.

In order to avoid being slapped in the face, those in doubt can only hold back. When asking questions, I only dare to use the smallest voice, which is similar to slander.

【Small bend? Scissors? What is this for? 】

[The appendix has been removed, what else to show? Daniel, you are already very good, leave a classic memory for us, don't play it. 】

[What do you know, people are not better than you? 】

Xinglinyuan is worthy of being a professional website. Once the skill of the practitioners is discovered, most of them kneel immediately.

Only technology can get close to technology, and those who are willing to browse such professional websites are basically technical.

They have a cult attitude towards high-level surgery.

[He is free from the pus moss attached to the gallbladder wall! 】

[Oh my god, isn't he afraid of damaging the swollen gallbladder? 】

【Worship! I want to know which great god is doing the surgery, I'm going to study! 】

Ask for a recommendation ticket, thank you, and bow.