Chapter 23 Blind Appendectomy

Cen Meng was pale and stood behind Director Liu.

He is the inpatient chief of the First Department of General Surgery, and he never regarded Zheng Ren as his competitor. In his opinion, if Zheng Ren can't speak or flatter, no one will like it.

Therefore, he has not done any surgery independently and is not worthy to compete with himself.

But today, the three various appendectomy operations so far told him unmistakably and silently that Zheng Ren's level has surpassed that he doesn't know how many orders of magnitude, and even surpassed Liu, who is known as the first knife in Haicheng. The director is also not sure.

"Has the laparoscopic equipment been repaired?" Director Liu asked provocatively, without suppressing his voice, he deliberately told Lao Director Pan.

"Director, you forgot that the endoscopic equipment broke three days ago and was sent for repair. It will take a week to get it back, but it will take a few days." Cen Meng replied.

Appendectomy in obese patients, the best way to deal with it is to do it laparoscopically. After the appendectomy during pregnancy, Director Liu was overjoyed, catching up with the failure of the endoscopic equipment and seeing what he would do.

Director Lao Pan frowned, and the speed at which his fingers tapped the "Pipe Cone" seemed to be faster.

When the patient's condition was clearly seen, the live broadcast room of Xinglinyuan Forum became a mess.

Dozens of IDs began to complain at almost the same time.

[It turned out to be a fat paper, which is terrible. 】

[Three years ago, I had an appendectomy with a fat tissue of 10cm thick. The fat liquefied after the operation, and the dressing was changed for a month. I still have nightmares. 】

[Same feeling. 】

[Sympathy +1]

...

【Same feeling +10086.】

Fat liquefaction is a very head-scratching problem, and to a certain extent, it's even more of a headache than a pregnant woman.

If an attending physician was diagnosed with acute appendicitis during pregnancy, he could apply to the director for the operation, and no one would blame him.

But if the patient is too fat to ask the director to come on stage... then you have to pray that the director won the lottery ticket, and the mood is very good. Or the director is his own father or godfather, or he will be sprayed to death by the director.

When watching the live broadcast of appendectomy during pregnancy, everyone kept shouting 666. This is a difficult but rarely done surgical procedure.

But appendectomy for obese patients has basically been experienced by everyone, and the ups and downs are experienced.

The continuous epidural anesthesia was completed soon, Zheng Ren began to sterilize, and Xie Yiren stood quietly in front of the instrument table, waiting for a new battle.

After the disinfection, Zheng Ren reached out and handed the handle of the scalpel to his hand.

Open the skin and make an incision of 5cm.

Originally, with the opening of the stage, it gradually quieted down, and the barrage exploded in the live broadcast room where I was ready to enjoy the surgery.

[With such a small incision, what does the Great God want to do? 】

[Let me go, this kind of incision can't even see the peritoneum. 】

[Ask which hospital the Great God is in and want to study. 】

All the doctors watching the live broadcast have the idea that a 5cm incision is just right for ordinary appendicitis, and maybe it can be called a small incision. But for an obese patient with a fat layer as thick as 10-12cm, such a small incision seems to be unable to do anything.

[It is to do laparoscopy. 】

[Agree, it must be done with laparoscopy. 】

[Don't be silly boy, have you seen the laparoscopic equipment? God wants to challenge the limits of human beings! Worship mortals, and tremble in front of the great God. 】

Zheng Ren did not perform laparoscopic appendicectomy at all. It is not because there is no endoscopic equipment, but when Zheng Ren was doing appendectomy training in the system space, he found that endoscopic cannot reach the perfect level.

Because of endoscopic surgery, the fat layer is mainly electrocuted and electrocoagulated, and the probability of fat liquefaction is particularly high.

So he plans to use a small incision to complete the operation, which is impossible in the eyes of other doctors.

To minimize fat liquefaction, the first point is to use less electrosurgery to stop bleeding, preferably not. The second is to try to avoid pollution. The third is to use negative pressure suction after operation, and the drainage time is maintained at about 2-3 days.

However, Zheng Ren, the last solution that has been proven to be effective, cannot be used, because once indwelling drainage and negative pressure suction are used, it will not be a perfect operation.

Fortunately, he has other ways to achieve the perfect completion of the operation with a high probability.

After all, Zheng Ren is a man who has done thousands of appendectomy surgeries without eating, drinking or sleeping!

After opening the skin, Zheng Ren inserted a knife in it with a confident and steady movement. The scalpel was inserted deeply, and the handle of the knife was submerged by the fatty layer of fat.

The knife seemed to be inserted into the hearts of the doctors watching the operation.

Director Lao Pan's eyebrows tightened a bit, and at the same time, the live broadcast room exploded again.

【This is murder! 】

【Have such a big grasp? It stands to reason that no matter what the previous measurement was, the patient will change after lying down. This knife is too rash. The slightest mistake can injure the patient's intestines. 】

[I was amazed and suffocated. If I don't show up tomorrow, please notify my colleagues in the department to collect my body. 】

Zheng Ren didn't know about the discussion about this knife at all.

He pulled out the scalpel, asked Xie Yiren for a piece of iodophor gauze, wiped his left middle finger, and inserted it. At the same time, he took an elongated large curved pliers in his right hand and probed into it along the narrow incision.

The surgical field is zero.

No matter how awesome the system is, it doesn't dare to broadcast the situation in the cavity live. In that case, Zheng Ren will be taken to tea by the relevant department the next day.

Seeing the almost imperceptible movements of Zheng Ren's fingers and the big curved pliers, the old Director Pan, Director Liu in the classroom and the live broadcast room fell silent at the same time.

No one would have imagined that this would happen.

Soon, Zheng Ren took out his fingers and large curved pliers, and reached out for sterile gauze to protect the incision to prevent pus from contaminating the incision.

It turned out that he was bluntly dissecting the fat layer, the muscle fascia, and the peritoneum.

Seeing that two pieces of sterile gauze were stuffed into the narrow incision, people were even more speechless. Not to mention the people watching the operation, even the surgeons on the stage, I am afraid they can't see what's going on inside.

But what Zheng Ren did next shocked everyone.

He sterilized his left middle finger again, and then inserted it again with the long, curved pliers.

[I...just don't know how to comment. If the first live broadcast was to do an appendectomy, I think I would definitely pick up the phone and call the police now, and someone live broadcasted a murder. 】

【Is this the legendary blind exercise? Can someone tell me? 】

【What is the magician doing? This arrogant operation has blinded my kryptonite dog's eyes. 】

Among the countless barrages expressing surprise, they only saw Zheng Ren wanting to increase the long bend again. The two large curved pliers took up all the positions, and it was difficult for even fingers to enter.

However, the first big bend was left in the abdominal cavity, and the new second big bend was also left there. The doctors who were watching the live video knew what this meant.

The surgeon has "touched" the appendix with rich clinical experience without an operative field, and started ligating ligaments and arteries.

For the first time in the live broadcast room, it was quiet, and there was not a single barrage.

Everyone is immersed in the unimaginable and unbelievable emotions that this guy must be a monster, unable to extricate himself.

Post a barrage? It doesn't exist at all, everyone is stupid.

Even the anesthesiologist beside Zheng Ren was dumbfounded. He opened his mouth wide and stared at Zheng Ren's blind exercise.

Xie Yi, who only has a big heart, doesn't care what Zheng Ren does at all. He just uses his feeling to estimate what Zheng Ren will do next, and hand over the corresponding equipment.

The Xie Yi people have fascinated confidence in Zheng Ren.

There are no dazzling magic-like operations, Zheng Ren's every step is familiar to all doctors, and he is very clear about what to do next, but he just can't believe that all this is true.

Because he is doing blind exercises.

The next step is to cut the appendix artery...

Then I saw Zheng Ren insert the smallest blade with the extended big curved pliers.

Then the...

Then the...

If all goes well, the surgery should be over.

When this idea came to him, Zheng Ren began to straighten the big curved pliers out of the incision.

Without the blind exercises of the surgical field, has the appendix been cut off? Is the appendix artery ligated tightly, will there be bleeding?

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