(Thanks to my friend 08a and head Ou for their encouragement)

"Don't be nervous, they'll have surgery with small incisions, and they won't be able to see if you sew slower. When he walked outside the station, Liu Banxia comforted him.

"Are you okay? On the train, you keep talking, not nervous, and you say you're nervous. Liang Xiaolin said angrily.

Liu Banxia grinned, but he was actually a little nervous.

Don't look at the small incision appendectomy has been eaten thoroughly, I also played with Shi Lei last time, but this time it was he who took the lead, and the meaning is different.

"Dr. Liu, it's been a hard time. As soon as he walked out of the station, Xu Chengjun greeted him.

"Dean Xu, you are polite, this is Dr. Liang, I'm afraid that I will survive three surgeries, and I will be too tired. Liu Banxia said.

Xu Chengjun nodded at Liang Xiaolin, and then beckoned the two of them to get in the car and rush to the JS District Hospital.

"Dean Xu, these three are routine surgeries today, right?" asked Liu Banxia.

Xu Chengjun nodded, "It's all routine surgery, but it's not three, it's four." Last night, a patient was admitted to the hospital with acute abdominal pain and acute appendicitis, which was not well controlled with medication. ”

Liu Banxia frowned, "Put this one in front of you, don't drag it into purulence or perforation." And I can't guarantee that this patient will be able to continue with the small incisions, I have to watch the film. ”

"Understand, understand, have communicated with the patient, they are doing the final check-up when I come out. Xu Chengjun hurriedly said.

They are all doctors, and they still understand this, knowing that this is not Liu Banxia's pickiness.

There are many advantages to small incision appendectomy, but not all conditions are universal. If the appendix is severely suppurated, it is likely to be perforated and prone to rupture when the appendix is raised.

At that time, it is necessary to choose a more secure option and perform a routine excision. Otherwise, the incision will have to be expanded halfway, otherwise it will not be possible to deal with the oozing and pus in the abdominal cavity.

Today's reception can be described as grand, not only the doctors of general surgery are waiting in the courtyard for time, but also the banners are hung upstairs.

Liu Banxia is big enough, but he is a little embarrassed to give such a high-standard reception.

"Doctor Liu, in order to leave valuable study materials, can we set up a video camera in the operating room?" asked Xu Chengjun after getting out of the car.

Liu Banxia smiled and nodded, "What's this, it's not an unsightly thing." As long as the patient agrees, I'm completely fine. Then, according to what we said before, the relevant information and prognosis of the patient will give me another copy. ”

Xu Chengjun was very happy, but he was worried that Liu Banxia would not agree.

Their idea was to take a closer look at the techniques of small incision appendectomy through video, which was a difficult hurdle for their hospital to overcome this year.

Before entering the operating room, Liu Banxia carefully looked at the patient's relevant examination data.

"This patient can also make small incisions, so I should be careful when I mention them. After reading it, Liu Banxia said.

"Okay, then let's go on stage, these four stations are all right in the morning, right? In the afternoon, we have to make time for a good chat. Xu Chengjun asked.

Liu Banxia smiled and nodded.

After brushing his hands on stage and checking the information, he personally checked it to determine the location. This relaxation and ease are a little curious in Liang Xiaolin's eyes.

When I was in the Second Hospital, I didn't see Liu Banxia's performance in the operating room, and at that time, she felt that this person was a little improper, and the same was true in the operating room.

But today I still behave a little indecently, and I feel different. Whether it's chatting with patients or other doctors in JS District Hospital, there is a sense of calmness.

This time, Liu Banxia chose an incision of 2 centimeters, and he didn't dare to hold it too big. He was also worried that he would have a situation that he did not grasp, and that a two-centimeter incision could be handled.

Don't look at it, I haven't had surgery for a few days, Liu Banxia's speed is not slow, but it took some more time to lift the appendix this time.

The last time I came for surgery, basically the appendix was raised in five or six seconds, but this time it took a full thirteen seconds, which took twice as long as before.

I don't blame him for being so careful, this appendix is a little fat, and an abscess can be seen. A bigger move may really tear the appendix, and then it won't end well.

"Whew...... I'm sweating. It's just right, if it drags on for another two hours, it might be dangerous. After cutting it off, Liu Banxia said with a smile.

"Doctor Liu, tell me honestly, did you have such a judgment before the knife? I see that you used very light force when you percussion. Xu Chengjun asked.

Liu Banxia nodded, "It's also a guess, combined with our ultrasound report." ”

"Hey...... , it is really a master of art who is bold. If it were replaced, I would definitely have to make a larger incision, otherwise I wouldn't dare to lift it out. Xu Chengjun said with emotion.

This is not to praise Liu Banxia to say this, this is sincere.

No matter what the craft looks like, it is easier said than done. Liu Banxia only made a judgment based on the image, and when he probed with his fingers, he felt the actual condition of the appendix, which is his ability.

After the tail end was treated, I looked carefully through the incision, there was no oozing, no bleeding spots, and the suturing work was handed over to Liang Xiaolin.

After the appendectomy is completed, you will gain 200 experience points, 300 appendectomy skill proficiency points, and 200 diagnostic skill proficiency points

This rating is perfect, gaining 800 experience points, 700 appendectomy skill proficiency points, 600 diagnostic skill proficiency points, and 5 glory points

Liang Xiaolin's suturing technique also has advantages, the suture is very meticulous, every stitch is very serious, the only drawback is that the speed is a little slow.

However, Xu Chengjun and the others didn't know, they only knew that Liu Banxia was going to train a newcomer, so they gave him this face, and they also praised him after stitching.

Time is a little tight, and I have to jump to the operating room to make the next one.

Liu Banxia still habitually looked at the patient's preoperative examination report first, and if there is systematic support, you have to follow the rules, at least you have to determine whether it is ectopic or not, otherwise it will be a joke.

After brushing his hands on stage and seeing the patient on the operating table, Liu Banxia frowned. I just paid attention to the imaging part of the examination report, but I didn't expect the patient to be so thin.

Recalled, the patient was 56 years old and did not remember the weight.

Task posted: emaciated patients

Open-ended task: The host finds the patient emaciated, suspects an underlying disorder, and requires further investigation. Task rewards will be distributed based on the inspection results

"Do you have any other symptoms besides the pain here?" asked Liu Banxia when he was doing a percussion.

"There's nothing else, I don't dare to eat cold, as soon as I eat cold, I will have diarrhea. The patient said.

"When did you notice the pain here?" Liu Banxia asked again.

"It's more than 20 days, less than a month. The patient said.

Liu Banxia looked at Xu Chengjun, "Dean Xu, I personally recommend giving the patient a colonoscopy. Let's put this operation at the end, it's a little unclear. ”

Hearing Liu Banxia say this, Xu Chengjun's heart tightened, maybe there was a missed diagnosis, but Liu Banxia didn't say it directly.