(Thanks to my friend Beizhai 404, Book Friend 20170706084941649, Follow the Waves, eye135, and Wei Run monthly ticket encouragement)

At lunchtime, these interns led by Liu Banxia can be described as "like wolves and tigers", and even the two girls, Xu Yinuo and Liu Yiqing, ate half a steamed bun more.

As for Liang Xiaolin and Qing Keva, not to mention, under the leadership of Liu Banxia, they have a lot more regular performance than these two girls.

"I just received a notice from Shi Lei that I will add a laparoscopic appendectomy in the afternoon. The four people of the first group who will punch the hole and who will dare to punch the hole. Liu Banxia took a sip of egg soup and asked.

As soon as his words fell, Qingkova's small hand was raised high.

"You rest first, this time let the three of them choose first. Liu Banxia said.

Qingkova was not disappointed and went on to eat.

This made Xu Yinuo, Su Wenhao and Miao Rui so nervous, and the first one was originally a small incision.

"The patient who was just admitted at noon had some suppuration in his appendix, and now he is making preoperative preparations, so we have to go directly to the operating room after eating. Liu Banxia added again.

"I'll come. Xu Yinuo gritted his teeth.

"Are you okay?" asked Liu Banxia with a smile.

Xu Yinuo nodded vigorously, but the expression on her face revealed her weakness.

"Funny for you. "Liu Banxia is happy.

Xu Yinuo was stunned, and she felt a little headache. Mr. Liu is a good teacher, more daring than other teachers, and dares to let them try it. But as Dr. Leung said, they are a little out of tune and often play tricks on them.

"Three holes, one for each person. Liu Banxia added with a smile.

The three of them were dumbfounded again, and they were a little relaxed, but now they suddenly became nervous again.

"Alright, give you ten minutes to go to the bathroom, meet at the door of operating room 6. Liu Banxia said as he put the last meal into his mouth.

Listening to his words, the four of them trotted all the way to deliver the food tray, and then ran outside.

"The four of you should also discuss, there are so many appendectomys, everyone has the opportunity to help. It's just that the first operation is very important, and it will affect your confidence in the future operation. Liu Banxia looked at the remaining four again.

"Anyway, there are so many surgeries, you have to choose carefully, and you can't be reckless. Whether it's a laparoscope or a small incision, it's what you need to master. Well...... Secretary Liang's requirements can be appropriately lowered. ”

Liang Xiaolin was very helpless, who let herself be outside her heart. However, I have to say that I have indeed learned a lot of things in the time I have spent with Liu Banxia, and these things are also basic.

The movement at their table naturally attracted the attention of the rest of the people. But it's a little bit of a habit, under the leadership of Liu Banxia, these eight have always been a little noisy.

When Liu Banxia arrived in front of the operating room, Xu Yinuo and the four of them stood here together.

"Okay, I'm full of energy, brush my hands on stage. Who is Yisuke?" Liu Banxia asked with a smile.

"Teacher Liu, they gave me this opportunity. Xu Yinuo raised his hand.

"Next up is me, Dr. Lau. Qingkova also raised her hand excitedly.

Liu Banxia nodded, and then took them to brush their hands on stage.

"Doctor Liu, Director Zhou personally named me to cooperate with you. Wang Lei said seriously.

"Hehe, Lao Wang, then you can choke enough to go home tonight. Liu Banxia said with a smile.

"Hey...... , I don't count on it anymore. Fortunately, Lily understands me and will bring us big bones at night. Wang Lei sighed.

The doctors in the general surgery have been in a little mood recently, and their anesthesiology department is not so good. There has always been a shortage of people, and two have been poached. I also had to cooperate with the surgeries of other departments, and it was also very difficult.

"Make a promise and check the patient's information with Dr. Wang. "At this time, the patient was also delivered.

Xu Yinuo is outgoing, but she is also a little nervous about today's occasion. This means that Wang Lei is already very familiar with Liu Banxia, otherwise he might criticize her a few words.

The four little ones were too excited, but they all forgot to ask Liu Banxia for the patient's case in advance, so they didn't know anything about these.

Looking at Liu Banxia's leisurely appearance, they knew that this was another test for Liu Banxia. Unfortunately, no one passed.

In order to take care of them, Liu Banxia personally drew a line at the punching position, and then marked out the marking line that needed to be opened in an emergency.

"Make a promise, open the hole, and do the probing. Liu Banxia said.

Xu Yinuo was still a little nervous, and his hand holding the scalpel was a little hesitant.

Liu Banxia didn't urge her, these are all tests to be experienced. It's not like Liang Xiaolin who has a slight psychological disorder, so there is no need to put more pressure on her.

After the incision, Xu Yinuo inserted a pneumoperitoneum needle and inflated. After reaching 12 mmHg, the laparoscope was carefully inserted.

"Hmm...... Well...... No puncture site and abdominal organs were found to be intact, no bleeding was found, and the omentum was gathered in the right lower abdomen. If the appendix is markedly swollen and surrounded by fluid, laparoscopic appendectomy may be performed. Xu Yinuo said.

"Okay, you observe, you two make the rest of the holes. Liu Banxia said.

Su Wenhao and Miao Rui were a little calmer than Xu Yinuo, but it was only to a slight extent, and Liu Banxia could see the nervous expressions on their faces.

It is estimated that only Qingkova will not be nervous, after all, there really isn't much to make her nervous in this girl's heart.

After the preparations were done, Liu Banxia stood on the operation position, "Adjust the bed, head high and feet low, and lie on the left side." Make a promise and don't be so nervous. ”

"The operation essentials of laparoscopic appendectomy and conventional resection are actually similar, but the operation method is different. It is not because we choose laparoscopic operation that the basic physiological structure of the human body will change. ”

"No matter what surgery we do, the most basic and most important knowledge to master is anatomy. Only when we have the appendix free can we proceed to the next step. ”

Liu Banxia said in his mouth, the operation in his hand did not stop, and he patiently separated it with non-destructive forceps. The reason why it is so slow is to let the four of them see their own operation process clearly.

He had just clamped the mesangial appendix with non-destructive forceps, and when the appendix was lifted, the operating room was opened, and Chen Zhenxing and Zhou Zhiyong walked in.

"You go ahead, we're just visiting. Chen Zhenxing said with a smile.

Liu Banxia was a little helpless, he didn't care, anyway, he had been supervised and operated by the bigwigs many times, but now the pressure on Xu Yinuo was a little great.

"The base of this patient's appendix is not very thick, only the front end is a little suppurated, so we have a lot of options in terms of ligation, which can be tied with threads or titanium clips. Liu Banxia continued, drawing Xu Yinuo's attention back.

"I'm more inclined to tie the thread, especially when you're starting out, a little more will make you more proficient. But no matter what way we do, we need to be steady. ”

"Later you can work on your hand and wrist strength in your spare time, and now I've got the ligation done. Which of you would like to experience the joy of having your appendix cut?"

"I want to. "The quickest reaction was still Qingkova.

Liu Banxia nodded to her, and Qingkova happily came over and cut the appendix in the middle of the ligation section, bagged it, and rinsed it.

"Our goal in rinsing the specimen bag is to prevent contamination of the puncture hole and infection when raised. Liu Banxia continued.

"We have to take into account the possibility of secondary contamination as much as possible in every step of the operation, otherwise we will have a successful operation, but because we don't notice these small things, it will lead to postoperative complications, and we can't get over it with our conscience. ”

After bringing it up, Liu Banxia used a scalpel to cut the appendix open, and there were several dung stones inside, which was the culprit that made the appendix inflamed and suppurated.

"Okay, the next operation is very simple, do the purse sewing. The sutures should not be too tight, and when they are done, push the stump of the appendix forward and tighten the sutures. Liu Banxia continued.

"Suction ...... Rinse...... There were no bleeding spots, oozing blood, or oozing, but because the patient's appendix was suppurating and oozing, a drainage tube should be left first. ”

The drainage tube was inserted, because the place that needed to be sutured was not very large, so Liu Banxia sewed it up easily.

Ding! Daily Mission Complete (20/20)

Gain 300 XP and 5 Glory

Awesome Challenge Mission Complete (1/50)

Gain 200 XP, 500 Appendectomy Skill Proficiency, 100 Dressing Change Skill Proficiency, 100 Suture Skill Proficiency, and 400 Diagnostics Skill Proficiency

This operation is rated as Flawless, and you will receive 200 experience points, 500 appendectomy skill proficiency points, 200 dressing change skill proficiency points, 200 suture skill proficiency points, 400 diagnostic skill proficiency points, and 1 glory value

turned out to be a flawless level, Liu Banxia was a little regretful. However, he gave a lot of experience, which may be because he was very detailed in the process of explanation, and he didn't see how much the proficiency of diagnostic skills was given.

"You send him back to the ward, and then tell the four to come. Liu Banxia said.

"Are you going to take turns teaching?" Chen Zhenxing said.

"Dean, are they all in the emergency room, I just want them to feel more. Liu Banxia hurriedly said.

Chen Zhenxing smiled and nodded, "Listening to Shuwen, you plan to share some of the pressure for him, it's good." The next surgery will be done in the teaching operating room, today and tomorrow, the teaching operating room will be your exclusive operating room. ”

Liu Banxia was a little embarrassed, and this movement made a little fuss.

"No confidence?" Zhou Zhiyong asked with a smile.

"Yes, it's just that my level is very average, and I'm afraid that I will make people laugh if I see too much. Liu Banxia said embarrassedly.

"Rest assured, there are six patients who have chosen to have laparoscopic surgery replaced with small incisions. The teaching guidance you just gave was very good, and there is a lot to learn from. Chen Zhenxing nodded.

After finishing speaking, the two bigwigs walked out happily, and Liu Banxia was also happy. I was praised again, and my mood was really beautiful.

As for the pressure of operating in the teaching operating room?