(Thanks to my friend 08a for his encouragement)

Brush your hands and go on stage, today's partner in the anesthesiology department is still Wang Lei.

"Mascot, check patient information. ”

Standing on the edge of the operating table, Liu Banxia directly burst out a sentence that no one understood.

There's really no way, it's the operation he was thinking about. It can be said that since the beginning of the second hospital, I have been thinking about cutting off an appendix.

However, Tiangong was not beautiful, and finally looked forward to one, and asked Qin Hai to ask Qi Wentao to go.

Today's station is not only his short-term life goal, but also related to his job transfer task. So I was a little nervous, and directly called out Liang Xiaolin's "flower name".

He also knew that this sentence was too abrupt, and he was embarrassed to see the big guy's eyes.

"Well, Dr. Liang, you can check. ”

After holding back for a few seconds, Liu Banxia spoke again.

Although the patient lying on the bed was also fighting the pain, he was almost amused to hear him say this.

Liang Xiaolin was very helpless, but there was no way. Second help, you have to listen to the orders of the main sword.

"Don't be nervous, you won't feel anything after the anesthesia takes effect. After checking, Liu Banxia said with a smile.

"Today you have definitely reached the VIP standard, as one of my assistants, he will become the deputy chief physician in the near future. If he hadn't worked hard, he would have been on it a long time ago. ”

Hearing his words, the patient looked at Shi Lei. made Shi Lei very depressed, and his eyebrows wrinkled.

"This is also the future famous doctor of our Second Hospital. Coupled with my appearance, your money today is really not in vain. Liu Banxia continued.

"Didn't you say she's a mascot? The patient was curious and told the truth.

Wang Lei couldn't be amused and laughed heartily.

Liu Banxia is not pure, no matter who lies on the operating table, he will be nervous. Such nonsense can relieve the patient's emotions.

"Because I considered that the patient's appendicitis might rupture, I decided to choose the McCelotchy incision, five centimeters. After receiving Wang Lei's signal, Liu Banxia picked up the scalpel.

Looking at the first knife cut by Liu Banxia, Shi Lei nodded with satisfaction, this kid has really worked hard behind his back.

Don't underestimate this knife, you have a good grasp of proportion.

"Electric knife. ”

With Liu Banxia's password, the instrument nurse Liu Mei handed over the electric knife.

This knife directly cut to the aponeurosis of the external oblique muscle, and watched Liu Banxia open the aponeurosis of the external oblique muscle and the external oblique muscle in turn. When the peritoneum was about to be opened, Liu Banxia separated the gap between the peritoneum and the peritoneal muscles, and at the same time placed the gauze horn on the peritoneum.

After the peritoneum is incised, the gauze is quickly filled into the incision, and the remaining peritoneum is cut outside the gauze, exposing the abdominal cavity.

Looking at his operation, Shi Lei wanted to give him a thumbs up.

Appendectomy is a simple procedure, but for many people, it is not as easy as it seems.

Some people deliberately narrow the incision in order to show off their skills. Then it was very embarrassing, and during the procedure, the incision had to be enlarged. The 5 cm option is considered decent, but it is also determined taking into account that the patient's appendix has already suppurated.

The gauze just now is to prevent contamination of the incision when collecting pus, so it will be troublesome to clean up.

Moreover, now Liu Banxia's entire incision is large on the outside and small on the inside, which is not only conducive to the operation, but also conducive to the patient's postoperative healing.

Throughout Liu Banxia's operation to the present, every operation is clean and neat, without any feeling of dragging mud and water. But then that's the point, appendectomy, you still have to find the appendix.

"Dude, it's good, no exudate found. Liu Banxia said with a smile.

"But then you're going to have a little bit of a feeling, a twitch. I need to lift the appendix before I can cut off the culprit. ”

"The sooner the better, because it's all old sin. The patient said bitterly.

Liu Banxia lifted the patient's small intestine, reached in with his other hand and played with it at will, and the tip of the appendix appeared at the incision.

Liang Xiaolin was startled, he found it so quickly? Is there four seconds? He is still distinguishing between the small intestine and the cecum, how can he find it?

Shi Lei also glanced at Liu Banxia in surprise, he is also a veteran, and he may not be able to be as fast as Liu Banxia.

Liu Banxia is not easy, when he is doing basic training at home, he always sneaks a glance at the appendix. He really went through too much in the matter of finding the appendix. Others thought it was the first time, but he had already done it hundreds of times.

"Attention, I'm going to bring this fat boy up. Liu Banxia said in his mouth, and directly clamped the tip of the mesangial appendix with an appendix forceps and lifted the appendix.

Seeing that the patient was still able to persevere, Liu Banxia did not take a closed injection.

Then he began to ligate and cut the mesangium appendiceal and the appendiceal artery in it, and in the process, he also deliberately looked at it and found that there was indeed an appendiceal accessory artery, and he also dealt with it.

This is also a common mistake that novices make, and not all patients will have this accessory artery. But if you don't take that into account, it's going to be a problem.

"Dr. Liang, the next step is also the focus, do our commonly used purse sutures. It's just that we don't tighten the sutures when we suture now, and we also need to go deep into the muscular layer when suturing, but we can't pierce into the intestinal lumen. Tsk, I stitched it perfectly. Liu Banxia said beautifully.

"Anyway, Morita's current stitching skills are really good. Not only is the needle accurate, but the hand is fast enough. Wang Lei couldn't help but praise.

Liu Banxia glanced at him with a smile, and the hemostat handed over by Liu Mei was clamped 0.5 cm away from the root of the appendix, in order to prevent the sutures from slipping during ligation.

The rest of it is very simple, just a regular operation. It's just that Liu Banxia's operation is still a little different from others', and his movements are slightly faster. This is also Shi Lei's experience, otherwise this Yizhu may be scolded today.

After cleaning up the appendix stump, Shi Lei picked up the toothless forceps with his left hand to lift the cecum wall on the opposite side of the purse suture thread, and held the hemostat clamping the thread knot in his right hand to push the appendix stump into the cecum.

Liu Banxia nodded, "The young man is very good, this Yizhu is completely competent." ”

As he spoke, he tightened the sutures in his purse and cut the ends of the sutures after ligation. After covering the mesangium, another reinforcing suture was made. At this point, all the critical parts of the operation have been taken care of.

With such a small wound, it is also very easy to close the abdomen. It's just that Liu Banxia didn't let others do it in order to make a perfect rating, but did it himself.

After checking that there was no oozing, pus, and ligated bleeding spots in the abdominal cavity, he leisurely sewed it up.

The appendectomy is complete, gaining 300 experience points and 500 appendectomy skill proficiency points

This rating is Perfect, and you will receive 1,000 experience points, 1,000 appendectomy skill proficiency points, 200 diagnostic skill proficiency points, and five glory points.

Qualified surgeon mission completed (1/3)

"Bang Bang Bang ......"

Under the leadership of Shi Lei, the people in the operating room applauded.

This is an affirmation of Liu Banxia, after all, this is the first appendectomy operation in his career as a doctor, and he did a really good job.