After a short break, Liu Banxia and Shi Lei also washed their faces and refreshed. In fact, it was mainly Liu Banxia, who had 4 appendectomy in one morning, even if he did it quickly, it would consume him a lot.

He felt that if it weren't for his stamina, he would probably have to hold glucose to replenish his strength when he was done.

"It's a big harvest to invite the two of you over this time, Doctor Liu, don't forget our agreement. Xu Chengjun said with a smile.

"Dean Xu, don't worry. Whenever I have time, it's a trifle. Dr. Shi's skills are good, not to mention the help appointed by our Director Zhou. Liu Banxia said.

"I'd like to ask Dr. Shi to come over often, but he's too busy. And we don't usually have too many major surgeries here, so we basically go directly to Binhai City. Xu Chengjun said with a wry smile.

His words confirmed Shi Lei's statement, and it seems that the idea was really a small incision appendectomy.

But Liu Banxia doesn't mind anymore, for him now, Xu Chengjun also has the grace of knowing him. Let him practice, and keep raising money, and he can do it.

brushed his hand on stage, and there seem to be more doctors who followed up this time. Gallbladder removal is also a common procedure in general surgery, especially in recent years, when the incidence is very high.

This time Liu Banxia is a well-deserved help, Xu Chengjun wants him to hurry up and have anal fistula surgery, can he vacate one more position.

The incision is an oblique incision under the right costal margin, 7 cm. After the skin is cut, the subcutaneous tissue, the anterior rectus abdominis sheath, the rectus abdominis muscle sheath are bluntly separated, the posterior rectus abdominis sheath and the parietal peritoneum are incised layer by layer with an electric knife to enter the abdominal cavity.

Shi Lei's surgery is characterized by a "stable", Liu Banxia has been his assistant many times, and he will be very confident every time he looks at it. It was as if I knew the outcome at the beginning.

Gallbladder removal is also a routine operation, but Liu Banxia has not experienced so much. Not everyone goes to the emergency department, but people also go to the outpatient clinic.

"Probe. Shi Lei said.

"There is no obvious ascites and exudate in the abdominal cavity, the gallbladder is widely adhered to the surrounding tissues, and there is pus on the surface and large surface tension. Liu Banxia hurriedly said.

"Precautions. Shi Lei was not idle at hand, and continued to ask.

"During the operation, it is necessary to accurately identify the cystic duct, common bile duct, common hepatic duct and cystic artery to avoid accidental injury. The stump of the cystic duct should not be too long, so as not to form a residual cyst, cholestasis infection, and become a participating lesion. Liu Banxia also said while assisting.

"But it should not be too short to avoid narrowing the common bile duct. Depending on the patient, 0.3-0.5 cm from the common bile duct is chosen. ”

"Hmm...... In this case, the gallbladder and gallbladder bed are tightly adhered to each other, and forced peeling can damage the liver. It is recommended to peel off the mucosal layer of the gallbladder up to the cystic duct. ”

This is a tacit understanding between the two, and it is also a habitual routine. But in the ears of Xu Chengjun and the others, it is different in their eyes.

They will also talk during the surgery, but it will have some effect. But what about these two people? It didn't matter at all. And this time, Shi Lei has Liu Banxia's cooperation, and the speed of surgery seems to be much faster than usual.

This means that they were given a help to Shi Lei before, and their strength is not enough, and their tacit understanding is not enough.

In fact, they all felt the same way about today's second appendicitis removal operation, and that operation was also the fastest of the four surgeries this morning.

This is the difference in strength, the same operation will be done, and the same surgical skills will be used, and the gap is so big.

The subtleties see the style, and the excellence of the heroism is determined. It is a little advantage of each operation, accumulated until now, even if the whole operation has not been done, the accumulated advantage is a big part.

Intermittently interrupted the cystic duct, Shi Lei put the gallbladder on the tray and glanced at Liu Banxia. This is a realization that the rest of the work is his. First, the stump of the cystic duct is double-ligated with silk sutures, and after the gallbladder bed is completely stopped, intermittent sutures are closed.

After irrigating the abdominal cavity with normal saline, Liu Banxia looked carefully for a while, and after confirming that there was no active bleeding, he drained the abdominal drainage tube at the Winslow hole, that is, above the omentum hole.

Many laparotomy surgeries actually require the placement of a drainage tube for drainage, and these four appendicitis resections this morning were relatively lucky, all of which were routinely removed. Although the appendix is inflamed, there is no ooze, so there is no need to put this, and the abdominal cavity is very clean.

After checking the equipment accessories, the next thing is Liu Banxia's old business, and he closed his abdomen.

Although these people have already seen Liu Banxia's ability to fly the needle when he closed his abdomen, he still seems to have a pleasing feeling now.

Complete the cholecystectomy and gain 300 experience points, 300 cholecystectomy skills, 100 diagnostic skills, and 150 suture skills

Congratulations to the host level for reaching level 21, 25545/27621, gaining 1 attribute point and 5 glory points

"Admiration, really admiration. The adhesions were so severe that it only took 47 minutes for the whole operation, which was really amazing. Xu Chengjun said with emotion.

"Dean Xu, you're polite. The main reason is that there are too many similar cases that we have done when we were in the second hospital. We have a larger number of patients than you, so we can be considered proficient. Shi Lei said.

"In fact, if you have the opportunity, you can really arrange some general surgeons who need to be trained to come to our second hospital for exercise. This kid used to be a fucked man, but after he figured it out, his potential was forced out. ”

"Hehe, Dr. Shi, I'll just treat you as if you're complimenting me. Liu Banxia said with a smile.

Today's trip is really not a waste of work, and the harvest is great. Even if the rest of the anal fistula surgery is assisted by him as a helper, he is also enjoying it today.

This time, I can finally pay off the arrears on the loan at once, and I no longer have to worry about how to pay it back every month, and how to spend the rest of the money. When you eat the pancake fruit again, you can add four eggs at a time.

Anal fistula hanging line ligation surgery, this is Shi Lei's old business. Don't look like it's been a few years, but it's not bad at all.

This time, Liu Banxia's harvest was a little less, with only 150 experience points and 180 points of proficiency in anal fistula suture suture skills

He has already reached the level of level 2 in this operation, and if this is a complicated anal fistula surgery, he may be able to mix up a little more experience or something.

refused Dean Xu's invitation to dinner, and did not let them be sent back to Binhai City directly. It's still faster to do high-speed rail, and it's more comfortable than taking a car.

Today, the two of them have had so many surgeries in a row, and they also need to take a good rest when they go back. It's just that Liu Banxia's mind is not on this, so he took out his mobile phone to look at the extra 16,000 yuan on the account, where is there still the mind to rest.