"He's bragging, is that young surgeon so good at surgery?"

"I also think he is bragging, is his surgical ability the best in the whole hospital"?

"I think he's only going to have varicose veins in his lower limbs."

"Those debridements in surgery, Xiuhua pillows are still good"

"Yes, yes"

"Don't talk nonsense, the graduate of the provincial medical university, is talking about the little girl who cut her wrists last time, it seems to be the sister of your internist Chen Li, isn't it the vascular anastomosis and nerve anastomosis he did?"

At noon on this day, in the canteen of Jiangxia People's Hospital, doctors from various departments of the hospital had a lot of discussions about the recent special surgery show held by the Department of Surgery.

These words soon reached the ears of Director Zhang Hong of the Department of Surgery, and Lin Chen walked over step by step, he saw it in his eyes, otherwise he would not strongly recommend the dean to hand over the operation to him.

He completely believed in Lin Chen, whether in terms of surgical knowledge and theory or surgical ability, Lin Chen was unmatched in Jiangxia.

It just so happened that I met a patient with an acute abdomen in the outpatient clinic today, why don't you hand over this operation to Lin Chen at this time?

Lin Chen returned to the department, took off the white coat from the wall as usual, threw it in the air, and draped it over his shoulders like a wind.

"Lin Chen, don't go to the outpatient clinic today, I'll arrange an operation for you, and you go to the operating room immediately," Director Zhang said.

"Okay, director," Lin Chen replied very dryly.

Coming to the operating room, Lin Chen learned about the patient's condition in detail: the patient was a middle-aged man with acute purulent appendicitis

Oh my God, I haven't done this surgery? Lin Chen's heart suddenly pounded. Control your state of mind, calm down, calm down.

At this time, my mind quickly searched for all the anatomical points, surgical methods, and precautions about appendicitis.

Normally, appendicitis is located in the median third of the line between the umbilicus and the anterior superior iliac spine, but an ectopic appendix may be in the right upper quadrant or in the middle of the umbilicus.

Lin Chen learned again that the patient came to the hospital with metastatic right lower quadrant pain 12 hours after a cold and rain. That is to say, this middle-aged male patient is the normal way of surgery.

Lin Chen checked and pressed the right lower abdomen of the middle-aged male patient again, and the middle-aged patient hurriedly cried out in pain.

"The patient's temperature is 38°C, WBC 17.0*10 9, urine routine is normal, and the right lower quadrant appendix on ultrasound examination shows an earthworm-like moderate dilation, the lumen is dilated, and the pus accumulates in the lumen。。。。。。 Zhu Haoran said and checked the data.

This is obviously a case of acute purulent appendicitis, and then Lin Chen said to the anesthesiologist, we can anesthetize.

Surgery for appendicitis is usually done with hemibody anesthesia.

Hand washing, disinfecting, and laying towels are a series of preoperative preparations, which are very smooth.

Wearing a surgical gown and wearing sterile gloves, Lin Chen's current surgical team has a tacit understanding.

Lin Chen stood on the right side of the patient at this time, took the blade handed over from the instrument nurse, and made a 5cm-long oblique incision in the middle third of the line between the navel and the anterior superior iliac spine.

"Isn't it normal to make a 4cm long oblique incision that requires 6-8cm"?

"What's the situation with this Lin Chen, such a small incision can be taken out of the appendix"?

"If the appendix is adhered to the surrounding area, is it impossible to separate such a small incision"?

。。。。。。

Now, as soon as Lin Chen gets on the operating table, other doctors from this hospital will immediately come to visit.

Lin Chen's heart was already very calm at this time, and his mind was full of atlases of the anatomical surgery of the appendix.

From the moment the subcutaneous tissue of the skin is cut, each step is the place where the classic anatomical diagram marks in the mind.

"Look, he opened the aponeurosis of the external oblique muscle"

"Soon the peritoneum will be opened, just wait to see the joke"

"He's going to get the appendicitis out in a 4cm incision, I'll call him grandpa"

"I'm afraid, you really call him grandpa," said a plastic surgeon at this time, who had clearly seen Lin Chen's surgical skills.

After opening the aponeurosis of the external oblique muscle, I finally came to the peritoneum.

At this time, I saw Lin Chen clamp the two vascular clamps around the peritoneum, and after repeatedly lifting and loosening them, he clamped the peritoneum again and said firmly to the instrument nurse: "Give me a round knife."

"Haoran, you gently pull this vascular clamp and lift it a little."

"Xiaohan, prepare the suction device"

After Lin Chen finished speaking, he picked up the round knife and gently cut it in the middle of the peritoneum sandwiched by the two vascular clamps, and did not draw down.

Lin Chen knew that if he stroked down at this time, he might hurt the intestinal tube or other important tissues in the abdominal cavity, causing serious consequences, and he couldn't get off the operating table.

Lin Chen once again confirmed that there was no other tissue in the peritoneum he was holding, so he was relieved to pick up the tissue scissors and cut the peritoneum.

As soon as the peritoneum is opened, the white chylopurulent fluid in the abdominal cavity is seen flowing with the patient's breathing.

"Look, how can this acute purulent appendicitis be so easy to do"

"I think Lin Chen will definitely not be able to get off the stage, this patient's condition is so serious"

After the purulent exudate in the abdominal cavity was sucked out, Lin Chen's appendix position in the brain's memory at this time: an earthworm-like protrusion located at the junction of the ileum and cecum, the end of the ileum.

Lin Chen's mind converged again, and the visual power was enlarged again, and the incision at this time was already very long, no longer 4cm, but 8cm, or even longer.

At this time, Lin Chen was no longer under any influence from the outside world, and he was already silent on the operating table.

Along the ileum, I finally found an appendix at the end of the ileum that was the thickness of a little finger, but still longer.

Fortunately, the appendix was obviously edematous, and Lin Chen carefully separated the appendix from the surrounding tissues with forceps again.

On the stage at this time, Zhu Haoran was already sweating profusely, and his rapid breathing could be heard.

Lin Chen raised his head and said, "You have done a good job, I am going to bring out the appendix" Lin Chen said calmly.

At this moment, everyone was looking at Lin Chen on the operating table.

Some wanted to see Lin Chen's unable to separate the adherent appendix, but they were slapped in the face by reality.

Some wanted to see Lin Chen unable to cut off his appendix;

Others want to see Lin Chen's appendicitis surgery, they really want to see it.

Lin Chen had already separated the appendix from the surrounding adhesion tissues, and slowly lifted it up, only to see an obviously edematous and congested appendix as thin as a little finger and about 8cm long, and there was a white pus on the outside.

Lin Chen finally breathed a sigh of relief at this time, he couldn't imagine that the first time he had appendicitis surgery, he would encounter a complicated one.

The swollen and congested appendix was cut off by Lin Chen very smoothly。。。。。。

Slap in the face, slap in the face, slap in the face again.

The doctor who just said that Lin Chen couldn't cut off his appendix ran away at this time

Another doctor who said that Lin Chen wanted to be able to remove the appendix through a 4cm incision was lowering his head at this time

"I said a long time ago, don't say that, slap your face," the plastic surgeon said.

"Haha, Lin Ye is awesome," the doctor said and walked out of the operating room with his head down。。。。。。