Zheng Ren fell under the knife, the incision is 5cm, and the standard small incision appendectomy is practiced. The instrument nurse is Shay, and she watched Zheng Ren's movements intently, predicting the next step before she was about to complete it, and handed over the instruments.

Cooperate with the standard and be very professional.

Electrocautery stopped bleeding, blunt separation of small bends (forceps), and a "misdiagnosis" operation began step by step.

In the classroom, Cen Meng looked at the screen happily and said to himself: "With such a small incision, I am really confident." ”

"Yes, it's rare for a standard appendectomy to be so small. ”

"It's really learning this time. ”

The yin and yang weird comments were like a slap, slapped on Director Pan's face one by one, and crackled.

His head was getting lower and lower, ready to wipe his face.

Supporting Director Pan's belief, only Zheng Ren's peak performance of pancreaticoduodenectomy like a flying immortal was left.

In the apricot grove garden, it is more lively than the classroom.

After all, it is a live webcast, no one knows anyone, there is no entanglement of interests, only pure academic discussion.

So it's more direct and it's harder to hear.

"The right upper abdomen was exploratory and cut 5cm, does the surgeon want to go to heaven?"

"The diagnosis is acute appendicitis, according to his diagnosis, the inflammatory cord in the gallbladder area is a purulent appendix, don't force it, watch the operation quietly. ”

"This is the most outrageous surgery I've ever seen, and it's a miracle that this doctor has survived to this day without being killed. ”

Whether it was the discussion of the classroom or the Xinglin Garden, it could not fall into Zheng Ren's ears.

The operating room was quiet, Zheng Ren used small gauze to protect the wound, and as soon as he stretched out his hand, a pair of medium-curved forceps fell on his hand.

"Suction device, wear a condom. Zheng Ren slapped the middle bend on the sterile sheet, looked at Shuye intently, and said a little indifferently.

Shay's judgment was wrong for the first time, and he hurriedly screwed on the sleeve of the suction device and slapped it into Zheng Ren's hand.

The suction device makes a "hissing" sound, breaking the silence in the operating room.

Zheng Ren holds the suction device in one hand and bluntly separates the peritoneum with curved forceps in the other. The moment the peritoneum opens, the suction device is inserted.

"Cen Meng, go and get ready to brush your hands. Seeing that Zheng Ren was about to suction the device and was about to open the peritoneum, Director Liu arranged.

He didn't speak loudly, but it was just enough for Director Pan to hear clearly.

This is contempt, undisguised contempt.

Zheng Ren's surgery, from the opening of the skin to the present, there is nothing to find fault with. If you really pick a bone in the egg, the authority of technology will be questioned.

But Director Liu was convinced that Zheng Ren's diagnosis was wrong, and when he opened his peritoneum, he arranged for his own people to brush his hands and prepare to take over the next operation, which was also a face-slapping step that Director Liu had already thought about.

Seeing that the script was progressing according to his expectations, Director Liu showed a smile on his face.

He is not going to go to this operation, even if it is complicated acute cholecystitis, he does not need to go to it at all, Cen Meng can always be hospitalized.

All you need to do is sit here and taunt Director Pan with your eyes.

In the live broadcast room of the Xinglinyuan Forum, barrages began to swipe the screen.

"Grass! It's really done according to appendicitis, it's so rare for such a terrible doctor. ”

"He doesn't even need an assistant, where does he get his confidence?"

"Atractor? Is this live broadcast funny? If he can suck out the pus, I'll eat it all on the air. ”

…………

The suction device quickly falls into the opening of the peritoneum, just right, and not a single trace of pus will come out.

As soon as it was put in, a cloud of yellow and green pus was drawn out of the pipe of the suction device.

The amount of pus was so large that the suction device sucked it for 32 seconds.

In the classroom, Cen Meng, who was about to be ordered to brush his hands, was stunned, and Director Liu's smile froze on his face.

Pus: In general, cholecystitis does not cause pus to exude, and the most common clinical is acute appendicitis exuding pus.

Is it really acute appendicitis? Everybody is wrongly diagnosed?

Whether it is Cen Meng or Director Liu, they are desperately recalling the B-ultrasound manifestations of acute purulent appendicitis at the moment. Even if it is an ectopic appendix, there should always be a hint in B-ultrasound.

Cen Meng stood at the door, neither walking, nor leaving.

He began to waver, in case it was really appendicitis, he brushed his hands and stood in the operating room, would he be slapped in the face by the live broadcast? If that is the case, it will be a shame to lose people.

In the live broadcast room of Xinglinyuan, the barrage is completely swiped.

"It's awesome, it can really suck out pus, and it won't burst the gallbladder. ”

"Is the brother who said he was going to broadcast live just now okay? Is the pus delicious? Sit back and wait for the live broadcast. ”

"I'll ...... Is it really appendicitis? How come I haven't seen a case like this?"

"Purulent appendicitis, only a 5cm small incision was made, I am really confident, which big cow is opening the live broadcast?"

After 32 seconds, no more pus appears in the aspirator.

Zheng Ren placed the suction device on the sterile gauze laid by the Shay people to avoid contaminating the surgical area.

Then begin to continue to separate the peritoneum.

The peritoneum opened 3 cm, and a thick, large, purple-black, purple-black thing emerged.

Continuing to separate, the peritoneum was separated by 5cm, and a purple-black, purple-black thing jumped out directly.

Hyperemia, edema, and white pus.

No matter what form it takes, as long as it is a surgeon, it can be recognized at a glance, and this thing in front of you is the appendix.

It can only be an appendix.

It must be an appendix.

There was a dead silence in the classroom.

Director Liu's smile had been frozen on his face, and the orbicularis oculi muscle trembled uncontrollably, like an overelectricity.

Director Pan's waist gradually straightened at this moment, looking directly at the screen, and his hands were clenched into fists.

In the live broadcast room of Xinglinyuan, the barrage disappeared for a short time, as if everyone realized that this was really an appendectomy, an appendectomy with an opening in the upper right abdomen.

After 47 seconds of silence, the barrage began to appear intermittently.

[Paralyzed, I really saw the big cow.] 】

[What I am curious about is how he was diagnosed, and none of the test reports given before the operation can confirm that it is an ectopic appendix. I'm sure the surgeon must have hidden other tests. 】

[It's like you dare to diagnose it if you do a lower abdominal MR, mortal, tremble in front of the great god.] 】

Zheng Ren's hands are very steady, and his movements are not fast, but they are very accurate.

Because of the congestion and edema of the appendiceal artery, Zheng Ren did not use routine ligation, but sutures. The small needle and thin thread shuttle up and down between the square inches of 5cm, and it is easy to move.

The purulent appendix was cut off and thrown into the specimen basin with forceps.

Zheng Ren stretched out his hand, and Shay's movements were a little slow and a little hesitant.

"Little bend, scissors. Zheng Ren seemed to know what Shay was thinking, and looked intently at the operating area, without looking back.

"After the appendix is cut off, it should be rinsed with warm salt water, what does he want to bend and scissors for?" asked someone in the classroom.

Although it is questioning, it is completely devoid of the blatant contempt before the operation.

Yes, not to mention the surgery, just being able to accurately judge an ectopic appendix is enough for countless surgeons to blow for a lifetime.

And the one that people did the surgery is called a beautiful one, from the opening of the skin to now, it is only 3 minutes, of which there is still half a minute to suck pus.

In order to avoid being slapped in the face, people who have doubts can only hold back. When asking questions, he only dares to use the smallest voice, which is similar to belly slander.

What is this for?】

[The appendix has been removed, what else do you want to show? Big Niu, you are already very good, leave a classic memory for us, don't play it. 】

[What do you know, people are not better than you?]

Xinglinyuan is worthy of being a professional website, once the operator finds something awesome, most of the people who kneel immediately.

Only technology can get close to technology, and people who are willing to browse such professional websites are basically technical streams. They have a worshipful attitude towards the high level of surgery.

[He's free of pus attached to the gallbladder wall!]

[Oh my God, isn't he afraid of damaging his edematous gallbladder?]

I want to know which god is operating on, I'm going to study!]

………………

The pink cover looks so spicy.,Change to your favorite style as soon as possible.,The randomly selected ones really don't work.。 In addition, I ask for a recommendation vote and bow.