The neighbor's aunt hugged the grandfather of the big cow who had fainted in pain and frowned, her eyelids were red and swollen, and she looked at her daughter with tears in her eyes and said:

"Daughter, we believe in you, and the life of the big bull will be handed over to you!"

Qianjin looked at a crying red-eyed old child, and suddenly felt the courage in her body, and felt that she had never had a sense of responsibility in the past internship in a modern hospital, and she thought that this was the real feeling of being a doctor!

"Grandma, don't worry! The third grandfather Jiren has his own natural appearance, and he will be fine! ”

The reason why Qianjin dared to do this was due to the water in her space pond, by chance, Qianjin found that the water in the pond can speed up the healing of wounds, not only that, but infected wounds, stained with this water, will quickly stop infecting, and constantly shrink the infected surface. It's just that I didn't dare to use too much for this operation, so as not to make people think too much.

Now that they have decided to give their daughter a try, it is time to prepare. The daughter first asked her father to find a way to make a few hooks on the roof of the shed on the edge of the kang. I also asked the fourth aunt to find some large coarse cloth sheets, divide them into two piles, sew them together, one to cover the window inside the kang, and one to hang on the hook on the roof of the shed

The daughter thought about it, and had to ask her father and Da Niu to go back and move the single wooden bed she slept on, put it in the middle of the kang of Da Niu's house, and instructed the fourth aunt to find a clean quilt and pounce on the small bed. Let Da Niu find a few kerosene lamps, two of which were hung directly above the head of the bed by Daddy as lighting for surgery, and the other few were put aside for temporary lighting for a while. He also instructed the fourth aunt to boil the water and keep it for a while after it cooled.

After these were done, the daughter asked everyone to carry Da Niu and his father to the single bed, and began to discuss the dosage of numb powder with Dr. Li, and then asked Da Niu Dad to get it right, and poured it into Da Niu Ye before the operation for a while.

For the medicinal properties of this kind of hemp powder that only existed in ancient times, Qianjin is not very clear, although she has been helping Dr. Li, but this medicine is still very little, except for when sorting out the medicine cabinet, it is almost not used at ordinary times. Therefore, in this regard, Qianjin is still very modest to ask Dr. Li's opinion, so as not to take too much and cause accidents, too little, waking up halfway, is also a ** annoyance.

After everyone had done everything, Qianjin left Dr. Li alone, let everyone else go out and wait, and told Daddy not to let outsiders in. The reason why the daughter didn't let everyone stay was because they were afraid that they wouldn't be able to stand it halfway to stop it, and they would really have no power to return to the sky, and there was only one way to die; On the other hand, it is also for their good, although the operation is a minor operation in modern times, it still looks very bloody, and if it is not done well, it will leave a psychological shadow. Dr. Li is different, as a doctor, although he has never seen surgery, he must have seen a lot of large and small injuries, and he will definitely be immune to the bright red blood.

Seeing everyone leaving, Qianjin took out the silk thread and medical suture needle that she had already sterilized and placed it beside her, which was available in Qianjin's space! As for the silk thread, it was cut from the thread embroidered by her mother, and it had been disinfected with the liquor that her father drank, and the daughter also poured a small bottle by the way to make disinfectant.

He took out a scalpel and hemostats and put them on his right hand, of course, these are modern things, but the daughter can't say it, if Dr. Li asks later, the daughter can only say that it was given by his cheap master.

Ready for a qiē, the daughter slowly closed her eyes and began to recall the description of appendicitis surgery in the book.

"The incision should be selected at the site where the tenderness of the right lower abdomen is most obvious, and in general, an oblique incision in the right lower quadrant or a transverse oblique incision in the right lower quadrant is used. The skin is cut in the direction of the striae, which causes less damage to blood vessels and nerves. This kind of oblique incision, due to the different directions of the fibers of the three abdominal wall muscles, the postoperative incision heals firmly, and it is not easy to develop an incisional hernia. However, because this incision is inconvenient to explore other organs in the abdominal cavity, it is advisable to use the right lower rectus muscle incision for exploratory surgery with unclear diagnosis, and the incision should not be too small.

The appendix is found by pushing the small intestine medial with a gauze pad to locate the cecum and then trace it along the three colonic bands to the tip of the cecum. If the appendix is still not found, the possibility of a posterior cecal appendix should be considered, and the lateral posterior peritoneum should be cut and the cecum inverted to search for the appendix. Once the appendix is located, the appendix is removed by clamping the appendix with an appendix forceps or by clamping the mesangium with a hemostat, and the appendix is removed outside the incision. If it cannot be raised, it is also necessary to strictly protect the tissues of the incision and remove the appendix.

Treatment of the appendiceal artery is generally at the free edge of the mesangial appendix, and the mesangium is fragile and easy to clamp when the infection and inflammation intensify, so the appendiceal artery is cut and ligated at the root of the appendix as much as possible. If the mesangium is wide and hypertrophied, the mesangium should be cut and ligated separately segment by segment.

The root of the appendix is gently clamped at the base of the appendix at a distance of 0.5cm from the cecum and then ligated with a silk thread, the appendix is cut off at the distance of the ligature, the stump is rubbed with iodine wine and alcohol, and then it is embedded in the cecum wall with purse sutures. The purse suture should not be too large to prevent the dead space in the residual intestinal wall. Finally, it is reinforced with an appendix mesangium or adjacent fatty connective tissue covering. ”

After recalling, the daughter has basically smoothed out the whole process of the operation, she participated in appendicitis surgery in modern times in her previous life, and she also operated on it, so she is still very sure in her heart. These are also thanks to the trust of Dean Mu of the medical school in her previous life. She still clearly remembers Dean Mu's regretful and helpless look when she heard that she would not practice medicine after graduation. So she is rich and really a very talented child in medicine.

The operation went very smoothly, except for the beginning, when the daughter used a scalpel to pull open the belly of the big cow grandfather layer by layer, he trembled nervously and exclaimed quietly, and the rest of the time he was very calm. Holding a kerosene lamp, he carefully lit it up for his daughter.

After about an hour and a half, Qianjin finally finished dealing with the interior, because there is no modern advanced equipment, and there is no good assistant in the operation, so compared with modern surgery, it will still take a lot of time.

Below is the outside of the sutures, the daughter picked up the surgical needle, skillfully threaded the needle on the belly of the big cow grandfather, and after the end, picked up the cotton and occupied the liquor to reduce inflammation and sterilization of the wound, this liquor daughter mixed a lot of water from the pond in his own space, and just used this for internal wound treatment, I believe there will be no internal infection. The daughter picked up the external healing herbs she had taken from Dr. Li's house, shouted to her father to bring her some cool white and drove it in, and took advantage of Dr. Li's inattention to put some water in the space inside, applied the medicine and the good work on the stitched knife wound, picked up the clean white cloth from Dr. Li, and tied the wound well.