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In the era of surgery, appendectomy is not the simplest surgery, but it is definitely one of the most basic and common surgeries. In the case of John, who was the attending physician of a tertiary hospital in his previous life, this kind of surgery has been done at least hundreds of times.

Relatively speaking, this kind of surgery can definitely not be considered complicated.

Of course, for a qualified physician, any operation cannot be taken lightly, and the same is true for appendectomy, including the treatment of the mesoappenium, the removal of the appendix, the embedding of the stump, the cleaning and the final closure of the abdomen, in fact, there are quite complex requirements and specifications, but for John, who has done hundreds of cases, a qiē is an extremely familiar thing, and he does not need to think much about it all the way.

"Gentlemen, allow me to introduce you to the final steps of this operation!"

After the peritoneum was stitched up, John's voice finally became relaxed, and he smiled and said, "Rinse the wound with normal saline, replace it with new surgical instruments and gauze, and then close the abdomen...... However, please note that before closing the abdominal cavity, we must count the instruments used in the operation, including gauze, etc., and all the quantities must be exactly the same as before the operation begins! In addition, a drainage tube is usually not used, but if there is an abscess in the area, a drainage tube can be placed to drain the pus...... Uh, drains or something, we can talk about it after the surgery. ”

In the relatively relaxed time now, John briefly introduced some routine surgical procedures, and then gently turned to the side and asked with a smile, "Mr. Miller, please bear with me." The operation was over quickly......"

"Mr. Huntelaar, is it almost over?"

Hearing the news suddenly, Miller's voice became visibly agitated.

"Yes."

Smiling slightly, John nodded and said, "Don't worry, the operation was successful, and you will definitely get better!" But for now. I hope you can calm yourself down as much as possible and notice if you feel any pain, okay? ”

Lidocaine was not anesthetized for long, and without starting a continuous epidural, John was a little worried about the effect of the anesthesia.

While patiently talking to the patient, John's work in his hands did not stop, holding the needle and flying up and down, suturing the transverse abdominis muscle, the internal oblique muscle and the external oblique aponeurosis successively, and finally suturing the subcutaneous tissue and skin. After this work is sterilized, covered with a sterile dressing. It was Thomas who took over in the end.

"Paul, wipe my sweat for me, thank you."

By the time Thomas began to disinfect the wound, John was finally able to let out a long breath and ask Paul to wipe the sweat from his face at this moment. Although the operation is not big and the time is not long, and the temperature is okay today, it is a little stuffy after so many people are crowded in the room.

"That's the end of it?"

Seeing that John, who had finished wiping his sweat, no longer moved his hands, Chuck Dale asked in a daze.

"Yes. It's over. ”

Nodding, John laughed and said, "Disinfect the wound at the end." Then apply sterile gauze...... Note that this is very important as the incision is protected from infection by bacteria from the outside...... Yes, then the surgery is basically over! ”

"...... Uproar"

After listening to John's affirmative reply, everyone was in an uproar, both inside and outside the glass wall!

And that's the end of it?

Time. Everyone's heads couldn't turn around, and they were all stunned.

This is an abdominal surgery that surgeons are afraid of, shouldn't it be a big cut in the patient's stomach, and the flesh and blood can only be done for half a day? But looking at John's whole operation, it was just a small incision of five or six centimeters. Pull out a section of the appendix from it and remove it, is there 20 milliliters of bleeding before and after? Or even ten milliliters?!

This is what Mr. Huntelaar calls appendectomy?

Edward, who was outside the wall, subconsciously took out his pocket watch and took a look, and then found that more than twenty minutes had only passed since John fell the first knife......

……

"Gentlemen, gentlemen!"

In the midst of everyone's chaotic questions, John had to shout loudly: "I know you must have a lot of questions for me, but please don't forget jì, this is the operating room!" Mr. Miller has just finished surgery on one of his abdomen, if you have any questions, please wait until I have finished the finishing touches of the operation, can you? ”

As he spoke, John couldn't help but sweat profusely.

No way, if he doesn't say that, I'm afraid he won't want to leave this operating room anytime soon. Of course, John can also understand the feelings of everyone at this time, after all, just a few seconds ago, he had just completed the world's first appendectomy under neuraxial anesthesia, and in this operation, onlookers saw some unprecedented techniques and concepts: aseptic entry into the operating room, a new image of the surgeon, strict and strict disinfection technology, precise and small McCe's incision, progressive abdominal incision, saline gauze protection, incision rinsing and sterilization, and the use of sterile dressings......

And no one has ever seen that the patient who has just undergone laparotomy is just a little pale!

But no matter how many words everyone had in their hearts at this time, they couldn't wait to say it, but after seeing John's solemn expression, everyone could only forcibly press back these words. This young man's toughness had already been experienced during the operation just now, and no one wanted to make himself uncomfortable.

"Gentlemen, please leave the operating room one by one!"

After secretly breathing a sigh of relief, John said loudly, "We need to come out after the final surgery now, and then send the patient back to the ward, please cooperate......"

……

"Hula ......"

All but John and the other four were all pouring out of the room, which changed the face of Mrs. Miller, who had been waiting outside for more than an hour, and she did not see Mr. Huntelaar.

But Mrs. Miller didn't have to wait long, that is, two or three minutes of kung fu, John and Robert walked out.

"Mr. Huntelaar, he ...... How is he? ”

When she saw John, Mrs. Miller, who looked anxious, pounced directly. He asked in a trembling voice.

"You go push the bed."

After saying a word to Robert, John turned to look at Mrs. Miller. Although he was a little amused that the family of a patient who had undergone an appendicitis operation would have such an exaggerated reaction, he still smiled and said softly, "Don't worry, Mrs. Miller, the operation was a success!" ”

"Really?!"

Mrs. Miller was overjoyed when she heard John's words, and asked in surprise with a pair of round eyes.

"Of course."

In order to accentuate their tone. John nodded heavily and smiled, "We're going to send your husband back to the ward now, and he still needs your care...... Let's go to the ward first, shall we? ”

"Of course, of course, thank you, Mr. Huntelaar!"

When Mrs. Miller confirmed that she had heard correctly, she almost cried tears of joy!

During the more than an hour she waited for her husband's operation, the poor woman could be said to have suffered so much that she was afraid that the doctors would come out covered in blood and tell her the news that Mr. Miller had died......

People's impression of a surgeon. It's just too bad.

A few minutes after Robert pushed the bed in, Mr. Miller was pushed out of the operating room, and the moment he saw his husband, Mrs. Miller, who had reached the peak of her love, instantly burst into tears!

Not because of fear, but because of surprise.

After seeing his wife, Mr. Miller, who was relieved, even greeted her with a smile, and she could see at a glance that her husband not only looked good. And his face was not unusual at all, except that he was slightly tired, and even better than before he went into the operating room—at least he had no pre-operative fears.

Mr. Huntelaar really didn't lie to her!

Look at the ecstatic Mrs. Miller. John smiled slightly, and a special sense of satisfaction slowly crept into his heart. However, turning to look at Bergman and the others around him who were reluctant to leave, he could only sigh and smile bitterly at the three assistants: "Okay, you guys should send Mr. Miller back to the ward first." ”

After Paul and Robert left, John hesitated a little and pulled Thomas and said, "Thomas." You will be sure to follow exactly what I have prescribed for your post-operative care, closely monitor changes in your condition, take regular measurements of your blood pressure, breathing, pulse rate, and body temperature, and observe changes in Mr. Miller's abdominal signs...... Notify me when you find an abnormality! ”

"Attention, let Mr. Miller lie flat. Changed to semi-recumbent position after six hours......"

"It is forbidden to eat and drink, including the simplest drinking water, until the intestinal peristalsis is restored, and it is necessary to wait until the anus is exhausted before it can be gradually restored. Well, and, if you can, try to assist Mr. Miller in his early activities......"

Although John had systematically trained Thomas and the others before the operation, and knew that Bergman and the others were now anxiously waiting for him, he still told his assistants with some unease. After all, this was his first appendicitis operation, and these things were carried out for the first time, and he was afraid that Thomas and others would neglect something.

After Thomas had made sure they had written them down, John waved his hand and let him go.

Next......

Turning to meet the surprised gazes of the crowd, John immediately knew that what he had just said was a little too advanced: the care of these patients had just been arranged after the first abdominal surgery had been performed - he had not even accumulated experience in a single case!

However, thinking that this situation would continue in the future, John simply didn't think much about it, and silently opened his arms in his heart: "Gentlemen, welcome to the era of modern surgery......" (The novel "Doctor 1879" will have more fresh content on the official WeChat platform, and there will be a 100% lottery gift for everyone!) Open WeChat now, click on the "+" sign in the upper right corner to "add friends", search for the official account "qdread" and follow, hurry up! (To be continued......)