On the eleventh day after the meeting, Mannheim, a surgeon who attended the meeting, returned to Hamburg and diagnosed a patient with acute appendicitis using what he had learned in Berlin.

So the very next day, he swung the scalpel at the patient.

After strict disinfection of the operating room and surgical instruments, Mr. Mannheim put on a mask, hat and isolation gown made by his wife, put on the gloves given by Mr. Huntelaar during the meeting, disinfected the patient's incision with the iodine tincture he had prepared, and then made a cut in the position of the McFamily's mouth after laying out a few pieces of sterilized square towels!

In addition to the fact that the anesthesia was made with laughing gas, and the procedure was slightly difficult because of his unskillfulness, he almost completely replicated the one he saw in Berlin!

Seven days later, the patient was discharged with stitches removed.

After a year of lectures and several surgeries, Mannheim was able to perform the first truly modern appendectomy outside of Charlotte Hospital – the first time that standardization was shown to be so powerful in the field of surgery!

Before attending the conference in Berlin, Mannheim's work was rather casual.

In the past, when I went to work, even when I entered the operating room, Mannheim was dressed casually. He doesn't like to wear a formal tuxedo every time like a professor, thick cotton clothes when it's cold, shirtless when it's hot, and he never pays attention to the situation where he keeps chatting with his colleagues during surgery, and splattering spit. Even during the operation, Mannheim's operation was full of arbitrariness, such as the sterilization steps and the order of the knife, etc., and after the operation, the patient was thrown to the nurses and ignored again.

That's what everybody has been doing all along.

In fact, as a surgeon who is only thirty years old. By the time Mannheim got his PhD and started working, the concept of surgical sterilization had been slowly gaining ground in Germany, so he hadn't really seen a surgeon standing on the operating table in a dirty apron and dirt between his fingernails. However, he also knows that in the German countryside and some less developed places, there are still many doctors who do not have the concept of disinfection at all. And some doctors in the city are still strongly opposed to the popularization of disinfection technology.

So Mannheim never felt that there was anything wrong with what he was doing, because compared to those people, his hospital actually did a decent job of disinfection, and the infection rate after surgery was within a tolerable range.

But in Berlin, Mannheim saw a completely different surgeon than himself!

In the outpatient clinic or ward, they always wear clean and neat white coats, while in the operating room, they wear enviable-looking isolation gowns, and use hats, masks, and gloves to seal themselves tightly. In the words of Mr. Huntelaar. It is to isolate the doctors from any possibility of bacterial infection of the patient's surgical wound.

Disinfect with alcohol, they require that it must be soaked for more than fifteen minutes; Disinfect the patient's incision with iodine tincture, which requires the incision to be centered on the incision and rotated outwards in a circular shape, and the diameter should be at least 10 cm or more; Before the surgery, they asked to cover the patient's body with a sterilized square scarf, leaving only a minimal area of the operation; When performing surgery, they require precise incision locations and lengths. And there is a strict laparotomy procedure; During appendectomy, they have precise procedures. From finding the appendix to dealing with the problem, to the final removal and closure of the abdomen, a qiē must be carried out in accordance with the norms; Even after the operation, how to assess the patient's wound condition, how many days to remove the stitches, when to change the dressing, etc. There are also corresponding regulations......

There are standards that can be referred to around the operation!

An appendectomy that was not complicated in Mannheim's opinion and could be done with a little study, but under the control of Mr. Huntelaar, it was like a chemist making a real yàn, which reagent to put first. What kind of reagent to put in, how many degrees to heat it to in the end, etc., the process has already made a table, and all surgeons need to do is fill in the form!

This feeling amazed Mannheim!

He never imagined that a surgical operation could be done like this. If the patient's condition is good, the physicians just need to follow the predetermined plan step by step.

So when his first appendectomy patient was discharged from the hospital, and his colleagues were exclaiming, the young Mannheim understood something: Mr. Huntelaar, who was far away in Berlin, seemed to have created a rather remarkable situation in the field of surgery......

……

In mid-October, John's first academic conference ended.

In fact, if you include the German surgeons who did not have the opportunity to go to the operating room during the conference and stayed to observe the operation, the meeting should have been extended until the end of October.

It was just half a month later that the 54 surgeons who attended the conference set off a storm across Europe!

Hats, masks, gowns, and thin-skinned gloves made of rubber were quickly adopted by surgeons as the most popular garments, and became a must-have for many people entering the operating room. Although many people do not think so, and many people insist that only hand disinfection is sufficient, the success rate of John's patient's 100% recovery, coupled with the very "professional" image after wrapping himself, still makes many people follow suit.

Also spreading quickly were iodine tinctures, sterile towels and the delicate set of surgical instruments.

These things are extremely practical in surgery, and they are also accepted by many surgeons, especially the delicate set of surgical instruments, which are very popular, and the ingenious design and convenient use of them have a strong attraction to them......

But the biggest impact of this conference is still the popularity of appendectomy.

Whether it is the sterilization method, the clothes of the doctors, or the surgical instruments, they are all prepared for the operation after all, and one can safely and effectively treat the pain in the right lower abdomen - it should be said that it is an operation for acute appendicitis, so that the surgeons attending the meeting immediately became eager to try it after seeing two operations.

So after returning to their respective turf, they all couldn't wait to start trying.

From the end of October when Dr. Mannheim in Hamburg performed the first appendectomy to the end of December 1885, 54 surgeons performed 391 appendectomy cases across Europe and produced 34 papers on the subject!

Appendicitis is a strange new word that spreads quickly.

At the same time, the information prepared by John for the participating physicians was circulated, and as this information circulated among the colleagues and friends of the participating physicians, some people soon called the site of appendicitis diagnosis Heinz point, and the incision of appendectomy as Heinz incision, and the full name was Huntelaar point and Huntelaar incision......

John? Huntelaar, the real rise to fame. (To be continued......)