Chapter 121: Second Appendix Surgery
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"I'm going to have surgery soon, what are you talking about?" Zheng Jingying walked over.
As soon as she saw Zheng Jingying, Nurse Xiao Tian immediately packed up her things and left the operating room like a mouse seeing a cat. However, after a while, he ran back in. In a panic, she took the things that had been sent to the operating room again.
Watson couldn't help but smile as he looked at Nurse Oda's cute appearance.
Zheng Jingying always had a cold face, and for her, it seemed that there was nothing of interest except for treating patients.
Watson is a little strange, Zheng Jingying, what's wrong? It seems to have regained its previous cold appearance.
The patient is already lying on the operating table, and the anesthesiologist has prepared the anesthesia.
"Dr. Zheng, the anesthesia has worked, and the operation can be performed."
"Hmm." Zheng Jingying nodded.
"You do the operation." Zheng Jingying said.
Watson hadn't held a scalpel for a while, didn't speak, and walked directly to the position of the chief knife and took the scalpel from Ma Donnie's hand.
Watson was very accurate and made an incision with a scalpel in a marked position. The patient's abdomen was immediately and completely revealed.
"Huh?" But the scene in front of him stunned Watson.
The patient's appendix has been removed, but the incision site is necrotic. But that's not all, the various tissues in the patient's abdominal cavity are very tightly bonded. But in the case, Watson did not see it at all. What was thought to be a simple appendicitis surgery turned out to be such a complicated situation.
"Didn't I tell you to check it out? How could this happen? Zheng Jingying said unhappily.
Watson was also careless this time, and he was also inexperienced, and when he saw a seemingly simple appendicitis operation, he didn't ask the patient carefully. There is nothing wrong with seeing the various test reports as well as the cases. So, there was no double inspection. But now the situation is not what he expected.
The patient's last appendicitis surgery was not well managed, and it is possible that there was a perforation that contaminated the tissue in the abdominal cavity and the doctor did not clean it completely. The smooth surface of various tissues is destroyed and finally bonded together.
"What should I do?" Watson asked.
"Proceed with the surgery, take care of the residual appendix first, and then consider the issue of bonding." Zheng Jingying said.
Watson wondered why there was no record of appendix surgery in the patient's case. If there was this record, the results would have been different. I won't be so busy. This also blames himself for being inexperienced and too impetuous, this has always been smooth, and the proud and complacent feelings have raised their heads.
Although he was a little flustered at first, it was only a short time before Watson thought he had calmed down. Methodically begin to excision of the necrotic part. Then quickly suture. After these problems are addressed, the patient's intra-abdominal condition is still very complex. If it is an ordinary doctor, at this time, the operation should be directly completed. After all, it is very troublesome to glue various organs in the abdominal cavity. And it's very risky.
Ding Junquan, who was watching from the sidelines, was already covered with beads of sweat on his head, and sweat slid down his face from time to time. Ding Junquan was very nervous, although the person who operated it was not him.
"Watson was able to remain so calm at such a time, and I was so far from him in comparison. When I was at the Medical University, there was no gap between me and him, but I didn't expect the gap between us to expand so much in just over two months. Ding Junquan was full of emotion in his heart.
Ma Dongni also admired Watson very much, although he was in trouble, Watson did things without a little panic. His very calm voice made Ma Dongni feel very peaceful. I didn't feel the slightest nervousness.
Zheng Jingying was carefully observing Watson's operation while thinking about how to deal with it in the future. She looked cold, but in fact she was worried, but she didn't want Watson to see it. Doctors must be careful in their business, and they must not be sloppy. She was really angry just now, this kind of low-level mistake shouldn't have happened to Watson. She knew that Watson would do better than he could if he wanted to. However, he went on a business trip.
The patient's necrotic part of the original incision in the appendix has been removed. And the incision has been sutured. In a sense, Watson's surgery was done perfectly. But the patient is not out of danger. The adhesion of tissues in the abdominal cavity and the infarction of the intestines and stomach that have been caused can be fatal at any time.
The patient's condition is already very severe, and if the surgery is performed, it is also very dangerous, because the emergency symptoms can be relieved by surgically removing the adhesive site. However, larger adhesions often occur after surgery. This situation often leads to disputes between patients and doctors or hospitals. If it is not treated, the patient's condition will worsen, and the hospital will not escape responsibility. Treatment is also extremely risky.
Everyone in the operating room was looking at Watson to see what choice he would make.
"There is about half an hour left in the anesthesia time." Anesthesiologist Zhu Juncheng reminded.
The patient is under local anesthesia, and the effective duration of the anesthesia is approximately a certain number of hours. The surgery time is about an hour. It has been used for more than half an hour since the anesthesia began.
Everyone in the operating room chuckled in their hearts.
Ding Junquan was thinking: If I encounter this situation, how will I decide?
In principle, Watson had already completed his surgery and there was nothing wrong with it, and even if the patient's intestinal adhesion was not treated, there would be no major problems. In this case, perhaps most doctors will choose to be conservative. Because no one can guarantee what kind of problems will arise after the intestinal bond is removed.
Ma Dongni looked at Watson, she didn't hold a grudge against Watson for letting the old horse lose face last time. After all, Watson is also for the good of the patient. But in fact, Watson did cure the patient. Ma Dongni just didn't understand why Watson, an undergraduate intern, had such great ability.
"It's really not possible, you can choose conservative treatment." Zheng Jingying reminded.
The patient's condition is very severe, and many of them are born with adhesion, and if it is fully cleaned, it is very likely to cause a larger area of adhesion after surgery. In that case, it may be even more dangerous.
Zheng Jingying is the mentor and the person in charge of this operation, and it is said that Watson should follow Zheng Jingying's advice, give up the treatment, and carry out conservative treatment.
But would Watson do that?
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