Chapter 105: Appendectomy
As soon as Ji Liuyun said this, the room was silent.
The dignified medicine king actually gave a hand to a person who was not a medical officer, which made Hou Zijiao really can't believe what he heard, but at this time, Qin Fang didn't have time and mind to argue with her, so he immediately beckoned the two of them to clean and change their clothes to prepare for surgery, and even invited the brothers and sisters of the Hou family to go out.
"County Lord, I have a reluctant request below." Hou Zichu saw that the medicine king was so modest, and when he had already heard that the county lord had opened the princess's skull, his face was even more respectful: "On the occasion of grandfather's operation, please allow me to watch from the sidelines!" ”
Qin Fang glanced at him: "I advise you not to look at it." ”
"The county lord, I don't covet the county lord's medical skills, but I really care about my grandfather's ......."
"I know it, but I'm afraid you'll be scared ......" Qin Fang tactfully reminded the reason for the refusal, joking, the person's abdomen was cut open, and she was bloody, looking at her to find the cecum to be removed, I'm afraid there are few people who can be calm after reading it for the first time.
"Don't bluff people with words!" At this time, Hou Zijiao said on the side: "Don't say that my brother wants to see it, I want to see it, lest we can't see it, it is the king of medicine who heals it, but it is counted in your name, deceive me!" ”
"Do you really want to see it?" Qin Fang asked with a helpless smile when she heard this.
The brother and sister both nodded immediately, Qin Fang didn't say much when he saw this, and immediately agreed: "Okay, then you should also put on clean clothes!" ”
The two brothers and sisters did as they were told, and then they were pulled by Qin Fang to stand in front of the big table, and then the two of them were in a fog, Qin Fang turned his head and said to Cangyun: "Do me a favor, point the two of them, so as not to disturb me!" ”
As soon as the voice came out. Hou Zijiao just stared at him. It's just that the words haven't waited for them to come out yet. People couldn't move anymore, and Cangyun on the side lowered his arm and looked at Qin Fang: "Do you want to throw them out?" ”
"No need, one is worried about his grandfather, the other is worried about my cheating, just let them look at it like this." Qin Fang said and said to the two of them: "I need to be quiet during the operation, and I need you to stay still, so as not to cause unnecessary dust pollution that is not good for your grandfather, so you just watch it like this!" ”
After Qin Fang finished speaking, he immediately ignored them. Walking to the side in two steps, he untied his coat that had been soiled before without hesitation, and then after cleaning his hands, he put on the clean men's jacket that was prepared by someone, and said directly to Ji Liuyun with open hands: "Come, help me tie my clothes from behind." ”
Ji Liuyun didn't think much about it when he heard this, and stepped forward to help, but that Cangyun looked at the two of them but frowned slightly, and then dispersed again.
"Come on, let's prepare for the operation, both of you have helped me before, and the medicine king is slightly more. And be more familiar with the utensils, when you are asked to do something. The Medicine King will take Cang Gongzi with him, I may not have the time to explain it to you. After Qin Fang finished speaking, he pointed to the Hongye on the couch: "Take the layer of mattress below and carry people up!" ”
She summoned quite freely, Ji Liuyun and Cangyun looked at each other and didn't say much, they got people over in two clicks, and at this time, Qin Fang also opened the burden, disinfected the silver needle and handed it to Ji Liuyun: "Come on, it's still the same, let's get a needle." ”
At the moment she said the acupuncture points, Ji Liuyun cooperated with the needle, and then Qin Fang connected the needle and numb instrument, and after turning on the needle and anesthesia, she methodically disinfected and arranged the things used in the operation, and gave the two of them a small demonstration on the use of certain tools.
About half an hour later, Qin Fang pricked Hongye with a needle, and after making sure that the needle anesthesia had worked, she asked Cang Yun to fix Hou Weihong at the point - no way, although she did a minor operation, but without anesthetic, the only thing she could rely on was needle anesthesia, what it could do was local anesthesia, Hongye was awake, she didn't want to be halfway through the operation, Hongye suddenly made a mess, that was it......
"Let's go!" Qin Fang put on medical gloves, bandaged his hair with a cloth and covered his mouth and nose, instructed Ji Liuyun to wipe a piece of his lower right abdomen with soaked wine cotton, and then called Ji Liuyun and Cangyun to use their hands that were also gloved to taut the skin on their right lower abdomen.
Immediately, she took on the neckoscope, picked up the scalpel and made a five or six centimeter-long incision diagonally on Hongye's right lower abdomen, and made an oblique half-knife of about three centimeters at the two fingers of the pelvis to make a McT's incision.
As soon as the skin was cut, the meat and fat inside were chopped out with blood, Qin Fang immediately called for a hemostat, and in Ji Liuyun's submission, clamped every capillary under the skin, and turned them all on both sides, revealing the perfect surgical operation port for himself.
Then she took two boiled white cloth plugs and spread them on both sides of the knife to protect them, and then made temporary stitches on the two slightly larger main blood vessels, and then replaced it with a scalpel and scratched it on the white external oblique aponeurosis exposed inside.
The blood gushed out again, Qin Fang grabbed the needle to extract the gushing blood, and quickly lifted the aponeurosis with tweezers, and used tissue scissors to expand the wound from both sides, revealing the flesh-red internal oblique muscle inside.
Qin Fang followed the lines of the muscles, carefully and skillfully cut this layer of muscle membrane, and then she opened her mouth: "Liuyun, take this curved vascular forceps, cooperate with me, according to what I said before, after I open it like this, you immediately push it in, let's alternately separate the oblique muscle in the abdomen, understand?" ”
Ji Liuyun immediately took it and nodded, Qin Fang took the curved vascular clamp and went down vertically, carefully opened the vascular clamp and stretched it open, and immediately Ji Liuyun's vascular clamp also stretched into it and opened it according to the previous demonstration.
After the two of them alternated like this for seven or eight times, the internal oblique muscles and transverse muscles were finally separated, and Qin Fang quickly put in two thyroid hooks to clear a small "battlefield" for himself: "Come, you pull this." Qin Fang whispered to Cangyun: "Don't try too hard, just keep it in this state!" ”
Cang Yun obediently took the two hooks at the moment, and watched Qin Fang take the scalpel and cut both sides, making the opening bigger to reveal the peritoneum that was white and full of blood vessels inside.
"Liuyun, come, cooperate again, this time it's a mention." Qin Fang immediately took the tooth tweezers and vascular forceps to cooperate with Liuyun again, and lifted the peritoneum vertically many times.
"What are we doing here?" Ji Liuyun really didn't understand what the two of them meant by doing this, and couldn't help but ask, Qin Fang said softly: "You have to let his internal organs and this peritoneum detach, otherwise I will cut his organs with a knife." She said as she took the handle of the knife and gently pushed it to speed up the separation between them.
Before long, the peritoneum had been detached clean, Qin Fang called Ji Liuyun to help cover the peritoneum with a cut of boiled white cloth, and then asked him to carry the peritoneum, and carefully cut the peritoneum with an elbow, and then carefully clamped the original head of the peritoneum with pliers to fix it on those white cloths.
After doing this, Qin Fang immediately looked inside, and did not directly see the broken appendix, she took a large clip and carefully probed along the colon to find the appendix, and soon saw the appendix sticking to the omentum and a large lump wrapped in inflammatory pus.
"See? This is your grandfather's already suppurated appendix. Qin Fang said and looked at Hou Zichu: "If this lump breaks, your grandfather's entire abdominal cavity will be infected, and it will become what I call an incurable condition." (To be continued......)