Wang Xue and Li Jiayun immediately became nervous when they saw that Su Hongwen was about to start, they were studying medicine, but they were still college students, and they had theoretical knowledge, but they had no experience in practical operation at all, they were nervous like all doctors Xinding when it came to the official operation, and the palms of the two people were already full of sweat at this time.

Although Su Hongwen was a little bored with Shen Shiyun's princess disease, he didn't give her a big mouth, this kind of professional ethics Su Hongwen still has, he only made a small incision of 0.5 cm, such a small incision can not be done by ordinary doctors, let alone the posterior appendix.

Wang Xue saw that he made such a small incision, and immediately worried: "Is Doctor Su's incision too small?" ”

As soon as she heard this, Shen Shiyun pricked up her ears, she had always been worried that Su Hongwen would retaliate against her during the operation and give her a big cut, and the incision was too big, which meant that there would be a big scar after the operation, as a girl who loved beauty very much, she couldn't accept such a big scar.

At the beginning of the operation, the reason why she didn't say that she would let Su Hongwen give her a small bite was because she was afraid that she would remind him too much, but now when she heard Wang Xue's words, Shen Shiyun was relieved, Su Hongwen was a bit of a professional ethic.

Su Hongwen didn't raise his head and said, "Why do you make such a big opening?" Not at all. ”

Wang Xue said worriedly: "But can such a small opening be done?" ”

Su Hongwen shrugged his shoulders and said, "What can't be done, look at it." Speaking of this, Su Hongwen directly cut through the fat and tore the external oblique muscle bluntly.

After Su Hongwen found all the bleeding points and ligated, he said to Wang Xue and Li Jiayun: "There are hemostats and retractors over there, one of you will use the retractor to open the incision for me, and the other will pour forceps with me and we will open the peritoneum." ”

Li Jiayun was so nervous, how could she dare to beat the peritoneum with Su Hongwen? She quickly picked up the retractor and squatted down to hold the incision in a panic, but she had never been operated on, and she was not in the operating room now. But on the train, Shen Shiyun was lying on the seat, such an environment was not suitable for surgery, so she could pull well.

Seeing Li Jiayun's unfamiliar movements, Su Hongwen began to miss Wang Banxian and them, and he didn't have to worry about them at all, but it was a pity that they weren't there. Su Hongwen could only teach Li Jiayun how to pull the hook hand in hand.

There is no problem with pulling the hook, Su Hongwen helped Li Jiayun straighten the position of her hands, and told her to keep this position still, and then he looked up at Wang Xue and said, "Come on." ”

Wang Xue stammered with a worried look on her face: "I, I don't dare." ”

Su Hongwen frowned and said, "What don't you dare to do, come, like this." After speaking, Su Hongwen began to teach Wang Xue how to cooperate with him to pour pliers.

The so-called inverted forceps is that the surgeon gently clamps the peritoneum with hemostats and does not hold it to death, and the assistant is also like this, and the two of them do this to prevent the hemostat from clamping the subperitoneal tissues together, and repeat several times to confirm that the forceps do not clamp the subperitoneal tissues before they are detained. The difficulty is also not very great.

Such a simple step could be completed in less than half a minute with Su Hongwen and his assistant in the past, but this time it didn't work, Wang Xue was a novice, and she was so nervous that her hands trembled, and it took five or six minutes to complete it under Su Hongwen's comfort.

When Su Hongwen opened the peritoneum with tissue scissors, a stream of yellow fluid seeped out, and Su Hongwen sighed and said: "The inflammation is really bad, why didn't you do the appendix earlier, but waited until today." If I hadn't been here, I would have to explain your life here if you didn't make trouble today. ”

Under anesthesia, Shen Shiyun didn't feel any pain at all. She also had the strength to quarrel with Su Hongwen, and said angrily: "Uncle, what are you talking about?" Hurry up and do it well, okay? ”

"Uncle? Am I that old? Su Hongwen laughed at himself after speaking.

At this time, Wang Xue said nervously: "What is Doctor Su going to do next?" ”

Su Hongwen took the dressing and dipped it in the yellow oozing fluid in the abdominal cavity and said, "How to do it?" Cut the appendix, you are lucky, catch up with a retroperitoneal appendix, such appendicitis is rare, look at it. ”

Wang Xue and Li Jiayun immediately cheered up when they heard this. They also know that retroperitoneal appendiceum is really rare, and now is a good opportunity to learn.

The so-called retroperitoneal appendix is the growth and mutation of the appendix during the embryonic stage, and the appendix turns to the retrocecal extraperitoneum, so that the position of the appendix is relatively deep, and the operation becomes more difficult. A qualified general surgeon must be able to perform an extraperitoneal appendix.

However, because retroperitoneal appendix is relatively rare, many general surgeons who have been working for two or three years cannot do such surgery.

But these are not a problem for Su Hongwen at all, he looked at the surgical field, and soon found the lateral peritoneum under the cecum, first asked Li Jiayun to adjust the position of the retractor, and after fully leaking the surgical field, he directly cut the lateral peritoneum, and then stretched in, a finger was blunt from the posterior abdominal wall little by little, lifting the cecum and finding the underneath full of pus and a thick and swollen appendix.

Su Hongwen's surgery is smooth, giving people a feeling that it is too simple to do, it seems that anyone can do it, but in the eyes of Wang Xue and Li Jiayun, this is simply a miracle, ordinary people don't know the difficulty of doing retroperitoneal appendix, but they know that they don't want to do such appendicitis, even their teachers with more than ten years of experience in general surgery can't do it so smoothly, and it is really difficult to do such an operation.

Su Hongwen looked at the appendix and muttered: "Such a big appendix, alas, it would have been good if it hadn't been done earlier, why did it take so long." With that, he put his hand in again.

The appendix has been messy with the surrounding tissues because of inflammation and suppuration, and at this time, the appendix must be cut even if it is reversed, otherwise it will not be cut at all.

However, Su Hongwen didn't use adhesion relaxant, because he could now free the appendix with his hands.

Wang Xue and Li Jiayun sweated for Su Hongwen when they saw that the appendix was adherent like this, because such an appendix is too difficult to dissociate, once the dissociation fails, and the appendix rupture causes acute peritonitis, Shen Shiyun's little life can be explained, but soon the two of them widened their eyes, because Su Hongwen's fingers moved twice, and he easily swam away the appendix that was messily adhered to the surrounding tissues.

Both of them were shocked and had one thought in their hearts - how did he do it? Just wandered down? It's too easy, isn't it, is he still human?

This will Su Hongwen muttered: "The mesangium of the appendix has rotted into this virtue, it is really troublesome." Speaking of this, he suddenly turned his head sideways to Wang Xue and said, "Don't be stunned, cut the appendix with me." ”

Wang Xue was so anxious when she heard this that she was about to cry, and said in a crying voice: "I, I won't." ”

Su Hongwen sighed and said, "How come the current medical students don't know anything, alas, come, take this pliers, don't lift them lightly." ”

Wang Xue took the hemostat handed to her by Su Hongwen and trembled all over, Su Hongwen didn't dare to slow down with such an assistant, if she made something wrong, it would be troublesome, he used the hemostat to buckle the root of the appendix with his hands and feet, and then buckled another hemostat about a centimeter away from the forceps, which dealt with the arteries and veins in the mesangis.

The two forceps just now actually detained the mesangium of the appendix, so that the arteries and veins inside were naturally also detained, Su Hongwen found a position on the mesangium next to the second hemostat, used the hemostat to penetrate the mesangium, and then directly ligated the arteries and veins inside with silk threads.

Su Hongwen cut off the appendix with a knife and handed it to Wang Xuedao: "Put this away, let's do a pathology when you get to the hospital later, it's safer." ”

Wang Xue frowned when she looked at the appendix full of pus, she never thought that Shen Shiyun's appendicitis had reached this point.

Su Hongwen is bowing his head to sew the purse, but because the position of the appendix is relatively deep, and his incision is small, this purse is not easy to sew, Su Hongwen spent a long time to sew it, and in the process of suturing, his hand inevitably touched the posterior peritoneum, and there are ureters among the many tissues behind the posterior peritoneum.

The reason why Shen Shiyun ran to the toilet again and again yesterday was because the inflammation stimulated the ureter, which made her always want to pee, and now Su Hongwen's sewing purse was stimulated again, which immediately made Shen Shiyun feel a burst of urine, and then she knew why Su Hongwen gave her a urinary catheter before the operation.

Shen Shiyun wanted to pee now, she couldn't help it, but Su Hongwen was still sewing a purse, and after several stimuli, Shen Shiyun finally couldn't help it, first cried, and then urinated.

Su Hongwen looked at her like this and said very angrily: "You don't believe it when you say that you will pee your pants, now you can pee." ”

Shen Shiyun heard this sentence and killed Su Hongwen's heart, but now that the operation was not finished, she didn't dare to move, and she cried directly "wow" in shame.

Su Hongwen also knew that it was really embarrassing for a girl to pee in front of a big man of his, and he didn't say that Shen Shiyun hurriedly had surgery, and it took more than ten minutes to sew up the incision, and he was embarrassed to stay here and walked directly to the aisle of the carriage, and as soon as he passed, Xue Jingzhong greeted him and said impatiently: "It's okay, right?" ”

Su Hongwen took off his gloves and said, "It's okay, but she has to be hospitalized, so you can contact me about this." ”

Qi Dongtao heard Shen Shiyun's cry and was worried: "Why is she crying so much?" ”

Su Hongwen didn't dare to say that Shen Shiyun cried so much because she urinated in front of her, if she said how she would be a person in the future, it was estimated that she would have to fight with herself, so he smiled and said: "It hurts so much, girls are afraid of pain, and they cry when they hurt." (To be continued......)