The scalpel held by Su Hongwen in his right hand flickered under the bright shadowless light, and the operating room was quiet at this time, and the only sound was the "dripping" sound made by the ECG monitor from time to time, this silence gave people a depressing feeling, whether it was a doctor, a nurse or a patient, they all felt like a big stone in their hearts.

Su Hongwen didn't like this feeling, he broke the silence with a scalpel, the scalpel that flashed with a cold light slid under Chen Dong's xiphoid process, and when Su Hongwen put the scalpel on a piece, a blood line appeared on his skin, seeing this scene Dong Zhirui and Shen Song both breathed a sigh of relief, Su Hongwen was finally normal, and he didn't have a shocking knife into the abdomen.

Without Lu Baoliang to speak, Dong Zhirui handed over a piece of dressing to let him stain blood, and at the same time put the electric knife that had been prepared a long time ago into Su Hongwen's hand, it was really comfortable to cooperate with Dong Zhirui in the operation, and she didn't need to say anything to know what instruments you need.

Lu Baoliang put the dressing into the incision and stained it with blood, and then said with a wry smile: "Su Hongwen, you kid is born to play with knives, you cut the cortex with a knife, and it didn't hurt the fat below at all, how did your hand grow?" ”

The surgical technique of cutting the cortex with one knife does not seem to be difficult, but in fact, the difficulty is not small, the thickness of the cortex is different for everyone, the thickness of the cortex is thicker for men and thinner, but the thickness of the cortex for men is not the same. The cortex cannot be cut.

However, even if you hurt the fat or do not cut the cortex, it is not a big deal, because there are no large blood vessels in these two places, and there will be no unending accidents.

However, a surgeon can cut through the cortex without hurting the fat underneath, but it can show that his surgical skills are quite clever, although this is a small detail of the operation, but it is from these details that we can see how good a doctor's surgical skills are, and even the details of the operation can not do the details of the doctor so how high can his surgical skills be?

Su Hongwen smiled and said, "Just practice more." Immediately, Su Hongwen used an electric knife to electrocoagulate several bleeding points on the cortex to stop bleeding, and opened the fat, muscle, and peritoneum into the abdominal cavity.

The incision is made large with a retractor, and you can see that there are some white and yellowish pus on the omentum, which is caused by gastric perforation and gastric juice and food debris entering the abdominal cavity caused by the inflammatory reaction, and the omentum is naturally the first to be affected as a protective network for various organs and organs in the abdomen.

Moreover, Chen Dong's omentum is not quite the same as the location of the normal omentum. His omentum was partially offset upwards. That is, the stomach is covered.

Seeing this, Su Hongwen said: "It seems that it is really a gastric perforation, otherwise the omentum will not move up." ”

Lu Bao nodded brightly and said: "That's true, the omentum looks useless, but it has a great effect." As soon as the stomach is perforated, it is free to wrap around the perforation, preventing gastric juice and food debris from flowing out. Speaking of this, Lu Baoliang said in an elegant tone: "Don't look at it, let's operate quickly." ”

Lu Baoliang has been a doctor all his life. Naturally, it is known that when the patient is awake during the operation, he cannot ask Su Hongwen "what are you going to do next?" or something like that. If you really want to say that the patient should not be happy, every patient wants to have an older doctor treat their disease and perform surgery, because older means more experience. But Su Hongwen is too young, it is difficult to gain the trust of the patient, if the patient knows that he is in charge of the operation, maybe he will have to make trouble, so Lu Baoliang will not let the patient hear from his words that Su Hongwen is in charge of the operation.

Su Hongwen nodded and took the hemostat handed by Dong Zhirui and began to free the omentum, and took off the pus on it, Su Hongwen's free action is very fast, it stands to reason that such a fast free action should give people a rough feeling, but Su Hongwen's free action gives people a very fine feeling, which makes people who see his free action feel very conflicted.

However, as an expert, Lu Baoliang can see that Su Hongwen, this kid, has reached the point of perfection in the free abdominal organs, which is too rare, such a skill Lu Baoliang has worked for a lifetime and can only use it now, but how old is Su Hongwen, in his twenties, he has the surgical skills that he has done all his life, and it is no longer enough to describe him as a genius, he can only say that he is a monster and a pervert.

Shen Song has been anesthetized for so many years, what surgery has he not performed? After so many surgeries, he could naturally see how good a doctor was, and now seeing Su Hongwen's skillful free movements, Shen Song pouted and said, "Su Hongwen, you kid Niu, you are really not a fucking human." ”

Su Hongwen knew that Shen Song was praising himself, but the way he spoke was wrong, but he was not dissatisfied, but he had a feeling of joy in his heart, his surgical level can be recognized and praised by others, which is definitely a good thing for Su Hongwen, and it can also help him open up the situation outside the general world as soon as possible.

The operation continues, although the operation of gastric perforation is better than appendicitis, because the gastric perforation is a large incision of laparotomy, which greatly increases the space and field of view of the surgical operation, in a gastric perforation, as long as the perforation is found and then sutured, it is very easy to find the perforation under such a large incision, and the suture is not difficult, but appendicitis? To be an appendix, you can't give someone a big hole of more than 10 centimeters, right? If you hit four or five centimeters, you will be laughed at by your peers.

Doctors outside the general surgery call the appendix incision of more than four centimeters a large mouth, and only newcomers will make such a big incision, and a little experienced doctor will make the incision as small as possible, unless it is a very fat patient, because the fat in his abdomen is too much, resulting in the longitudinal depth of the incision is too large, in this case the operation is quite difficult to do, only a larger incision, but even this kind of patient is impossible to make an incision of more than ten centimeters, unless it is found that the appendicitis is caused by a tumor.

In this way, the incision of the appendix is very small, and it is difficult to find the appendix through such a small incision.

Therefore, it is also true that doctors in general surgery think that gastric perforation is better than appendicitis.

Su Hongwen did not make an incision of more than ten centimeters for Chen Dong in this operation, because he knew that Chen Dong's disease was a gastric perforation, and there was no lower intestinal perforation, so there was no need to make a big incision, and the damage to the patient from the small incision was also small, so the incision he made was only eight centimeters, and he originally wanted to make a smaller incision, but when he was small, Lu Baoliang had to ask him why he made such a small incision, Su Hongwen couldn't say that I had see-through glasses and saw that this was a gastric perforation, right?

Swimming away from the omentum, Su Hongwen quickly found the location of the perforation, the general gastric perforation is not large, the largest diameter is only one centimeter, Chen Dong's perforation is less than half a centimeter, but at this time, the perforation is covered by pus, so that people can't see whether this is a perforation or not.

Only Su Hongwen knew that this must be a perforation, he used a hemostat to gently peel off the pus, because Chen Dong was given a gastric tube for gastrointestinal decompression before the operation, so there was nothing in his stomach at this time, so the stomach contracted together, and the stomach contracted and perforated naturally contracted, even if the pus was peeled out, it was not easy to judge whether it was a perforation or not, the perforation was really small.

In the face of this situation, human beings have long come up with a solution, that is, to pour saline up the top, this step is the same as looking for a bicycle tire to be punctured, when repairing the tire, the tire is put into the water to try one by one, the bubble is the place that is punctured.

Now Su Hongwen poured saline on the top, and immediately a few bubbles appeared, and this perforation was found, in fact, Su Hongwen had long known that this place was a perforation, and there was no need to pour saline on it, but he couldn't explain this matter to Lu Baoliang, if he really came up and stitched it up, Lu Baoliang would definitely not agree, he didn't have perspective glasses to know that this place was perforated.

After finding the piercing, the back is simple, suture it with silk threads, and then look for other places to see if there is a piercing, if not, you can close the abdominal cavity.

Su Hongwen didn't find the perforation after looking around, out of caution, he put his hand in and carefully touched the stomach, Su Hongwen did this because he was afraid that there was a tumor in the stomach, you must know that the probability of stomach tumors in patients with gastric ulcers in the tract is quite large, although Su Hongwen has fluorescent glasses, but this thing is not perfect, there is no way to see the situation in another layer of stomach wall through one layer of stomach wall, of course, if there is a large tumor on the other layer of stomach wall, it can still be seen, but Su Hongwen is afraid that the tumor is very small, which is not clear.

Su Hongwen touched it carefully with his hand and suddenly frowned, and then he gently turned his stomach over, and used the see-through glasses that turned into goggles to look in, this time Su Hongwen's brows wrinkled even tighter, and he found seven or eight small bumps on the stomach wall, which were so small that they were similar to a small pimple on a person's face, if it was big, Su Hongwen would have seen it before the operation.

It is very difficult for a doctor to notice a small thing like this, and even if it does, most people will not take it seriously, but will only regard it as a few small protrusions in the stomach lining due to growth.

But Su Hongwen found through the perspective glasses that the surface of these seven or eight small protrusions was very rough, and each of them had the same shape, and they looked messy.

At this time, Lu Baoliang said: "What's the matter, Xiao Su?" ”

Su Hongwen pointed to the raised positions and said, "Director Lu, you touched here, I touched something." ”

Lu Baoliang's hand was not as sensitive as Su Hongwen, he felt it for a long time, raised his head and said, "What is your opinion?" (To be continued......)