Since coming to this era, it is the first time that Lin Qingyuan has undergone surgery. Pen Fun Pavilion www.biquge.info For him, an appendicitis operation is not difficult at all, Lin Qingyuan took out the anesthetic from the first aid kit, because of the difference in the concept of the times, Lin Qingyuan could not directly anesthetize the old lady in person.

had to secretly inject her shoulder, the old lady made a "hiss" sound in her mouth, and then slowly calmed down, and finally lay flat on the bed with Lin Qingyuan's support.

Lin Qingyuan first disinfected his grandmother's body surface skin with disinfectant water, and the preparation process was quite smooth.

He used the right lower quadrant oblique incision, in which the incision muscles were relatively firm after cross-healing. Incisional hernias are not easy to form and are close to the appendix for easy finding.

The incision is generally less than two inches long, and Lin Qingyuan made a decisive knife and made the incision in one go. Upon incision of the peritoneum, a small amount of exudate and pus were found to have spilled out.

The situation is generally consistent with Lin Qingyuan's prediction, which is neither good nor too bad. He picked up the suction device and sucked the exudate from his abdominal cavity clean. Then use the retractor to pull the incision to the sides, and Lin Qingyuan began to look for the appendix.

The trick to finding the appendix is to first find the cecum, which is grayer than the small intestine and has a colonic band in front and fat lobes on both sides.

Lin Qingyuan was extremely familiar with the anatomy of the human body, and it didn't take much time to find the cecum. After finding the cecum, the finger pad gauze pinched the intestinal wall, gently lifted the cecum and followed the cecal belt to find the appendix.

There is no adhesion between the appendix and the surrounding tissues, Lin Qingyuan used his fingers to dial the tip of the appendix to the incision, there is a very important note here. Regardless of the severity of the inflammatory changes, the appendix itself should not be clamped with hemostats or tissue forceps to avoid infection. Removal of the appendix should be done outside the abdominal wall as much as possible.

Before the appendix can be removed, the mesangium of the appendix and its appendiceal artery must be ligated and removed. The old lady's mesangium is thin and has a clear structural relationship.

Lin Qingyuan used a hemostat to pass through a small hole at the root of the mesangium, where the appendix artery was vascular, pulled through two mulberry lines, and tied one at a distance of about half a centimeter from the top and bottom, quickly cut off the mesangium, and ligated another in the proximal section.

After completion, Lin Qingyuan wrapped the appendix with a small piece of dry gauze and clamped it firmly with tissue forceps. The gauze is then soaked with anti-inflammatory water and enclosed near the cecum at the base of the appendix, which is to prevent intraoperative infection. Lift the appendix and suture the purse around the cecum wall at the base of the appendix. Not tightened for the time being.

After the sutures are completed, use a hemostat to squeeze about half a centimeter from the root of the knot to prevent the sutures from slipping off during ligation. Then use mulberry thread to tie the indentation, and cut off the end of the thread with pliers. Then clamp the appendix with a hemostat and penetrate deep into the muscular layer when stitching, but avoid accidentally piercing the intestinal lumen.

Once these steps are done, the appendix can be removed.

The blade of the lancet is upwards and is placed under the hemostat clamped by the appendix to cut the appendix. The stump of the appendix is then disinfected by holding the cotton ball with a hemostat. Lin Qingyuan held a toothless forceps to lift the cecum wall on the opposite side of the purse suture head, pushed the appendix stump into the cecal cavity, and tightened the purse suture at the same time, so that the stump was buried in the purse mouth, and the suture was cut after ligation.

The final step is to cover the mesangium and reinforce the sutures. Use mulberry suture to suture the serous muscle layer figure 8 half a centimeter outside the purse suture, and fix the mesangial stump of the appendix or the fatty colon to make the local surface smooth, which can prevent postoperative adhesions to the greatest extent.

Before closing the abdomen, a small gauze ball is clamped with oval forceps, stretched into the abdominal cavity, and the cecum is checked for oozing, pus, and bleeding at the ligation point around the cecum to make sure that there is no omission, and then the layers of the abdominal wall are sutured.

In order not to scare them, Lin Qingyuan put the festering appendix into a sealed bag and found a chance to dispose of it.

Then he cleaned and disinfected all the equipment and put it in his first aid kit, and when he was done, he breathed a long sigh of relief, this was the first time he had completed an operation without the help of his deputy, without a sign display and a surgical light, although it was only a small operation, but for him, it was a challenge to get rid of mechanical medicine.

Lin Qingyuan walked out of the room, and his grandfather and others hurriedly ran over and asked, "How is it?" ”

Lin Qingyuan said: "It's very successful, my mother-in-law's illness has been cured, and it won't recur in the future." Grandpa and Qiao Cui were grateful again, and then went in to visit the old lady together. Song Qing looked at Lin Qingyuan stupidly and didn't say a word.

The guy shook his hair with his hand, put on a look that he thought he was very dragged, and said, "You don't have to worship brother, brother is just a legend." ”

Song Qing pondered for a long time and finally said, "Brother Qingyuan, do you have a crush on that sister named Li Xi'er?" ”

Ga?

Lin Qingyuan almost fell down and shouted, "Who did you listen to?" ”

Song Qing glanced at him and tasted: "Do you need to say it, you have collected other people's money bags, don't think I didn't see it." ”

"Uhhh Lin Qingyuan was embarrassed for a while, a woman is really an animal that can't be underestimated! In order to get rid of Song Qing's interrogation as soon as possible, the goods returned to the room, and it happened that my grandfather was also looking for him.

"Qingyuan, why didn't this person wake up, I've been calling for a long time. Nothing will happen, right? Grandpa said anxiously.

It should be that people of this era have not been exposed to anesthetics, so the injection effect will be extremely effective.

"Grandpa, don't worry, my mother-in-law is in a coma because she has just recovered from her illness and is extremely weak. Sleep for a while and you'll be fine. He had no choice but to explain it. By the way, there is another point, the mother-in-law must exhaust before eating. And I have a follow-up appointment in seven days. Lin Qingyuan had to remove the stitches for his mother-in-law later, so he excused himself.

Grandpa nodded and said gratefully: "Qingyuan, you are really the great fortune star of my Qiao family, these **** live here, let me thank you well." ”

Lin Qingyuan smiled and said, "No need grandpa, Qing'er and I have to leave for Jinling tomorrow, and we can't delay time." In seven days, I will come back for a follow-up visit to my mother-in-law. ”

"Oh, well, well, you will stay here today, and I will arrange a send-off banquet for you early tomorrow morning." After speaking, seeing that Lin Qingyuan wanted to refuse, he patted Lin Qingyuan's hand again and said, "If you don't even give your grandfather a chance to thank you, then I have to let my father-in-law come in person." Lin Qingyuan didn't want to be so troublesome, but he had nothing to do, so he had to nod and obey the arrangement.