It was already twelve o'clock at noon, and Yang Haidong went to eat first, while recalling the operation process in the lounge.

Did he follow the steps of the surgery in strict accordance with the procedure?

Where did the problem come from?

Lack of familiarity with the anatomical site, transient confusion, as if the patient's organs have been displaced.

But when he recalled Liu Qingqing's movements, he was very organized, as if the operation should have been like that, and the anatomical parts of the organs were also very clear.

How to do it!

In Liu Qingqing's hands, everything has become so natural and convenient?

After eating, Yang Haidong returned to the operating room.

Qian Jianghong said: "Xiaoliu is dealing with patients on it, it may be too late, and there is appendicitis in the back, or you will do it?" ”

Qian Jianghong gave Yang Haidong a chance again, although it was only a small opportunity.

Yang Haidong said: "Okay! ”

Small opportunities are also opportunities.

Yang Haidong had to get back into the morning game.

Regular disinfection, after spreading a towel.

Yang Haidong washed his hands, put on a sterile gown, went to the stage, and made an incision about 7 cm in length next to the patient's right rectus abdominis muscle, separated the subcutaneous tissues and muscles, and opened the peritoneum.

Yang Haidong was stunned, the appendix inside was black, almost necrotic!

This kind of appendix is particularly fragile, and it is easy to break the appendix during the separation process, which ------- too difficult!

The blackened appendix is swollen and thickened, indicating that it is shiny and shiny, like a sun-dried sausage.

But it is definitely not as tough as the sausage, which is about to be charred and is particularly brittle.

There is oozing around the appendix that sticks to the surrounding tissue, which makes it more difficult to peel off.

If you are not careful, you will puncture the appendix and leak out the fecal bacteria inside, which will cause irreversible infection and damage to the surrounding tissues.

Perhaps because of the failure in the morning, Yang Haidong was particularly unconfident in himself in the afternoon.

That's right, Yang Haidong has done the operation of appendicitis independently, but he has never done it so difficult!

Yang Haidong tried to peel off the surrounding tissues several times, and retracted his hand several times.

Beads of sweat the size of beans rolled down his forehead.

Qian Jianghong instructed the itinerant nurse opposite: "Wipe the sweat, wipe the sweat for him!" ”

The itinerant nurse smiled and took a piece of clean gauze to help Yang Haidong wipe away the sweat.

"It's just appendicitis, how can it be like liver replacement surgery!" The itinerant nurse was joking, but it was definitely uncomfortable when it fell on Yang Haidong's ears.

Qian Jianghong argued for him: "It is not easy to have an appendix, this one is about to die, and the adhesion is very serious!" ”

Yang Haidong listened to their speeches, and his heart beat even more.

The one on the left is the appendiceal artery, right?

Have you ever been violated by a necrotic appendix?

Will arterial blood spurt out like a fountain?

After hesitating again and again, Yang Haidong still gave up and looked at Qian Jianghong as if asking for help: "Director Qian, you should come, this is too brittle." ”

Qian Jianghong smiled, so he surrendered?

At this time, Liu Qingqing came down from the ward, and Qian Jianghong said: "Xiaoliu, there is an appendix here, or you can open it." ”

"Okay." Liu Qingqing immediately went to wash her hands, put on a sterile gown, and then went on stage.

Because Yang Haidong had already given up on his own, he stood on the left and gave up his place to Liu Qingqing.

Liu Qingqing stood in Yang Haidong's position, Yang Haidong was very upset, and said secretly: You promise to be so happy, I won't cry you to death for a while!

Sure enough, I saw Liu Qingqing's eyes glance at Shuye, and said, "Oh my God, this appendix has been broken like this!" ”

Yang Haidong decided that Liu Qingqing would definitely not be able to do this appendix, so he was secretly proud, so he pulled the hook on the left side to help Liu Qingqing expand his surgical field.

Liu Qingqing did not rush to separate, but first asked for a large round needle and pierced it into the body tissue under the appendix artery.

Yang Haidong looked at her movements, is this to ligate the appendiceal artery?

But the tissue edema and adhesions are so severe that you can't see the appendiceal artery clearly!

When Yang Haidong thought so, Liu Qingqing's wrist flicked, and the big round needle came out from the other side.

Qian Jianghong, who was on the other side, seemed to have a heart in his heart, and took the needle holder in Liu Qingqing's hand.

Liu Qingqing tied the thread in a knot.

Qian Jianghong then cut the thread, looking at his proficiency, it seems that he is very suitable to be an assistant!

In fact, because Qian Jianghong has done a lot of surgeries herself, practice makes perfect, and she naturally understands what Liu Qingqing wants to do, so she must be handy with it.

After the artery was ligated, Liu Qingqing began to peel off the appendix.

The situation that Yang Haidong feared would puncture the appendix did not happen.

Liu Qingqing's hands were nimble as if she were working as a female worker.

After a short time, the entire appendix was completely peeled off by Liu Qingqing, and there was not even a large bleeding in the middle.

Yang Haidong's assistant is very boring, and there is really only a hook left.

Then, the itinerant nurse laughed at him without worrying about it: "Yang Shuo, how did you become an assistant?" ”

Yang Haidong felt weak for a while.

Qian Jianghong once again helped him defend and said: "Our Xiao Yang is very generous, this is a chance for newcomers!" ”

Yang Haidong thinks, Director Qian, are you justifying me? How did he feel like he was being slapped in the face!

Liu Qingqing: Is this operation an operation of a newcomer?

Shameful ......

Yang Haidong boasted that he was already a master's degree, and he had always looked down on Liu Qingqing.

When he learned that Liu Qingqing, an undergraduate, was admitted to the First Hospital of Z Hospital, Yang Haidong was indignant in his heart, and often got together with Jiang Ling and others to talk about it.

They all feel that they are buried talents.

They all feel that the world is not fair enough.

They all felt that Liu Qingqing came in by relationship.

is unbalanced in his heart, and he has long told Jiang Ling that he wants to give Liu Qingqing a little color.

It's just that because Qian Jianghong has been targeting Liu Qingqing, Yang Haidong has not had a chance to show himself.

Unexpectedly, today, Liu Qingqing actually carried the operation he didn't carry down.

Liu Qingqing beautifully separated a whole blackened and fragile appendix.

After the appendix is isolated, the rest of the matter becomes simpler

Liu Qingqing asked for a small piece of dry gauze wrapped around the appendix from the hand guard, clamped it firmly with appendicetric forceps or tissue forceps, and then wrapped it around the cecum at the base of the appendix with saline gauze.

Lift the appendix and make a purse suture around the root of the appendix on the cecum wall at a distance of 0.5~0.8cm from the root of the appendix (the distance between the thick roots should be larger).

Ligate the base of the appendix and cut off the appendix.

Methodical.

Yang Haidong once again felt that this operation was very simple, and it was completely a step that he had usually seen.

Even, he felt that if he got started, he could do it more beautifully and skillfully.

When it comes to proficiency, that's for sure, after all, Yang Haidong has done more appendicitis surgery than Liu Qingqing.

This is an afterthought. This kind of separation of necrotic appendix, Yang Haidong absolutely can't start the separation.

Yang Haidong felt that even if Huang Zhaoyun was replaced, this operation would have to take two hours.

However, why did Liu Qingqing finish it cleanly?

It shouldn't be!

Looking at her appearance, she can already be called a veteran of surgery!

Yang Haidong's heart is unbalanced again, she is also a person, why is she so good!

When it comes to opportunities to exercise, Yang Haidong definitely has more opportunities than Liu Qingqing.

Yang Haidong asked, "Xiaoyanagi, have you had surgery for appendicitis before?" ”

Liu Qingqing was closing her abdomen, and she didn't raise her head, "Well, I've seen it." She said lightly.

Can you make the surgery so beautiful just by looking at it?

It's really hurtful!

Can you say something nice to comfort the injured person?