At the same time, Li Xiyang also noticed the change in Liu Guowei's expression,

So he asked, "What's wrong, Director Liu?" ”

Liu Guowei panicked at first, then coughed lightly twice and shook his head, "No, it's nothing." ”

As he spoke, he continued to operate the laparoscope, but he hesitated to see the latter's hand movements, obviously encountering something.

Just when Li Xiyang was puzzled, the virtual light screen in front of him suddenly jumped out.

[Small intestine: What the hell, don't suffer Lao Tzu]

[Omentum: You sixth, pull my big waist]

[Bladder: Hey, hey, buddy, the appendix is over there]

[Appendix: Yali is so big, so weak]

Well?

Seeing the dialogue of the organs, Li Xiyang frowned.

Quickly walk to the other side of the operating table and pick up the patient's CT rays.

Swept under the shadowless lamp, Li Xiyang's face changed.

"Director Liu, stop it!"

Liu Guowei was already in a hurry, upset and irritable,

Suddenly heard Li Xiyang's shout, and he was even more angry, "Boy, what's your name in the operating room?" If it affects the operation, you are responsible! ”

Li Xiyang said quickly, "The patient has a hidden hernia in the morning, and he can't use laparoscopy." ”

Liu Guowei was stunned, "It turned out to be a hernia, no wonder!" ”

There are three types of hernias, brain herniation, thoracic herniation, and abdominal wall hernia, among which abdominal wall herniation is the most common.

It is caused by a weak, defective or abnormally high intra-abdominal pressure in the abdominal cavity, usually when an organ or part of an organ in the abdominal cavity leaves its normal anatomical position.

This is the case with the patient, the small intestine, omentum, bladder, and appendix are all out of their original position.

This made Liu Guowei's previous incision unable to accurately deliver the knife to the position of the appendix.

But how did this kid know that the patient had a hernia?

Noticing the CT film in Li Xiyang's hand, Liu Guowei was obviously stunned.

Can you see it with just a piece of light?

That's an early morning hidden hernia!

There are many kinds of abdominal wall hernias, including hiatal hernias, umbilical hernias, inguinal hernias, etc.

Each type of diagnosis corresponds to a different type of examination.

However, in general, it is necessary to undergo intraperitoneal imaging, ultrasound, and patient blood routine, blood biochemistry, and coagulation tests.

Detect whether the number of white blood cells and neutrophils is increased, and whether the content of water and electrolytes is disordered...

Based on the above data, the specific situation of the patient's hernia can be accurately determined.

However, when the patient was brought in, everyone only thought it was an appendicitis attack, and did not think about hernia at all.

But this kid was able to diagnose a hernia based on just a CT scan.

That's an exaggeration, isn't it?

Li Xiyang didn't know that Liu Guowei had thought so much in an instant, but it was obviously not feasible to continue laparoscopy now.

"Director Liu, the patient's current condition can only be opened."

"Open stomach?"

Liu Guowei shook his head again and again, "That's not good, the patient specially explained, the wound must be the smallest, and no scars can be left." ”

This person is not short of money, but he came for laparoscopy, and he paid 20,000 yuan for the operation alone, which is a big list.

[To meet the needs of patients, it is for the common people]

[The exchange shop will be opened immediately, and the host will have the following options]

[Municipal medical-grade laparoscopic technology, 10 points of medical ethics can be redeemed]

[Provincial medical-grade laparoscopic technology, 25 points of medical ethics can be redeemed]

[Quasi-national medical-grade laparoscopic technology, 50 points of medical ethics can be redeemed]

[Chinese medical-grade laparoscopic technology, 100 points of medical ethics can be redeemed]

Laparoscopic technique...

Li Xiyang hesitated for a moment and directly chose 100 points to exchange.

Because of the complexity of the patient's condition, he was not sure whether quasi-national medicine would be useful.

"What to do, what to do..."

Liu Guowei is as anxious as an ant on a hot pot.

thought to himself, if it really didn't work, he could only hand it over to Peng Tao in the emergency department.

After all, that guy was the first person in the Third Hospital to master laparoscopic technology, and his clinical experience was indeed stronger than his own.

It's just that at this juncture, both of them are competitors of the general foreign director, so he is afraid that he will not be able to raise his head in the third court in the future.

But the sick can't help but save them...

Just as he was struggling, a voice rang out.

"I'll do it!"

"Huh?"

Liu Guowei was stunned, and Li Xiyang was already standing in the position of the main knife.

"Boy, don't mess around!"

Liu Guowei hurriedly tried to stop it, but then he was stunned by the picture from the microscopic camera.

intraperitoneal,

Li Xiyang accurately handed the knife through the instrument, like peeling off a cocoon, quickly displacing the displaced omentum.

Non-destructive forceps to separate pus, serous membrane...

After two minutes, the appendix and mesangium were completely exposed to the surgical field.

Non-destructive forceps adhere to the root and pass through the mesangium...

Bring in the No. 7 silk thread...

Ligation of the mesangium...

Ultherapy preparation, coagulation mesangium...

The mesangium is bagged and the stump is embedded...

2-0 stitches start on the inside of the cecum...

The stump of the appendix advances the intestinal lumen and tightens the purse...

Withdraw the laparoscope and specimens and begin to suture the incision...

Liu Guowei opened his mouth wide, and stood there in a daze,

The turbulent heart can't be calmed down for a long time.

"Oh my God, what did I see..."

"How the hell did this young man do that..."

In the absence of a surgical field at all, the position of the appendix can be accurately determined.

The technique of handing the knife, and the speed at which the tissue is free...

Even if Peng Tao comes, he can't do it!!

Wrong

Liu Guowei remembers the laparoscopic surgery performance video that Mr. Su Mingwang, a common saint hand, was copied on the computer.

It seems like that's it!!