Zhang Shichang turned the screen and saw several people like him, covering themselves tightly from head to toe. They all stood in the flickering light of the lamp, and surrounded the one-man wide couch in the middle.

The patient lay motionless on his back on the couch, the rest of his body was covered with linen, except for a circular opening in the lower right abdomen, revealing a patch of skin.

He found a gap and stepped forward, and saw Luo Qianhuai holding a willow-leaf knife in his hand, and was explaining while gesturing:

"Okay, hemp boiling powder is now in effect. We need to finish the surgery half an hour ago. If it is overtime, the patient may wake up at any time. ”

Luo Qianhuai, who entered the working state, was extremely serious. is different from the last time when she was in a hurry to temporarily set up a stage to rescue Wei Lan, this is the first time she has had a prepared operation in Dayu, so she is also very serious:

"Yanshu is responsible for observing the patient's condition, keeping her hand on her wrist to monitor her heartbeat and pulse, and if there is any abnormality, she must inform me in time."

Star Swirl was a helper, handing me all the equipment and utensils. Tan Fei and his uncle are the second assistant and the third assistant, and they are responsible for using the retractor to pull the incision part apart to maximize the exposure of the surgical field. ”

These terms are fairly unfamiliar to Mr. Zhang, but not to several others who have received basic training before.

Just because you understand the meaning of the term doesn't mean you don't get nervous. The breathing of the three assistants had become a little heavy, especially in the sealed operating room.

brought three new melon danzi who didn't even know the structure of the human body to the stage, and there was a high-powered bystander next to him, and it must be a lie to say that he was not worried at all.

But this is not another surgery in the end, but the most common appendix surgery in surgery, Luo Qianhuai alone has done no less than 100 units, so the idea of worry is also limited.

"The operation begins." She said intently, and at the same time calmly lowered the knife, and opened a five-centimeter-wide opening diagonally on the patient's abdomen, and blood slowly seeped out of the wound.

"The right lower quadrant opens obliquely, which is the most common way to open in appendicitis. Because the muscles here grow cross-legged, they will heal more firmly and are less likely to form an incisional hernia. And this place is closer to the appendix, which is easy to find. ”

The patient's body is quite thin, and there is hardly a trace of fat on the abdomen, which is a lot easier for the surgeon, and there is no need to suffer from fat liquefaction.

When she spoke, she had carefully cut open the peritoneum, sucked out the blood and exudate with a folded silk silk, and at the same time turned the edge of the peritoneal incision outward and fixed it with a clean silk silk, and then took two retractors and handed them to Tan Fei and Wen Pu respectively.

The faces of the two of them were actually a little pale, and the corners of their lips had lost their blood. But in the end, he has been the lowest level of traveling doctors, and he has also dealt with a lot of bloody injuries, and his reaction is not too violent, and he is barely qualified for the work of pulling hooks.

The knife edge pulled open to the sides, revealing the colorful intestines, and Star Swirl and Yan Shu's faces changed instantly, and they didn't lose their temper thanks to the masks. Tan Fei and Wen Pu were not much better, they were all resisting the urge to vomit. However, Zhang Shichang was well-informed in the Tingwei Mansion, and although he was also touched, he was still able to maintain his composure.

His gaze swept to Luo Qianhuai, but he saw that her eyes exposed outside the mask were calm and indifferent, as if she had long been accustomed to everything she saw in front of her.

Luo Qianhuai didn't pay attention to his gaze. She replaced two long, non-damaging forceps, carefully alternating the colonic strap, and soon found the messy appendix inside.

The appendix is about seven or eight centimeters long, purplish-red, swollen and oozing mucus, sticking adjacent tissues to the colon and not being pinched directly with forceps.

Luo Qianhuai let out a long sigh of relief. Fortunately, although it looks like it is about to festering and perforating, it is still the last step behind.

It was much worse than she had anticipated, perforated appendicitis, perforated pus, and diffuse peritonitis caused by contamination of the abdominal cavity with digest.

The certainty of saving people has increased by two percent, and Luo Qianhuai's voice has become relaxed.

"This swollen bowel is the appendix. It is a closed intestinal tube at the end of the cecum, which can lead to gangrene, perforation, and eventually death when it becomes inflamed. In fact, its existence has no effect on the human body, as long as it is cut off, there will be no consequences. ”

"Everyone, now the inflammation is very serious, and there are some adhesions around it, how to deal with this situation?"

She wears thin gloves with sheep intestines stitched together on her hands, and probes her fingers directly into the wound for blunt separation.

"Alright." Luo Qianhuai took out the successfully separated appendix to show everyone: "Our next task is to remove it. However, it cannot be cut directly because there is also an appendiceal artery in the mesangium, and direct removal will cause excessive bleeding. There are several steps. The first is the ligation of the mesangium. ”

As she spoke, she demonstrated that she used a hemostat to perforate the nonvascular part of the appendix artery at the base of the mesangium, and to tie two lines through the prepared mulberry line.

"About half of the patients have an appendiceal accessory artery from the posterior cecal artery in the mesangium at the base of the appendix. Although there is no patient in front of you, you must observe carefully when you operate in the future, and you must also be ligated after you find it. ”

She performed another ligation proximal before using a hemostat to pinch the entire mesangium.

There is no bleeding at the severed end and it looks quite perfect. She took a small piece of dried silk and wrapped it around the appendix, clamped it tightly with a special appendix clip, and then surrounded the cecum at the base of the appendix with a silk defect soaked in salt water.

"The next thing to do is to sew the purse. The aim is to prepare for ligation and cutting of the appendix"

Luo Qianhuai's explanation is simple to understand, but it is also quite difficult for several beginners around. But everyone is a diligent and studious person, even if there is something they don't understand for a while, they all hide it in their hearts first, staring at the movements of Luo Qianhuai's hands with burning eyes, and they don't dare to wander at all.

The surgery went well. The base of the appendix was ligated and severed, and the stump was embedded and pushed into the cecal cavity, covered with mesangium, and reinforced sutures.

After doing all this, the abdominal cavity is cleaned with Sanhuang water and an alcohol solution, and then sutured in layers.

Until the end of the operation, the patient did not wake up, and his vital signs remained stable.

"The operation was successful." Luo Qianhuai showed his first smile after entering the operating room: "Thank you." ”

The apprentices were still in shock, and they didn't come back to their senses for a long time.

She took off her sheep intestine gloves and walked to Zhang Shichang: "My lord, I am fortunate not to be dishonored." Ninety percent of the patient's life has been saved. ”

Zhang Shichang's face also showed a hint of a smile: "Luo Langzhong is really amazing." It's just that this man hasn't woken up yet, and everything is still inconclusive. ”

"At most, he will wake up in a tea time. If everything goes well, lie down for another ten days and a half months, and you can return to normal. ”

"Then the official will wait and see." Zhang Shichang said and walked out of the operating room.

As soon as he went out, Chai Zhiguo stepped forward anxiously and whispered a few words in his ear.