"Okay."

Ning Qi stood up and looked at Cheng Qingqian:

"Sister-in-law, let someone put a layer of clean sheets on one side of the soft collapse, and then help me prepare clean bandages and gauze, and there is no need to keep anyone in the room except me and the prince during the operation for a while, and now the idle people can go out."

Cheng Qingqian did it one by one, and the house immediately began to get busy, and Ning Yi asked people to boil hot water again, and once again prepared a liquid to reduce inflammation for the skin.

The people in the house moved quickly, and soon the soft collapse was arranged:

"Okay, put down the medicine, the wine, and the hot water, and go out."

Cheng Qingqian couldn't rest assured and wanted to stay, but in the end, Ning Zhi still didn't agree, she would never be able to accept the picture she saw for a while, and Yan Yunzhou naturally knew it in her heart:

"Sister-in-law, it's okay to have me."

"Dark Xuan, guard the door, and don't let anyone in."

Ning Qi looked at the bed, there was no sterile cloth in this place, so there was no way, he could only soak the gauze with medical alcohol and then wring it out and spread it on the bed, barely coping, and the hole cloth covered by his body was also concocted according to the law, and it was very dry.

Ning Qi took the 8 yuan medicine and wine together and handed it to Yan Yunzhou:

"Lord Wang, this is anesthetic, you can feed it."

Yan Yunzhou took the bowl, and the little girl was already in pain and was a little semi-unconscious:

"Ji'er, we drank the medicine, and the second uncle promised that it wouldn't hurt if we drank it."

He held the child and patted him, he fed the medicine here, and Ning Yao sprinkled alcohol all over the room to disinfect it, and then began to clean his hands, and once again disinfected the surgical instruments with alcohol.

Yan Yunzhou persuaded and poured it, and finally poured the bowl of wine with medicine into Yan Yueji, and then gently raised his hand to pat her coaxingly, Ning Qi raised his eyes and saw this scene, Yan Yunzhou really loved this niece very much.

Slowly the effects of the medicine began to kick in, the child in Yan Yunzhou's arms had already fallen asleep, Ning Ji walked over and handed over the mask, and looked at the clothes on Yan Yunzhou's body:

"The prince took off his robe, there are a few points that need to be paid attention to and the prince in advance, after a while, the prince will roll up the sleeves, wash his hands with his arms when he washes his hands, and then wipe them with alcohol cotton, don't touch anything other than touching the utensils during the operation, see the white cloth on the bed over there, don't put your hands on the following positions, and don't move around at will, because the abdomen needs to be as sterile as possible, so it can't cause smoke and dust."

Ning Qi's voice was extremely serious, and Yan Yunzhou listened to them one by one:

"Okay, I remember."

Finally, he looked at the child who had fallen asleep on the bed and looked at Yan Yunzhou:

"Lord Wang, Qi'er's shirt needs to be removed, are you coming or am I coming?"

It is naturally impossible to wear clothes for abdominal surgery:

"I'll do it."

The female avoids her father, this is the rule of this era, but at the moment of life and death, Yan Yunzhou is naturally not such a pedantic person, he took off the clothes on the child's body, and then hugged his niece to the paved soft collapse, and would rather set up the utensils:

"Lord Wang, come and wash your hands."

The two of them first washed twice with hot water, especially Ning Yao, who washed very seriously, and cleaned all the places of his nails, he was originally going to make a glove with sheep intestines, but now the time is in a hurry, and he can only use his bare hands, he used alcohol to sew his fingers, and the position of the nails was carefully and clearly, and then brushed his arms again, both of them were only wearing the innermost single clothes, afraid that the sleeves would fall off halfway, Ning Yi simply used scissors to cut off the sleeves of the two people.

"Lord, we're ready to start."

Yan Yunzhou nodded, the hearts of the two of them were tight, Ning Yi used the boiled potion to disinfect the abdomen in a large area, cut the hole just now, and covered Yan Yueqi with alcohol gauze, the location of the hole is where the appendix is located, laparoscopy has been used in many modern appendicitis surgeries, but today naturally only the traditional laparotomy method can be used.

The moment Ning Ji picked up the scalpel, he was engrossed, his slender fingers held the handle of the knife, and made a Mai incision about 4cm long in his right lower abdomen, this process was already very familiar to him, but Yan Yunzhou's heart rose the moment he watched the blood seeping out of his skin.

"Give me a right stab."

Yan Yunzhou's hand only touched the handle of the knife and handed the knife to Ning Qi's hand, Ning Qi changed the knife and cut the anterior sheath of the rectus abdominis muscle, and then skillfully separated the rectus abdominis muscle:

"Give me the second pliers on the left."

Yan Yunzhou did so, and Ning took the hemostat and clamped the bleeding blood vessels:

"Give me the needle and thread on the far right."

Then the ligation was ligated, and the posterior sheath and peritoneum were cut at the same time, and the abdominal cavity was officially opened, and a slight effusion could already be seen in the abdominal cavity at this moment.

Ning Qi didn't know how many acute appendicitis surgeries he had done when he went out of the emergency department in the early years, and as soon as he opened the abdominal cavity, he basically had a judgment on the patient's condition, and at this moment the abdominal cavity could see pus, the color was pale yellow, but there was no smell, he speculated that the appendix should have signs of perforation, and now he needs to wash the pus, otherwise the abdomen will be inflamed again.

He took a deep breath and raised his hand:

"The prince handed me the bamboo pipe over there."

This is what he prepared before, there is no drainage tube in this era, and it is necessary to drain to open the abdominal cavity, so it can only be used in the most primitive way, Yan Yunzhou handed the bamboo tube to his hand, this bamboo tube has been soaked in alcohol to eliminate poison before, he stretched one side of the bamboo tube into the pus in the abdominal cavity, and then sucked the other end with his mouth, this is the only way he can think of to clean the abdominal cavity.

Yan Yunzhou was stunned by this action, and he would rather rinse his mouth with salt water once after taking a sip, and then change to a bamboo straw to ensure that the abdominal cavity would not contact the substances in his mouth, this experience was really bad, but the first thing that needs to be overcome to study medicine is probably this process.

Fortunately, the fluid in the abdominal cavity is not much, and after a few times, Ning Qi rinsed his mouth with a large bowl of salt water for the last time, and the abdominal effusion was finally cleared, and now it is the most critical step in the operation to accurately find the appendix.

In fact, the most difficult part of appendix surgery is to find the appendix, because the anatomical position of the appendix is changeable, and Ning Yi began to look along the three colonic belts, and found the root of the appendix at the end, at this moment the appendix has obvious edema, congestion, and is only one step away from complete perforation.

Although there were already adhesions and serous edema, but there was no complete perforation, Ning Qi couldn't help but sigh, and a sigh during the operation, even Yan Yunzhou was also a chill down his back, and finally couldn't control his mouth:

"What's wrong? Is there something wrong? ”

The author has something to say:

Later, the update time was changed to nine o'clock in the evening, because the time after eating was so tight, and eight o'clock may be too late.

The author is not a medical major, surgery is the literature I checked, please forgive me if there is any unprofessionalism

PS: The author solemnly promises that there will be additions on the weekend

It is possible to remember the conversion formula

In this chapter, I wrote that a piece of my brain cell died

Director Ning is still a qualified and good doctor, and he is not willing to give up on any promising patient

Chapter 34: This Time I Really Offended People

Facts have proved that even if he is as strong as Yan Yunzhou, he is afraid of the doctor's sigh, especially in this case, when the knife is opened, Yan Yunzhou's eyes are firmly fixed on Ning Jiao on the side, the person is wearing a mask and can't see the expression on his face, he can only see a trace of emotion in his eyes.

Ning Qi turned his head sideways, and saw the obvious worry and faint fear in Yan Yunzhou's eyes, he lowered his eyes slightly, and pointed his finger lightly:

"Look here."

Yan Yunzhou immediately lowered his head, and there was a piece of flesh and blood in the opening, he couldn't understand it at all, Ning Ji pointed to an opening about 6cm long and 1.5cm thick:

"This one is the appendix, see? There is already obvious edema, this side is congested, look at this point, this place will be completely perforated a little later, and the appendix will be perforated, it will affect the entire abdomen, and even if the entire appendix is removed, the subsequent recovery will be very troublesome. ”

If it does cause a widespread infection in the abdomen, then it is not as simple as routine anti-inflammatory after appendectomy.

After speaking, Ning Zhi didn't care if Yan Yunzhou understood, and raised his hand directly:

"Two pliers on the left number three."

Yan Yunzhou withdrew his gaze and immediately handed the pliers to his hand, Ning Ji used double pliers to cut off the mesangium of the appendix, and handed the pliers to the people around him:

"Line."

He began to tie the muscles with threads, then sutured the muscular layer again in the cecum at the base of the appendix, and then raised his hand:

"Right four pliers."

Yan Yunzhou handed him the pliers, his eyes kept watching his movements, Ning Ji used the pliers to clamp the appendix at the end of the ligation, and then cut the appendix under the pliers, Yan Yunzhou watched him cut off the piece of things:

"Plates."

Ning Yi put the cut appendix on the plate handed over by Yan Yunzhou, Yan Yunzhou wanted to speak and stopped, after all, this thing grows in the body, is there really no problem with cutting it out like this?

The end of the appendix was supposed to be treated with phenol, but there was really no phenol to be found in this place, so Ning Qi mixed ethanol and saline to clean up the severed appendix end, and then quickly embedded the end of the appendix, and the whole operation was almost over.

Finally, Ning blamed the abdominal cavity for potential bleeding spots, and the last item was to clean the number of surgical instruments and gauze.

Before his operation, all the instruments were neatly placed, and a few pieces of gauze, a few cotton swabs, and a few threads were all memorized in his heart, but fortunately, every time Yan Yunzhou untied the instruments from his hands, they would be placed in their original positions, and he knew which thing was missing at a glance, and the missing threads were aligned with the ligation, and the gauze was aligned with the dirty gauze, and he finally breathed a sigh of relief.

Yan Yunzhou was afraid of interrupting his train of thought, so he didn't dare to ask, and Ning Yi raised his hand again:

"Line."

Yan Yunzhou handed the thread to his hand, he looked down and saw that Ning Ji seemed to be already stitching up the wound, and couldn't help but speak:

"Is it over?"

Ning Qi didn't raise his eyebrows and eyes, and the movements of his hands continued, suturing the peritoneum and posterior sheath:

"Hmm."

"Line."

Yan Yunzhou handed him another thread, Ning Qi then sutured the anterior sheath of the rectus abdominis muscle and the skin under the skin, although Ning Qi has rarely done suturing work in modern times, but his suturing skills are very good, the appendix is not really perforated, so the surgical incision has not expanded, after the wound of about 4cm is sutured, there is only a fine line, which is not hideous, finally, he cut the thread, and after disinfecting the wound again, he put on a piece of gauze, and finally straightened up.

Ning Ji looked at Yan Yunzhou and took off his mask:

"There is no problem with the process of surgery, and the thread will be removed in the next 7-9 days, and the operation will be officially over."

Ning Zhi explained as if every time he stepped out of the operating room to face his family, his attitude was a little cold, Yan Yunzhou looked at the things cut off the plate:

"Does this cut have any effect on the future?"

This is indeed a question that many family members will worry about, and it is not once or twice that I would rather answer this question:

"The appendix does not have much effect on the human body, and it has almost no effect when it reaches adulthood, pay attention to it during this time, don't run and jump, pay attention to the wound, and don't carry heavy objects, and wait until the wound recovers, it will not have any impact on future life."

Some modern medical studies have shown that the appendix is an immune organ, but when it comes to adulthood, the immune function of the appendix itself has almost faded, and there is no difference between cutting and not cutting, Yan Yueqi is the little lady of the palace, a group of people take care of it, as long as there is no problem with infection during this time, then there is no problem later.

"The prince will help Ji'er put on clothes."

Ning Ji stood aside and sterilized all the surgical instruments again, Yan Yunzhou carefully helped his niece get dressed, and gently carried her to the bed, he also saw Ning Ji's cold expression, knowing that he cared about Fang Cai's affairs, after settling Yan Yueqi, Yan Yunzhou looked at the person who was still wiping the knife and said:

"Ning Gongzi, thank you this time."

Ning Ji didn't look sideways at him:

"The prince thanked me early, but the operation was successful, and I have to fight infection later, if one is not very good, maybe the prince will kill me next time."

A wry smile appeared in Yan Yunzhou's eyes, he had to confirm the previous situation, he was afraid that Ning Yi would have to operate on impulse as seen in the book, and he was afraid that he would play tricks on this matter, so he opened his mouth and forced him once, and he also wanted to know the exact situation of Qi'er at that time, and wanted to know if it was really to the point where he had to use the knife, but it was obvious that he offended people ruthlessly.

Yan Yunzhou knew that it would be useless to say anything now, he explained this kind of thing, and Ning Ji would not believe it, he stood up, bowed down and gave a salute to Ning Ji, this was the first time he saluted Ning Ji, with thanks and apologies:

"I hope that Ning Gongzi will take care of it more later."

"Naturally, I am also responsible for my own net worth and life, Lord Wang, rest assured."

Ning Ji packed up his things before he went to open the door, Cheng Qingqian and the others had been waiting outside, and when they saw the door open, they immediately stepped forward, her hair was in a messy bun, her eyes were red, she stared at Ning Ji and even didn't dare to ask, Ning Ji understood the worries of being a mother:

"There is no problem with the process of surgery, sister-in-law, don't worry, it's just that the operation has just been opened, to avoid problems with the wound, it is best to reduce the number of people waiting in the house these days, spray with alcohol when entering and exiting the body, and wear a mask when touching the child."