I really don't want to be a doctor

Chapter 21 The operation is completed
The mesoappendix is ​​very hypertrophic, and the adhesion with the surrounding is very serious.It is impossible to judge the distribution of appendix vessels and the shape of appendix lumen.

Deng Liming was about to speak, but seeing that Yu Wenxing remained calm, the words came to his lips, but he did not say them in the end.

Yu Wenxing also found it difficult.

There are not many cases of laparoscopic appendectomy performed by him. After all, he used to work in a provincial top tertiary hospital, and this kind of hospital only performs major operations.

Cases like appendicitis are really rare.

Yu Wenxing's joystick stopped.

"what's the situation?"

Yang Le was puzzled, why Yu Wenxing stopped after seeing the colon belt.

Li Xiaojun explained softly,
"The mesoappendiceal adhesion is too serious. If you are not careful, you will damage the blood vessels. It seems that this operation will still require laparotomy." Li Xiaojun said in a low voice, "It will also require a large incision."

"Ah!" Yang Le almost couldn't hold back his exclamation, but he also knew where it was, suppressed the panic in his heart, and stared fixedly at Yu Wenxing.

Yu Wenxing pondered for a while, and then moved the joystick.

This time, his speed was much slower.

The electric coagulation knife and the non-destructive grasping forceps were in Yu Wenxing's hands, dividing the attached appendix little by little.

The operating room fell into silence. Everyone was carefully staring at the monitor and breathing slower and slower, as if they were afraid of disturbing Yu Wenxing.

The appendix was finally fully exposed.

lumen.

looming.

Deng Liming breathed a sigh of relief, but when he saw that the electrocoagulation knife had no intention of stopping and wanted to continue separating the mesangium, Deng Liming had to speak.

"Yu Wenxing, it's almost there. Just stick it here."

tie.

Refers to ligation.

After the mesentery is ligated, a small part of the operation is considered complete.

"No." Yu Wenxing stopped, carefully identified it, and shook his head, "It's too far here, with so many piercings, the appendix will be too big to be taken out later, and it will have to be widened."

"But it is very difficult to continue to separate, and it may damage the appendix blood vessels."

Yu Wenxing pondered for a few seconds, "It's okay, I'll be more careful."

Deng Liming sighed in his heart and said no more, but he had already begun to simulate the abdominal surgery method in his mind.

The pus has been aspirated under laparoscopy and the appendix has been found.

The biggest difficulty of laparotomy for appendectomy has been removed, and the speed of laparotomy is not slow at this time.

He only hoped that Yu Wenxing would be careful enough not to make a big opening even if the appendix was damaged.

"Curved pliers."

The curved forceps for laparoscopy were handed over, and Yu Wenxing was more careful this time, pushing it almost millimeter by millimeter.

"Retrograde cut mesentery?!"

Deng Liming never thought that Yu Wenxing would do this at this time, but after thinking about it, Deng Liming understood.

Antegrade cutting is a commonly used method, but when going antegrade, it will keep approaching the appendix blood vessels, and it may be damaged if one is not careful, but retrograde cutting is different. If you do this, as long as you don’t practice knife skills in the abdominal cavity, it is impossible to damage it .

"almost."

The appendix was gradually separated.

"He really detached."

Li Xiaojun murmured to himself,
The attached appendix was separated clearly and unscathed.

In this hand, the whole general surgery is unmatched.

Yu Wenxing also exhaled lightly.

That's what surgery is like.

If it goes well, it will look calm.

If it doesn't go well, it's frightening.

Immediately said: "Ligation set."

Ronaldinho was stunned on the spot.

Deng Liming looked at Xiao Luo suspiciously.

Xiao Luo showed embarrassment on his face, "Director Deng, this is for cholecystectomy and ligature sets for appendectomy, which are not available here."

Deng Liming stared dumbfounded at Xiao Luo with a silly face, and almost flew up to give Xiao Luo a Tianma Meteor Fist.

Why are you telling me that you have nothing at this time?

I took off my trousers and you show me the gourd baby?

Really Nima's
Ha ha!
Yu Wenxing smiled wryly.

It seems that the preparation before the operation is not enough.

However, the development of a new technology will inevitably encounter difficulties of one kind or another.
"Then thread it. If there is no ligature, just sew."

Regardless of whether it is an open appendectomy or a laparoscopic appendectomy, the treatment of the appendix is ​​different.
During open appendectomy, the appendix was buried with purse string sutures.

Laparoscopic appendectomy generally does not need to be buried, it is treated with a ligature, and then Hemlock clipping is enough.

But now there is no ligation sleeve, so I have to sew it by hand.

"Sewing?"

Li Xiaojun's eyeballs almost fell out.

It is not difficult to suture the root of the appendix by hand.
But to use the joystick to sew, the difficulty is not too great.

It is not difficult to write like holding a pen in hand.

But if the pen is half a meter long.

You can imagine the difficulty of writing.

Deng Liming also understood this truth, and suddenly felt the desire to devour Ronaldinho alive.

Yu Wenxing didn't care.

He also sewed many times with a joystick.

Although not when the appendix is ​​being cut.

When the distal end and the proximal end are heavily ligated with sutures,
Everyone breathed a sigh of relief.

Especially Ronaldinho, he was so excited.

If the first laparoscopic surgery is converted to open laparotomy, the next laparoscopic surgery will be performed, and the year and month will not be known.

Once bitten, twice shy.

The current situation of the doctor-patient relationship.

If there is a problem with the first new technique, then when this technique is used again in the future, everyone will have a shadow in their hearts.

Subsequent operations are simple.

Cut off the appendix.

Hemlock clamps the stump.

Metronidazole was flushed intraperitoneally.

When an appendix was taken out from Zhan Weiwei's abdomen, Deng Liming laughed heartily.

"Good! Good!"

The peritoneal cavity was flushed, and a drainage tube was placed.After pulling out all the sleeves, Yu Wenxing looked up at the time, 48 minutes.

Depressed mouth.

It seems that I am still not very skilled.

After two band-aids were applied to the wound and the drainage tube was fixed in place, Yu Wenxing took off his gloves.

The operation is officially over!
"Ding, complete ten surgeries, reward a surprise gift bag."

Suddenly, a jumping gift bag appeared in front of Yu Wenxing's eyes.

There is a small cloud in the upper right corner of the gift bag.

Inside it says: hurry me, hurry me
Yu Wenxing was secreting adrenaline crazily at that time.

This is a surprise gift bag.

But before he could open the gift bag, applause suddenly broke out.

It was small at first, and then grew bigger and bigger. In the end, there was thunderous applause in the entire operating room.

Looking at the excited eyes of everyone, Yu Wenxing smiled embarrassedly, and applauded accordingly.

Especially Tang Ling, whose little face was as red as an apple, and his eyes on Yu Wenxing were extremely hot.

Yu Wenxing hurriedly turned to the other side, but met Yang Le again.

Yang Le's expression seemed to be a smile but not a smile,
Yu Wenxing was completely shy.

In the final analysis, he is still an innocent old lady.

(End of this chapter)