The patient is a man in his 40s.
At the first sight, Liu Muqiao was frightened.
Too fat!
Especially this big belly, high, like a hill.
When he was an intern in the past, Liu Miqiao had seen appendix surgeries, and the wounds were very small, mostly 4 or 5 centimeters in size.
However, this patient could not even penetrate the 4-5 cm incision with his hands.
Obviously, Hu Bolong was also shocked.
No wonder Jiang Weiwei wanted to invite Hu Bolong to the stage, he turned out to be such a fat man!
Appendiceal surgery is very simple and can be completed by an intern. However, some appendix surgeries are difficult for even professors to perform.
We know that the appendix is located near McBurney's point in the right lower abdomen, but some people's appendix has gone to the upper abdomen, and some people's appendix has even gone to the left side.
It is really not easy to find the ectopic appendix with a small wound.
This patient does not have an ectopic appendix, but is too fat. Even a 10 cm wound is difficult to operate.
Originally, laparoscopy was better for simple appendicitis. This patient was not suitable. He had experienced abdominal injury. It was difficult to judge whether there were adhesions and what the abdominal cavity looked like.
For this kind of patient, it is safer to undergo laparotomy.
"Let's get started." Hu Bolong said.
After washing hands and putting on gloves, Liu Miqiao stood in the C position, Jiang Weiwei assisted, and Hu Bolong stood beside him to guide.
Liu Muqiao felt helpless.
Cut.
Where to start?
McBurney's point or rectus abdominis incision?
For newbie Liu Muqiao, he is indeed difficult to determine.
Hu Bolong urged again: "Why, you still have to wait for a good time?"
"Uh, please tell me, should I do a McLaren incision or a rectus abdominis incision?" Liu Miqiao asked.
But Hu Bolong was a little unhappy.
How could you not know what incision to make?
Obviously, this patient has only one option.
"What do you think?" Hu Bolong tried not to get angry.
"Simple appendicitis should be treated with McFarland's incision."
"Are you sure? Is it okay to do a Maxwell's incision on this patient?"
Liu Miqiao shook his head and said: "The rectus abdominis incision is better. This patient is too fat."
"Well, that's right. Make a rectus abdominis incision!"
However, Liu Miqiao had never seen a rectus abdominis incision.
He still didn't know where to start.
"Where should I cut from there?"
"Stop teasing, come on."
Hu Bolong didn't believe that Liu Miqiao couldn't find the incision location. Wouldn't he know something that every intern should know?
"Director, I have never seen anyone else do it."
"Real or false? Liu Muqiao, Du Xiaoping said that your surgical skills are very good, but you wouldn't say that you don't even have appendicitis, right?"
"I really can't. If I could, then I would still come to intern? Time is really precious to me. Tell me, director, is what I said correct?"
When Hu Bolong thought about it, he was right, "Okay, you can keep doing it. Jiang Weiwei, you can guide me."
Under the guidance of Jiang Weiwei, Liu Miqiao finally incised the skin.
The incision was very unsightly. It was not straight and the depth was inconsistent. In some places, he had to cut it several times before reaching the subcutaneous level.
Such an incision won’t even give you a passing grade.
The second layer of incision is fat.
The thick fat gave Liu Muchiao a big problem. There was no way to determine how deep the fat was. He could only cut it in one knife at a time, and it took him a long time to reach the rectus abdominis sheath.
It's not difficult to stop the bleeding. Just use the electric pen and the bleeding will stop.
On the third level, the rectus abdominis sheath was cut, and Hu Bolong frowned vigorously.
Such a rookie.
How many muscles will be broken by this cut?
Fortunately, this guy doesn't care much about his muscles. One-tenth of his rectus abdominis is worthless.
It is difficult to open the rectus abdominis. You need to open the muscle and open a large enough opening.
After many corrections by Jiang Weiwei, Liu Miqiao finally saw the peritoneum.
When Liu Miqiao finally saw the intestines, Liu Miqiao couldn't bear it anymore.
"Wipe the sweat!"
It wasn't just his forehead that was sweating, his whole body was sweating.
For him, a great project was completed.
Next step, look for the appendix.
This shouldn't be difficult. Find the ascending colon, go retrograde, and the end of the frenulum is the appendix.
Liu Muqiao is full of confidence.
However, after searching for a while, I couldn’t find it!
The problem is that we can’t determine where the colon is, let alone where the appendix is.
Hu Bolong closed his mouth and said nothing.
Jiang Weiwei reminds me from time to time.
10 minutes have passed.
20 minutes have passed.
No progress at all.
"Take out your intestines!"
Jiang Weiwei is a little impatient.
In 20 minutes, the operation has been completed.
Liu Muqiao really took out his intestines.
Just like pig intestines, and still steaming hot!
The intestines are very long.
I searched and stuffed it at the same time, but I couldn't find the appendix.
Where’s the appendix?
"I, can't, Teacher Jiang Weiwei, you should do it."
"You, continue!" Hu Bolong said softly, "Isn't it just an appendicitis operation?"
Liu Muqiao could only bite the bullet and pull out his intestines while stuffing them back in.
Why is it so long?
For the first time, Liu Miqiao felt that his intestines were very long, and there was an endless feeling.
Another 20 minutes passed.
"Hey, Liu Muqiao, give up. Jiang Weiwei, come on."
Jiang Weiwei quickly inserted the intestinal tube, and not long after, the appendix was found. It was a slightly ectopic appendix, and it was hidden behind the cecum.
If you can’t find it, it’s normal.
Liu Miqiao could only watch the following steps. Jiang Weiwei quickly clamped the frenulum, tied it, sutured the purse strings, and put the small appendix into the curved basin.
Close the abdomen.
"Are you coming?"
Hu Bolong waved his hand: "Forget it, Liu Muqiao, let Jiang Weiwei do it, the family will be suspicious, a case of appendicitis, back and forth, almost two hours, people don't know what we are doing here."
Liu Muqiao swallowed hard.
He knew that Hu Bolong was very disappointed with him, very disappointed.
This tone, this wave of hands, seems familiar.
In the past, when Liu Muqiao could not complete the task assigned to Xie Min, he also used this tone and action.
Liu Muqiao could only endure it.
Indeed, today's performance was so bad that the first appendicitis operation failed!
Just now, all Du Xiaoping's bragging was in vain. Hu Bolong personally inspected it. How can a person who can't even complete appendix surgery be a genius?
I have to think more.
Is Liu Muqiao's skill in stopping bleeding with his bare hands a coincidence?
It's hard to say.
Surgery for pancreatic head cancer is just about stopping the bleeding, which happens to not be too difficult.
It must be a coincidence.
Thinking about the situation just now, Liu Maqiao looked so embarrassed, it is certain that he cannot even perform the simplest operation in abdominal surgery!
Before it was over, Hu Bolong turned around and went out, taking off his surgical gown, gloves, hat, and mask.
Back in the office, only Du Xiaoping and the attending doctor of his team were there.
"Why, the operation took so long? Did it not go well?"
"Hey, stop talking. Liu Miqiao doesn't know how to do surgery at all. Watching him do surgery will make people mad." Hu Bolong slapped the table hard.
"How is that possible? His basic skills are excellent."
"You didn't see that the incision was not made by a doctor. Stop talking and let him live for the past two months. There is no cultivation value."
This chapter has been completed!