Hecheng First Hospital has a total of 24 operating rooms on duty, providing services for surgery, gynecology, ophthalmology, otolaryngology, orthopedics, emergency department, etc.

There are 18 main operating rooms and 6 temporary operating rooms. As the largest department, surgery naturally occupies the most time, with a weekly demand of about 400 hours.

The General Surgery Department of Hecheng City No. 1 Hospital is able to carry out various large-scale surgeries and difficult surgeries, including liver transplantation, liver lobectomy, liver segmentectomy, pancreaticoduodenectomy, Budd-Chiari syndrome surgery, and total gastrectomy.

, radical surgery for rectal cancer, laparoscopic cholecystectomy, radical surgery for colon cancer, radical surgery for rectal cancer, thyroidectomy, etc.

In comparison, a series of surgeries for appendicitis are naturally considered minor surgeries. For interns and trainees, appendicitis surgery is also the most basic surgery at the beginning of their surgical careers.

Early in the morning, Tanglou and Tian Linsheng turned around the corridor and got on the elevator. The sixth floor was the dressing room for the operating room.

The operating room standard of Hecheng City No. 1 Hospital is based on the standard of a tertiary hospital. The dressing room alone is about 200 square meters, and there are also shower rooms and toilets.

Entering such a luxurious dressing room for the first time, Tanglou was naturally in a state of excitement. It was indeed not comparable to a small workshop like a county hospital.

Tian Linsheng was very interested and excitedly introduced to Tanglou:

"Tanglou, are you very excited to enter the operating room for the first time? It's my first time too. Just the changing room makes me excited.

We have three operating room passages: medical staff passage, patient passage, and sterile equipment passage."

"The medical staff channel can be entered directly from our dressing room, the patient channel leads directly to the operating room, and the sterile equipment channel is a dedicated channel for the transportation of surgical instruments."

"The first time I searched for a long time before I entered the operating room. If I walked through the wrong door, I wouldn't be able to enter the operating room."

Tian Linsheng explained to the Tanglou very skillfully, with the attitude of the first assistant supporting the younger brother of the second assistant.

"Tanglou, don't think I'm talkative. When you enter the operating room, you must pay attention to sterility awareness. When you enter the operating room door, you must change your slippers. The door of the operating room is stepped on with your feet. You must not touch it with your hands.

Push. Moreover, when entering the operating room, you must change into the operating room clothes and hat."

"The hair should also be wrapped entirely in a blue disposable round cap."

Tian Linsheng paused while looking at Tanglou's thick, black and smooth hair, touched his high hairline, and said with envy.

"In the tenement building, in addition to the chief surgeon, there are also anesthetists and nurses in the operating room. The nurses are divided into circulating nurses and hand-washing nurses. The nurses come on stage to disinfect and spread sterile sheets, adjust the lights..."

This is the first time that Tian Linsheng talks so much. In front of Ma En, he has always been the one being scolded. If he really has the power one day, he will talk nonsense and make wild gestures. It will be great!

In response to Tian Linsheng's sudden enthusiasm, Tang Lou smiled and nodded.

Seeing Tanglou's obedient and sensible appearance, Tian Linsheng nodded with satisfaction and waved his right hand: "Let's go!"

Soon the two entered the operating room.

In the operating room, the nurse has made preoperative preparations. The patient is a 43-year-old woman with simple appendicitis.

Tanglou Hetian Linsheng has already known the patient’s admission record in advance:

Patient: Wu Zhaodi, female, 43 years old

Chief Complaint: Intermittent pain in the right lower abdomen for more than three days, worsening for one day

History of current illness: Half a month ago, the patient began to have fever accompanied by upper abdominal pain and vomiting without obvious triggers. The vomitus was the contents. At that time, he was diagnosed with acute gastroenteritis at the community health center (the specific drug dosage was unknown) and the symptoms were relieved. One day ago, the patient

Fever reappears, body temperature can reach above 38°C, and McFarland point tenderness and rebound tenderness in the right lower abdomen appear as persistent dull pain with worsening vibrations, accompanied by nausea, vomiting, and abdominal distension. The vomitus is gastric contents. Further treatment is required.

, Recently, a patient was admitted to our hospital due to appendicitis during outpatient examination. Since the onset of the disease, the patient has been in poor spirits, has a painful expression, has lost appetite, has less urine, and has no bowel movement. There has been no significant change in weight.

Past history: Normal physical constitution, denial of chronic medical history of hypertension, coronary heart disease, diabetes, etc., denial of history of infectious diseases such as hepatitis and tuberculosis, no history of trauma, surgery, no history of blood transfusion, blood donation, no history of drugs, food allergy...

Physical examination:

T 36.8℃ P 78 times/min R 18 times/min BP: 125/80mmHg

...

Specialist examination:

The abdomen was flat, with no intestinal pattern or peristaltic waves, McBurney's point tenderness and rebound tenderness in the right lower quadrant, and no obvious mass was palpable. The liver and spleen were not palpable under the costal margin, and there was no percussion pain in the liver and spleen areas and no percussion pain in the kidney area.

, no shifting dullness, and normal bowel sounds.

Auxiliary inspection:

Blood routine: RBC: 4.39x10^12/L WBC: 11.3X10^9/L Hb: 136g/L PTL: 268x10^9L CRP: 28.165mg/L

Abdominal color ultrasound showed: small kidney stones. Intracranial Doppler showed: blood flow velocity of some intracranial arteries slowed down. ECG showed: sinus rhythm and mild to moderate left deviation of the cardiac axis.

...

Typical appendicitis symptoms!

While Tanglou and Tian Linsheng were looking forward to it, Qingping also walked into the operating room.

Anesthesiologist Chen Wenhao, who is about thirty years old, has extremely fair skin and looks a bit like a Korean American. Naturally, he uses the most conventional epidural anesthesia for simple appendicitis.

After finishing the work, he sat on the small bench he brought with him. Anesthesiologists usually circulated in various operating rooms and had nothing else to do, so they sat down and watched the operation.

Naturally, he had seen hundreds of cases of this kind of appendicitis, but since there was a newcomer this time, he naturally became interested. A rookie's first operation would always be full of mistakes and make him anxious.

It’s the first time for a newcomer, it’s exciting just thinking about it!

Some interns can't even tie their surgical gowns properly, and some are looking around in the operating room with their fingers cluttered, while the surgeon in charge can perform his special trick of irritating others.

As a cultural person, the surgeon-in-chief never uses curse words when he curses, but his lethality is extremely shocking.

This kind of moment is a break from the boring and long operation process. Dr. Qingping is very serious and doesn't even like to make dirty jokes, so the only thing that can make Chen Wenhao a little passionate is the scene of training the interns.

For example, when Tian Linsheng was clumsy for the first time, he was scolded by Qing Ping. At that time, he said: If you can do it, do it; if you can't, get out of here.

It almost left Tian Linsheng with a lifelong shadow, and he will never do anything... hook...

This patient's condition is relatively good, and he can undergo surgery directly without any special treatment.

Tian Linsheng chuckled and automatically moved towards Isuke's position.

Qingping gave him a death stare.

Tian Linsheng's head banged and he was stunned for a while, then he instinctively ran to a familiar location.

"???"

Then, he watched Qingping coming out of the mask, the words Tian Linsheng had been craving for months:

"Tanglou, come here, you can incise this patient!"

What made Tian Lin most angry was that Tanglou walked over as he was used to it, and then the nurse took the pen.

On the patient's abdomen, start marking the position of McBurney's point, with smooth and clean movements, as if you have done it hundreds of times.

Tian Linsheng didn't sleep all night, imagining that when he took the pen, he would mark it slowly. After marking, he would pause, just like shaking it after peeing, releasing and enjoying the last lingering aftertaste.

But the tenement house didn't cherish it at all, marking, disinfecting, draping, and fixing the skin... it was coherent, it was just a wooden emotional cutting machine.

What a waste!
Chapter completed!