Four hundred and thirtieth chapters posterior appendicitis
"The hospital is indeed a mysterious and unpredictable place today..."
After reading the medical record in his hand, as well as the diagnosis of "acute appendicitis" above, Jiāng Yuan sighed quietly, really feeling that he was under great pressure.
A surgical operation that could be completed in a local township hospital suddenly appeared in Tianjin Hospital, and it also appeared in the assessment for direct promotion to a third-grade medical doctor. Jiāng Yuan felt really confused.
So he asked the doctor with some disbelief: "Is this patient right?"
The doctor looked at Jiāng Yuan with a serious expression and said nothing.
Looking at the doctor's bulging eyes, Jiāng Yuan knew that he had thought wrong...
Regardless of whether it is Tianjin Hospital or somewhere else, the patient in front of me is at least a serious and formal medical record, and it is directly handed over to me. It also states that the patient wants to perform surgery on his own. How could this be a fake medical record?
Given the aristocracy and integrity of Tian Hospital, it is absolutely impossible to do such a thing that goes against the sincerity of great doctors. Therefore, there is absolutely no possibility of any forgery in this medical record, even if it is for assessment.
may appear.
Jiāng Yuan walked forward silently and checked the patient's records. Although he did not believe that the medical record was fake, every attentive doctor would check the situation comprehensively before performing an operation to avoid any mistakes.
While doing the examination, Jiāng Yuan's heart was spinning rapidly. He wanted to know what it meant that Tian Hospital suddenly introduced such a simple patient to him? And why did a simple appendicitis appear in Tian Hospital?
It only took a few minutes for Jiang Yuan to confirm that the patient's condition was exactly the same as what was recorded in the medical record... without any errors, it was 100% a case of a patient that needed surgery... um... a simple patient...
Seeing Jiāng Yuan turn around, Dr. Zhu Shiyangtian nodded slowly, and then said: "After the examination, be ready. In a quarter of an hour, the operation will be performed."
Hearing Zhu Shiyang's words, Jiāng Yuan laughed twice, and finally couldn't help but said: "Dr. Zhu Shiyangtian, are you really asking me to perform an appendicitis operation?"
Zhu Shiyang glanced at Jiāng Yuan indifferently, then nodded and said: "Yes, do your best to perform this operation well."
"Oh, okay. Looking at Zhu Shiyang's neither salty nor bland appearance, Jiāng Yuan could only nod his head depressedly. Isn't this nonsense? Do you still dare not do it well?
When entering the operating room, Jiāng Yuan was slightly shocked again...
Tian Hospital is worthy of being a Tian hospital. It performs a small operation to eliminate poison. It is also like the isolation area. Standing in a disinfection room, wearing a transparent respiratory helmet, cooking disinfectants are used to sterilize bacteria on the front, back and left...
When jiāngyuan entered the operating room, jiāngyuan discovered that there were three people standing inside. One seemed to be an assistant, one was an instrument, and one was a circulator.
"Isn't this a bit too simple?" Looking at the three people standing there, there wasn't even an anesthesiologist. It seemed like the only one doing the rounds was doing anesthesia as well.
Jiāng Yuan has performed a lot of operations, but domestic hospitals have never had such a minimum number of people. Unless it was at the bottom of the sea, it was really confirmed that there would only be three or four people in an operating room.
.
However, I naturally don’t care about the source of such surgery.
Jiāng Yuan looked around and saw no invigilator. However, Jiāng Yuan did not find it strange. He walked forward slowly, raised his head slightly and glanced at the exquisite shadowless lamp above his head, as well as the fruits above.
As expected, the probe was there, and then he smiled
"Can we start?" Jiāng Yuan stood in front of the stage and looked at the assistant opposite him through the goggles in front of his eyes. It could be seen that the assistant was very young and she was a female doctor.
"The patient has entered anesthesia, and the operation can begin. The assistant's oriole-like voice sounded, and a pair of crystal eyes looked at the jiāngyuan. With a normal curiosity in his eyes, he looked up and down at the jiāngyuan.
I am no longer surprised by such a source of gaze. In the past two days in Tianjin Hospital, few people who met me could regard myself as nothing. They all looked like looking at orangutans, their gazes were particularly weird.
Gently shrugging his hemorrhoids, Jiāng Yuan looked at the assistant opposite, then at the equipment next to him, and smiled slightly: "Then... let's get started?"
Jiāng Yuan's smile was a little strange in the eyes of the assistant and the tour guide. Is this guy really here to take the exam? I have never seen anyone who came to take the exam smile so arrogantly. I really thought Dr. Tian's operating table was
Is it so easy to perform? Although this is just a simple appendicitis surgery, it should reflect a person's true skills and hands-on ability. If the surgery level of ordinary surgeons outside is good, don't show this ugliness.
The two of them looked at each other and saw the strange look in each other's eyes, but neither of them said anything. They both turned their gazes to the source of the shot, waiting for the shot to begin.
Jiāng Yuan looked at his abdomen, which had already been healed and covered with a towel, nodded slowly, and stretched out his hand...
The assistant opposite was worthy of being an assistant, and he immediately reacted quickly and handed over a surgical knife;
The handle of the jiāngyuan niē was tightened and lightly touched, and then it was moved towards the patient's lower right abdomen. However, at the same time as he casually moved the knife, his keen sense told him that his hand had been touched by an inexplicable force.
Qi Machine Lock: And this Qi Machine comes from the opposite side. With Jiāng Yuan’s sensory ability, you can naturally tell without looking at it. The female assistant opposite is staring at his movements with sisi:
Jiāng Yuan smiled softly. Tian Hospital was Tian Hospital after all. It was really cautious to the extreme. He even hired a master to be his assistant. It seemed that if he was going to make a mistake, his assistant would be there.
He will immediately take action to stop his actions.
"It's just such a small operation. If something goes wrong, why would you use it to get away with it?" Jiāng Yuan smiled bitterly silently, and the movements on his hands suddenly sped up.
"Swish, swish, swish, the surgical knife in his hand cut straight through the skin and fat layer at a speed that was almost invisible to the naked eye. The assistant on the opposite side looked at the source of the knife and the rolling abdomen, and was stunned for life.
It took him half a second to come back to his senses and quickly reached out to the equipment on the side.
The instrument nurse was well prepared, and she was also stunned. After all, she was already used to the high speed of some doctors in Tianjin Hospital. Although the speed of the doctor in front of her was indeed a little too fast, but there was The assistant acted as a buffer, and she put the two small retractors into the assistant's hands very punctually.
He got the small retractor and quickly pulled open the belly on both sides of the opening. But looking at the slightly shy and angry expression in her eyes, he knew that she had some opinions about the little mistake just now.
Jiāng Yuan is working hard. Since it is such an ordinary operation, and it happens to be the project he is most proficient in, he will naturally explode. There is no doubt whether such an ordinary operation will be successful or not. Now he needs to show It all depends on whether your hands are familiar or not, and whether your movements are accurate or not. Of course, the speed of completion of the surgery also has certain factors.
There is naturally no problem with Jiāng Yuan's proficiency in hand movements. There is no need to consider the accuracy of his movements. What he has to do now is, of course, just speed.
Do you need to consider the speed source? Of course not...
As the tip of the penis gently opened the large layer of light yellow peritoneum in the abdominal cavity, the eyes of the assistant next to her also widened. Now she didn't dare to be careless at all, otherwise something would really happen. Damn it, she has lost face this time.
However, she was not too nervous this time. Judging from the situation just now, this Jiāng Yuan should not be a novice, and there would probably be no problems. It was just that this guy was too fast, making her unable to control it. feeling.
As the number one expert among the younger generation in Tianjin Hospital, this feeling made her feel very bad, but there was nothing she could do about it now. Before the other party had problems, she was just an assistant and a monitor, and she had no other precautions. Measures, but if something goes wrong, she, the monitor, will be annoyed.
Jiāng Yuan didn't want to think too much about this assistant. He opened the peritoneum with a few gentle moves and exposed the organs inside.
Of course, you can't see much inside the small opening, but with Jiāng Yuan's eyesight, you can naturally see it! Clearly, he stretched out two fingers and gently touched the inside.
Seeing Jiāng Yuan rub his two slender fingers into it, the female assistant next to him also breathed a sigh of relief. It seemed that it was almost done.
However, just as her beautiful eyebrows were slowly spreading, Jiang Yuan's two handsome eyebrows were slightly raised.
"Huh?" Just when the female assistant was surprised, Jiang Yuan suddenly stretched out his hand again.
"Huh?" Looking at Jiāng Yuan's outstretched hand, the female assistant was finally stunned. She looked at Jiāng Yuan and then at Jiāng Yuan's hand. She really didn't know what to give to Jiāng Yuan.
"Dāo..." Jiāng Yuan was focusing on the fingers of his left hand at this time. At this time, the fingers were carefully searching for the existence of the small appendix in the patient's stomach: he stretched out his right hand for a while, and then He realized that his hands were still empty, and then he came back to his senses. He guessed that his assistant didn't know what he wanted, so he had no choice but to say softly.
Hearing Jiang Yuan's somewhat helpless tone, the female assistant's cheeks exposed above the mask suddenly turned red, and the look of shame and anger in her eyes soared.
Finally, he couldn't help but resentfully picked up the operating knife and stuffed it into Jiang Yuan's hand...
She knew very well that during this third-grade medical doctor's direct promotion assessment, Dr. Youtian and several first- and second-grade doctors were watching. Every move she made was in their eyes, and they could clearly see any mistakes.
Clearly.
"Uh..." Jiāng Yuan also felt the female assistant's dissatisfaction at this time, and couldn't help but laughed dryly and said: "Lai Ni."
"Posterior appendix?" The female assistant was also stunned at this time, and then she understood the reason why Jiang Yuan seemed to have been moving his fingers in the patient's stomach just now.
Posterior appendix is a very troublesome thing, because the appendix is usually at the end of the colon, and then exposed in the abdominal cavity. Usually for appendicitis like this, you can directly stretch out two fingers to hook it, then pull it out and then ligate it with sutures.
"Click" a cut...
Then use zhēn thread to make a purse stitch, and everything will be pk.
But this posterior appendix means that the appendix is hidden in a certain part, or even behind a certain peritoneum. Under such a field of vision, it is extremely difficult to find it: so the source of the penis must be stretched out to open it.
To expand this surgical incision, the entry position of two fingers is not enough.
Hearing that it was the posterior appendix, the female assistant no longer felt ashamed or angry. She also understood that Jiāng Yuan was in trouble this time...
Jiāng Yuan took the surgical tool handed over by the female assistant, and while expanding the surgical incision, he also secretly smiled bitterly. As expected, the direct promotion assessment for the third-grade medical doctor is not that simple. This ordinary appendix surgery and posterior appendix surgery are two different things.
, and it is even more completely different when it is not clear in advance.
However, Jiāng Yuan is not worried at all about posterior appendices. Although he has not seen such things often, he has seen them three or four times. Compared with ordinary surgeons, he is relatively experienced.
So after expanding the incision on the abdominal wall, two fingers went a little deeper, and then they quickly touched a colonic frenulum on the patient's colon.
Others may not pay much attention to this inconspicuous thing, but Jiāng Yuan knows very well that no matter where the appendix is, its starting end is at the end of the colonic frenulum.
As long as you know the location of the tail end of the colonic frenulum, you can easily find the location of the appendix...
So after he only penetrated his fingers for a few minutes, he immediately found the colonic frenulum along the colon, then followed it down, and quickly touched the swollen penis behind a layer of bobo membrane.
Feeling the swollen appendix touched by his fingers, a faint smile appeared on Jiang Yuan's face, and then with a slight hook of two fingers, he pulled out the extremely hidden appendix.
After hooking it out, Jiāng Yuan reached out his hand again...
Seeing how quickly Jiāng Yuan found a posterior appendix, the female assistant was slightly startled, but after all, she was prepared and quickly handed over the zhēn holder.
Jiāng Yuan took the device and quickly hooked it a few times at the junction of the colon and the appendix. Then he smiled slightly and took the scissors handed over by the female assistant with great discernment.
"Click" the swollen appendix fell down...
As Jiāng Yuan retracted the silk thread, a colon bag was immediately completed. After Jiāng Yuan quickly knotted and cut off the silk thread, the most important part of the operation was quickly completed.
In a monitoring room more than ten meters away, Zhu Shiyang looked at the monitoring screen, his eyes flickered slightly, revealing a hint of disbelief. He frowned slightly and said in a deep voice: "Zhang Lingyang, are you sure this is a person?"
Chapter completed!