Chapter 187 [Show Your Skills] (Part 2) The WingofGod Alliance
Since he came to this era, this is not the first time Hu Xiaotian has performed surgery. For him, an appendicitis operation is not difficult at all. Originally, he was a little hesitant because of Long Yelin's identity, but he actually decided to perform the surgery on him.
After the operation, Hu Xiaotian quickly calmed down. What's wrong with the emperor? The emperor is also a patient. If you want to perform a successful operation, you must forget the identity of the patient and simplify the relationship between them. There is no king or minister, no hierarchy, I
You are the doctor and you are the patient, it's that simple.
The purpose of Hu Xiaotian's search for Li Yifeng was to obtain surgical instruments from him. Hu Xiaotian's earliest operation was performed with the help of Yi Yuantang. Later, Li Yifeng specifically followed the map he provided to find Dakang's first-class workshop -
- Tiangongfang built a complete set of surgical instruments, and gave Hu Xiaotian a set as a gift before he left for Qingyun. However, the set of instruments was lost when he left Qingyun.
Hu Xiaotian asked Li Yifeng and found that Li Yifeng still had a set, so he quickly sent someone to Yi Yuantang to get the equipment.
In modern surgery, spinal anesthesia or epidural anesthesia is the best method for appendicitis surgery. Of course, local infiltration anesthesia can also be used. Under the current medical conditions, only local anesthesia is the most feasible.
Li Yifeng provided Yi Yuantang's anesthetic, but his anesthetic did not seem to be very effective on the emperor. After taking it internally and applying it externally, Long Yelin's pain did not relieve much.
Operating conditions in the palace are much better than operating in the private sector. According to Hu Xiaotian's request, Xuanwei Palace was temporarily converted into an operating room. All the idlers withdrew, and the operating area was briefly disinfected, and Long Ye was treated with strong liquor.
Lin's body surface skin was disinfected.
The preparation process went smoothly, but the effect of the anesthetic was not good, and Long Yelin groaned in pain. This guy's endurance was really bad, and Hu Xiaotian felt anxious when he heard it, so he quietly asked Ji Feihua aside and whispered:
"Admiral, is there any way to relieve the Emperor's pain?
Ji Feihua said calmly: "You are a doctor, and we know nothing about medical skills."
Hu Xiaotian thought of another idea: "It's okay to let the emperor sleep for the time being."
Ji Feihua nodded and said: "It's a simple matter." He came to the dragon bed and touched Long Yelin's sleeping hole. As expected, Long Yelin fell asleep in a daze. Hu Xiaotian was overjoyed. Now the biggest problem has been solved.
You can perform surgery as you wish.
Hu Xiaotian's map of surgical instruments inspired Li Yifeng a lot. After Hu Xiaotian went to Qingyun to take office, Li Yifeng improved the instruments and items he drew. The other imperial doctors had left, leaving only Li Yifeng as his assistant. Hu Xiaotian put on
Mask and scarf, twisting the lancet.
When the only two personal eunuchs of the emperor who were around saw Hu Xiaotian picking up the lancet, the expressions on their faces were extremely frightened. If Hu Xiaotian had the slightest evil thoughts in his heart and pierced it with the knife, I am afraid that the emperor would be killed.
, they looked at Ji Feihua, only to see Ji Feihua calm and composed, sitting far away with a cup of tea in her hands and slowly sipping it.
Ji Feihua was calm on the surface, but in fact he was still a little uneasy in his heart. His uneasiness was not because Hu Xiaotian was standing next to the emperor with a knife. Based on his understanding of Hu Xiaotian, Hu Xiaotian was a smart man and would never seek death. Just like him just now
As he said, even if he doesn't care about his life, he still cares about the lives of his parents. Ji Feihua's uneasiness is that he is not sure that Hu Xiaotian will be able to cure the emperor. This is the first time he has heard of it. He opened his belly to treat the affected area.
Hu Xiaotian took a breath and reminded himself to stay calm. It was just a minor surgery and the person in front of him was just an ordinary patient.
After his emotions completely calmed down and he reached a state of mind without any external objects, Hu Xiaotian picked up the scalpel and made a slash on Long Yelin's belly. The two eunuchs watching from behind no longer dared to look anymore and hurriedly turned around.
Hu Xiaotian used an oblique incision in the right lower abdomen. This kind of incision crosses the muscles and is relatively strong after healing, making it less likely to form an incisional hernia. It is also closer to the appendix, making it easier to find. The incision is generally less than two inches long, so Hu Xiaotian cut decisively.
The incision is made in one go.
After incising the peritoneum, a small amount of exudate and pus was found to overflow. The situation was generally in line with Hu Xiaotian's prediction. It was neither good nor bad. He signaled Li Yifeng to pick up the homemade suction device and suction it.
The exudate in the abdominal cavity was sucked clean. Li Yifeng used a retractor to retract the incision to both sides, and Hu Xiaotian began to search for the appendix.
The trick to finding the appendix is to first find the cecum. The cecum is grayish-white in color compared to the small intestine, with a colon band in front and fat sags on both sides. Hu Xiaotian is extremely familiar with the anatomy of the human body, and it didn't take him much time to find the cecum.
After finding the cecum, pinch the intestinal wall with gauze between your fingers, gently lift out the cecum, and quickly find the appendix along the colon.
There was no adhesion between the appendix and the surrounding tissue. Hu Xiaotian used his fingers to move the tip of the appendix to the incision. There is a very important note here. Regardless of the severity of the inflammatory changes, the appendix itself cannot be clamped with hemostats or tissue forceps to avoid the spread of infection.
; Special appendix forceps can be used to clamp it, or hemostatic forceps can be used to clamp the mesangium at the tip of the appendix and lift it out.
The appendix should be removed outside the abdominal wall as much as possible. Before removing the appendix, the mesoappendix and the appendiceal artery must be ligated and removed. The anatomical structure of this real dragon emperor is no different from that of ordinary people. His appendix
The mesentery is thin and the anatomical relationship is clear. Hu Xiaotian used a hemostatic forceps to make a small hole in the non-vascular place next to the appendix artery at the root of the mesentery, pulled through two mulberry threads, and tied one at the top and bottom about half a centimeter apart.
Then, the mesentery is quickly cut off, and another proximal ligation is performed.
After completing this step, Hu Xiaotian wrapped the appendix with a small piece of dry gauze, clamped it firmly with tissue forceps, and then wrapped saline gauze around the cecum at the base of the appendix to prevent intraoperative contamination. Lift the appendix, wrap it around the base of the appendix and
Make a purse-string suture on the cecal wall half a centimeter from the root of the appendix and leave it untightened for the time being. After completing the suturing, use a straight hemostatic forceps to squeeze about half a centimeter from the root of the appendix to prevent the suture from slipping during ligation. Use it immediately
Ligate the mulberry thread at the indentation, then use hemostatic forceps to clamp the ligation thread against the appendix, and cut off the end of the thread with pliers. Then use straight hemostatic forceps to clamp the appendix half a centimeter distal to the ligation thread, and sew the needle deep into the muscle layer.
, but avoid penetrating the intestinal lumen.
After the above steps are completed, the appendix can be removed. The lancet blade is upward, close to the bottom of the straight hemostat clamped at the root of the appendix, cut off the appendix, and discard the knife and appendix together. Then use the hemostatic forceps to clamp the cotton ball.
The appendix stump is disinfected and the saline gauze protecting the cecum is discarded.
The appendix stump still needs to be embedded. Hu Xiaotian instructed Li Yifeng to use the toothless forceps in his left hand to lift the cecal wall on the opposite side of the purse string suture. He held the hemostatic forceps holding the knot in his right hand and pushed the appendix stump into the cecal cavity.
Hu Xiaotian lifted and tightened the purse string suture so that the stump was buried in the purse mouth, and then cut off the thread after ligation.
The last step is to cover the mesentery and reinforce the suture: use mulberry suture to make a figure-of-8 suture of the seromuscular layer half a centimeter around the purse-string suture, and fix the stump of the mesoappendix or the fatty colon to make the local surface smooth.
It can prevent postoperative adhesions to the greatest extent. Before closing the abdomen, use oval forceps to clamp a small gauze ball, extend it into the abdominal cavity, and check around the cecum for exudate, pus, and bleeding from the ligation point. Make sure there are no omissions.
All layers of the abdominal wall are then sutured.
Ji Feihua was originally sitting there drinking tea, but later she couldn't help but stood up curiously and looked at Hu Xiaotian's every move. Experts watched the door, and laymen watched the excitement. Although the people who stayed with Hu Xiaotian to help were laymen, everyone
Everyone recognized this guy's superb medical skills from Hu Xiaotian's skillful techniques and skills. Now no one doubts that Hu Xiaotian is talking nonsense and has begun to believe that he does have the ability to save people.
The operation was completed quickly. It took less than half an hour from start to finish, and the actual operation time was even less. Hu Xiaotian took off his mask, first came to Ji Feihua's side, and said with a smile: "The operation is done."
"How?" In fact, Ji Feihua already knew the result from the expression on his face.
"Fortunately, I did not disgrace my life!"
Ji Feihua did not untie Long Yelin's acupoints immediately. After the operation, Queen Jian rushed in immediately. As soon as she entered, she panicked and said: "Your Majesty... Your Majesty..." She met Hu Xiaotian head-on.
Queen Jian said: "How is the emperor? Has the blood-sucking insect been taken out?"
Hu Xiaotian didn't say anything, but shook the tray in front of Queen Jian. When Queen Jian saw the bloody, red, swollen and ulcerated appendix, she was frightened out of her wits, felt extremely sick, turned around and vomited it out with a sound.
People with small appendix surgeries can sit up on the same day. Hu Xiaotian explained to them the precautions after the operation. One of them is to eat after passing gas. A group of palace maids and eunuchs were all confused when they heard the word "passing gas". Some people
Asked: "What is exhaust?"
Hu Xiaotian wanted to say that the exhaust gas was fart, but it seemed very disrespectful to say that the emperor farted. After thinking about it, he said: "In layman's terms, the exhaust gas is dragon fart. You must hear the dragon fart before the emperor can eat."
A group of palace maids and eunuchs couldn't help but want to laugh when they heard what he said, but no one dared to laugh in front of the emperor and queen. They suppressed their faces and turned red, and endured the pain.
Queen Jian sat by the bed and saw that the emperor still hadn't woken up. She couldn't help but worry: "Why is the emperor so deep in sleep that he can't wake up?"
Hu Xiaotian looked at Ji Feihua. He was only responsible for operating the surgery. The emperor's sleeping matter had nothing to do with him. Ji Feihua didn't know the acupuncture point, so he might not wake up for a while.
Ji Feihua walked over and gently shook the emperor's body: "Your Majesty, wake up!" In fact, she had quietly unlocked Long Yelin's acupuncture points.
After Long Yelin's acupuncture points were unlocked, he woke up leisurely. The first thing he said when he opened his eyes was: "I...am I still alive?"
This chapter is an additional update of Piao Hong in the wingofgod alliance, whocool alliance, Gao Zai and Bao Bao, which will be released one after another in the future! Thank you to all the brothers and sisters who reward octopus and support octopus! (To be continued, please search Piao Tian Literature, the novel will be better updated.
