The system takes me for surgery

Chapter 320: Ectopic appendix

"it is good……"

Liang Yi had long heard that the nurses in the operating room of this hospital were notoriously grumpy. Because of the heavy workload in a day, grumpy tempers were inevitable.

Liang Yi hurriedly followed Director Li Zhengping up the stairs to the tenth floor. There were at least twenty operating rooms in a row.

Many operating room doors have flashing red LEDs that read: During surgery...

The amount of surgery here is really not small!

He nodded his foot, and poked his head to see that the orthopedic surgeon inside was carrying out a hip replacement with a big bone hammer and "opening up the world".

When the surgeon was washing his hands, Director Li smiled and asked, "Have you ever had an appendix operation?"

Liang Yi nodded and said, "I did."

"Then let me test you, the total steps of appendix surgery."

Liang Yixin took it at hand and read: "Incision, treatment of mesentery, protection of appendix and cecum, purse string suture, ligation of the root of appendix, amputation of appendix, treatment of appendix stump, embedding of appendix stump, covering of mesentery, closure of abdomen. A total of eleven steps."

Li Zhengping said: "Yes, it seems that the theoretical foundation is still good."

As soon as he walked into the operating room, the head nurse's eyes were as sharp as those of wild wolves, and he immediately focused on Liang Yi, an unfamiliar face.

She raised her eyebrows and said, "Old Li, why did you come here with a small appendix?"

"relative."

"No wonder." She glanced at Liang Yi again, making sure she had never seen him before, and asked, "Did you bring a new student here today?"

Li Zhengping nodded and said, "Occasionally I change my blood, and I'll show you a handsome guy."

The head nurse smiled and said, "He looks pretty handsome, but it's too late. I'm about to go through menopause. If I came here ten years earlier, I'd be a little interested."

"It's okay, they like rich aunts like you when they're young." Li Zhengping joked.

"Come on, Vaseline isn't strong anymore." The head nurse laughed at herself.

It turned out that every surgical operating room was a highway, and the car started racing directly.

Although the head nurse was chatting and laughing with the director, she never took her eyes off Liang Yi, paying attention to his every move.

Director Li said, "Liang Yi, come spread the towels and disinfect them."

"Okay." Liang Yi slowed down because he was not familiar with it.

The head nurse said: "This student's concept of sterility is still very good."

Liang Yi spread out the surgical kit, and with a swipe of his palm, all the instruments were lined up.

The director started to do it. He made an incision about 6 cm in length through the rectus abdominis in the right lower abdomen, cut the skin, cut the superficial and deep layers of the superficial fascia, and bluntly separated the internal oblique muscle and the deep connective tissue edge with gauze. Stop the bleeding, incise the peritoneum, enter the abdominal cavity,

Liang Yi used gauze to clear his field of vision while sucking blood. The director's knife technique was very steady. It seemed that his surgical skills were very good. It only took 3 minutes from the time he cut the skin to entering the abdominal cavity. The knife technique was accurate and decisive. It can be regarded as an upper-middle level.

After incision of the peritoneum, Liang Yi tacitly pulled the incision to both sides with a retractor, but no cecum was found.

Li Zhengping frowned and said, "It's strange, where did you go?"

Liang Yi looked at it and found that it was not there. He said, "The patient may have an ectopic appendix."

"Really?" Li Zhengping didn't believe it. After practicing medicine for so many years, there were only two or three cases of ectopic appendix in his hands.

Although I don't believe it, I can't find it, so I can only explore slowly along the ileum.

I thought it was a simple operation, but I couldn’t find it after searching for half an hour. He said: “It’s really an ectopic appendix. This thing is like this. In a normal position, you can predict it. Anything is possible."

"Yes, ectopic appendix is ​​really troublesome." Liang Yi said.

Glittering drops of sweat came out of Li Zhengping's forehead, and he said, "I'm tired from hooking my fingers, I'll rest for a while."

Liang Yi stopped, eager to try, Li Zhengping saw it, and said, "You want to look for it too? Try it?"

Liang Yi nodded.

Li Zhengping said, "Then try it."

Liang Yi bowed his head and searched carefully, and in less than ten seconds, he said, "I found it!"

"Did you really find it?"

Liang Yi nodded, and said, "The cecum is actually located under the liver." He drew his finger out and saw that the appendix was located in the back, swollen and thickened.

Once the location is determined, the surgery is much simpler.

Li Zhengping felt that the young man in front of him was a little bit interesting, and said, "You can do it next, no problem."

"Okay." Liang Yi lowered his head and clamped the mesentery at the tip of the appendix with a special appendix forceps.

At this time, due to the traction of the mesentery, the patient felt upper abdominal discomfort, nausea, and vomiting.

Li Zhengping thought Liang Yi would be nervous.

Unexpectedly, Liang Yi's reaction was very calm and he used 1% procaine on the mesoappendix.

The patient's discomfort disappeared immediately.

Then quickly embed the appendix stump, cover the mesentery, and close the abdomen.

Li Zhengping nodded from time to time and said, "Not bad."

At this moment, the nurse in the emergency department used an internal pager to talk to the operating room and said, "Director Li, the father of Old Tang from the orthopedic department, acute appendicitis with perforation and peritonitis, can you do it?"

Li Zhengping nodded.

The head nurse in the operating room helped pass the message, saying, "Director Li will do it."

The emergency nurse said, "Okay, the patient will be sent right away."

When Li Zhengping and Liang Yi came out to wash their hands, they ran into the emergency department director Xie Tianmu, who was also washing his hands.

Xie Tianmu seemed to be in a good mood, shook his head and said to Li Zhengping: "We are stabbing the appendix hole today, why are there so many appendectomy operations, and they are all acquaintances."

Li Zhengping asked, "Your appendix too?"

Xie Tianmu nodded and said, "Yes, it's exactly the same as the operation you will have later, appendicitis combined with peritonitis."

"That's quite a coincidence."

"Isn't the appendix not easy to do just now? It took a long time to do it."

These words can be heard with a subtle meaning.

Now Liang Yi knew why Xie Tianmu took the initiative to talk to Director Li Zhengping.

Li Zhengping shook his head and said, "I have encountered an ectopic appendix."

"Oh, so that's the case." Xie Tianmu said in a tone of disbelief, and he went in first after speaking.

After a while, Li Zhengping and Liang Yi came to another operating room.

The anesthetist is still administering anesthesia to the patient.

Li Zhengping said with a smile: "Liang Yi, when I saw you wearing the surgical gown, I thought you seldom go to the operating table, but from the action you just performed on the ectopic appendix and your experience in dealing with emergencies, we can see Come out, quite experienced."

Liang Yi lowered his head and smiled, and said, "When encountering a difficult situation, I still feel flustered."

"It's normal. We've come here like this before. It will be better if you practice more." Li Zhengping was very satisfied when he saw Liang Yi doing things in a down-to-earth manner.

He said in a low voice: "You come here, if there is anything you don't understand, I'll get started, how about it?"

Liang Yi nodded.

Surgery begins...