This doctor is very stable

Chapter 42 Unusual Appendicitis Surgery 】

"Oh! Doctor Qian has heard of it?"

Small incision appendectomy.

Liu Yuming had never heard of it, and he didn't even understand the meaning and value of small-cut appendectomy.

If you simply consider postoperative recovery, laparoscopic appendectomy is not enough.

It is only to reduce the incision, increase the difficulty of the operation, and increase the time of the operation. In case of a mistake, it will be difficult to remedy!worth?How good is the first-level appendicitis resection?

The hospital has regulations on how long to perform appendicitis surgery, and if the time is exceeded, the performance and salary will be deducted and they will be scolded.

Maybe the regular training has no performance, that's why Lin Ran and Qian Xuan think that the small incision appendectomy is meaningful!
It's like a primary school student buying a toy, whether it's practical or not!Buy what you want!

Qian Xuan ignored this guy, and continued: "I read a paper before, which was about incisional appendectomy. I remember reading it in a well-known domestic newspaper. It should be, but the author also said in the paper that small incision appendectomy The requirements for the main surgeon are too high, whether it is the requirement for surgical experience or the requirement for the main surgeon to understand the abdominal cavity!"

Lin Ran smiled blissfully, "It's really meaningless to make a small incision and not find the appendix, and the gain outweighs the loss, but I'm sure!"

After hearing this, Qian Xuan was already eager to try.

Liu Yuming shook his head helplessly, a newborn calf is not afraid of tigers!Can you do whatever you want with a little talent?That is to say, the attending physician is not here, otherwise Lin Ran will definitely be stopped!
Thinking of this, Liu Yuming said: "I personally don't agree with such a small opening, but I am neither the chief surgeon nor an assistant, so I reserve my opinion."

Automatically filter his words, although Lin Ran does not reject Liu Yuming, but they are destined to be different people!

Li Canghai also smiled, "I'm only responsible for the patient's vital signs, but I think it's okay to try it out. Appendicitis surgery is not so dangerous... If it can really improve the traditional major surgery for appendicitis surgery, then Lin Ran You are great."

The nurse Li Li also interjected, "Of course you have to listen to the surgeon on the operating table!"

Qian Xuan took a look at Lin Ran and was a little excited. At this moment, he had already forgotten about his competitive relationship with Lin Ran.

Because Lin Ran is of the same type as him, a person who has ideas and dares to act on his own ideas.

The reason why mortals are mortals is because mortals have limitations in their thinking, and they always want to stay in their comfort zone and dare not make breakthroughs.

Seeing that everyone looked like they were facing an enemy, Lin Ran shook his head lightly, "Scalpel."

As the first assistant, Qian Xuan hurried to get started, gently pressed both hands on both sides of the positioning line of the patient's abdomen, and gently fixed the patient's abdomen.

Lin Ran started to cut the knife, and everyone had different moods.

There is appreciation, excitement, and disdain.

Holding the knife in a bow position, the scalpel cuts across the patient's abdomen.

Cut through the superficial skin, cut through the subcutaneous fat layer, cut through the muscle layer...

Lin Ran stopped after cutting three-quarters of the 4cm positioning line, because he felt that such a cut was enough.

The operation port can be extended by pull hook traction, as long as there is a view of the abdominal cavity, and the appendix forceps and electric knife can be inserted and seen.

Seeing that Lin Ran didn't finish cutting the positioning line, Li Canghai asked in a low voice, "Is it really that small?"

The surgical opening has already been cut, and it would be a waste of time to talk more, "Pull the hook!"

Qian Xuan put on the retractor, smiled and asked, "Do you want to use a laparoscope to help expand the field of vision? Then what we are doing is laparoscopic appendicitis! You are so tall."

With the opening of the operation port, under the shadowless searchlight above the operating table, the vision under the patient's abdomen is also exposed.

Lin Ran looked down, and said with a smile: "Adjust the angle of the light, it should be clearer, and there is no need for a cavity mirror."

The nurse hurriedly adjusted the angle of the shadowless lamp, and the light obliquely shone into the patient's abdominal cavity along the operation port.

The colon, cecum, and various organs are clearly visible.

Lin Ran can even see the appendix through the system's diagnostic assistance function!

"Okay, the lights are fine, appendix forceps."

"Snapped."

With the appendix in Lin Ran's hand, Qian Xuan turned his head slightly, fearing that it would block Lin Ran's vision.

Inserting the appendix forceps into the patient's abdominal cavity, turned the lower colon upside down, and Lin Ran gently clamped the inflamed appendix.

Liu Yuming couldn't see the vision of the abdominal cavity, but he kept staring at Lin Ran's expression.

Seeing Lin Ran's knowing smile, Liu Yuming asked in a daze, "You found it?"

The promised three intestines are looking for the appendix!
"En." Lin Ran responded, and then continued: "Give Dr. Qian the appendix forceps, help me clamp the appendix, change hands, I will cut the appendix."

"it is good."

Qian Xuan was also taken aback at this time, appendectomy can really be done like this!
With his ability to find the appendix with the naked eye, Lin Ran can be awarded the title of Little Prince of Hengshan Appendicitis Resection!horrible.

Qian Xuan inserted the appendix forceps into the abdominal cavity, and clamped the appendix that had been properly healed by Lin Ran.

The handover was successful.

Lin Ran immediately said, "Electric knife."

Change to a better location for resection, and preheat the electric knife.

Lin Ran slowly inserted the electric knife into the patient's abdominal cavity.

"呲呲..."

After two sounds, the appendix was successfully cut off.

Lin Ran slowly withdrew the electric knife, and Qian Xuan forceps out the tender appendix.

Qian Xuan also expressed emotion, "It turns out that the appendix can be cut so easily, so I have gained knowledge."

Liu Yuming is a little desperate now, who can learn how to remove an appendix like Lin Ran?Who dares to learn!

How good eyesight, how talented, how rich experience is needed?
He meows in circles, completely refusing to let people live!Is it really necessary to make appendectomy so difficult?
It's completely a full man who doesn't know how hungry a man is hungry!

The appendix was cut out smoothly, and Lin Ran was also very happy, which showed that his idea of ​​a small incision was promising!

Small incisions can be applied to appendectomy today, but can small incisions be used in liver resection tomorrow?Wouldn't the small incision plus the one-knife liver cutting method be more powerful?
Lin Ran didn't think too much about it. After all, it was surgery time, so he stretched out his hand and said, "Long-handled tweezers, a needle holder, and No. 2 absorbable suture."

Medical equipment is an extension of a doctor's limbs, and Lin Ran also has the blessing of title sensitivity.

The ligation at the end of the appendectomy was also well done.

After finishing, Lin Ran immediately said, "Clean the abdominal cavity."

Postoperative cleaning of the abdominal cavity can reduce the occurrence of adhesions on the cut surface of the appendix, and can also avoid infection to the greatest extent.

No matter what the surgery is, postoperative adhesions and infections are a big problem.

Qian Xuan cooperated with the nurse to clean up the abdominal cavity, and asked with a smile: "Doctor Lin, can I help close the abdomen?"

Lin Ran didn't think too much and said, "The nurse checks the number of instruments, Doctor Qian, come and close your abdomen."

The equipment nurse looked at the equipment beside her, a little speechless, but still counted it.

"Two pieces of gauze, five instruments, the inventory is complete."

Simple, crisp and clear.

Qian Xuan stretched out his hand and said flatteringly: "Needle holder, No. 2 triangular curved suture needle, No. 2 non-absorbable suture."

seeing is believing!
He really admires Lin Ran now.

If it weren't for the strong psychological qualities developed by the perennial doctor, he would almost worship Lin Ran!
How to suture the three-centimeter incision?

Four needles were used for the greater omentum of the abdominal cavity, four needles for the muscle fat layer, and four needles for suturing the skin surface.

Qian Xuan used his best butt stitching method, trying to get Lin Ran's approval!

After Qian Xuan finished the stitching, he looked at Lin Ran cheerfully and asked, "Doctor Lin, is my hand stitching method okay?"

Lin Ran saw that Qian Xuan's suturing skills were a little better than his own, so he nodded. It's good to be good in medicine, and cheating and oppressing people is not a good thing.

"Doctor Qian is very talented in suturing."

When Qian Xuan heard it suddenly, he felt a little happy, but felt that there was something wrong with Lin Ran's tone.

Why does it sound like the teacher is praising the students?

awkward!
Shouldn't he have said: "Doctor Qian's stitching is better than mine?"

This guy doesn't follow the rules and takes advantage of others.

After Qian Xuan bandaged, this unusual appendicitis surgery was declared complete.

Lin Ran picked up the medical record, and Qian Xuan immediately said: "Doctor Lin, let me write the medical record!"

Liu Yuming frowned. It was impossible for the three doctors present to stay and clean up the operating room after the surgery, and writing medical records became an excuse for junior doctors to avoid cleaning the operating room!
Does that mean that he should stay with the nurse to clean up the operating room?
But he obviously just wanted to see the operation, he is still a well-established resident doctor, why should he do chores like cleaning the operating room?Does Liu Yuming want to lose face? ?

When Lin Ran and Qian Xuan opened the door and walked out of the operating room, Liu Yuming also planned to run away.

But at this moment, the nurse on the stage yelled softly while supporting the hospital bed: "Doctor Liu, do you want to leave too?"

Liu Yuming showed embarrassment and smiled awkwardly, "I still have patients!"

"No, you didn't."

Nurses are tough spokespersons. They have seen more blood than special soldiers, and they are very fierce. How could Liu Yuming be so perfunctory?

"Doctor Lin is the chief surgeon, and Doctor Qian wants to write medical records. You are the only doctor who has seen the operation and still has nothing to do. You can't do the surgery for nothing! Cleaning the operating room is the responsibility of both doctors and nurses. This is the responsibility of the hospital." Regulation."

Cleaning up the operating room seemed impossible to escape, so Liu Yuming raised his hands in surrender, "Okay, I'll stay and clean up the operation and it's over."

"Haha."

Li Canghai couldn't help laughing every time he saw the nurse catching the little doctor to clean up the operating room.

It looks very much like him avoiding housework at home!

…………

Lin Ran and Qian Xuan walked into the locker room together and washed their hands. Qian Xuan asked with a smile: "Doctor Lin, about the small incision appendicitis operation, do you want to talk to the director and the team leader?"

Lin Ran turned his head, "Is this necessary? It's just a low-level first-level operation."

Lin Ran also had his own ideas. He applied the small incision to other operations and had a good chat with the bosses.

Qian Xuan was anxious when he heard this, he still wanted to learn small incision appendix surgery from Lin Ran!How can you get attention if you don't report to the boss?How can we get enough disease sources if we don't pay attention to it?

Qian Xuanyi said righteously: "What happened to the first-level surgery? The patient paid the same price! Paying the same price can allow patients to receive higher-quality treatment, isn't that what doctors of my generation should do? Doctor Lin, if you are out of face , let me talk! As long as you don't mind."

(End of this chapter)