I really don't want to be a doctor

Chapter 3 You Are Different From Him

The superficial fascia, deep fascia, muscle, and peritoneum were incised in sequence. When Yu Wenxing's scalpel paused again, the abdominal cavity was exposed.

"What about the appendix?" Yu Wenxing asked.

"Typical appendix, mild edema, color Doppler ultrasound seen."

Although there were not many preoperative examinations, the color ultrasound of the appendix was fruitful, and Li Xiaojun had already seen it.

This patient is quite simple.

Because the condition of the abdomen is too complicated, and the position of the appendix is ​​also very poor, the appendix cannot be seen in general abdominal color Doppler ultrasound, and even if the color Doppler ultrasound of the abdomen is done, there are not many cases that can reveal the appendix.

This patient can see mild edema of the appendix, which is typical.

Yu Wenxing nodded.

It's no wonder that Li Xiaojun dared to let himself, an intern, perform the operation. This is an uncomplicated operation.

"gauze!"

The wet gauze pushed away most of the intestines, and Yu Wenxing grabbed a small section of intestines almost instantly,

Carefully flipping through it, after about ten seconds, Yu Wenxing smiled.

"The cecum, found it!"

"So fast!!"

The nurse sister didn't react for a while, and exclaimed.

"what?"

The anesthesiologist who was "concentrating on" watching the ECG monitoring almost fell to the ground without being frightened by the shout.

Only then did the nurse sister realize her slip of the tongue, her face flushed slightly, "I seem to have found the cecum."

The anesthesiologist thought for two seconds, looked at the clock hanging on the wall, and then at Yu Wenxing and Li Xiaojun.

Li Xiaojun smacked his mouth twice,

Fortunately, the nurse sister responded quickly and said what she wanted to say.

"It's indeed a cecum, go ahead."

The cecum is the beginning of the large intestine. There are three colonic bands on its surface. Below the connection of these three colonic bands is the appendix.

Sure enough, when Yu Wenxing began to feel down along the colon belt growing on the cecum, within half a minute, a long and extremely fat appendix was pulled out.

"Okay." The smile on Yu Wenxing's face became even bigger, he grabbed the appendix with his right hand, and stretched out his left hand.

This time, before he could speak, the sister nurse obediently handed over the hemostat.

The five hemostatic forceps fixed the appendix in a "crack-crack" manner. Yu Wenxing nodded in satisfaction and stretched out his hand again.The needle holder with the thread was handed over.

"Shall I sew?" Li Xiaojun asked.

"Let me come, from the beginning to the end." Yu Wenxing didn't want to leave a little gap in his perfect sentence.

"Sew more firmly." Li Xiaojun warned with concern.

The suture of the appendix requires the use of a very special suture method - the purse string suture.

Purse suture, also known as pocket suture, sutures the opening of the purse continuously, and then tightens the knot while turning the stump inside.

This can effectively reduce pollution.

Just like poached eggs.

The difference is nothing more than when poached eggs are boiled, the egg whites finally wrap the egg yolks, forming a poached bag.

At this time, the appendix stump is wrapped with intestines.

This is a suturing method with a very narrow scope of application, and probably only a few surgical procedures need to be used. Appendectomy is one of the rare surgical procedures.

Purse-string sutures for appendicitis are not easy to do, because the appendix is ​​inflamed, and the opening that requires continuous suturing will also become edema due to inflammation, which will increase the difficulty of suturing.

The suturing of edematous tissue is much more difficult than normal tissue, for the simple reason that it is much more difficult to suture on fat than on skin.

But this is not too difficult for Yu Wenxing.

Taking a deep breath, suppressing my excitement,
After spotting the position, Yu Wenxing moved his hand.

The needle holder seems to be flying, like light flashing,

A total of 7 pins,
The tie line at the pouch has been sewn.

"This" Li Xiaojun was dumbfounded at the time,
"Practiced before?"

"kindness."

"Should there be no stitches when killing chickens?"

"Should not be needed."

"Then when did you practice?"

"While sewing."

The appendix is ​​grasped with curved forceps and severed with a scalpel.

Immediately, the appendix was lifted out, and together with the scalpel, it was placed in the curved tray.

"Ms. Li, press it for me."

The tie thread of the purse-string suture has not been tied yet, which is a very important step, and it may be another medical accident.

Yu Wenxing originally wanted to end the operation with two handsome surgeons, but after all, he wanted to draw a perfect end for himself, and also in order to be recognized by the upcoming system.

He decided to use the simplest and strongest square knot.

Li Xiaojun did not delay, although he had a lot of doubts in his heart, but it was not easy to ask.

"Let's count the gauze." After tying a few knots and confirming that there is no bleeding point, Li Xiaojun nodded to the nurse sister.

After all, it was an emergency surgery at night, and it was not a major surgery. There was no itinerant nurse.
The sister nurse and the anesthesiologist clicked loudly together.

"1."

"2."

"3."

The picture is a bit funny.

Taking advantage of this gap, Li Xiaojun also put the specimens in a sterile tray and showed them to the waiting family members.

"Almost?"

When Li Xiaojun came back, the sister nurse had already ordered the gauze.

Subsequent processing is much simpler.

Layered sutures of muscles, tendons, skin, or because of their excellent condition, Yu Wenxing's sutures are getting faster and faster, so that the speed of the nurse sister's threading has also increased a lot.

When the last stitch was finished, Yu Wenxing nodded in satisfaction.

He thought he performed this operation perfectly.

It can also be regarded as a successful sentence for my doctor's career.

"You are really lucky to have a time traveler perform surgery on you."

Yu Wenxing smiled softly at the patient lying on the operating table.

Li Xiaojun became more and more surprised the more he looked at it.

He even took time to look at Yu Wenxing while tying the knot.

The sewing speed is not slow.

The most commendable thing is that the stitching distance of each stitch is almost exactly the same.

"Does sewing have such a big effect?" Li Xiaojun was a little skeptical.

Glancing at the clock on the wall,
"Twelve minutes. The takeaway probably hasn't arrived yet." Yu Wenxing asked kindly.

The nurse sister was blushing, hummed for a while, and suddenly took a deep breath, staring at Yu Wenxing with her eyes like bright lights, and said, "Did little brother play with your friends?"

Yu Wenxing almost choked on the saliva.

Even Li Xiaojun, who was putting dressings on the patients, was suddenly interested, his face was full of desire for knowledge.

"I played it, I played it a long time ago." Yu Wenxing replied perfunctorily.

"I'm not married yet. As long as I'm not married, I still have a chance." The nurse sister didn't know if she was joking or serious.

Yu Wenxing shook his head like a wave, "No, you probably don't have a chance."

"why?"

"You are different from him."

"What's different, can't I change it?"

"He's a man."

(End of this chapter)