big star doctor

Chapter 114 Acute Appendicitis Surgery
Five minutes later, Lin Mo and Huang Jie came out of the locker room.

He went straight to operating room No. [-], a young couple of family members outside the operating room were already waiting, Lin Mo opened the door and entered the operating room, the patient was already lying down, there was also nurse Lu Xiaoling and the short man anesthetist.

As soon as Lin Mo came in, he stood directly on the main surgery seat and said, "B-ultrasound, have you confirmed it?"

The nurse lady handed the film to Lin Mo, looked at his profile and said:
"Ultrasound, the diagnosis is acute appendicitis."

After watching the movie, Lin Mo said:
"The anesthetist is under general anesthesia."

The anesthesiologist injected the anesthetic, while Lin Mo was looking at the medical records.

The patient is a child.

Name: Wang Lele

Sex: Male

Age: 13

Occupation: Student
Etiology: caused by inflammation
Condition: acute mesenteric lymphadenitis, abnormal pain.

Surgical options: laparotomy, appendicitis surgery.

When Lin Mo saw the handwriting, he knew it was written by Dr. Guan Mingguan, and he smiled.

Then the anesthesiologist said:
"Doctor Lin, the patient is under anesthesia."

After Lin Mo finished listening.

"Iodophor, alcohol cotton, tweezers."

Lin Mo began to disinfect the patient's abdomen.

At this time, Huang Weijie teased: "Lin Mo, I think you are becoming more and more stylish! This is almost like a general on the battlefield! You can fight wherever you point."

While disinfecting, Lin Mo looked at him contemptuously and said, "Is this a battlefield? One general and three soldiers?"

At this time, Lin Mo had already been sterilized, and the nurse lady helped to spread the surgical towel.

Lin Mo stretched out his hand.

"Pen."

After receiving the surgical pen, Lin Mo drew a slanted line over 3cm from the patient's navel to the anterior superior iliac spine.

Huang Weijie said curiously after seeing it: "Your incision is too small!"

Generally speaking, doctors will try to open the surgical opening as wide as possible, let alone a novice like Lin Mo!
Lin Mo said calmly: "It's more ugly and more harmful to the patient. If it wasn't for acute appendicitis, I would have given him a minimally invasive surgery."

Huang Weijie said with great interest: "I know this, but aren't you afraid that you won't be able to find your appendix?"

Lin Mo smiled confidently and did not answer him, but said:
"Scalpel."

He reached out to take the scalpel, holding a pen.

After Huang Weijie lightly pressed and fixed the patient's abdomen, Lin Mo passed the knife cleanly, and the surgical incision was completed.

Huang Weijie lets go of his hands and skillfully applies the tractor to the patient (pull the hook.)
Lin Mo smiled and said:
"tweezers."

At this moment, Lin Mo began to search for the appendix.

Actually!Finding the position of the appendix is ​​a little regular.

First of all, the appendix is ​​located at the junction of the ileum and colon, that is, the junction of the large intestine and small intestine, and this place is called the ileocecal.

There are three colonic bands in this area, and we look for the appendix during the procedure.

It is necessary to first find the three colonic belts to locate the ileocecal part, and then look for the appendix.

Soon Lin Mo found a somewhat erosive and abscessed appendix.

Without further ado, Lin Mo held the tweezers in his left hand and gently clamped its root, then stretched out his right hand and said:
"Electric knife."

Lin Mo did not hesitate to accept the electric knife from the nurse.

The knife passed along the outside of the large intestine wall, simply and neatly.

Turning off the electric knife and slowly taking it out, Lin Mo finally clipped out the plump appendix.

Then he said to Huang Weijie, "Would you like to take it home for drinking?"

Huang Weijie looked disgusted and said: "You can enjoy it by yourself! I don't have such a good appetite."

Of course this is a joke.

Lin Mo put the appendix into the petri dish.

The appendix was cut by Lin Mo's electric knife just now, and it is clean and neat, so there is no need to suture the cut appendix.

The electric knife has its own hemostasis function.

Of course, the high-frequency electric knife used is also very particular. There are three main points.

First of all, if there is no constant power function, and the power setting is not properly increased when cutting high-impedance tissues such as fat, the cutting will be very slow and unfavorable, and the fat will be liquefied by "boiling oil" for a long time, making it difficult to absorb after surgery. Even local necrosis will cause difficulty in incision recovery.

Secondly, using a mixed cutting mode with strong hemostatic ability or using higher-power point coagulation or surface coagulation to cut tissues that do not bleed much will cause excessive burn range and depth, and will cause long tissue recovery time.

Furthermore, electrosurgery is not suitable for cutting epidermis. The impedance of epidermal tissue is very high, and it is difficult to make neat incisions with electrosurgery. Therefore, at the beginning of the operation, a traditional scalpel blade should be used to make the incision first (blood is enough), and then use electrosurgery. Knife continues the operation.

If the electric knife is cut directly on the epidermis, the power used must be relatively large, which will cause a large and irregular burn area of ​​the incision, which will lead to difficulty in healing.

----

(The author's summary: Therefore, when you are playing League of Legends, readers, you should use the electric knife in the early stage and sell it later, because the damage of skin cutting is high, and if you cut too much and put in the meat, it will stop the bleeding!)
Appendicitis surgery is so simple, so Lin Mo didn't hesitate, and said:
"Needle holder, No. 3 round-tipped curved suture needle, No. [-] non-absorbable suture."

After taking the needle holder from the nurse and picking up the suture needle, Lin Mo said to the nurse again: "Let's count the gauze and instruments again! Otherwise, I will always feel uneasy and weird."

Just after he finished speaking, Huang Weijie and the nurse nurse laughed out loud.

Huang Weijie was the first to say: "You didn't know how many things you used! You even counted some wool."

Lin Mo chuckled and said, "Life must have a sense of ritual! Otherwise, it would be so boring!"

Huang Weijie rolled his eyes.

But the nurse Lu Xiaoling next to her said seriously: "The number of gauzes is right, and there is no shortage of equipment."

After listening to Lin Mo, he began to sew up our little patient seriously.

The abdominal suture is different from the chest suture. The abdomen can be sutured in a single layer or in multiple layers.

Compared with single-layer suture and multi-layer suture, single-layer suture has a greater advantage. Because single-layer suture is simpler and the postoperative recovery is faster, Lin Mo chose single-layer suture.

continuous stitching.

When Lin Mo finished sewing, the beautiful three centimeter centipede appeared.

Huang Weijie looked at the electronic clock on the wall and applauded: "This is the fastest appendicitis operation I have ever seen. It only took [-] minutes from the operation of the knife to the completion of the suture, and it was clean and tidy."

In fact, no matter what kind of surgery is done, the length of the operation and the cleanliness of the operation are important measures of the quality of the operation, and of course they are not all.

The operation takes too long,

prone to accidents,

susceptible to postoperative infection,

Postoperative recovery is also slow.

Not to mention the cleanliness, in severe cases the patient died, in mild cases infection, repeated operations, and secondary operations.

Lin Mo smiled and ignored this guy, he even blew it up, really, he was really happy in his heart!

However, Lin Mo didn't stop, but was bandaging the patient.

After the dressing was finished, Lin Mo picked up the medical records and began to write. Lin Mo's time is still very precious.

Don't ink if you can.

PS: Today, I took a look at the characters on the Qidian APP, readers, after reading the book, please help me to order some hearts!Quite fun.

(End of this chapter)