I am a kryptonian doctor

Yang Tian didn't have any important tasks in the morning. He just followed up on some patients' conditions and recorded them. Others just do odd jobs and so on.

In the afternoon, Yang Tian finally had the opportunity to perform an acute appendicitis operation with Director Yang Jinrong.

If suturing surgery, hemostasis surgery, etc. are all entry-level minor surgeries, then appendicitis surgery is a first-level surgery.

Surgery is graded from easy to difficult, from one to four levels.

First-level surgery: low risk, simple surgical process, low difficulty: general examples include: appendicitis surgery, hemorrhoid surgery, incision and drainage of body surface abscess, etc.

Level II surgery: The technical difficulty is average, the surgical procedure is uncomplicated, and the risks are medium. For example: intestinal resection surgery, gastric perforation repair surgery, simple cholecystectomy, etc.

Level 3 surgery: Various surgeries that are technically difficult, complex, and risky. For example: radical resection of rheumatoid arthritis, rectal resection, and various hepatobiliary and pancreatic surgeries.

Level 4 surgery: The surgery is difficult, the surgical process is super complicated, and the risk is the highest. For example: total gastrectomy, coronary artery bypass grafting, corneal transplantation, brain tumor resection, etc.

Anyway, level 4 surgery is the most difficult! The riskiest.

Of course, don’t underestimate first-level surgery. Although first-level surgery is simple, it is only as difficult as a doctor with excellent skills.

For interns like Yang Tian, the difficulty is also very high.

First of all, appendicitis surgery is not comparable to minor surgeries such as wound suturing and wound hemostasis.

If you want to have appendicitis surgery, first of all, you need to be familiar with the appendicitis surgery process, and secondly, you need to understand the structure of the human body. At least don't understand the structure of the abdomen, intestines, lining, blood vessels, appendix, etc.

Otherwise, during the operation, if you cut the intestines, cut the blood vessels, cut the endometrium, etc., it will cause a second injury. That's really GG.

What was originally a simple first-level surgery was seriously damaged by you!

Therefore, to perform this kind of first-level surgery or even higher-level surgery, it is not just about your basic skills. You have super basic skills, such as operating, suturing, ligation, hemostasis, etc. These basic skills are just for doing a certain job. Accumulate the prerequisite foundation for advanced surgery.

After all, surgery requires the use of the above basic skills.

But if you only have the above surgical skills, it will definitely not work for you to go for appendicitis surgery.

Now Yang Tian has a great opportunity to learn!

In the operating room, Yang Tian stood next to Yang Jinrong, quietly watching him perform the operation.

"Appendicitis surgery is very simple, as long as you remember the basic knowledge of appendicitis surgery, and then practice more after experimenting, you can start. But now you should watch me perform the operation first, and I will explain it to you while I am doing it."Yang Jinrong said to Yang Tiandao

"Um."Yang Tian nodded gently.

He knew that he was lucky now. Less than two weeks after his internship, he could perform surgery with the director. Many doctors who have just become full-time doctors may not have such an opportunity!

"This patient has simple appendicitis, so we only need to operate at the Michaelis point on the right lower abdomen."

Yang Tian graduated from a key medical university after all, and his basic knowledge is pretty good.

He knows that after appendicitis surgery, the location will pass through the skin, superficial fascia, external oblique muscles, internal oblique muscles, transversus abdominis, and transversalis fascia. The extra-abdominal adipose tissue and parietal peritoneum enter the peritoneal cavity.

The surgical procedure involves lying on the supine position, making an incision in the right lower abdomen, searching for the appendix, processing the mesosomerum, protecting the appendix and cecum, suturing the appendix, ligating the root of the appendix, cutting off the appendix, and treating the appendix stump. , encapsulate the appendix stump, cover the mesometrium, and close the abdomen. The operation is completed!

It sounds simple, but it is different when done.

Now Yang Tian is receiving on-site teaching!

"Mai's incision is very particular. From the umbilicus to the front of the knee, the incision is made perpendicular to the middle and outer third of the line connecting the superior spine, and is about 5 to 7 cm long. Generally, experts use 5 centimeters, and those with different levels basically use 7 centimeters. Yang Jinrong said as he started the operation.

Yang Tian knew that the larger the incision, the harder it would be to heal.

Of course, the doctor also wanted to make the incision smaller so that the patient could recover faster.

But when the incision is smaller, the difficulty of the operation becomes greater!

Obviously As the director of surgical emergency at Jiangbei No. 1 Hospital, his surgical skills are certainly not outstanding. His opening is only 5 centimeters!

This surgery usually takes about two hours, but Yang Jinrong completed it in half an hour.

It is definitely a combination of speed and quality. existence.

Yang Tian also benefited a lot from observing the operation site this time!

…………

Coming out of the operating room, Yang Jinrong said to Yang Tian:"How about it, if I give you guidance and you do it, how sure are you that you will succeed?"

"Uh, this is 3 points."Yang Tian touched his nose awkwardly. Although his surgical skills are incredible, this kind of first-level surgery is definitely very difficult for newbies like them.

Of course, if he gets the appendicitis surgery skill, he You can guarantee that you can do it now in minutes.