My medical skills are a billion points

Page 28

But it's okay to be disgusted by Sun Guodong.

Xiao Chu was about to use his trump card, but a voice came from behind him.

"Why can't Xiao Chu perform surgery? He has a doctor's certificate, so he can perform surgery on stage, and no one can deprive him of this right!"

The voice behind him was not loud, but very sonorous and powerful, making it impossible to refute.

Xiao Chu looked back, and it turned out that it was Chen Bin, the director of the emergency department, who came over.

It is estimated that Sun Guodong's reprimand was too loud, which alarmed Chen Bin.

When Sun Guodong saw Chen Bin approaching, his momentum also weakened.

But he still said forcefully: "Although Xiao Chu has a doctor's certificate, he is just a resident trainee in the county. How can he be allowed to be the chief surgeon? He would be good as an assistant."

Chen Bin's face darkened.

Sun Guodong has always been domineering in the emergency department, and he usually turns a blind eye.

Because he is about to retire in less than a year, and he doesn't want to take care of so many things.

But now this Chen Bin, seeing that he is about to retire, has intensified, thinking that he is the director, and doesn't take him seriously at all.

"Why can't Xiao Chu be the chief surgeon? It's just an appendicitis operation, and it's not a major operation.

Their inpatient training doctors come to our hospital to study, just to learn techniques. If they are not given the opportunity to be the chief surgeon, how can he improve and how can he treat patients better? "

Seeing that Chen Bin was a little angry, Sun Guodong restrained his arrogance.

But he still insisted: "Xiao Chu has just come to work for a short time, and it's probably against the rules to perform surgery with the surgeon?

Who knows his level of skill, if he is the chief surgeon and something happens to the patient, who of us will take the responsibility! "

Sun Guodong thought that what he said was well-founded, and he was not afraid of Chen Bin at all.

After all, Chen Bin has more than half a year left and is about to retire, so he usually doesn't dare to take care of anything.

Relying on this, Sun Guodong kept his word in the emergency department, as if he was the director.

Seeing that Sun Guodong didn't take himself seriously, Chen Bin was completely angry.

He hasn't retired yet, so that doesn't take him seriously at all.

Xiao Chuna was a good seedling that the dean had praised, how could he be planted in this Sun Guodong's hands?

Chen Bin glanced at Sun Guodong and snorted coldly.

"Sun Guodong, I haven't retired yet, so I'm in such a hurry? I'm still the director in the emergency department, and you're just the deputy. When is it your turn to give orders here?"

"Today I said that if Xiao Chu can take the lead, he can. What can you do to him?"

Treat others with their own way!

Chen Bin returned these words to Sun Guodong.

Sun Guodong was so angry that he blew his beard and stared, the muscles on his face twitched, but he had nothing to say.

Although Chen Bin is about to retire, he hasn't retired yet!

The director's rights are still here. You are a deputy, what right do you have to dare to stand on the director's head?

Sun Guodong saw that Chen Bin and Zhou Ziqiang were on Xiao Chu's side, and he had nothing to do.

He gave Xiao Chu a cold look, then walked away.

Chen Bin came over and comforted Xiao Chu.

"Xiao Chu, don't be angry. You should perform this operation today. I will report to Director Liu what Sun Guodong did. Don't worry, he won't do anything to you."

Xiao Chu never expected that Chen Bin would help him so much.

So he said gratefully: "Thank you, Director Chen. I will definitely work hard."

"Well, let's go, and let me see your surgery by the way!"

Chen Bin already knew that Xiao Chu had a very high talent for surgery.

The last time he performed an operation on Fang Wenyuan, he was not there. Today he wanted to see with his own eyes how powerful Xiao Chuche's appendix is!

This matter was over like this, if Chen Bin hadn't come here today to be Xiao Chu's backing, he might not be able to get on the operating table today.

operating room.

The patient has been anesthetized.

Xiao Chu had already put on the surgical gown and sterile gloves, and stood on the right side of the patient, ready for battle.

And Zhou Ziqiang stood opposite to Xiao Chu, acting as his help.

And Chen Bin was next to Xiao Chu, which was Sansuke's position.

In fact, two people are enough for appendicitis surgery.

Chen Bin stood beside Xiao Chu, mainly because he wanted to see Xiao Chu's operation process.

Xiao Chu picked up the scalpel and made an incision about three centimeters in the patient's right lower abdomen at the location of the Mai's point.

Chen Bin's eyes narrowed involuntarily.

As the chief director of the emergency department, he is also a master of general surgery.

From the moment Xiao Chu made a move, he could see the skill in Xiao Chu's hands.

The incision for appendicitis was only about three centimeters, which is definitely a master.

Because the general incision is about 5 cm.

Chapter 34 Level [-] surgery, I'm okay

Soon, Xiao Chu methodically cut the skin and subcutaneous tissue, ligated to stop the bleeding.

Spread a skin towel, change the knife to cut the anterior sheath of the rectus abdominis muscle, separate the rectus abdominis muscle, clamp the vessel and ligate it with No. 4 silk thread.

The posterior sheath and peritoneum were incised at the same time, and light yellow thin pus gushed out without gas and odor, and about 100m1 of pus was sucked out.

Seeing this, Chen Bin couldn't help taking a breath.

This patient seems to have a perforated appendix, which is a difficult appendectomy!

Xiao Chu actually only made an incision of three centimeters, how much confidence does it take?

Chen Bin didn't make a sound and continued to read.

Xiao Chu protected the incision with a saline pad.

Through the narrow incision, follow the colonic band down to find the cecum and appendix.

The appendix is located in front of the cecum, about 6cm long, 1.5cm thick, with the tip facing the pelvic cavity. The serosa is edematous, congested, purple-black in color, and there is a mung bean-sized perforation in the middle.

"Perforated appendix?!"

Zhou Ziqiang on the opposite side was amazed!

He only knew that Xiao Chu was going to have an appendectomy, but he didn't see the patient beforehand.

Unexpectedly, it turned out to be a patient with a perforated appendix.

This time the difficulty of the operation has increased a lot!

And Xiao Chu made such a small incision, can he play well?

Anyway, Zhou Ziqiang was full of doubts.

But he didn't speak either, just continued to watch Xiao Chu's incomparably skillful operation.

Xiao Chu naturally ignored Zhou Ziqiang's surprise.

Steadily lift the cecum and appendix to the incision.

Cut off the mesappendix between the double clamps, use No. 4 silk thread to double-knot, and use No. 0.6 silk thread as a purse-string suture at the seromuscular layer of the cecum at a distance of 4 cm from the base of the appendix.

Using straight blood vessel forceps, gently squeeze the base of the appendix and then ligate it with No. 1 catgut.

Clamp the appendix 0.4cm away from the ligature, and cut off the appendix under the forceps.

The appendix stump was treated with phenol (carbolic acid), ethanol and saline cotton swabs, the purse string sutures were tightened, and the appendix stump was embedded.

Alive!

Xiao Chu is so fast!

Then check whether there is bleeding, rinse the abdominal cavity repeatedly with normal saline until the liquid is clear, and put a rubber drainage tube in the low position of the pelvic cavity, and poke a hole in the right lower abdominal wall to lead out.

Check the number of surgical instruments, gauze, and gauze pads, and suture the peritoneum and posterior sheath continuously with No. 1 catgut.

Rinse the abdominal wall wound.The anterior sheath of the rectus abdominis was sutured intermittently with No. 7 silk thread, and the subcutaneous and skin were sutured intermittently with No. 1 silk thread.

After the whole operation, the intraoperative blood loss was less than 30ml, and the patient's condition has been stable.

Chen Bin couldn't help but look at the time.

It was found that from the beginning of the operation to the end of the operation, only half an hour had passed.

What kind of operation speed is this?

If it is a simple acute appendicitis operation, a master can do it in half an hour.

But Xiao Chu is a patient with suppurative and perforated appendix surgery!

It only took him half an hour to complete the operation perfectly.

What a monstrous technique this is!

Chen Bin completely admired Xiao Chu.

No wonder he was appreciated by Liu Qiming. It turned out that his surgical talent was really amazing.

During the whole operation, Zhou Ziqiang had no other use except pulling hooks and cutting threads.

This is the real authoritative expert!

I didn't expect a resident training doctor to have such a means.

Zhou Ziqiang couldn't help shaking his head slightly.

Xiao Chu's achievement, I'm afraid it will be difficult for him to catch up with him in this lifetime.

After the operation, the patient was pushed to the general ward.

After leaving the operating room, Chen Bin stopped Xiao Chu and asked:

"Xiao Chu, besides appendicitis surgery, you also have the tendon suture and blood vessel anastomosis. What other operations can you do? Tell me, what else can you not know?"

Of course Chen Bin was amazed by Xiao Chu's surgical ability.

He felt that Xiao Chu seemed to have no surgery that he knew nothing about.

Xiao Chu smiled.

"Director Chen, I can do most of the general surgery operations."

As long as he has points, he will do any operation.In order to make the hospital take him seriously, Xiao Chu has no humility.

"most?"

Chen Bin looked at Xiao Chu in surprise.

"Can you do level [-] surgery in general surgery?"

Level [-] surgery is more difficult.

It is usually a total resection of some cancers.

The requirements for the technique of the chief surgeon are very high.

He didn't believe that Xiao Chu could even perform such an operation.