Start as a versatile emergency physician

Go straight to the fourth battlefield.

It was originally thought that Ye Chen would continue to use the suspension technique, but this time Ye Chen had to perform single-port laparoscopic surgery.

The commonly used laparoscopic technique is the three-hole method. As the name suggests, three holes are made in the patient's abdomen to assist in completing the surgery.

The single-port method requires only one instrument to be inserted to remove the appendix.

The single-hole method is better than the three-hole method and the double-hole method. There is almost no visible scar on the abdominal wall, the cosmetic effect is excellent, and the postoperative recovery effect is also very good.

It's just that it's very difficult to operate, so it's not widely used.

Three-hole operations are not an easy task for some doctors, let alone single-hole operations.

Ye Chen wants to use single-hole surgery!

"Adjust the bed position so that the patient's feet are 15 degrees higher than the head, tilted 15 degrees to the left, and the pneumoperitoneum pressure is 10 mmHg."

Under Ye Chen's instructions, the nurses and assistants began to get busy.

Then Ye Chen made a 2cm-long circular incision along the navel.

"Director Liu, could you please help me lift the other side of the patient’s abdominal wall?"

"Ah good!"

Liu Hongjieli���As instructed, use cloth forceps and Ye Chen to lift the abdominal wall from both sides of the umbilicus, and insert one 10mm and two 5mm Trocars respectively.

The 10mm Trocar is located at the left end of the incision, and 5mm Trocars are inserted at the midpoint and right end of the incision.

They are inserted through different holes in an oblique direction.

In the right lower abdomen, a 30-degree speculum and two straight-bent separation forceps were entered into the abdominal cavity to explore the location and extent of the appendix.

Looking for the appendix is the same as an open appendectomy. Moreover, Ye Chen's eyes are different from others, and he can see where the appendix is at a glance.

Then insert a straight large leather needle with a No. 7 thread just above the abdominal wall projection of the appendix in the right lower abdomen, use a laparoscopic needle holder to seal the head end of the appendix in the abdominal cavity, and then pass it out of the skin through the abdominal wall. Extracorporeal traction on the appendix.

The patient is 24 years old, has a thin build, and does not have much fat. The blood vessels of the appendix can be clearly seen. The electrocoagulation hook is used to close the appendix to perform electrocoagulation and cauterization of the mesoappendix, and successfully reaches the root of the appendix.

Combine the two forceps and loop a No. 7 silk thread around the root of the appendix. Use a slip knot outside the body to tie the root of the appendix tightly with a pusher. After ligating the distal side again with the same method at a distance of 1cm, the length of the stump is 5-5. 7mm, use electrocoagulation to destroy the inner membrane of the stump.

Since the patient's inflammation was severe, in order to avoid contaminating the wound and causing infection, Ye Chen put the appendix specimen into the specimen bag and pulled it out.

There is not much purulent exudate in the patient's abdominal cavity, so he can directly use gauze to dry it, and finally suture the umbilical wound.

Last time is 31 minutes

【Ding! Successfully remove the Lv.8 diseased appendix, gain +160 experience points, +320 proficiency points, and +800 yuan gold value】

【Ding! Congratulations to the host and his apprentice for completing an operation together. Mission progress: 4/10]

After watching this operation, Liu Hongjie was so shocked that his jaw dropped.

For single-port laparoscopic surgery, the speed of each doctor is different, and the average time is 55 minutes and nearly an hour.

And Ye Chen's speed is much faster than the average!

This technique definitely reaches the level of a chief doctor!

And after four surgeries in a row, there were no problems!

"Master, you are too strong, I think... I can't learn……"

Ye Chen stepped off the operating table and said lightly:"You are so smart, you will definitely be able to learn it in the future."

Although it was just an appendicitis operation, after seeing Ye Chen's technique, Liu Yiyi simply respected Ye Chen.

The master she worships is really amazing!

Liu Yiyi secretly made up her mind.

You must study with Master seriously.

Liu Hongjie was also thinking in his heart that he must train Ye Chen to be his own!

The fifth surgery.

Both Liu Yiyi and Liu Hongjie were looking forward to whether Ye Chen would use a new method.

However, Ye Chen said:"We won't do laparoscopic surgery this time, we will do laparotomy."

Everyone was shocked.

Direct laparotomy?

It's not difficult, it's the most traditional surgical method.

Liu Hongjie smiled in his heart: After all, he is just a resident doctor, so many surgical methods are enough, and besides, he is so tired, so it is okay to switch to a more relaxed surgical method.

However.

The truth is not what they think.

Because of the small incision resection Ye Chen used.

The most common method for appendicitis resection is an oblique incision of 5-7cm through Maxwell's point, but it will leave an unsightly scar in the end.

Small incision resection is based on improvements made by surgeons in the positioning, size, and surgical procedures of appendicitis incisions.

Small incision appendectomy has good therapeutic effects.

It is also one of the commonly used surgical methods in surgery.

However, the difficulty is not comparable to that of ordinary laparotomy surgery.