When doctors have a simulated operating room
Chapter 66
This is a dangerous and strange operation.
Everyone is curious.
Not only general surgery, but also several obstetricians.
At this time, the operation has not started yet, and the observation room next to the operating room is crowded with people again.
"I say, everyone, can't you watch the replay? Do you have to watch it here?"
"Then why don't you watch the replay?!"
"..."
In the operating room, the pregnant woman looked nervous.
During the local anesthesia operation, her consciousness was clear from beginning to end.
So she was afraid of the unknown things that might happen.
Zhang Yi saw her panic and comforted her softly:
"Don't be afraid or nervous. This local anesthesia doesn't hurt. Believe me, I will keep you and your child safe."
I don't know if the confidence in Zhang Yi's eyes infected the pregnant woman.
The pregnant woman nodded, and the tension and anxiety in her heart were reduced a lot.
The surgery was performed in the side-lying position, exposing the location of the right appendix.
Inject lidocaine into the skin just above the appendix.
Lidocaine is a very good local anesthetic.
It can take effect completely in 1-3 minutes, and the maintenance time is also within 1-3 hours.
Because it is a local injection, the drug does not enter the blood vessels, so the impact on the fetus is minimal.
"Don't be nervous, the anesthetic will take effect soon after it is injected."
The pregnant woman nodded.
Originally, the anesthesiologist planned to operate it herself.
But Zhang Yi's hands are so fast!
He took the needle and inserted it!
He didn't even give the anesthesiologist a chance to react!
Anesthesiologist: You're stealing other departments' work, but you're stealing mine? !
Abnormal!
Three minutes later, Zhang Yi picked up the scalpel and began to make incisions on the marked endoscope holes.
"No feeling?" Zhang Yi asked as he cut.
The pregnant woman shook her head: "Ah? Have you cut yet?"
"Yes."
"Wow, it's amazing! I don't feel anything at all!"
Feeling no pain, the pregnant woman finally relaxed.
For laparoscopic appendicitis, if it is a serious perforated suppuration, three holes need to be drilled.
For general appendicitis, a single-hole operation can be performed.
It is also called single-hole laparoscopic appendectomy.
This operation is best completed within an hour.
Of course, this is too long for Zhang Yi.
Ten minutes.
After drilling the hole, insert the laparoscope to explore the location of the appendix.
Pregnant women who are 25 weeks pregnant basically have all their appendix, ileum, bladder, etc. displaced.
It's hard to find, and you have to be careful about the uterus.
On the laparoscope display, a pair of flesh-pink intestines and tissues are piled up together.
It's hard to tell where the appendix is with the naked eye.
But Zhang Yi just held the laparoscope and stretched it in, and then probed upward.
Alas, the appendix is out now!
In everyone's sight.
A red and swollen appendix was clamped and fixed by Zhang Yi with a clamp.
Zhang Yi's hands were very light throughout the process, and he was careful not to hurt the pregnant woman.
Then, another set of local anesthetics was applied.
The anesthesiologist wanted to do it again, but Zhang Yi refused.
It's best to avoid blood vessels and inject it near blood vessels and tissues.
Under the laparoscope, various tissues are intertwined.
Zhang Yi still believes in himself.
Then, the 15-centimeter-long needle tip was inserted into the abdominal cavity.
Anesthetics were injected near the appendix ligament.
Anesthetics were also injected at the location where ligation was required.
After waiting for 3 minutes, the freeing process began.
The assistant helped to suspend the cecum and ileum that blocked the view.
Used electrocoagulation forceps to free the appendix ligament.
Ligated the blood vessels at the appendix and freed the entire appendix.
In less than five minutes, the freeing was completed.
Used curved forceps to remove the red, swollen and inflamed appendix.
This appendix can only be said to be fortunately obtained in time.
If it was a few days later, it might have perforated and pus would have flowed.
Explore the abdominal cavity, reposition the organs, and count the surgical instruments.
Suture the wound and bandage it.
"The operation is over."
The pregnant woman was shocked, as if she had heard it wrong:
"What? It's over?!"
No way!
It seems that she has been lying here for less than ten minutes!
How could it be so fast? !
Seeing that the pregnant woman did not believe it, Zhang Yi also picked up the free appendix and showed it to her.
"See, the operation was very successful."
The pregnant woman opened her mouth and didn't know what to say for a moment.
Boss!
Please forgive my ignorance just now!
I really didn't mean to disbelieve you just now!
In the operating room, the other doctors who followed into the operating room were all shocked.
It can actually be used
This method helps pregnant women remove their appendix? !
I've never seen this before!
Chen Fang sighed and pondered, what title should this video have?
'Mr. Z's latest surgery, laparoscopic appendectomy at 25 weeks of pregnancy under local anesthesia! '
'Shock! Mr. Z actually used local anesthesia to perform surgery on a pregnant woman? ! '
'Oh my God! Pregnant women with appendicitis can actually be treated with local anesthesia? ! '
'Jaw-dropping! Click in to see Mr. Z's latest outrageous operation! '
Outside the operating room.
The doctors in the general surgery department in the monitoring room almost knelt down to sing "Conquer" for Zhang Yi!
That's awesome, brother!
I can actually see such an amazing and outrageous surgery in my lifetime!
It's worth my life~
The pregnant woman was pushed out of the operating room and sent to the obstetrics department for hospitalization and observation.
Soon, the news spread throughout the hospital.
Everyone was shocked and worshiped!
Of course, Zhang Yi also received a reward of 50,000 yuan from the system.
He found that the amount of the system reward should be determined according to the severity of the disease and the difficulty of the operation.
This appendicitis is relatively simple.
So he rewarded 50,000 yuan.
Of course, Zhang Yi was not complaining about the small amount.
It's better to have it than not!
After returning to the department, Chen Fang began to edit Zhang Yi's surgery video and posted it on the medical forum.
Zhang Yi's fans praised him wildly under the video.
"Fuck! Can a pregnant woman with appendicitis have surgery like this?!"
"I was shocked. Why doesn't the forum have a reward function? I want to give Mr. Z a hundred rockets to show my admiration for him!"
"Mr. Z is so amazing. It seems that he can do any surgery!"
"I wait for Mr. Z to release a new surgery video every day, and watch it frame by frame repeatedly and carefully, just to hope that one day I can be as good as Mr. Z~"
...
One day later
Chen Fang received a private message that was flooded on his medical forum account.
Chen Fang didn't pay attention at first.
After all, there are hundreds of fans who send him private messages every day, wanting to see Zhang Yi's true face.
Chen Fang didn't bother to respond.
But this private message has been sending him messages for two consecutive days.
Chen Fang clicked in to take a look, but it turned out to be a message for help.
The other party said that he was a general surgeon at the Imperial Capital Ping An Hospital.
After watching Mr. Z's surgery video, he admired him very much.
He is currently facing a similarly difficult case.
There is also a pregnant patient with appendicitis in their hospital.
But what's more unfortunate is that the pregnant woman is already 29 weeks pregnant.
The operation is difficult, and the family also wants to do their best to keep the child.
After watching the video posted by Chen Fang, the doctor took the liberty to disturb Chen Fang.
I want to ask Mr. Z if he can help check the condition of this pregnant woman.
If possible, the family is also willing to pay Mr. Z to help with the appendicitis operation.
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