Chapter 6

Chen Cang and Chen Bingsheng came out to wash their hands and change their surgical clothes. Next, there was a second operation, which was connected together.

The operations in the emergency room are not done independently and are not very serious, but they are busy. Moreover, there are many things in the emergency department, which is basically a full day.

The second patient is a strong man in his fifties. It can be seen that his physical quality is good. He has appendicitis caused by eating barbecue and drinking beer. He doesn't pay attention to it at all. After taking some anti-inflammatory drugs, he should continue to eat and drink the next day.

Later, it caused the aggravation of appendicitis and suppurative appendicitis.

Chen Cang received him when he came to the hospital. His first words were:

"Doctor, you cut off my appendix. It happens every day and affects my drinking!"

Chen Cang:

What is the logic???

Why do I sound reasonable?

Chen Cang patiently explained: "it's appendicitis caused by eating and drinking. It's not your appendix that hinders you from drinking. You have to have some health knowledge and awareness."

The eldest brother is also a tiger. He covered his stomach and said with a smile: "just cut off the appendix and extraneous things; drinking is fun in life. What can you do?!"

Yo, it rhymes.

It caused the little nurses to laugh.

Brother, you're not here for surgery, are you? Is it for crosstalk?

I won't charge you. Can I pay you the ticket?

Chen Cang had to give a thumbs up. He was able to tell fallacies to a doctor with noble character, firm will, solid foundation, skilled skills and exquisite medical skills... And it also shook my mind.

You're a fucking talent!

I want to take out my Italian gun and clap for you.

No, lying in bed and naked, the big brother still said very firmly: "doctor, cut it and show me. I want to see this guy wreaking havoc on my body and torturing my soul. I'll take it back and stew it for the dog!"

Chen Cang:

Chen Bingsheng:

The two masters and disciples sighed involuntarily.

At the beginning of the operation, Chen Bingsheng said to Chen Cang, "this person may be different from the last one. You can know by laparotomy. Don't panic."

Chen Cang nodded.

After anesthesia, just about to start the operation, the patient suddenly said, "doctor, wait!"

Chen Cang was stunned: "what's the matter?"

The patient smiled awkwardly: "can you make this knife edge more fierce for me? Yes, it's the kind of ferocious and evil. It looks like being cut?"

Chen Cang speechless: do you want to steal money?

I went out to tell the reporter. It was another medical trouble report: a patient's appendix was cut and scrawled by a doctor with a scalpel on his stomach. Is it moral decay or distortion of human nature!

The patient coughed and coughed: "I'll go out and brag. I said that I was cut. At that time, it hurt me. I just didn't say a word. Finally, I was sewn with 36 stitches! When I drink later, I hold up my clothes. How handsome the scar is. The tattoo is too low compared with me!"

Chen Cang ignored him.

This guy!

Crosstalk!

It was freestyle.

The anesthesia time was almost up, and Chen Cang began the operation.

The right lower abdomen was cut into the abdomen through Michaelis' incision, and the skin was cut for 6cm.

The dermis and subcutaneous fat layer were cut layer by layer. At this time, Chen Bingsheng took the initiative to come to electrocoagulation to stop bleeding.

Yes, the little attendant has great eyesight!

Chen Cang looked at Chen Bingsheng with satisfaction and expressed his encouragement!

Chen Bingsheng was stunned and stared: is the skin itchy?

Cut the aponeurosis of the external oblique abdominal muscle layer by layer, separate the external oblique abdominal muscle and internal oblique abdominal muscle, lift and cut the peritoneum into the abdomen.

At this moment, the abdominal cavity was displayed in front of Chen Cang.

Sure enough, as Chen Bingsheng said, there may be differences.

Chen Cang was careful when exploring his abdominal cavity.

Chen Cang can now see that the [abdominal omentum] is green. There should be no adhesion of abdominal inflammatory pus. I'm relieved!

Just

There is a large amount of purulent exudate in the right lower abdomen.

[cecum] green, no problem,

The position of the appendix is in front of the cecum. Through the greater omentum, Chen Cang sees an appendix with obvious congestion and thickening (don't think about it)!

At this time, the appendix has been exposed in front of Chen Cang, red name!

And it's redder than before!

The two crimson words [appendix] seem to tell Chen Cang that the level of this wild monster may be higher.

It is about 10cm long and 1.5cm in diameter. It has suppurated, high tension, gangrene and perforation at the root of the appendix. It is wrapped by fat around it, and has light adhesion with the surrounding tissue.

Chen Cang naturally saw all this!

[Ding! Rare appendix Monster: This is an acute suppurative perforated appendix. Lv12.]

Chen cangruo thinks:

Will you expose any equipment when you kill this rare monster?

Even if you don't explode equipment, you should have more experience and money?

Chen Cang fully exposed the operation field!

Prepare for surgery!

"Gauze!"

"Hemostatic forceps!"

"Ligate the mesentery of the appendix!"

"Suck!"

……

This operation is different from that just now. The rare monster has brought a lot of trouble to Chen Cang!

The operation is no longer as simple as it was just now.

Chen Cang cut off the appendix and put the cut appendix into the plate.

"Stone carbonate injection 5ml."

"Alcohol cotton"

"Normal saline 20ml!"

Chen Cang needs to clean the mucosa of the amputated appendix stump to prevent further infection.

Then there is the suture work. This kind of wound is covered by the typical zigzag suture and local adipose tissue suture.

These are basic operations, so Ezer.

Finishing work!

Chen Cang gave Chen Bingsheng a look: Assistant, finish it quickly!?

Why do you look at me?

Isn't that the way you look when you're the chief knife?

Chen Cang reflected: is my eye learning not enough essence?

Chen Bingsheng stared back: "what are you looking at? Finish it quickly!"

Chen Cang: "is this what the master knife should do? Don't you give it to me every time at this time???"

For a time, Qin Lele, the instrument nurse next to him, couldn't help laughing: "Xiao Chen, don't be naughty, do it quickly!"

Chen Cang was helpless. He thought he should have the posture and style of the master knife, but he found that he still had no human rights

Helpless, Chen Cang began to dip the peritoneal and pelvic exudates, check that there was no active bleeding, place a drainage tube in the right iliac fossa, and poke another hole next to the incision.

Instrument nurses also began counting gauze instruments.

"All right, all right!" the instrument nurse gave an order.

Chen Cang closed his belly layer by layer.

The operation is over!

[Ding! Kill rare appendix Monster: acute suppurative perforated appendix, gain experience value + 200, RMB + 200, appendectomy experience + 200.]

[Ding! Congratulations on getting a suture needle (white!]

Chen Cang's eyes are wide open. I'm Cao???

I

I

Ha ha ha, the equipment is exploding!

White suture needle?

What's the usage?

Look, look!

Can you air every second?

[suture needle (white): sharp + 1]

Chen Cang is stunned?

so？

No?

What is sharpness + 1?