Z County is located in the north of Anyang City, the capital of Dongyang province.
The administrative division is still under the jurisdiction of the ammonium Yang municipal government. The whole county is small, with a population of more than 300000.
Li Baoshan has a special Throwing Knife car, Jimmy. The car is not big, the performance is good, and the price is not expensive. He drives this car every time he goes out for surgery.
Jimmy had only two seats. Chen Cang sat aside. Along the way, Li Baoshan explained to Chen Cang the matters needing attention in the operation. It took more than an hour to get to Z County People's hospital.
The director of general surgery of Z County People's hospital called Duan Bo. Seeing Li Baoshan coming, he greeted him with a smile: "director Li is coming."
Li Baoshan smiled: "well, director Duan, let me introduce you. This is Chen Cang from our department. He is a very good young man. He brought him for surgery today."
"Chen Cang, this is director Duan of the Department of general surgery of Z County People's hospital."
Chen Cang took the initiative to say hello: "Hello, director Duan."
Duan Bo has a good face. He can't see his eyes when he smiles. He squints and says, "OK, don't stand at the door. Come in and say."
When the three arrived at the office, they were not polite. After all, Li Baoshan was a regular visitor here and often came for surgery, so Duan Bo directly said:
"Director Li, I heard that you are going to come to our hospital for the display of appendix surgery. We have found all the patients who need appendix surgery in the whole hospital, a total of eight people. It's hard today."
Li Baoshan smiled gratefully: "please, director Duan."
Duan Bo quickly waved his hand. Li Baoshan plays an important role in the whole Dongyang province. It's a good thing that Duan Bo will not refuse if he can do me a favor.
Besides, this is not trouble at all, or even a good thing to kill more with one stone. As long as it is operated a little, it is a good thing for the hospital.
The three walked out of the director's office and came to the ward. They suddenly saw a banner hanging in the nurse station: "welcome to the provincial famous doctor Li Baoshan's guidance and Study on Appendix surgery."
Chen Cang was also stunned.
This section of director is not simple. Li Baoshan's coming here has directly become the guidance and study work of general surgeons.
When Li Baoshan comes, he should see the patient and get familiar with the situation.
After entering the ward, the patient saw Duan Bo coming in and his eyes lit up.
Duan Bo went to the patient and said with a smile, "this is our famous provincial doctor, director Li. You are blessed. Today, director Li will operate on you in person."
The patient was very happy when he heard this: "thank director Duan, director Duan is a good man! Thank director Li..."
Duan Bo just did such a thing to kill many birds with one stone.
It not only solves Li Baoshan's problem, but also improves the position of the hospital in the eyes of patients, but also trains and improves the level of grass-roots doctors.
Or someone else will be the director!
Li Baoshan doesn't mind either.
An hour later, Li Baoshan took Chen Cang to the operating room.
However, at this time, all the general surgery doctors except the doctors on duty came.
Duan Bo said to the crowd, "director Li is busy taking time to do appendectomy. We must study hard, pay attention to the details, and turn this study into our own things."
At the beginning of the operation, Chen Cang was an assistant. Everyone else watched it in the same place. There was a large screen in the room, and everyone could see it clearly.
Duan Bo changed into surgical clothes and began to assist.
Li Baoshan took a look at Chen Cang: "I'll make one first, you do it, and I'll see your level."
With that, Li Baoshan began the operation.
To tell you the truth, as soon as experts make a move, they know whether there is. Li Baoshan's cutting is in place.
Each layer has different feelings, including skin, subcutaneous tissue, aponeurosis of external oblique muscle... Peritoneum.
After laparotomy, you can see some pus, with a foul smell, and adhesion to the cecum.
Without a pause, Li Baoshan began to operate.
The difficulty coefficient of this operation is average, but he did it very seriously.
Soon, find the appendix mesangium, suture and ligate the Appendix Artery
The operation was fast and every step was in place. Chen Cang also had to sigh that director Li's Kung Fu was in place.
At least 90 points!
The patient was sent away, and applause broke out around him.
After washing and changing, continue the second operation.
This time, Li Baoshan negotiated with Duan Bo and Chen Cang did it.
Seeing Chen Cang so young, the doctors around him became curious one after another, and even felt unconvinced and watching the excitement.
Everyone is a doctor. They are younger than them. Naturally, they have to compare more!
[Ding! Trigger task: show your hand. Task requirements: This appendectomy requires everyone to shine in front of you and conquer everyone on the scene with your strength. Reward for task completion: improvement of operation method;]
Chen Cang was stunned when he heard the system task.
show off?
Strength conquers everyone? Including... Li Baoshan?
After the patient came up, Chen Cang, the most common appendectomy patient, suddenly thought about what to do!
Small incision appendectomy!
The moment Chen Cang picked up the knife, everyone looked at it seriously.
Li Baoshan, in particular, stared straight at Chen Cang's hand.
At this time, Chen Canggong cut with a knife!
A hole less than 2cm appears!
The opening is too small, only 1-2cm. It only allows the index finger and appendix forceps to go in!
Everyone was stunned!
What is he doing!?
an error?
Novices will make a mistake, that is, they are not decisive enough, just like when killing pigs, they can't cut decisively.
Did Chen Cang make such a low-level mistake?
However, at this time, Chen Cang took his time and continued to work in the next step. He didn't expand his gap!
At this moment, everyone was dumbfounded.
What are you doing?
It's ok if you have a laparoscope, but it's an ordinary operation. What can you do with such a small opening?
For a time, all the doctors frowned and even began to whisper.
Duan Bo and Li Baoshan looked at each other and thought deeply.
Li Baoshan didn't interrupt Chen Cang. On the contrary, he looked forward to it.
The operation continued.
Chen Cang carefully separated the internal trapezius and transverse abdominal muscles, and then opened them with a small hook necklace.
After lifting the peritoneum and confirming that there was no intestinal tube, Chen Cang began to cut the peritoneum.
At this time, Li Baoshan suddenly understood!
He's going to have a small incision appendectomy!
This boy, can do such a "show operation" operation?
Yes, small incision appendectomy is very demanding for the operator, and it also tests the operator's basic skills and anatomical consciousness. This kind of operation began to appear in recent years and has not been popularized.
Even Li Baoshan has only seen it a few times. He did not come to Chencang first and would have such an operation!
Sure enough, Chen Cang said, "the operating table tilts about 20 degrees to the left."
Sure!
It's a small incision.
When Chen Cang said this, Li Baoshan was determined!
It's a small incision.
Then, pull the hook to open the incision and look for the appendix along the colon and the greater omentum to the upper left.
In this step, Chen canggen didn't have to work hard, like a fish caught by a sailor!
At this time, how can people around you not understand what happened?
At this time, the doctors around also suddenly realized that they thought of an appendectomy method that is particularly popular in the academic field of surgery!
So he whispered, "is he going to have a small incision appendectomy?"
As soon as the voice came out, everyone around couldn't help being stunned.
holy crap
So awesome?