Chapter 18:- The supervising doctor is just a mascot, nothing more!The emergency department chat group was excited, especially among the interns.
“What? Dr. Lin received a patient with appendicitis. Is it time for an appendectomy?”
“Open abdominal surgery?”
“Hahaha, another surgery opportunity! This could be my chance!”
“Dr. Lin, I’d like to be the second assistant!”
“Sob sob sob, Dr. Lin, I’m eager to learn! Finding comfort in daily learning is my goal. Can I assist in the surgery as the second assistant?”
“Learning brings me joy, Dr. Lin. Can I have the chance to be the surgical second assistant?”
“Appendicitis might be a minor surgery, but if I can assist Dr. Lin Feng, I’ll gain valuable experience. I can’t miss this opportunity as an intern! No way!!”
“@Song Ziming, @Huang Ziqian, you two can compete for the first assistant position. Let us interns vie for the second assistant spot.”
Song Ziming: “Hehe. Do you think you can take my opportunity? No way!”
Huang Ziqian: “Hehe. Do you think you can take my opportunity? No way!”
Interns: “…..”
After nine hours, the surgery began, with Dr. Zhang Yuan “supervising.”
Huang Ziqian secured the first assistant position, while Song Ziming became the second assistant. The other interns cried and silently cursed their senior colleagues.
The team proceeded with handwashing, gowning up, and gloving up. They shaved the patient’s hair for cleanliness and, of course, to avoid awkwardness. The anesthetist administered anesthesia outside the patient’s dura mater, completing the procedure.
After routine disinfection and draping, which involved covering the entire body while exposing the surgical site, Dr. Lin Feng took hold of the surgical knife and initiated a McBurney incision on the patient’s lower right abdomen.
The McBurney incision is an oblique cut commonly used for appendectomy, with the size adjusted per the patient’s condition and surgical needs. Some young, enthusiastic doctors may opt for smaller incisions to display professionalism.
With skillful precision and ease, Dr. Lin Feng performed the procedure. However, he prioritized the incision size based on the patient’s specific characteristics and condition rather than merely aiming for a smaller cut for appearances. Sᴇaʀᴄh the n0vᴇl(ꜰ)ire.ɴet website on Gøøglᴇ to access chapters of nøvels early and in the highest quality.
The surgical knife gradually sliced through the skin and subcutaneous tissue, revealing the surgical field. Then, the external and internal oblique muscles were separated and pulled apart, protecting the peritoneum.
Dr. Lin Feng examined the area. He found that the cecum omentum had shifted downward, a symptom of appendicitis.
Without delay, Dr. Huang Ziqian, the second assistant, adeptly separated the greater omentum, tracing it down along the colon until reaching the terminal part where it met the cecum.
“It’s appendicitis…”
The appendix appeared congested, swollen and had purulent exudate in the surgical field. The yellowish pus was somewhat unpleasant, but the medical staff remained unfazed.
“Forceps…”
Dr. Huang Ziqian, the second assistant, handed the appendix forceps to Dr. Lin Feng.
The appendix forceps have a widened front end, forming a hollow structure that securely holds the tubular appendix. Compared to surgical instruments like vascular forceps and tweezers, appendix forceps are less likely to harm or rupture the appendix.
Dr. Lin Feng used the appendix forceps to grasp the appendix. Next was the dissection. All the surrounding tissues of the appendix were meticulously separated. The interns watched closely. But Dr. Lin Feng’s speed was astonishing!
In less than 10 seconds, the dissection was completed!
Interns: “…………….”
“So fast!”
“I haven’t even gotten into the groove!”
“Sob sob sob.”
“I watched in vain!”
“No, I need to go back and do it twice as slowly!”
A chorus of lamentation followed.
With the dissection, the entire appendix was vividly displayed before Dr. Lin Feng. It seemed to tremble as if pleading, “Don’t cut me! Don’t cut me!”
Dr. Lin Feng approached the cecum, about 1 cm away from the base, and prepared for purse-string suturing. Then, with a swift motion, Dr. Lin Feng removed the appendix.
The appendix was taken away. Next, the hemostatic forceps were applied to the ligature at the base of the cecum, tightening the purse-string suture. The forceps were then removed. The remaining end of the appendix was buried in the cecum, tied, and the sutures were cut.
At this point, the surgery was nearly finished. A check of the abdominal cavity revealed no issues. Then, the abdominal cavity was cleaned, and the incision was sutured. The entire sequence of procedures was carried out swiftly, leaving observers dazzled.
The whole surgery took less than 20 minutes. Soon, a group of interns gathered to discuss.
“This appendicitis should be the most basic and common type in textbooks, right?”
“But Dr. Lin’s speed is truly impressive.”
“No wonder, Dr. Lin, this is simply gaining experience from a routine appendectomy.”
“Huh… What did I learn?”
“Um… It seems like I didn’t learn anything.”
“I think I’ve been shouting ‘excellent’ the entire time~~~”
“Isn’t that enough?”
“I’m exhausted, my dear heart!”
Meanwhile, the supervising doctor, Zhang Yuan, who stood behind everyone, looked up at the sky, lost in thought.
“What am I doing here? Guiding? Does Lin Feng need my guidance?”
“I’m probably just a mascot, right?”
“Ummm~~~~”