Chapter 13： Ectopic chapter acute suppurative appendicitis

Zheng Ren fell knife, incision 5cm, standard small incision appendectomy. The device nurse is a Xie Yi person, who is focused on Zheng Ren's hands. Before the completion of the operation, he will estimate the next step and hand the device.

With the standard, very professional.

Electric burning to stop bleeding, small bend (pliers) blunt separation, step by step began a "misdiagnosis" surgery.

In the classroom, he looked at the screen with joy and joy, and said to himself: "With such a small incision, I really have confidence."

"Yeah, the mouth of the standard appendix is ​​rarely so small."

"This is really learning."

The commentary of the yin and yang is like a slap in the face. Take a look at Director Pan’s face and sizzle.

His head is getting lower and lower, and he is ready to sweep his face.

Supporting the conviction of Director Pan, only Zheng Ren’s pancreas and duodenal resection was performed as a singer.

In the Xinglin Garden, it is more lively than the classroom.

After all, it is a live webcast. No one knows anyone, there is no interest dispute, and there is only a simple academic discussion.

So it is more direct and more difficult to listen to.

"After the upper right abdomen laparotomy, cut 5cm mouth, do the surgeon want to go to heaven?"

"The person diagnosed with acute appendicitis, according to his diagnosis, the inflammatory cord in the gallbladder area is the purulent appendix, don't force it, quietly see the big **** surgery."

"This is the most outrageous operation I have ever seen. It is a miracle that the doctor can live without being killed now."

Whether it is the classroom or the discussion of the Xinglin Garden, it is not in the ears of Zheng Ren.

The operating room was very quiet. Zheng Ren used a small gauze to protect the wound. As soon as he reached out, a middle bend plier fell on his hand.

"Attractor, wear a set." Zheng Ren took the middle bend on the sterile sheet, focused on the field, some indifferent.

The first time the Xie Yi’s judgment made a mistake, he quickly put the set of the attractor on Zheng Ren’s hand.

The aspirator made a "beep" sound that broke the silence in the operating room.

Zheng Ren held the aspirator in one hand and bluntly separated the peritoneum with a curved plier in one hand. When the peritoneum opens, the aspirator is inserted.

"Hey, be prepared to brush your hands." When seeing Zheng Ren want to attract the device and prepare to open the peritoneum, Director Liu arranged.

He didn't speak much, but he just told Master Pan to hear clearly.

This is contempt and undisguised contempt.

Zheng Ren’s surgery, from the opening of the skin to the present, nothing to be picky. If the bones are picked up in the egg, the technical authority will be questioned.

However, Director Liu was convinced that Zheng Ren had made a mistake in diagnosis. When he opened the peritoneum, he arranged for his own person to brush his hands and prepare to take over the next operation. This is also the step that Director Liu had long thought of.

Looking at the script in accordance with his own expectations, Director Liu showed a smile on his face.

He is not going to go to this operation, even if it is complicated acute cholecystitis, he is completely unnecessary, and this hospitalization can always be done.

Just sit here and use your eyes to ridicule the old director Pan.

In the live broadcast room of the Xinglinyuan Forum, a barrage screen began to be screened.

"Grass! It's really done in accordance with appendicitis. It's so rare for doctors to be so powerful."

"No assistants are needed, where is his confidence?"

"Attractor? Is this live broadcast funny? If he can **** out the pus, I will eat the pus all live."

............

The aspirator quickly falls into the mouth where the peritoneum is opened. Just right, a pus will not flow out.

Just put it in, a group of yellow pus with green pus was drawn from the pipe of the suction device.

The amount of pus is large and the aspirator **** for 32 seconds.

In the classroom, the shackles that had just been ordered to brush their hands were stunned, and Director Liu’s smile was also on his face.

Pus? In general, cholecystitis does not appear pus exudation, the most common clinical is acute appendicitis exudation pus.

Is it really acute appendicitis? Everyone is diagnosed wrong?

Impossible! Whether it is Meng Meng or Director Liu, at this moment, they are desperately reminiscing about the B-ultrasound performance of acute suppurative appendicitis. Even if it is an ectopic tail, the B-ultrasound should always have a hint.

I am standing at the door, not walking, not walking.

He began to shake, if it was really appendicitis, he brushed his hand and stood in the operating room. Is it going to be broadcast live? If that's the case, it would be a shame to lose people.

In the apricot forest live broadcast room, the barrage is completely screened.

"The bulls are really, can really **** out the pus, will not break the gallbladder."

"Is the brother who said that the live broadcast is still good? Is the pus delicious? Wait for the live broadcast."

"I am going... Is it really appendicitis? Why haven't I seen such a case?"

"Suppurative appendicitis, even a small incision of 5cm, really confident, which big cow is broadcasting live?"

After 32 seconds, pus no longer appears in the aspirator.

Zheng Ren put the suction device on the sterile gauze laid by the Shea people to avoid contaminating the operating area.

Then continue to separate the peritoneum.

The peritoneum opened 3cm, a thick and large, purple, purple and black things popped up.

Continue to separate, the peritoneal separation 5cm, a purple black purple thing directly smashed out.

Congestive, edematous, with white pus.

No matter what form, as long as it is a surgeon, you can recognize it at a glance. This thing is the appendix.

It can only be an appendix.

It must be the tail.

Show that the classroom is dead.

Director Liu’s smile has been frozen on his face, and the orbicularis muscles can’t stop shaking, just like electricity.

At the moment, Director Pan was gradually straight, looking directly at the screen and making a fist with both hands.

In the apricot garden live broadcast room, the barrage disappeared for a short time, as if everyone realized that it was really an appendectomy and an appendectomy in the right upper abdomen.

After 47 seconds of silence, the barrage began to appear intermittently.

[Paralyzed, I really saw the big cow. 】

[I am curious about how he diagnosed. No test report given before surgery can be determined to be an ectopic tail. I can guarantee that the surgeon will definitely hide other checks. 】

[Say, it seems that you can dare to diagnose a lower abdominal MR, mortal, tremble in front of the Great God. 】

Zheng Ren’s hand is very stable and his movements are not fast, but he is very accurate.

Because of the congestion and edema of the appendix artery, Zheng Ren did not take conventional ligation, but used suture. The small needle thin thread shuttles up and down between the squares of 5cm.

The suppurated appendix was cut and thrown into the specimen basin with pliers.

Zheng Ren reached out to Xie Yiren's movements were a bit slow and hesitant.

"Small bends, scissors." Zheng Ren seems to know what the Xie Yi people are thinking, looking at the operation area, and not talking back.

"After cutting off the appendix, it should be rinsed with warm salt water. What should he do with a small bend and scissors?" In the classroom, someone asked.

Although it is questionable, there is no blatant contempt before surgery.

Yes, not to mention the operation, the light can accurately determine the ectopic tail, it is enough for countless surgeons to blow for a lifetime.

And the surgery that people do is called a beautiful, from the opening of the skin to the present, only 3 minutes, of which half a minute is sucking pus.

In order to avoid being beaten by yourself, those who have doubts can only kneel. Asking questions, I only dare to use the smallest sound, similar to the belly.

[Little bend? scissors? What is this going to do? 】

[The appendix is ​​cut off, what else to show? Daniel, you are already very bullish, leave us a classic memory, don't play it. 】

[You know, people are not stronger than you? 】

Xinglin Garden is a professional website. Once you find the surgeon, you will be the most popular.

Only technology can get close to technology, and people who are willing to browse such a professional website are basically technical flows. They have a adoring attitude towards high-level surgery.

[He is free to attach the pus on the wall of the gallbladder! 】

[Day, he is not afraid of edema of the gallbladder? 】

[Worship! I want to know which big **** is in surgery, I am going to study! 】

..................

The pink cover looks at the hot eyes, and I change to the style I like as soon as possible. The random selection does not work. In addition, I would like to ask for a ticket, hehe.