Chapter 380 Can We Still Be Together?
Ling Ran separated the abdominal tissue little by little, fully feeling his first abdominal surgery.
Contrary to ordinary people's understanding, the operation of abdominal surgery is not to use a sharp scalpel to cut in place. On the contrary, when the surgeon cuts the abdominal cavity, he will try to cut as many layers as possible.
The uneven abdominal incision may not look so good during the operation, but it is conducive to the suture after the operation. Because the abdomen is to be sutured layer by layer, the peritoneum needs to be aligned with the peritoneum, the rectus abdominis is sutured with the rectus abdominis, and the fat layer continues to be next to the fat layer...
If it is cut off with one knife, it will take a lot of time to suture after surgery.
Rather than doing this, it is better to consciously separate the tissues during the incision, moisten them with saline, and then clip them with gauze. When the abdomen is closed, the layer-by-layer suturing will be much easier and not easy. error.
Ling Ran performed the abdominal surgery without haste.
In the opinion of Dr. Zhou, who is familiar with abdominal surgery, Ling Ran's early steps did not have any advantages in terms of speed, but Ling Ran's movements were very coherent and had a very good sense of rhythm.
In this way, it didn't take much time to find the appendix game that doctors love.
Doctor Zhou looked at Ling Ran with a smile.
In the current appendectomy, the only difficulty lies in finding the appendix. Especially for doctors of Dr. Zhou and above, separating the appendix and suturing the end are all very simple tasks.
Using the animal world to describe it, finding the appendix is like playing hide-and-seek with a rabbit. Once you find a rabbit, it is not difficult for a bear to eat it.
The only trouble is that the appendix is like a cunning rabbit, often free in the abdominal cavity, and does not have a fixed position. In the case of a small opening, there is a certain probability of finding it. If you are unlucky and an inexperienced doctor, find a half Hour appendix is normal. Many young doctors look for the appendix for the first time, and some look for two or three hours.
Doctor Zhou looked at Ling Ran's movements and asked with a smile, "Ling Ran, when was the last time you looked for your appendix?"
Surgery still requires proficiency. No matter how tough a surgeon is, if he hasn't performed appendix surgery for a long time, he will be much less familiar with it again.
Ling Ran pondered for a while, and did not answer Doctor Zhou's words immediately. Instead, he hooked his fingers from the abdominal cavity and grabbed a piece of bloody small intestine.
"gauze."
Ling Ran gave an order,
Then he said to Doctor Zhou: "Just now."
The equipment nurse handed the gauze to Ling Ran, her eyes full of admiration: "Doctor Ling is really good."
"Thank you." Ling Ran nodded politely, then dipped the gauze to clean up the pus around the appendix, asked for pliers, and lifted the appendix high.
Dr. Zhou looked at the festering appendix that could kill people, and was hung up in a blink of an eye. He couldn't help being a little dazed: "Found it?"
"kindness.",
"You practiced secretly."
"No."
Dr. Zhou shook his head: "You are lucky."
He could only attribute it to luck.
Although Dr. Zhou often saw and heard that some general surgeons can find appendices with just a touch of their little fingers, but the appendices cut out by those people can be used to decorate the operating room. After appendectomy, where is it possible to perform a large number of operations?
Ling Ran smiled without saying a word, and gently lifted his chin facing Doctor Zhou.
"Hey, you're still proud..." Dr. Zhou shook his head again and again: "It's just an appendix, don't be complacent..."
Ling Ran was helpless: "I mean pulling the hook."
Doctor Zhou was stunned for a moment, and quickly pulled the hook forcefully.
Being an assistant in appendicitis surgery is just such a job.
Only then did Ling Ran nod his head, and began to deal with the blood vessels and mesoappendix.
Doctor Zhou was a little embarrassed: "It's been too long since I hooked up with someone, and I'm a little rusty. Our cooperation still needs to be improved."
"No need." Ling Ran glanced at Doctor Ling's small arms and legs, as well as the crow's feet around his eyes, quite disgusted.
For jobs like pulling hooks, it is natural to find a strong young man to do it. He is strong and motivated, and he can speak nicely.
In comparison, Dr. Zhou's main treatment is too difficult to help Ling Ran.
"The sutures were removed." Ling Ran reminded again, blocking Dr. Zhou's words.
Ling Ran removed the appendix in a straight line, completed it in two or three strokes, and then performed purse string sutures on the end.
The official name of the purse string suture is "continuous horizontal mattress full-thickness inversion suture", which is slightly different from the other two inversion sutures that Ling Ran has mastered before, vertical mattress and intermittent mattress, which belong to appendectomy. Bonus stitching method.
For Ling Ran now, it is very easy to use the stitching method in different order.
A small appendix fell on the tray, bright red, like a small piece of Cantonese sausage.
"Little girl, don't be so cruel next time you have a buffet." Dr. Zhou felt relaxed again.
The patient couldn't see what was going on on the operating table, so he asked timidly, "How is it now?"
"Your appendix has been removed." Dr. Zhou flipped the tray and said, "It's swollen."
"Oh, thank you."
"Hey, the little girl is quite polite. Come again next time, we will find a way to give you a discount." Dr. Zhou made a joke that doctors like.
The patient was speechless.
She still dare not say that she will not come in the future.
After careful inspection, Ling Ran dropped the equipment and asked Dr. Zhou, "Would you like to close the abdomen?"
Dr. Zhou looked at his watch and sang, "Thank you, Dr. Ling."
"You're welcome." Ling Ran took off his gloves, threw them into the bucket, and said to the itinerant nurse, "Where's the next one? Operating room No. 2?"
"It's No. 2, I'll go and confirm." The roving nurse had already inquired about it just now, and now she went out again, turned around after a while, and said, "The patient has been sent to No. 2 operating room."
Ling Ran nodded.
At this moment, Mei Qiaoqing, a patient whose head was covered in a blanket, shouted, "Doctor, doctor, I need to make the same incision."
Ling Ran's footsteps paused.
"I'll try my best, but the appendix is free." Ling Ran can only explain one thing, although the probability is the highest in the upper right abdomen, he can't guarantee...
Mei Qiaoqing, who was under the blanket, said firmly, "He is my boyfriend, and he suffered from appendicitis together with me. Even if his appendix has moved, it must have moved to the same position as mine."
Ling Ran listened carefully to the patient's opinion, and said again: "I will prove it to you."
After speaking, Ling Ran went out.
Instead, the patient, Mei Qiaoqing, was flustered by Ling Ran's words: "What if his appendix is not in the same position as mine, what should we do? Can we still be together? How should I face him?"
Doctor Zhou panicked after hearing what the patient said, and whispered to the nurse, "Put away the knives..."
Recommend the new book of urban master Lao Shi: