Section 80
The news that Zhang Yi was going to perform local anesthesia on pregnant women with appendicitis also spread to the general surgery department.
Appendicitis surgery should have been done by them.
But today, Zhang Yi stole their business.
Instead of being angry, the people in the general surgery department all ran to the operating room.
For no reason, I just came here to see how Zhang Yi performed local anesthesia to remove the appendix of a pregnant woman.
Chapter 66 Just have to kneel down and sing "Conquer" for Zhang Yi
This dangerous and strange surgery.
Everyone was curious.
Not only the general surgery department, but also several doctors from the obstetrics department came.
At this time, the operation had not yet started, and the observation room next to the operating room was once again crowded with people.
"I'm telling you, can't you watch the replay? Do you have to watch it here?"
"Then why don't you watch the replay?!"
"..."
In the operating room, the pregnant woman looked nervous.
During the local anesthesia operation, she was conscious from beginning to end.
So she was scared of the unknown of what was going to happen.
Zhang Yi noticed her panic and comforted her softly:
"Don't be afraid or nervous. This local anesthesia won't hurt. Trust me, I will keep you mother and son safe."
I wonder if the confidence in Zhang Yi's eyes infected this pregnant woman.
The pregnant woman nodded, feeling a lot less nervous and uneasy.
The operation was performed in lateral decubitus position, exposing the location of the right appendix.
Inject lidocaine into the skin just above the appendix.
Lidocaine is an excellent local anesthetic.
It takes 1-3 minutes to fully take effect and lasts within 1-3 hours.
Because it is a local injection, the drug does not enter the blood vessels, so the impact on the fetus is minimal.
"Don't be nervous, the anesthetic has just been injected and will take effect soon."
The pregnant woman nodded.
Originally, the anesthesiologist planned to do the operation himself.
But Zhang changed his hands so quickly!
I took the needle and stuck it in!
The anesthesiologist wasn't even given a chance to react!
Anesthesiologist: Even if you take work from other departments, are you going to take my work? !
Absolutely perverted!
When three minutes passed, Zhang Yi picked up the scalpel and began to make an incision on the marked endoscope hole.
"Don't you feel it?" Zhang Yi asked while cutting.
The pregnant woman shook her head: "Ah? Have you already performed the surgery?"
"yes."
"Wow, that's amazing! I don't feel anything at all!"
No pain was felt, and the pregnant woman finally relaxed.
For laparoscopic appendicitis, if it is severe perforation and suppuration, three holes need to be drilled.
Common appendicitis can be operated through a single hole.
Also called single-port laparoscopic appendectomy.
This surgery should preferably be completed within an hour.
Of course, this is too long for Zhang Yi.
Ten minutes, maybe.
A hole is made and a laparoscope is inserted to explore the location of the appendix.
For pregnant women who are 25 weeks pregnant, their appendix, ileum, and bladder are basically all displaced.
It’s hard to find, and you have to be careful with your uterus.
On the laparoscope display, a pair of flesh-pink intestines and tissue were accumulated together.
It is difficult to tell where the appendix is with the naked eye.
But Zhang Yi just took the laparoscope, stretched it in, and then explored it further.
Alas, isn’t the appendix coming out now?
In everyone's sight.
A red and swollen appendix was clamped by Zhang Yi and fixed.
Zhang Yi's hands were very light throughout the process, carefully ensuring not to hurt the pregnant woman.
Then, apply another set of local anesthetic.
The anesthesiologist wanted to take action again, but Zhang Yi refused.
It is best for this medicine to avoid blood vessels and just inject it near the blood vessels and on the tissues.
Under laparoscopy, the tissues were intertwined.
Zhang Yi still believes in himself.
Then, insert the tip of a 15 cm long needle into the abdominal cavity.
Anesthetic is injected near the appendix just below the ligament.
Anesthetic is also injected into the area that needs to be ligated.
After waiting for 3 minutes, dissociation begins.
The assistant helped to suspend the cecum and ileum that blocked the view.
Use electrocoagulation forceps to free the appendiceal ligament.
Ligate the blood vessels in the appendix and free the entire appendix.
In less than five minutes, the swim was over.
Use curved forceps to remove the red, swollen and inflamed appendix.
This appendix can only be said to be fortunately obtained in time.
If it were a few days later, there might be a perforation and pus.
Exploring the abdominal cavity, repositioning organs, and counting surgical instruments.
Suture the wound and bandage it.
"The operation is over."
The pregnant woman's face was full of shock, and she felt as if she had heard wrong:
"What? Is this the end?!"
No!
It seems like she hasn't even been lying here for ten minutes!
How can it be so fast? !
Seeing that the pregnant woman didn't believe it, Zhang Yi picked up the free appendix and showed it in front of her.
"As you can see, the operation was very successful."
The pregnant woman opened her mouth and didn't know what to say.
Boss!
Please forgive my ignorance just now!
I really didn’t mean not to believe you just now!
In the operating room, other doctors who followed him into the operating room were speechless.
Can this method be used to help pregnant women remove their appendix? !
It’s been a long time since we’ve seen each other!
Chen Fang was sighing and wondering, what would be a good title for this video later?