I really don't want to take shortcuts anymore

Chapter 330 Fortunately, he lived up to his fate
Zhang Shichang turned around the screen and saw several people who were like him, covered from head to toe. They all stood under the bright lights and surrounded the high couch that was one person wide in the middle.

The patient lay motionless on his back on the couch. The rest of his body was covered tightly with linen, leaving only a circular opening in the right lower abdomen, exposing a piece of skin.

He found an opening and came forward, and saw Luo Qianhuai holding a willow leaf-shaped knife in his hand, gesticulating and explaining:
"Okay, Ma Fei San has taken effect now. We need to complete the operation before half an hour. If it exceeds the time limit, the patient may wake up at any time."

Luo Qianhuai was extremely serious when he entered working mode. Different from the rush of setting up a temporary stage to rescue Wei Lan last time, this is her first time to undergo a well-prepared operation in Dayu, so she is also extremely serious:
"Yanshu is responsible for observing the patient's condition. He must keep his hand on his wrist to monitor the heartbeat and pulse. If any abnormality occurs, he must inform me in time."

"Xingxuan will be the first assistant and will be responsible for handing me various instruments and tools. Tan Fei and uncle will be the second and third assistants. Later, they will be responsible for using the retractor to open the incision site to maximize the exposure of the surgical field."

These terms are quite unfamiliar to Zhang Shichang, but it is different for several others who have received basic training before.

Just knowing what the terms mean doesn’t mean you won’t be nervous. The breathing of the three assistants became a little heavy, which was particularly clear in this sealed operating room.

With three newcomers who didn't even understand the anatomy of the human body on stage, and a high-ranking bystander next to them, it would be a lie to say they weren't worried at all.

But this is not another operation, but the most common appendix operation in surgery. Luo Qianhuai himself has performed hundreds of surgeries, so his worries are limited.

"The operation begins." She said attentively. At the same time, she calmly cut the knife and opened a five-centimeter-wide incision diagonally on the patient's abdomen. Blood slowly seeped out from the wound.

"An oblique opening in the right lower abdomen is the most common way of opening for appendicitis. Because the muscles here grow crosswise, they will be stronger during healing and are less likely to form an incisional hernia. And it is closer to the appendix, making it easier to find."

The patient is quite thin and there is almost no trace of fat on the abdomen. It is a great relief for the surgeon as he does not have to suffer from fat liquefaction.

While she was talking, she had already carefully incised the peritoneum, used folded silk to absorb the blood and exudate, and at the same time, everted the edges of the peritoneal incision and fixed it with clean silk, and then took out two retractors. Pass them to Tan Fei and Wen Pu respectively.

Their faces were actually a little pale, and the corners of their lips had lost color. But after all, he was a low-level traveling doctor, and he had dealt with many bloody injuries. His reaction was not too severe, and he was still competent at retracting hooks.

The blade of the knife was pulled open to both sides, and the colorful intestines were exposed. The expressions of Xingxuan and Yan Shu changed instantly, and they only relied on the masks to hide their appearance. Tan Fei and Wen Pu were not much better, they were both suppressing the urge to vomit. On the other hand, Zhang Shichang was well-informed in Tingwei Mansion. Although he was also touched, he could still remain calm.

He glanced at Luo Qianhuai, and saw that her eyes exposed outside the mask were calm and indifferent, as if she had been accustomed to everything he saw before him.

Luo Qianhuai didn't pay attention to his inspection. She replaced two non-invasive long forceps, carefully lifted and clamped the colon band alternately, and soon dug inside to find the troubled appendix.

The appendix is ​​about seven or eight centimeters long, purple in color, swollen and exuding mucus. It adheres the adjacent tissues to the colon and cannot be removed directly with tweezers.

Luo Qianhuai breathed a long sigh of relief. Fortunately, okay, although it is about to fester and perforate, in the end, the last step is still missing.

This was much easier to treat than the worst outcome she had expected. Perforated appendicitis, diffuse peritonitis caused by pus, feces and digestion contaminating the abdominal cavity.

The certainty of rescuing people was increased by 20%, and Luo Qianhuai's voice became much more relaxed.

"This swollen intestinal tube is the appendix. It is a closed intestinal tube at the end of the cecum. After inflammation, it may become gangrenous, perforated, and ultimately lead to death of the patient. In fact, its existence has no impact on the human body. As long as it is cut "Everyone, the inflammation is very serious and there are adhesions around it. How to deal with this situation?"

Wearing thin gloves sutured with intestines, she inserted her fingers directly into the injury and performed blunt dissection.

"Okay." Luo Qianhuai took out the successfully separated appendix and showed it to everyone: "Our next task is to remove it. But we can't cut it directly because there is an appendix artery in the mesentery. Direct removal will cause excessive bleeding. Many. There are several specific steps. The first is to ligate the mesangium."

She demonstrated while talking, using a hemostatic forceps to perforate the avascular part next to the appendiceal artery at the root of the mesentery, and ligating two ligations through the prepared mulberry sutures.

"About half of the patients, there is also an accessory appendix artery from the posterior cecal artery in the mesentery of the appendix root. Although this patient does not have it, everyone must observe it carefully when operating in the future, and it must be ligated if found."

She made another ligation at the proximal end, and then used a hemostatic forceps to completely cut off the mesentery.

There was no bleeding at the severed end and it looked perfect. She took a small piece of dry silk and wrapped it around the appendix, clamped it securely with a special appendix clip, and then wrapped a piece of silk soaked in saline around the cecum at the base of the appendix.

"The next thing to do is purse-string suturing. The purpose is to prepare for ligation and severing of the appendix."

Luo Qianhuai's explanation was easy to understand, but it was also quite difficult for the few beginners around him. But everyone is diligent and studious. Even if there is something they don't understand for a moment, they hide it in their hearts and stare at the movements of Luo Qianhuai's hands with burning eyes, not daring to lose sight at all.

The surgery went well. The root of the appendix is ​​ligated and cut off, the stump is buried and pushed into the cecal cavity, covered with the mesentery, and reinforced sutures are made.

After all this is done, the abdominal cavity is cleaned with a solution of Sanhuang water and alcohol, and then sutured in layers.

Until the end of the operation, the patient never woke up and his vital signs remained stable.

"The operation was successful." Luo Qianhuai showed his first smile after entering the operating room: "Thank you everyone."

The apprentices were still in shock and did not recover for a long time.

She took off her gut gloves and walked towards Zhang Shichang: "Sir, I'm lucky to have fulfilled my fate. Ninety percent of the patient's life has been saved."

There was also a smile on Zhang Shichang's face: "Mr. Luo is indeed very skilled. It's just that this person hasn't woken up yet, so nothing has been decided yet."

"He will definitely wake up after a cup of tea at most. If everything goes well, he will be back to normal after lying down for another ten days and a half."

"Then I'll wait and see." Zhang Shichang said and stepped out of the operating room.

As soon as he went out, Chai Zhiguo came forward to greet him with an anxious look and whispered a few words in his ear.