When a doctor opened a plug-in

Chen Cang and Chen Bingsheng came out to wash their hands and change surgical gowns, and then there was a second operation, which was linked together.

The emergency room surgery is not done very much independently, and it is not very serious, but it is relatively busy, and the emergency department has a lot of things, basically it is a full day.

The second patient is a strong man in his fifties. It can be seen that his physical fitness is not bad. He did not pay attention to appendicitis caused by eating barbecue and drinking beer. After taking some anti-inflammatory drugs, he should continue to eat the next day. Eat and drink.

Later, appendicitis aggravated, and purulent appendicitis was caused.

Only then came to the hospital. Chen Cang received him. The first words of this elder brother were:

"Doctor, you have to cut my appendix. It happens every day and it affects my drinking!"

Chen Cang:...

What is the logic???

Why does it make sense to me?

Chen Cang explained patiently: "It's the appendicitis caused by your drinking and eating, not your appendix hinders your drinking, you have to have a little health knowledge and awareness."

This eldest brother is also a tiger, clutching his belly and smiling, he said, "The appendix, something outside of the body, can be cut off. Drinking, the joy of life, nothing can be successful?!"

Yo, it rhymes.

Caused the little nurses to laugh.

Brother, you didn't come here for surgery, right?Are you talking about cross talk?

If I don’t charge you, will it be possible to pay you the ticket?

Chen Cang had to give a thumbs-up. He was able to tell fallacies and heresies to a doctor with a noble moral character and a firm foundation, solid foundations, solid skills, and superb medical skills..., and it made my mind shake.

You are a goddamn talent!

I want to take out my Italian cannon for you to applaud.

No, lying on the bed with a naked body, the eldest brother still said very firmly: "Doctor, let me have a look. I want to see this guy ravaging my body and torturing my soul. I want to take it. Go back and stew it for the dog!"

Chen Cang:...

Chen Bingsheng:...

The master and apprentice sighed involuntarily.

At the beginning of the operation, Chen Bingsheng said to Chen Cang: "This person may be different from the last one. You will know it by open abdominal exploration. Don't panic."

Chen Cang nodded.

After the anesthesia was about to begin the operation, the patient suddenly said, "Doctor! Wait!"

Chen Cang was taken aback: "What's wrong?"

The patient smiled awkwardly: "Could you make this cut for me a little bit fierce! Yes, it's the fierce one, it looks like it's been slashed?"

Chen Cang was speechless: Are you trying to corrupt the money?

I went out to talk to the reporter, and it was another medical report: a patient cut his appendix and the doctor used a scalpel to graffiti on his stomach. Is it moral degeneration or a distortion of human nature!

The patient coughed and coughed: "I will be able to go out and brag, so I said, I was stabbed by someone, and it hurt me at the time. I didn't say a word, and finally got 36 stitches! Later when I was drinking alcohol. , Put your arms around your clothes, this scar, how handsome, the tattoo compares with me, it's too low!"

Chen Cang ignored him.

This guy!

Talk about cross talk!

It was freestyle just now.

The anesthesia time was almost up, and Chen Cang began the operation.

Take Mc's incision on the right lower abdomen into the abdomen, and cut the skin 6cm.

The dermis and subcutaneous fat layer were incised layer by layer. At this time, Chen Bingsheng took the initiative to come over for electrocoagulation to stop the bleeding.

Yes, the little attendant has great vision!

Chen Cang glanced at Chen Bingsheng with satisfaction and expressed his encouragement!

Chen Bingsheng was taken aback, his eyes stared: Is it itchy skin?

Cut the external oblique muscle aponeurosis layer by layer, separate the external oblique muscle and internal oblique muscle, lift and cut the peritoneum into the abdomen.

At this moment, the abdominal cavity was displayed in front of Chen Cang.

Sure enough, as Chen Bingsheng said, there may be differences.

When Chen Cang was exploring the abdominal cavity, he was cautious.

Chen Cang can now see that the [Omentum of the Abdominal Cavity] is green, and there should be no adhesion of inflammatory pus in the abdomen. He is relieved!

just……

There is a large amount of purulent exudate in the right lower abdomen.

[Cecum] Green, no problem,

The position of the appendix is ​​just in front of the cecum. Through the omentum, Chen Cang sees the appendix which is obviously hyperemic and thickened (don't think about it)!

At this time the appendix has been exposed to Chen Cang, red name!

And, even more red than before!

The two words in crimson [Appendix] seemed to tell Chen Cang that this wild monster might have a higher level.

It is about 10cm in length and 1.5cm in diameter. It has been purulent and has high tension. The gangrene perforation of the appendix root is wrapped in fat around it, and the adhesion to the surrounding tissues is light.

Chen Cang naturally saw all this!

Ding!Rare appendix monster: This is an acute purulent perforated appendix.lv12.

Chen Cang thoughtfully:

Killing this rare monster, will it reveal any equipment?

Even if you don't explode equipment, you should have more experience and money?

Chen Cang fully exposed the field!

Prepare for surgery!

"gauze!"

"Hemostatic forceps!"

"Ligate the mesangial appendix!"

"Suction!"

...

This operation is not the same as before, and the rare monster has caused Chen Cang a lot of trouble!

The operation is no longer as simple as before.

Chen Cang cut off the appendix and put the cut appendix into the dish.

"Carbonic acid injection 5ml."

"alcohol cotton"

"20ml of normal saline!"

Chen Cang needs to clean the excised appendix mucosa to prevent further infection.

After that is the suture work, this kind of wound is covered by a typical figure-eight suture together with local adipose tissue suture.

These are basic operations, so Izawa.

Finishing work!

Chen Cang gave Chen Bingsheng a look: The assistant quickly finished!?

Look at me for Mao?

Isn't it the look in your eyes when you are the chief sword?

Chen Cang's reflection: Is my ophthalmology not good enough?

Chen Bingsheng glared back: "What to look at? Hurry up and finish!"

Chen Cang: "Is this what the chief sword should do? Don't you give it to me every time it comes to this time???"

For a moment, Qin Lele, the equipment nurse next to him, couldn't help but smile: "Little Chen, don't be naughty, do it quickly!"

Chen Cang was helpless, thinking that he should have the posture and style that the leader should have when he is in charge. However, it turns out that he still has no human rights...

Helpless Chen Cang began to drain the fluid from the abdominal cavity and pelvic cavity to check for no active bleeding. A drainage tube was placed in the right iliac fossa, and another hole was pierced by the incision.

The equipment nurse also began to count the gauze equipment.

"Okay, it's all!" The equipment nurse gave an order.

Chen Cang closed his abdomen layer by layer.

The operation is over!

Ding!Kill the rare appendix monster: Acute purulent perforated appendix, gain experience value +200, RMB +200, and appendectomy experience +200.

Ding!Congratulations on getting a suture needle (white)!

Chen Cang's eyes widened, I'm Cao???

I……

I……

Hahaha, the equipment is out!

White stitches?

What is the use?

Look, look!

Is it possible to air every second every second?

Suture needle (white): sharp +1

Chen Cang was taken aback?

so?

Gone?

What is sharp +1?