When a doctor opened a plug-in

When Duan Bo saw this scene, he was stunned.

But Duan Bo and Guo Cheng are completely two kinds of people.

When Guo Cheng approached Chen Cang for surgery, Chen Cang was basically doing it.

But Duan Bo is different. This person is very thoughtful. An appendectomy will be paid to Chen Cang 2000's expert, and he will take over and give him a warm hospitality. He hopes to learn Chen Cang's technique.

Duan Bo is responsible and has ideas. Now, as he is young and strong, he wants to make the Department of General Surgery of Lanxian City People's Hospital a benchmark department and become famous.

After encountering the incident at this time, Duan Bo did not panic, but was very calm.

He began to carefully search for the cecum through the tissue forceps, but at this time there was a piece of adhesion in the abdominal cavity, and nothing could be seen at all.

Duan Bo hesitated: "Expert Xiao Chen, in this situation, can the small incision handle it?"

Chen Cang was taken aback, hesitated and walked over, the scene before him suddenly made him hesitate.

The condition in the abdominal cavity is more serious. At this time, the difficulty of surgery will increase, and most importantly, the appendix has not been found!

what's going on?

Is it an ectopic appendix?

Duan Bo saw this: "Or, open your stomach?"

Chen Cang did not struggle with small incision surgery. After all, patient safety is more important than anything else. Even if Chen Cang does not earn the money, he must ensure the safety of patients!

Of course, Chen Cang can also insist on small incision surgery. According to Chen Cang's technique, there should be no problem.

Even after the dazzling operation is done, you may get a wave of emotion and shock.

But Chen Cang didn't want to pass this adventurous impulse to these doctors.

They don't know much about small incisions. In case of some unexpected situation, don't have a big problem!

Therefore, Chen Cang nodded decisively: "Open surgery! Let me do it? The patient's condition is a bit special, I think this operation is not ordinary."

Duan Bo nodded and took the initiative to move away. Chen Cang took the tissue forceps and frowned suddenly. How could there be so much pus in the abdominal cavity?

The perfect appendectomy gave Chen Cang a good understanding of the appendix environment in the abdominal cavity and the surrounding conditions.

At this time, he thought of a very difficult appendectomy!

Chen Cang said to Duan Bo, "Help me pull the hook!"

Duan Bo nodded quickly.

Chen Cang continued to say to the doctor on the side: "Doctor Yang, suck the liquid."

The other party also started quickly.

After the liquid was sucked away, Chen Cang picked up the tissue forceps and began to operate.

Finally, the cecum was found in the upper right abdomen!

Duan Bo was stunned: "Why did you get there?"

The little doctor on the side also nodded, "Isn't it going anywhere?"

Chen Cang turned to the nurse and said, "Scalpel!"

The nurse thought Chen Cang was going to have an abdomen, and quickly handed the knife over!

Chen Cang did not continue to expand the incision in the original place, but opened 5cm in the gallbladder area of ​​the right upper abdomen!

This Duan Bo looked dumbfounded...

"Expert Xiao Chen... who are you?"

Not only did Chen Cang not enlarge the wound at the original site, but after a fluid suction examination, he decided to change the place to open his mouth. Could this keep everyone from wondering?

Chen Cang did not raise his head, but said while making an incision: "This should be a very rare case, probably only once in a lifetime. The patient himself is an ectopic appendix, and he can find it through the cecum, but he cannot be operated on because of the appendix. It may have serious adhesion to the gallbladder triangle, liver, peritoneum, and omentum. Once the force is too strong, it is likely to damage the liver!"

After that, the incision appeared!

After pulling the opening, the scene in front of them made everyone take a breath.

Chen Cang explained: "The patient should have had a cholecystectomy, which caused complications after the operation, prolonged non-healing, and caused chronic adhesions. The patient itself is an ectopic appendix. During a series of reactions, the omentum, The peritoneum, appendix system, gall bladder triangle, and liver have adhesions during this process."

After speaking, Chen Cang peeled it off carefully!

Chen Cang said and did: "If the guess is not wrong, the patient's appendix root should have formed gangrene, and there should be an abscess around the appendix!"

The vast majority of peri-appendix abscesses are wrapped by surrounding tissues such as omentum, lateral peritoneum, and small intestine after perforation of appendix gangrene.

The scene in front of me is a mess, how is the operation?

After Duan Bo saw this scene, some of his scalp became numb.

But Chen Cang received a system prompt!

Ding!Variant gangrene perforated appendix with surrounding abscess, lv40, king-level appendix!Features: The strong adhesion makes the appendix system tightly connected with the gallbladder triangle and liver...]

After seeing the prompt, Chen Cang couldn't help but be surprised for a while!

King class?

This may be the most rare appendix surgery, right?

Thinking of this, Chen Cang's eyes lit up!

What equipment will he have after cutting?

Artifact?

still is……

This is the first time Chen Cang has encountered this level of disease.

Thinking of this, Chen Cangyue was eager to try!

"Split the pliers!"

"gauze!"

"Tissue clamp!"

"tweezers……"

...

The whole separation work is very complicated. There are too many factors involved, which can damage the gallbladder and bile ducts, bring about serious infections of the abdominal cavity that may be more troublesome, and damage the liver is even more troublesome!

This means that the difficulty of this operation has increased geometrically!

However, Chen Cang's hands are steady, meticulous, and precise!

Every step is careful.

And Chen Cang is very patient.

Take it slowly, millimeter by millimeter.

The people around me are nervous and dare not take a bite!

Time passed by minute by minute.

Chen Cang gradually began to lose strength.

More than an hour has passed since the operation.

Such a high-intensity and high-precision operation is really exhausting.

Not to mention Chen Cang, even Director Duan, who was pulling the hook, felt sore and sleepy in his back and wanted to stretch, but worried that he would affect Chen Cang's operation.

Simply gritted his teeth and continued to insist.

This is a contest of physical strength.

It is also a battlefield of patience and care.

No gun smoke, no shouts.

The quietness on the operating table allows everyone to feel their heartbeat.

At this time, the patient took a breath: "Doctor, I... I feel a little pain..."

Chen Cang frowned suddenly!

The anesthetic is over!

Generally, the appendectomy with such open incision is local anesthesia, and intraspinal anesthesia is used, which belongs to the generalized local anesthesia. There will be sensations during the operation, and there may be some discomfort or pain.If it is laparoscopic surgery, it must be general anesthesia.

General anesthesia is the safest and most reliable, and it is completely unconscious and comfortable.But the cost is quite high.

The anesthetist's face changed: "The anesthetic may be over...Do you want to continue anesthesia?"

It is definitely unrealistic to continue anesthesia at this time, just a little bit.

Chen Cang shook his head: "No need!"

Boost!

At this moment, Chen Cang's hands were running steadily and flexibly, and Doctor Yang who was watching was a little dumbfounded. This hand is not ordinary...