Obviously seeing everyone's unkind looks, Jin Cheng still went his own way and insisted on his own way.
Well, you are a genius, you are awesome, you only did it once during your internship, and you haven’t had your appendix touched for several years, and you still dare to be so confident.
Xu Yang was so angry that he wanted to see how defiant Jin Cheng was.
Soon, after the patient recovered from anesthesia, An Shanshan, the anesthesiologist and circulating nurse escorted him back to the ward.
The cleaning lady quickly cleans the operating room.
The next patient was admitted, an elderly male patient.
Xiao Lei also came in.
"Brother, this patient is old, has severe coronary heart disease, and his blood pressure has been unstable, reaching a maximum of 210/130mmHg. He also has chronic renal failure and poor liver function. I talked with the patient's family about routine anesthesia, whether it is Whether it is general anesthesia or spinal anesthesia, the risks are very high. It is recommended that the patient undergo general anesthesia with acupuncture, and the family agrees!"
Xiao Lei said excitedly.
Jin Cheng glanced at him and knew that he wanted to do actual clinical practice, which was fine. If he had to check it himself, there should be no problem.
"It seems that you are very confident in yourself!" Jin Cheng said with a smile.
Xiao Lei chuckled, and his beard kept popping out from the side of the small mask.
"The main reason is that I have a very good academic talent. Of course, brother, you also teach me very well!"
Jin Cheng nodded with satisfaction. Your immodest style is somewhat similar to mine.
Soon, the patient's pre-anesthesia preparations were completed.
Xiao Lei sat on the patient's bedside, took out a filiform needle, disinfected the scalp, and started acupuncture at the Baihui point.
Every stitch is done strictly in accordance with the standards set by Jincheng.
Everyone stared at his operation curiously, paying attention to the patient's condition.
Ten minutes later, Xiao Lei completed all operations and the patient was under anesthesia.
"Well, there's no problem. Brother Lei's talent is really amazing!" Jin Cheng gave a thumbs up. None of the graduates from the 985 prestigious schools are unsmart.
"Okay, Xiao Lei, you are the first in the anesthesiology department to master acupuncture anesthesia!" Director Ding of the anesthesia department came in at some unknown time and quietly came behind Xiao Lei and saw part of his operations. Xiao Lei was startled by the sudden praise.
Xiao Lei quickly smiled and said: "The main reason is that I just have this opportunity to get started today. How about you be the director of the next one?"
Director Ding shook his head and said, "I feel like I'm still not ready yet. Let me practice again."
Xiao Lei nodded and said with a smile: "No matter how much you practice, it's better to actually do it once. With my big brother to check it, what does the director have to be afraid of!"
Director Ding shook his head and said: "It's not because I'm afraid, it's because I'm responsible for the patient!"
Jin Cheng gave Director Ding a thumbs up and a thumbs up.
Xiao Lei was still a little worried. He took the syringe needle and pricked the patient's abdomen a few times. There was no abdominal wall reflex. The patient's vital signs were also very stable. Even the blood pressure dropped to 138/86mmHg, and the heart rate and blood oxygen were normal.
Xiao Lei's confidence greatly increased and he decided to use acupuncture for general anesthesia on all his tables in the future.
Wash hands, disinfect, spread sheets.
Preoperative preparation was quickly completed.
Jin Cheng stood on the right side of the patient, where the surgeon was operating, and Director Tang stood opposite.
The desk nurse was also replaced by a dedicated nurse Shi Jiao.
Xiao Lei has basically become a dedicated anesthesiologist.
"Blade No. 15."
Jin Cheng stretched out his hand, Shi Jiao was already ready and patted Jin Cheng's hand.
Generally, a No. 22 large knife is used for large abdominal incisions, but Jincheng does not make large incisions, so he directly uses a small round knife to make the wound more precise.
Jincheng chose an oblique incision on the right lower abdomen. In order not to scare everyone, Jincheng did not deliberately compress the wound, and the length was still 4 centimeters.
Director Tang was stunned. The length of the incision in this area is usually 5-7 centimeters. Even he himself has never done anything below 5 centimeters. After all, Jin Cheng only did it during his internship. He must have no idea about the incision. To do such a The small incision is so difficult to operate that I can't even do it myself.
Xu Yang looked at it and smiled. The smaller the appendix incision is, the better. It must be in line with his own level. If his level is not up to standard, making a small incision will only cause trouble for himself.
Director Tang and Xu Yang both had a tacit understanding and kept silent. They would wait until Jin Cheng had difficulty in operating before pointing out his shortcomings.
Han Yue and Zhao Xiaogang did not say anything. They also believed that such a small incision would be difficult for a beginner to complete.
However, Zhao Xiaogang quickly adjusted his mentality and warned himself to trust his brother unconditionally. Why did he make a mistake again!
Jincheng continued the operation, incising the subcutaneous fat and fascia, bluntly separating the muscle layer, and incising the peritoneum.
Every step is done in an orderly manner. It may seem like the operation is not fast, but there are no unnecessary movements. Every operation is completed in one step.
Jin Cheng deliberately lowered the speed, but the quality of the surgery was not compromised at all, and he performed at the level expected of a master.
The more Director Tang cooperated, the more frightened he became. This guy seemed to be precise in his operations, but every operation was done with textbook-level precision. Even he couldn't do it so neatly.
There's no way a fucking rookie can do this!
Once an expert's Kung Fu is done, he will know if it is there or not!
Just by making the incision, Director Tang could be sure that Jin Cheng had done a lot of appendix surgery.
Jin Cheng helped Director Tang adjust the hook, put his right index finger into the wound, and pulled out the cecum with a slight hook.
A swollen appendix connected to the cecum, like a small loach.
"Beautiful!"
As the number one fan, Zhao Xiaogang expressed the best praise for Jin Cheng's operation in the most concise terms.
Xu Yang's eyes widened even more and he swallowed hard. Just now I was joking that Jin Cheng was a rookie when he made a small incision, but now that the appendix has come out, the subsequent operation is a matter of course and there is no difficulty. What a rookie!
At this point, the operation is almost coming to an end.
Director Tang helped Jincheng fix the cecum, and Jincheng ligated the mesoappendix and appendiceal artery. After cutting, he used gauze to protect the tissues around the appendix, left purse string sutures, ligated the appendix, cut off the appendix, processed the appendix stump, and covered the appendix. membrane, close the abdomen.
The whole process was as smooth as silk.
Everyone watched mesmerized.
Jin Cheng finished the last stitch, and everyone felt that they were still unfinished.
Director Tang personally helped the patient apply the dressing and said angrily: "This surgery of yours can be used as a teaching video. You also said that you only performed it once, just to amuse us!"
Others had the same feeling as Director Tang. They felt that they had been tricked by Jin Cheng. This guy was pretending to be a pig and eating the tiger!
Jin Cheng laughed and said: "I was at the First Affiliated Hospital of Jiangnan University and saw that the general surgery boss did the same thing, so I learned this too. I really didn't lie to you!"
"Humph, who would believe it? You weigh a total of 100 kilograms, but you have 90 kilograms of bad water!" Shi Jiao laughed.
She has undergone many appendix surgeries, and she can naturally tell whether the surgeries are done well or not. Jin Cheng's operations are all extremely standard and standard, and she can't find any flaws. That's it, she still says that she is a rookie. I'll beat her to death. She didn't believe it either.
