Xu Yang was originally very angry, but with the successive blows, he completely lost his temper. In short, whether Jin Cheng is pretending to be a pig to eat the tiger, or he is a real rookie, he is learning and selling now, his ability is there. Being slapped in the face with doubts again and again made him realize that he must trust Jin Cheng unconditionally in the future. Even if he said he wanted to change his head, he would still believe it!
After the first surgery was done, Director Tang was not ready to go on stage for the second one, so he arranged for Xu Yang and Jin Cheng to match the stage.
Xu Yang shook his head and refused, recommending Han Yue and Zhao Xiaogang to go together. They also need to learn. Xu Yang was afraid that his mentality would be unstable on stage and he would be prone to problems.
Han Yue and Zhao Xiaogang did not refuse and both went to wash their hands.
Xiao Lei is completely familiar with acupuncture and general anesthesia. He does not need Jin Cheng to check it, and the effect is very good.
Jin Cheng considers that domestic study classes are almost ready to start.
Wash your hands and get on stage.
This patient was only 18 years old, a boy in his third year of high school. For such a young patient, the first thing to consider was laparoscopy. However, this patient had a history of intestinal obstruction surgery and would definitely have intestinal adhesions, so Director Tang directly chose laparotomy.
In order for the patient to get the best treatment, Jin Cheng stopped pretending. This time the incision was shortened by one centimeter to only 3 centimeters.
"You are too confident!" Han Yue questioned. In her opinion, how can a traditional appendix be operated with such a small incision?
Jin Cheng shook his head and said: "This is an improved small incision. You can see that this position is a little more medial than the traditional oblique incision in the right lower abdomen. This position can actually better expose the appendix, but the requirements for the surgeon are higher. To accurately separate more muscle layers..."
The so-called masters not only reach the top level in this field, but also have their own new things, whether it is surgical methods or concepts. Although revolutionary innovation is not required, small improvements can make the status of a master more stable. . After all, there are differences even among masters.
After Director Tang heard this, his eyes widened and he instantly became energetic.
"Jincheng, are you sure this is an improved incision?" Director Tang asked excitedly. He had reached the limit of his life through traditional appendectomy. He asked himself that there was no possibility of progress, even if he went to the Imperial Capital for further study. Now Jin Cheng suddenly said that the incision could be improved. This was a huge step forward, and even more A further breakthrough!
Jin Cheng nodded and said, "Yes, Director!"
"Who did you learn it from? The professor of the First Appendices?" Director Tang knew all the experts in the appendix field in the province, and he had never heard of anyone who had improved the incision.
Jin Cheng rolled his eyes and said, "I saw it on a foreign forum a few years ago!"
Director Tang nodded and did not continue to worry about whether Jin Cheng was talking nonsense.
"Continue quickly, I want to see what advantages this incision has." Director Tang urged.
Jincheng continued to separate the fascia, separated the intersecting abdominal muscles, incised the peritoneum, and after pulling the tissue apart, the appendix was directly exposed.
"Wonderful!" Director Tang seemed to have discovered a new world. He looked at the big screen and punched his palm to show his inner excitement.
Breakthrough, this is the breakthrough!
Director Tang looked at Jin Cheng and became very hungry, wishing he could teach him every step of the way.
Jin Cheng put his fingers in to explore and found no obvious adhesions. It seemed that the previous intestinal obstruction was not in the right lower abdomen.
The appendix was quickly pulled out, and Jin Cheng seemed to be more skilled in the rest of the operation. Zhao Xiaogang and Han Yue were both a bit unable to keep up with his rhythm.
"Brother, slow down, slow down, I haven't been with the appendix in a long time!" Zhao Xiaogang reluctantly cooperated with Jin Cheng while cutting the thread.
The same goes for Han Yue. She hasn't touched the appendix in several years and is a bit unfamiliar with the operation.
Xu Yang watched silently from the side. This Jin Cheng kept giving amazing performances. He no longer had any jealousy and began to calm down and enjoy the visual blockbusters brought by Jin Cheng. He also wanted to learn this improved small incision technique.
From skin incision to abdominal cavity closure, it took a total of 20 minutes.
This is a relatively fast result for traditional appendectomy, but it is not the fastest. Of course, in the last five minutes, Jin Cheng pursued minimizing the wound and sutured very carefully. Although microscopic suturing was not used, there was basically no visible scar.
Channel 4 is about to start again.
This patient was a 60-year-old woman who was very fat. The fat layer in her abdomen was 15 centimeters thick. Since she had chronic appendicitis, there must be serious adhesions around the appendix, so she did not choose laparotomy and went directly to open the abdomen.
Director Tang was about to go on stage to perform the surgery himself. Jin Cheng quickly said: "Director, just watch from the side. I have no problem!"
In order to complete the task, Jin Cheng didn't care so much anymore.
Director Tang nodded and said seriously: "This patient must have adhesions, so don't pursue small incisions. Make the incision as big as you need. When separating the tissue, you must be careful to prevent damage to the intestines..."
After listening to Director Tang's instructions, Jin Cheng also paid more attention to it. Taking advantage of Xiao Lei's anesthesia, he found a round stool to sit down, consciously entered the simulated operating room, and began to simulate the operation.
Jin Cheng chose a rectus abdominis incision with a length of 10 cm.
After opening the abdominal cavity, it was found that the peritoneum, mesentery, and cecum were all severely adhesions.
Even if Jin Cheng has a master level, he still has to be careful to separate. Because of long-term inflammation, the intestinal tissue is very brittle, and if he is not careful, it will cause intestinal damage. Inflammatory tissue is also more likely to bleed, so Jin Cheng did not pursue speed, but slowed down and tried to ensure safety.
Twenty minutes later, Jincheng completely separated the appendix, separated the adherent intestinal tissue, and cleaned up the inflammatory tissue.
The whole process was almost accident-free, and with the help of master-level techniques, it was very difficult to cause intestinal damage.
Use salt water gauze to carefully pinch and wrap the appendix. Don't dare to pull hard for fear of tearing it directly.
Then carefully separate the appendix frenulum and appendix artery, ligate them, and then process the appendix root...
From cutting the skin to closing the abdomen, it takes 30 minutes.
Jin Cheng simulated it three more times and sped up the speed, but the time was not significantly shortened. It was only 3 minutes shorter. It should be at the master level. There is no essential difference between the first time and several times, and the room for improvement is limited.
…
In the blink of an eye, Jin Cheng stood up. Get ready to wash your hands.
After 10 minutes, preoperative preparations were completed.
Start cutting the skin.
This time Jin Cheng used a No. 22 sword.
External rectus abdominis incision, 10 cm in length
Um?
Director Tang frowned. This incision was too small and could not fully reveal the adhesion area.
But Director Tang did not raise any questions. Unless there is an obvious mistake, it is most taboo to interrupt the surgeon during the operation. No one wants to have someone pointing next to him during the operation, unless he is teaching the operation.
Xu Yang also felt that Jin Cheng's incision was too small, but he didn't dare to question it since it was already done.
Jin Cheng continued to incise the fascia, separate the muscles, and incise the peritoneum.
Open the abdominal cavity.
Everyone was stunned when they saw the situation inside the cavity!
