While Deng Haitao was closing his abdomen, Jin Cheng shared his experience with Director Niu about small incision of the appendix.
Director Niu had to admire that Jin Cheng seemed to have more experience in appendectomy than he did.
They discussed the development history of the appendix, the history of improvement of the appendix, and the current status and future of the appendix.
Director Niu lamented: "Traditional appendectomy is declining and laparoscopy is becoming more and more popular. It is estimated that in a few years, no one will do traditional appendectomy."
Jin Cheng sat on a small round stool, shook his head and said: "Laparoscopy still has its limitations after all. No matter how well it develops, there is still room for the traditional appendix to survive. At least our generation will not lose it!"
"Haha!" Director Niu laughed and said, "I never thought that a young man like you would not be able to understand the traditional techniques even though I am an old man. If young people like you are willing to learn and use them, I am very confident! "
While they were chatting, Deng Haitao had already finished talking.
Director Ding performed the awakening anesthesia acupuncture method just right. After applying a sterile dressing on the wound, the patient just woke up.
Soon, the second patient was wheeled in.
He is a man about 50 years old, with a medium to thin build, which is very suitable for small incisions.
Director Ding was thoroughly familiar with acupuncture and general anesthesia. This time, the anesthesia was completed in 15 minutes, which made other anesthesiologists drool.
Jincheng marked the incision line on the patient's abdomen, which was still 3cm.
The three washed their hands and went on stage.
Director Niu stood at the surgeon's position, Jin Cheng stood next to Director Niu, and Deng Haitao stood on the opposite side.
"What blade size does Director Niu use?" Jin Cheng asked.
Director Niu stretched out his hand and said: "No. 15, I think if you want to learn, you have to learn the whole set. If you learn half of it, the effect will definitely be compromised."
The desk nurse patted the small round knife into the palm of Director Niu's hand.
Director Niu used a pen to cut the skin, and the incision was very neat. However, because he rarely used a small round knife to cut skin, his control of the force was still a bit lacking. He did not cut through the dermal layer at once. After the second incision, the entire cortex was not neat. , which will inevitably affect wound suturing.
Of course, these are all minor problems, and Jincheng can repair them before sewing the skin.
Jincheng usually cuts the fascia layer directly with a small round knife, which is just enough to cut through without hurting the abdominal muscles.
Director Niu also wanted to cut it directly, but with one cut, the abdominal muscles were damaged.
Director Niu quickly stopped the operation, looked at Jin Cheng, and said: "I think your operation seems to be very simple, but in fact it is not easy. Your hands are too stable! You are worthy of being a watchmaker!"
Jin Cheng nodded and said: "The small round knife requires very high control of strength. Director Niu should not rush for speed and separate each layer in his most skilled way."
Director Niu nodded a little ashamedly. He had been doing appendectomy for a lifetime, and in the end he still needed the guidance of a young doctor.
However, he quickly corrected his mentality. There are priorities in learning and specialization in skills. Now Jin Cheng is his teacher and he is a student. Since he is a student, he must listen humbly.
Jin Cheng personally used curved forceps to lift up the muscular peritoneum, and Director Niu used a small round knife to cut it bit by bit.
The two of them cooperated tacitly. Every time Director Niu completed an operation, Jin Cheng could always quickly provide assistance for the next operation. Director Niu's movements became smoother and smoother.
Soon, the visceral peritoneum was incised smoothly.
Director Niu put his finger in and touched it, and soon his face lit up with joy.
"Haha, I touched it!"
Jin Cheng adjusted the retractor and fought appropriately with Deng Haitao to open the incision.
Director Niu successfully pulled out the appendix and cecum with a flick of his finger.
The rest is simple.
Jin Cheng still cooperated personally, because he didn't know whether surgeries he did not perform were considered tasks, so he tried his best to participate and hoped that there would be no problem.
Soon, the appendix was cut out.
Packing and sewing completed.
"Oh my, it's so great! Jin Cheng cooperates with you in the operation, so I don't have to worry much!" Director Niu said happily.
Jin Cheng nodded while repairing the wound: "The main thing is that you have solid basic skills, director! How are you? Do you feel the small incision?"
Director Niu gave a thumbs up and said: "This small incision is definitely good news for traditional surgery enthusiasts. It is only 3 cm in total, which is not much larger than a single incision of laparoscopy, not to mention that laparoscopy has three incisions! Before and after preparations time, the operation has been completed!"
Jin Cheng nodded.
The wound was quickly repaired.
Deng Haitao was responsible for the suturing.
Jin Cheng and Director Niu took a break again.
After the stitching was completed, Jin Cheng looked at the progress bar [8/10] in front of him.
Very good, this one also counts.
After watching this show, Han Yue said hello to Jin Cheng and went back to sleep.
"How about you go back with Dr. Han?" Director Niu said with a smile. It was obvious that Han Yue admired Jin Cheng very much.
"It's okay. I'll give Director Niu another check. I should be able to master it completely on the next one!"
Director Niu patted Jin Cheng on the shoulder and sighed: "I really miss you as a member of our department! Director Ma didn't know what was wrong at the time, and he made you suffer so badly!"
Jin Cheng smiled heartily and said: "I want to thank Director Ma. Without his blow to me, I would not be in the current state!"
Director Niu gave a thumbs up and said: "With your mind, your structure, and your fighting spirit, no wonder you can explode!"
While talking and laughing, the third patient was ready.
This is an elderly man about 65 years old, and he is also relatively thin.
I have to say that Director Niu is still very good at selecting patients. They are all men. The abdominal fat layer is not thick, so they are very suitable for traditional incisions and are more suitable for learning small incisions by yourself.
For this patient, Jin Cheng only occasionally corrected Director Niu's movements and basically asked Deng Haitao to cooperate. Director Niu was much more skilled this time and completed the operation in only 15 minutes.
Although there is still a big gap from Jincheng's 7 minutes, the small incision appendix has been completely mastered.
"Hey, director, Teacher Jin, how about I do the next one?" Deng Haitao took the initiative to ask for closure and said with a smile.
Director Niu glanced at Jin Cheng and said, "I already call you Teacher Jin, why don't you teach him another one yourself? I'm not proficient yet, so don't lead him into a ditch!"
Jin Cheng glanced at Deng Haitao. As a resident doctor, he must have been favored by Director Niu if he could enjoy such learning conditions in this kind of teaching surgery.
Jin Cheng definitely has no objection. There is still less work than one unit, so he must get started personally.
Soon, the fourth patient also came in. He was a man in his 30s, thin, with acute appendicitis. He only got sick today. Don't be too easy. He is very suitable for a "rookie" like Deng Haitao.
Jin Cheng suspected that they had already discussed it, and the order of patients was very particular.
Jin Cheng still marks the incisions himself.
The three of them washed their hands and went on stage, with Deng Haitao taking the position of the surgeon.
