I really don't want to be a doctor

Chapter 111 No one knows what Yu Wenxing is going to do

Yu Wenxing claims that he is not a saint,
But for the patients lying under his hands, Yu Wenxing believes that he will do his best to diagnose and treat them.

He wanted to give patients less trauma,
This is his understanding of laparoscopy,
different from others,
But the ultimate goal is the same.

Anesthesia, marking, washing hands, wearing surgical gowns, gloves, and draping.

This time,
The drapes left two gaps in the abdominal wall.

One is the 5cm*5cm gap in the navel,
One is the gap of 2cm*2cm at the Maxwell point.

This way of laying the towel,

Exactly the same as the two-hole method.

But Deng Liming didn't say anything, he even hoped that Yu Wenxing really wanted to punch two holes.

"Is there a ligature?"

Yu Wenxing spoke.

"I'm prepared, but not much."

Tang Ling hesitated and replied,
After all, everyone knew that Yu Wenxing didn't like these things, so Ronaldinho didn't give them too much.

"How many?"

"Two."

"That's enough. Take one apart first."

Tang Ling heard the words and tore one out.
Yu Wenxing held the ligature in his hand and thought about it.

This ligature is said to be a sleeve, which is a thread, but there is a ferrule under the thread, which does not need to be knotted by the operator, and the thread can be pulled directly with an appropriate force, and the ferrule will be pulled more and more along with the thread. Small, eventually tying the tissue inside the ferrule.

Like a seat belt in a car,
If you pull slowly, you can pull it very long.
But with a sudden force, the seat belt will be fixed;
The principles of the two are probably similar.

Yu Wenxing usually doesn't need this thing. After all, his laparoscopic suturing skills are sufficient.
But today he needed it.

Deng Liming stood watching with a calm face.

he panicked
He can not understand.

Li Xiaojun doesn't care,
He's been through it a few times.

Yu Wenxing pulled the thread, "Help me thread the needle."

"A needle?"

Tang Ling was taken aback, what needle was used for the ligation?

"Just put a needle through this tail, I'll use it later."

Yu Wenxing explained.

"Row."

Threading a needle is not difficult, Tang Ling pursed her lips, "What kind of needle?"

There are many types of needles in the operating room, such as triangular needles, large round needles, and straight needles.

"Straight needles, the biggest."

"Straight needle???"

Tang Ling was speechless.
Straight needles are the least used in surgery, and most of them are triangular and large round needles. After all, straight needles have no curvature and are not suitable for suturing.

"Sister Tang Ping, help me open the needle and straighten it."

Tang Ling shouted.

Tang Ping was also taken aback for a moment, "Straight needle?"

But she didn't ask too much, she rummaged through the needle box next to it, and finally found a set of straight needles.

Taking out a straight needle, Tang Ling blew on the end of the needle, effortlessly inserted the tail of the ligature into the buttock of the needle, and handed it to Yu Wenxing.

Yu Wenxing tied a knot on the tail of the needle, then stretched out his hand, "Knife."

A 2cm hole was made under the umbilical fossa, and a 1cm diameter Trocar hole was inserted. It was recommended to pneumoperitoneum, enter the mirror, and check all parts of the abdominal cavity. After no abnormalities were found, Yu Wenxing stretched out his hand again.

The Trocar with a diameter of 0.5cm was handed over to the hand, and Yu Wenxing inserted it on the right side of the previous Trocar.

"Yu Wenxing."

Deng Liming shouted softly,
He had to speak,
Isn't this exactly the same as the steps that day?

Yu Wenxing smiled, without explaining, a joystick moved in his abdominal cavity.

Although the two instruments seemed crowded in the abdominal cavity, they were much simpler than the first single-hole method. Yu Wenxing directly opened the greater omentum and found the ileocecal part. When the operating lever of his right hand moved, the tip of the appendix leaked out. come out.

Deng Liming nodded slightly,
at least it seems
This appendix is ​​not complicated, and the appendix is ​​found so easily, whether it is the traditional laparotomy or the three-hole method or the two-hole method, it is not complicated to do.

and,

Although a mirror and an operating rod are in the same hole, two instruments are easier to operate than three instruments.
Yu Wenxing's approach,

Deng Liming is very satisfied,
to at least state,

Yu Wenxing listened to his own teachings.

But now there is only one hole, what exactly is Yu Wenxing going to do?
Deng Liming was puzzled.

Deng Liming was clear about what to do next, which was to separate the mesappendix to the root of the appendix, then treat the root of the appendix, expose the appendix artery, and then ligate the appendix distally, or clip it with two Hemlocks, and then cut the appendix.

but,

Separate the mesappendix,

A joystick can't handle it at all,
Because you have to lift it and handle it little by little, some parts of the mesentery have obvious adhesions, and even need to be severed. It is impossible to accomplish two things with one operating lever.

Yu Wenxing looked at the tip of the appendix, and gently pulled it with the non-destructive forceps. After feeling the strength, he returned the operating lever and handed it to Tang Ling.

"???"

Tang Ling was stunned, she didn't know what to do.

The embarrassment lasted for two seconds, and Yu Wenxing spoke.

"Change the needle holder."

"Oh."

Tang Lingru woke up from a dream and replaced the needle holder.

Yu Wenxing took the operating rod, clamped the straight needle with a ligature just now with the needle holder, and sent it into the abdominal cavity from the Trocar.

"???"

"???"

No one knew what Yu Wenxing was doing.

No one knows what Yu Wenxing will do next?
Including Deng Liming,
Now he thinks he is a fool,

The other party was obviously doing the simplest appendectomy in general surgery, but he just didn't know what the other party was doing.

It was exactly the same feeling as if he was sitting in a conference room for a meeting.

Yu Wenxing didn't speak, but stared at the monitor intently. On the monitor, the needle holder held the needle and walked very slowly.

It was a needle after all,

And it's a straight needle,
Passing a straight needle through the abdominal cavity is dangerous,

Puncturing the intestinal cavity and blood vessels will cause unnecessary trouble.

Finally, the straight needle came to the position he wanted, and judged the position of the ferrule that did not appear in the field of vision. Yu Wenxing moved the operating lever, and the needle of the straight needle pointed upwards. Piercing outside the abdominal cavity.

"???"

"???"

Everyone was still dumbfounded.
Tang Ling wanted to ask what are you doing?But she also knows her role as an equipment nurse, so it doesn't matter if she bullies the interns.

Li Xiaojun also wanted to ask, but he knew that Yu Wenxing would not be aimless, so he didn't understand at this time, but he would naturally understand after reading it.

Deng Liming also wanted to ask,
After all, he is the director, and he has to be responsible for the safety of the entire department.

An operation that was completely out of his control was in progress, and he was really afraid of any medical accidents.

But on second thought,
After all, this is an appendectomy. Even if it is not performed under the laparoscope, the laparotomy will be enough.

Now open your mouth and ask questions,
It will only make others look down on him as the director.

So,
Although the three of them were very confused,
But no one asked any questions.

Throughout the operating room,

It was quiet only the sound of Ling Jiangfeng clicking on the phone screen
(End of this chapter)