Chapter 0006 Rare Monsters, Explosive Equipment
I went out and spoke to the reporters, and yet another article about medical disputes emerged: a certain patient had their appendix removed, and the doctor casually doodled on their abdomen with a scalpel. Is this a decline in morality or a distortion of human nature
Chen Cang fully exposes the surgical field
The two characters "阑尾" in deep red seem to be indicating to Chen Cang that this wild monster may be of a higher level
Why does it make so much sense to me
Chen Cang was cautious while exploring the abdominal cavity
I ... ...
Why are you looking at me
Chen Cang
In a moment, the nearby instrument nurse, Qin Lele, couldn't help but laugh: "Xiao Chen, stop being mischievous and get it done quickly!"
Chen Cang is speechless: Are you trying to extort money?
Chen Cang naturally witnessed all of this
These are all basic operations, so Izhe
Is that all?
Hemostatic forceps
Chen Cang and Chen Bingsheng came out to wash their hands and change into surgical gowns, as there is a second surgery to follow, which is connected to the first one
Chen Cang widened his eyes, what the hell
Chen Bingsheng was taken aback, his tiger-like eyes widened: Are you itching for a fight?
Saline solution 20ml
Chen Cang ignored him
Chen Cang nodded
Carbolic acid injection 5ml
Ding! Defeated the rare appendicitis monster: acute purulent perforated appendicitis, gained experience points + 200, RMB + 200, appendectomy experience + 200
Just ... ...
Chen Cang could not help but give a thumbs up, for he was able to present fallacies and absurdities to a doctor who possessed noble character, unwavering will, solid foundation, and exquisite medical skills, and even managed to shake my convictions
The master and apprentice could not help but sigh
The next step is the suturing process. This type of wound typically requires the use of the figure-of-eight suture technique along with the suturing of the local adipose tissue for coverage
The second patient is a robust man in his fifties. It is evident that his physical condition is quite good. His appendicitis was triggered by eating barbecued food and drinking beer, but this gentleman did not take it seriously at all. After taking some anti-inflammatory medication, he continued to eat and drink as usual the next day
Chen Cang was taken aback
Layer by layer, the dermis and subcutaneous fat layers were incised. At this moment, Chen Bingsheng took the initiative to come over and apply electrocautery to stop the bleeding
Resigned, Chen Cang began to drain the abdominal and pelvic effusion, checking for any active bleeding, and placed 1 drainage tube in the right iliac fossa, with an additional puncture made beside the incision to facilitate drainage
The position of the appendix is located anterior to the cecum, and through the greater omentum, Chen Cang observed a significantly congested and thickened appendix (do not overthink it)
I want to take out my Italian cannon to give you a round of applause.
Chen Cang felt helpless, thinking that since he was the lead surgeon, he should possess the demeanor and authority that comes with the role. However, he ultimately realized that he still had no autonomy
The anesthesia time is almost up, and Chen Cang has begun the surgery
At this moment, the appendix has been exposed before Chen Cang, marked in red
gauze
Chen Cang
white suture needle
You are truly a talented individual
Chen Bingsheng glared back and said: "What are you staring at? Hurry up and wrap it up!"
Very good, the little follower has a keen eye for detail
Will killing this rare monster drop any equipment?
Chen Cang needs to clean the mucosa of the severed appendiceal stump to prevent further infection
This big brother is also quite bold, laughing heartily while saying: "The appendix is just an external object, it can be removed; drinking alcohol is a joy in life, what could possibly go wrong?"
Chen Cang gave Chen Bingsheng a glance: Assistant, hurry up and wrap it up!
Brother, you are not here for surgery, are you? You are here to perform a comedy skit, right?
Performing crosstalk
The surgeries performed independently in the emergency room are not significant and are not very serious, yet they are quite busy. Moreover, the emergency department has a lot of tasks, essentially making for a fully packed day.
Prepare for surgery
Ligation of the appendiceal mesentery
Chen Cang patiently explained: "It is because you drank alcohol and ate indiscriminately that you developed appendicitis, not because your appendix is preventing you from drinking. You need to have some basic health knowledge and awareness"
Moreover, it is even redder than before
Chen Cang cast a satisfied glance at Chen Bingsheng, expressing encouragement
Ding! Congratulations, you have received one sewing needle (white)!
The patient coughed and said: "In the future, I will be able to boast about this. I will say that I was slashed by someone, and despite the pain, I didn't utter a single word. In the end, I had thirty-six stitches! When I drink in the future, I will roll up my shirt to show this scar; it looks so cool. Compared to this, tattoos are just too lowbrow!"
Suture Needle (White): Sharp +1
I ... ...
Ding! Rare Appendicitis Monster: This is an acute purulent perforated appendicitis. Level 12
Finalization work
Chen Cang: "Is this what the lead surgeon is supposed to do? Don't you always hand it over to me at this time?"
This surgery is quite different from the previous one, as the rare creature has caused quite a bit of trouble for Chen Cang
Chen Cang gradually closed the door to his abdomen
Layer by layer, incise the aponeurosis of the external oblique muscle, separate the external oblique muscle from the internal oblique muscle, and lift and incise the peritoneum to enter the abdominal cavity
Suction!
The surgical nurse also began to count the gauze and instruments
Subsequently, it led to a worsening of appendicitis, resulting in suppurative appendicitis
Chen Cang can now see that the greater omentum is green, indicating that there should be no adhesions from inflammatory purulent fluid in the abdomen, and he breathes a sigh of relief
Quick, look!
那么?
Isn't this the look you have when you are the lead surgeon?
At the beginning of the surgery, Chen Bingsheng said to Chen Cang: "This person may be different from the previous one; you will know once you perform the exploratory laparotomy. Do not panic."
The appendix is green, and there are no issues.
Chen Cangyi was taken aback: "What happened?"
Haha, I have equipped the gear!
At this moment, the abdominal cavity was revealed before Chen Cang
Upon arriving at the hospital, the first thing this elder brother said to Chen Cang, who was receiving him, was:
What does sharp + 1 mean?
alcohol swab
Chen Cang removed the appendix and placed the excised appendix onto a plate
I will not charge you, would you be willing to pay for the admission ticket instead
What is the logic behind this
There is a large amount of purulent exudate in the lower right abdomen
Make a McBurney incision in the right lower abdomen, cutting the skin 6 cm.
Can one conquer the heavens, the earth, and even the air in an instant
After the anesthesia, just as the surgery was about to begin, the patient suddenly said: "Doctor! Wait!"
Approximately 10 cm in length and about 1.5 cm in diameter, it has become purulent, exhibits high tension, and the base of the appendix shows necrotic perforation, with surrounding fat encapsulating it and only mild adhesion to the surrounding tissues
Chen Bingsheng
What is the use of it
Chen Cang reflects: Am I not studying the essence of theology deeply enough
What just happened was freestyle
Indeed, as Chen Bingsheng mentioned, there may exist differences
Doctor, please remove my appendix; it flares up every day and affects my ability to drink!
The surgery is complete
Chen Cangruo was deep in thought
This fellow
There he was, lying on the bed, his body completely bare, yet this man still resolutely said: "Doctor, cut it out and let me see it. I want to see this thing that has ravaged my body and tormented my soul. I want to take it back and stew it for the dog to eat"
This caused a burst of laughter among the young nurses
The surgery is no longer as simple as it was earlier
All set, all done! The nurse in charge of the instruments commanded.
The patient awkwardly smiled and said, "Could you make this incision a bit more fierce? Yes, like a menacing look, one that clearly shows it has been cut deeply?"
... ...
Even without obtaining equipment, there should still be more experience and money, right
Oh, quite rhythmic indeed