Often, many surgeons would rather have a third-level surgery than a first-level appendicitis removal for a pregnant woman in the late pregnancy! Because the risk is too high, if you don’t do it properly, you will have one corpse and two lives. This is not a joke.

Therefore, pregnant women are definitely on the blacklist of surgery lists of many surgeons.

Although appendicitis during pregnancy can be removed surgically. Appendicitis during pregnancy can be divided into appendicitis in the early stage of pregnancy, appendicitis in the second stage of pregnancy and appendicitis in the late stage of pregnancy. No matter which pregnancy, acute appendicitis occurs, surgical treatment can be performed. However, the complications of appendicitis surgery vary in different pregnancy periods, and the risk level is somewhat different. For example, the smaller the pregnancy week, the more likely it is to cause miscarriage or premature birth, and it is also easier to cause premature birth when the late stage of pregnancy is close to delivery. However, the complications of appendicitis surgery in the second stage of pregnancy are relatively fewer and more safe.

In other words, if Ruan Bin's current case of a pregnant woman who has been pregnant for nine months is very likely to cause premature birth! Why is premature birth? For example, severe uterine contractions, or heavy bleeding during the operation will cause premature birth.

After all, the saying goes: the surgery should be fast, don’t make mistakes, and it will basically be stable. The advantages of laparoscopic surgery are that it has small wounds and mild pain, which will reduce the possibility of uterine contractions. There is also a quick recovery and short hospitalization time, low bleeding, and you can be discharged from the hospital in three or four days.

"Prepare your surgical skills first!" Before Ruan Bin entered the operating room, he began to upgrade his surgical skills for appendectomy.

"system!"

"Krypton Gold Medal Medical System"

【Host: Ruan Bin】

【Occupation: Doctor】

【Vocational Skills】:

1: Superficial trauma debridement suture: world-class +

…

4: Appendectomy: Not introductory + (traditional open abdomen, laparoscopy.)

…

…(I won’t write so many surgical skills anymore, so I can prevent you from saying that I have a word count~hum!)

15: Cholecystectomy: World-class + (traditional, small incision, laparoscopy)

Points: 3500 (Friendly reminder: you can get points by completing system tasks, and you can get points by recharging money.)

System task: 1: No points will be deducted for one week (not completed).

"Advanced appendicitis removal surgery!" Ruan Bin said silently in his heart.

"Ding Dong... After deducting 200 points, appendectomy: Introduction +."

"Continue to upgrade!" He knew that this first-level appendectomy includes two surgical methods, so the points required are more than other first-level surgery, and it is even comparable to the second-level surgery! But this is also impossible. The system is bundled and he wants to complain!

"Dingdong... Deduct 400 points skilled +!"

"Dingdong...Deduct 800 points from director level +!"

"Dingdong... 1200 points will be deducted from expert level +!"

"The points are not enough, please recharge..."

Ruan Bin gritted his teeth: "Recharge 700!"

"Dingdong... 1600 points will be deducted from world-class +!"

As the appendectomy was upgraded to world-class, Ruan Bin not only paid 700 yuan, but also cleared the system's points, which was really good for krypton gold.

Ruan Bin's assistant for this operation was Huang Hongwen.

This guy is even more excited than Ruan Bin at this moment! He feels that he can definitely learn something with this genius for surgery!

After all, everyone is about the same age and is here to learn, so it is easier to talk to.

The anesthesiologist has begun general anesthesia. Huang Hongwen is happily preparing surgical instruments, such as co2 pneumotherapy device, ultrasonic knife host and ultrasonic knife head, laparoscopic flushing system, needle holder, cloth towel clamp, bending hemostasis forceps, tissue forceps, thread scissors, No. 11 sharp knife, short toothed forceps, push knot rods, etc.

It has to be said that laparoscopic surgery requires more preparation than traditional laparoscopic surgery.

Everything is ready and the surgery begins.

"Lao Huang, the incisions for general laparoscopic appendectomy are all at the lower edge of the umbilical bore, the lower left side of the lower abdomen, and the lower right lower abdomen, three points below the Mai point, right?" Ruan Bin asked while opening the incision.

"Yes!" Huang Hongwen nodded. Although he is good at teaching, he can memorize textbooks well!

"But the incision for my laparoscopic appendicitis resection is different from textbooks. I like to use the anti-Mai point as the observation hole and the umbilical hole as the main operation hole to reduce the chopstick effect!" Ruan Bin smiled slightly. This is the surgical experience he gained after having the world-class appendicitis resection. The most suitable one is the best, and textbooks are not necessarily the best!

The so-called chopstick effect is that laparoscopy is used to enter a single hole incision, with a small operating space, and the devices interfere with each other, making it easy to fight!

"So this is still possible!" Huang Hongwen nodded after hearing this. I finally learned something useful!

Just when Huang Hongwen was still reminiscing about Ruan Bin's words, Ruan Bin had already made all incisions, handing the pneumatic abdominal needle and filling the empty needle (removing the needle) to do abdominal drip test!

"Also, the umbilical incision is 10mm, which is the main operating hole, which is easy to remove the specimen."

"I've been taught!" Huang Hongwen nodded violently while handing the surgical instruments. He felt that what Ruan Bin explained was all incisive, in one step, and in a relatively good way.

At this time, Ruan Bin's water drip test was completed, and there was no problem. Pull out the pneumoabdominal needle, pierce the abdominal cavity with a trocar needle, pull out the inner core, insert it into the laparoscopy, and check that there is no abnormality on the surface of the abdominal cavity.

Then place the 10mm troar, put the preheated lens into the troar, and view the abdominal cavity around it to check for any side damage and surrounding conditions.

Ruan Bin's movements were very fast because these were routine surgical steps before the appendix removal, to check the situation, whether there were any abnormalities, and whether the surgery could continue.

So if you can do these steps quickly, just have a clear idea in your heart!

This is due to experience.

Two trocar punctures were performed under laparoscopic visualization. A 10mm troar was inserted under laparoscopic direct view of the outer edge of the rectus abdominal muscle on the right side of the umbilical, and a grasping forceps were placed on the left. A 5mm troar (c incision) was inserted under laparoscopic direct view of the pubic combinatorial, and a separator forceps were placed in this hole and an ultrasonic knife!

Modify the head and the feet are low on the left side, lift the appendix with a grasping forceps, separate and dissect the mesopariety of the appendix, and the upper ultrasonic knife is electrocoagulated and cut off after dissipating the appendicular artery...

The action was done in one go!

As fast as lightning!

At this point, most of the surgery was completed.

At this moment, no pregnant woman had contractions, and other data were relatively normal, so this operation was considered successful!

Originally, laparoscopic appendicitis resection is much easier than laparoscopic cholecystectomy, so this time Ruan Bin is faster.

The operation was completed in 13 minutes! It was simply horrifying!

Generally speaking, if the appendicitis surgery is fast, it can be completed in 30 minutes. Unless it encounters special circumstances, it is difficult to remove or something, and it takes one or two hours.

However, now Ruan Bin encounters a difficult patient, and it still completes it in 13 minutes, far beyond the regular time. He sighs in his heart, it is worthy of being a world-class level!

I'm afraid of doing the surgery myself!
Chapter completed!