Looking at the patient who was just moaning and screaming, Nurse Liu also risked her life:

"Okay, I believe you for once, NND, if you are punished, I will never be done with you!"

Chen Qi chuckled: "I promise not to let Sister Liu be punished, and tomorrow I can eat all kinds of snacks and fruits sent by the patient's family. Lijuan, why are you just standing there? Hurry and prepare the equipment."

"Oooh", Lan Lijuan almost went crazy. The first time she entered the operating room, she directly served as an assistant. She was still an assistant to her classmates. She was anxious and worried.

Did Chen Qi tell her that he is already an experienced driver and is not afraid?

Fortunately, the patient kept complaining that he was in pain and did not hear the three people muttering in the corner. If he had known that an intern was coming to perform the operation on him, he would probably rather die of pain than of fear.

The first step in surgery is anesthesia.

Anesthesia methods that can be used for appendicitis surgery include general anesthesia, epidural anesthesia, combined spinal-epidural anesthesia, combined intravenous anesthesia, local infiltration anesthesia, etc.

But now Chen Qi does not have an anesthesiologist on hand, so he can only do it by himself.

So what he prepared was epidural anesthesia, which was also the most commonly used anesthesia method for appendicitis surgery in the 1980s.

In order to make the operation easier, later doctors often chose general anesthesia no matter what the disease.

Chen Qi asked the patient to lie on his side first, holding his knees with his hands to expose the spine as much as possible. Then he selected a puncture point between the 12th thoracic vertebra and the 1st lumbar vertebra. After disinfection, he picked up lidocaine and started anesthesia layer by layer, and finally took out a puncture needle.

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Under the nervous eyes of Nurse Liu and Lan Lijuan, Chen Qi successfully inserted the needle into place, injected the anesthetic, and the anesthesia was successful.

Nurse Liu and Lan Lijuan breathed a sigh of relief at the same time.

The two of them discovered that Chen Qi was positioned and prepared when he was anesthetized. During the puncture, he succeeded in the first attempt without shaking his hands. It really didn't look like he was doing it for the first time.

After making all preparations, Chen Qi once again stood at the surgeon's position. Even though it was just a small case of appendicitis, it still made his heart surge.

The familiar feeling of muscles from the previous life is back.

With the "chess knife" in hand, who in the world has it? With one knife, one person seems to have telepathy. Some people are born to be surgeons, rather than being destined to be second-rate dealers.

"Lijuan, are you ready?"

Lan Lijuan stood opposite and nodded firmly.

"Sister Liu, are you ready?"

The little nurse took a deep breath: "Ready, ready to die."

"Hey, let's get started."

Chen Qi took a deep breath and made a single cut at the patient's Max point. The incision was only about 2cm.

Lan Lijuan couldn't tell that Nurse Liu had experience, so she immediately whispered: "Chen Qi, is the incision too small?"

Generally, the incision of appendicitis is about 3~6cm. Sometimes, the incision needs to be enlarged under special circumstances. For example, last time Yi Zewen couldn't find the appendix and it enlarged to 10cm.

Chen Qi snorted: "Is it small? Not small, it's enough."

As the incision was made, bleeding began. It is not popular to use electric knife to stop the bleeding these days. Lan Lijuan kept passing over the hemostatic forceps, while Chen Qi skillfully stopped the bleeding while separating the fat and incising the omentum.

The whole process went smoothly without any pause.

Finally, I hooked my fingers and felt toward the top of the cecum without the three colon bands. I found the appendix at once. I used the appendix forceps to clamp the appendix and quickly lift it out of the incision.

Lan Lijuan and Nurse Liu exclaimed at the same time.

Lan Lijuan exclaimed when she saw a living appendix for the first time, while Nurse Liu lamented that Chen Qi moved so quickly, much faster than other doctors.

When Chen Qi looked at the swollen appendix, he felt lucky because the white "pus coating" could already be seen.

If it were a little later, there would be either perforation or suppuration, and the patient would be really in danger. This was 1982, an era when advanced antibiotics were not available, and it could easily lead to systemic toxic shock and death.

While sighing in my heart, I also did not forget to introduce Lan Lijuan, including the surgical steps just now, as well as the possible development trend of this appendix.

This is also a step-by-step tutorial. They are boyfriend and girlfriend, and Chen Qicai doesn’t want to say more.

In his previous life, when he was a teacher, he would answer the students' questions. He would not speak if the students asked him, and he would just keep silent and perform the surgery.

After successfully cutting out the appendix, Chen Qi quickly told Nurse Liu:

"Sister Liu, please help me take out the appendix and show it to the family members. After reading it, freeze it immediately and store it in a freezer. If someone comes to investigate tomorrow, I can show it to everyone. I cut it off completely."
p>

Nurse Liu was completely relaxed at this time:

"What a good boy, do things in a measured way, and you won't waste sister's help for you. Oh my god, my legs are still weak now."

Hahaha, all three of them laughed.

The appendix is ​​cut out, the mesoappendix is ​​processed, and after ligation, it is buried in the cecal wall with purse-string suture, and then the abdomen is closed.

Lan Lijuan looked at the clock in the operating room. From the beginning of anesthesia to the completion of stitches, the whole process took less than an hour. The key was that the surgical incision was very small and there was less bleeding.

Chen Qi only had one stitch for the small 2cm incision. Finally, Nurse Liu counted the surgical instruments and found that the operation was very successful.

Nurse Liu is still a little unbelievable:

"My dear, Chen Qi, you are the first intern surgeon I have encountered in all these years of working. You are so amazing. It would be a pity if you don't do surgery in the future."

Lan Lijuan also looked at Chen Qi with admiration: "Squad leader Chen, I didn't expect you to bring so many surprises to people."

The patient was no longer in pain due to the anesthesia. When he saw several doctors in the operating room being happy, he couldn't help but ask:

"Doctor, is my appendicitis cured?"

"Okay, okay, the operation was successful. Your family has seen the appendix just now, and now we have to push you to the ward. Remember not to eat or drink until you have farted."
p>

The patient breathed a sigh of relief: "Oh my God, I finally saved a life. I thought I was going to die just now. The technology of the People's Hospital is really awesome."

Nurse Liu and Lan Lijuan looked at each other and almost laughed out loud. They thought to themselves, if you knew it was an intern who performed the surgery on you, would you still be grateful?

Just as the patient was about to be pushed out, and Chen Qi was about to take off his surgical clothes, suddenly another nurse on duty came in from the door:

"Have you prepared this appendicitis case? So quickly? Quickly, there is another appendicitis case that has just been delivered and needs to be operated on immediately. Who is the surgeon?"

Chen Qi was wearing surgical clothes, a mask and a hat, and his appearance was hard to tell.

Before she could answer, the little nurse was also furious: "Whoever it is, you take over immediately and I'll push the patient over."
Chapter completed!