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Duan Bo froze for a moment when he saw this scene.

But Duan Bo and Guo Cheng are totally two kinds of people.

When Guo Cheng went to Chen Cang for surgery, basically Chen Cang was doing it.

And Duan Bo is different, this person is very thoughtful, an Appendectomy gives Chen Cang 2000 the expert fee, take over and take delivery, warm hospitality, is hoping to learn Chen Cang’s technology.

Duan Bo has the responsibility and the idea. Now he is full of energy and his whole heart is to make the Hospital General Surgery of the people of Lanxian City into a model department and make a name for himself.

After encountering something at this time, Duan Bo did not panic, but was very calm.

He started cautiously looking for the cecum through tissue forceps, but at this time, there was a piece of adhesion in the abdominal cavity, and he could not see anything at all.

Duan Bo hesitated: “Specialist Chen, can you handle small incisions in this situation?”

Chen Cang froze for a moment, then walked over after a moment of hesitation. The scene in front of him suddenly made him hesitate.

The situation in the abdominal cavity is more serious. At this time, the operation will increase the difficulty, and most importantly, the appendix has not been found!

What’s happening here?

Is it an ectopic appendix?

Duan Bo saw this: “Otherwise, open the stomach?”

Chen Cang is not entangled in small incision surgery. After all, Patient safety is more important than anything. Even if Chen Cang does not earn this money, he must guarantee the safety of the Patient!

Of course, Chen Cang can also adhere to small incision surgery. According to Chen Cang’s technology, it should not be a problem.

Even after the dazzling general operations are completed, you may still get a wave of emotion and shock.

But Chen Cang didn’t want to pass on this impulsive adventure to these Doctors.

They don’t know much about small incisions. When 10000 encounters some unexpected situations, don’t have a big problem!

Therefore, Chen Cang was decisively nodded: “Open surgery! Let me come? Patient’s situation is a little special, I think this operation is not very general.”

Duan Bo nodded, taking the initiative to give way, Chen Cang took over the tissue forceps and frowned suddenly, how could there be so much pus in the abdominal cavity?

Perfection Level’s Appendectomy has given Chen Cang enough knowledge of the abdominal appendix environment and surrounding conditions.

At this time, he thought of a very difficult Appendectomy!

Chen Cang said to Duan Bo: “Help me pull the hook!”

Duan Bo quickly nodded to take it.

Chen Cang continued to say to the Doctor on the side: “Doctor Yang, sucking liquid.”

The other party started quickly.

After the liquid was sucked away, Chen Cang picked up the tissue forceps and started the operation.

Finally, the cecum was found in the right upper abdomen!

Duan Bo froze for a moment: “How did I run there?”

The Junior Doctor on the side is also nodded: “Where will the eccentricity go?”

Chen Cang turned to the nurse and said, “scalpel!”

The nurse thought Chen Cang was going to have an abdomen, and quickly handed over the knife!

Chen Cang did not continue to expand the incision in the original place, but opened 5cm in the gallbladder area of ​​the right upper abdomen!

Duan Bo looked dumbfounded…

“Specialist Chen … what are you?”

Chen Cang not only didn’t enlarge the wound in the original part, but decided to change the opening after the liquid examination. Can this make everyone curious?

Chen Cang did not raise his head, but said: “This should be a very rare case. It may be so once in a lifetime. The Patient itself is an ectopic appendix, and it can be found through the cecum and vine. But it cannot be operated because the appendix is It may be severely adhered to the 3 corners of the gallbladder, liver, peritoneum, and omentum. If the force is too strong, it may damage the liver!”

After that, the incision appears!

After pulling the opening, the scene in front of him made everyone sucked in a breath of cold air.

Chen Cang explained: “Patient should have had Cholecystectomy before, which caused complications after surgery and delayed healing, leading to chronic adhesions, and the Patient itself was an ectopic appendix. During a series of reactions, the omentum, peritoneum, The appendix, the 3 corners of the gallbladder, and the liver develop adhesions during this process.”

After talking, Chen Cang carefully stripped!

Chen Cang said while doing: “If there is no wrong guess, the root of the appendix of the Patient should have formed gangrene and there is an abscess around the appendix!”

overwhelming majority The abscess around the appendix is ​​surrounded by surrounding tissues such as the greater omentum, lateral peritoneum, and small intestine after perforation of the appendix gangrene.

The scene in front of me is a mess, how to operate?

After Duan Bo saw this scene, some scalp became numb.

Chen Cang received a system hint!

[Ding! Variant gangrene perforated appendix with surrounding abscess, lv40, King Rank appendix monster! Characteristics: Strong adhesion makes the appendix line tightly connected to the 3 corners of the gallbladder and the liver…】

After seeing the prompt, Chen Cang unable to bear was stunned for a while!

King Rank?

This is probably the most rare Appendix Surgery, right?

Thinking of this, Chen Cang eyes shined!

What equipment will he have after cutting?

Divine Item?

still is……

This is the first time Chen Cang has encountered this level of disease.

Thinking of this, Chen Cang be eager to have a try!

“Separating pliers!”

“Gauze!”

“Tissue clamp!”

“tweezers……”

……

The entire separation work is very complicated, involving too many factors, damage to the gallbladder and bile ducts, which may lead to a more troublesome abdominal infection, and liver damage is even more troublesome!

This means that the difficulty of this operation is showing a geometric multiple increase!

But Chen Cang’s hand is very stable, very detailed and precise!

Each step is cautiously.

And Chen Cang is very patient.

Take it one millimeter by one millimeter.

The people around you are nervous and dare not take a sip!

Time passes by one minute.

Chen Cang gradually started to become weak.

More than an hour has passed since the operation.

Such a high-intensity, high-precision operation is very laborious.

Not to mention Chen Cang, even Director Duan, who is pulling the hook, feels sore back and wants to stretch, but he is worried that he will affect Chen Cang’s operation.

Just gritted his teeth and continued.

This is a physical contest.

It is also a battlefield of patience and care.

No smoke, no cry.

The quietness on the operating table can make everyone feel their heartbeat.

At this time, Patient sucked in a breath of cold air: “Doctor, I… a little bit hurt…”

Chen Cang frowned immediately!

Anesthetic is over!

Generally, Appendectomy with open incision like this is local anesthesia, which uses intraspinal anesthesia, which belongs to generalized local anesthesia. There will be consciousness during the operation, and some discomfort or pain may occur. If it is endoscopic surgery, it must be general anesthesia.

General anesthesia is the most safe and reliable, and it is completely unconscious and comfortable. But the cost is much higher.

Anaesthetist complexion changed: “The anesthetic may be passing soon… Do you want to continue anesthesia?”

At this time, it is definitely unrealistic to continue anesthesia, and it is almost a bit.

Chen Cang shook his head: “No more!”

Boost!

At this time, Chen Cang’s hands are running steadily and flexibly, and the Doctor Yang on the side is a little dumbfounded. This hand is not ordinary…


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