Ling Ran separated the abdominal tissues bit by bit, fully enjoying the feeling of his first abdominal surgery.
Unlike what ordinary people knew, an abdominal surgery was not performed with a sharp scalpel, and the incision was not made with one cut. Instead, when surgeons made incisions in the abdominal cavity, they would try to make the incision in layers.
An uneven abdominal incision might not look good during the surgery, but it was good for postoperative suturing. Because abdominal closure required layers of suturing, the peritoneum needed to be aligned with the peritoneum, the rectus abdominis needed to be sutured together, and the fat layer needed to be next to the fat layer …
If the incision was made in one go, postoperative suturing would take a lot of time.
Instead of that, it was better to consciously separate the tissues when making incisions, moisten them with saline, and remove them with gauze. When it was time to close the abdomen, it would be much easier to suture layer by layer, and it was not easy to make mistakes.
Ling Ran performed the abdominal surgery at a steady pace.
To Doctor Zhou, who was familiar with abdominal surgeries, Ling Ran's early steps did not have any advantage in terms of speed. However, Ling Ran's movements were very coherent, and he had a good sense of rhythm.
Because of that, it did not take long before it was time for the doctors to play the game of finding the appendix, which was loved by them.
Doctor Zhou looked at Ling Ran with a smile.
Nowadays, the only difficulty in appendectomies was finding the appendix. This was especially so for doctors at Doctor Zhou's level and above. Separating the appendix and suturing the end of the appendix were very easy tasks.
To describe it in the animal world, finding the appendix was like a bear playing hide and seek with a rabbit. Once the bear found the rabbit, it was not difficult for the bear to eat it.
The only problem was that the appendix was like a cunning rabbit. It often moved around the abdominal cavity, and there was no fixed position. In the case of a small opening, there was a certain probability of finding it. It was normal for unlucky and inexperienced doctors to search for the appendix for half an hour. Many young doctors would search for the appendix for the first time for two to three hours.
Doctor Zhou watched Ling Ran's movements and asked with a smile, "Ling Ran, when was the last time you looked for the appendix?"
Proficiency was very important when it came to surgeries. No matter how good a surgeon was, if he had not performed appendectomy for a long time, he would be a lot more rusty when he performed it again.
Ling Ran pondered for a moment. He did not immediately answer Doctor Zhou's question. Instead, he exerted force with his fingers, hooked the abdominal cavity, and pulled out a bloody small intestine.
"Gauze."
Ling Ran gave the order and said to Doctor Zhou, "Just now."
The scrub nurse passed the gauze to Ling Ran, and her eyes were filled with admiration. "Doctor Ling, you're really good."
"Thank you." Ling Ran nodded politely. He then used gauze to clean the pus around the appendix, asked for a pair of forceps, and hung the appendix up high.
Doctor Zhou looked at the festering appendix, which could have killed a person, being hung up in the blink of an eye. He could not help but be a little stunned. "You found it?"
"En."
"You must have practiced in secret."
"No."
Doctor Zhou shook his head. "You're just lucky."
He could only attribute it to luck.
Even though Doctor Zhou had often seen and heard that some doctors from the General Surgery Department could find an appendix with a curl of their pinky, the size of the appendices they removed could even be used to decorate an operating theater. Ling Ran had at most practiced appendectomy before. It was impossible for him to perform a lot of surgeries.
Ling Ran smiled without saying a word. He raised his chin slightly at Doctor Zhou.
"Hey, don't be so proud …" Doctor Zhou shook his head continuously. "It's just an appendix, don't be too proud …"
Ling Ran had a helpless expression on his face. "I mean, retract the retractor."
Doctor Zhou was stunned for a moment before he quickly retracted the retractor.
This was the only job he had to do as an assistant in an appendicitis surgery.
Ling Ran nodded and began to deal with the blood vessels and mesoappendix.
Doctor Zhou was a little embarrassed. "It's been a long time since I retracted the retractor. I'm a little rusty. We still need to improve our teamwork."
"No need." Ling Ran glanced at Doctor Zhou's small arms and legs, as well as the crow's feet at the corners of his eyes. He was rather disdainful.
Tasks like retracting the retractor were naturally done by young people with strength. They were strong and motivated, and they could also speak well.
In comparison, it was not easy for an attending physician like Doctor Zhou to be Ling Ran's assistant.
"Suture and remove the appendix." Ling Ran reminded Doctor Zhou again, and he made Doctor Zhou swallow his words.
Ling Ran removed the appendix in two or three moves. He then performed a purse-string suture at the end.
The official name of the purse-string suture was the Continuous Horizontal Mattress Full-layer Inverted Suture. It was slightly different from the other two inverted sutures Ling Ran had mastered before, which were the vertical mattress suture and the interrupted mattress suture. It was a suture that came with appendectomy.
For the current Ling Ran, it was very easy for him to use the different sutures in different sequences.
The small appendix fell on the tray. It was bright red, and it looked like a small piece of Cantonese sausage.
"Young lady. Don't be so harsh the next time you eat at a buffet. "Doctor Zhou relaxed again.
The patient could not see the situation on the operating table. She asked timidly, "How is it now?"
"Your appendix has been removed." Doctor Zhou flipped the tray and said, "It's swollen."
"Oh … thank you."
"Hey, young lady, you're quite polite. Next time, we'll think of a way to give you a discount." Doctor Zhou cracked a joke that doctors liked.
The patient was speechless.
She did not dare to say that she would not come again.
After a careful examination, Ling Ran put down the instruments and asked Doctor Zhou, "Will you do the abdominal closure?"
Doctor Zhou looked at his watch and said, "Thank you, Doctor Ling."
"You're welcome." Ling Ran took off his gloves and threw them into the bucket. He then said to the circulating nurse, "Where's the next patient? Operating Theater 2? "
"It's Operating Theater 2. I'll go confirm it." The circulating nurse had already asked about it just now. She went out again at this moment. After a while, she came back and said, "The patient has been sent to Operating Theater 2."
Ling Ran nodded.
At this time, the patient, Mei Qiaoqing, whose head was covered by a drape, shouted, "Doctor, doctor, make the same incision."
Ling Ran stopped in his tracks.
"I'll try my best, but the appendix is free." Ling Ran could only explain. Although the probability of it being in the right upper abdomen was the highest, he could not guarantee …
Mei Qiaoqing, who was under the drape, said firmly, "He's my boyfriend, and we both have appendicitis. Even if his appendix swam, it will definitely swim to the same position as mine."
Ling Ran listened to the patient's opinion seriously and said, "I'll prove it to you."
After he said that, Ling Ran went out.
However, the patient, Mei Qiaoqing, panicked because of Ling Ran's words. "What if his appendix is not in the same position as mine? What should I do? Can we still be together? How should I face him? "
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