Zheng Ren made a five-centimeter incision, a standard appendectomy with a small incision. The scrub nurse, Xie Yiren, watched Zheng Ren's movements attentively. She estimated the next step before he was done and handed over the instruments.
Her coordination was standard and professional.
Electrocautery for hemostasis, blunt dissection with a small curved forceps, and a "misdiagnosed" surgery began.
In the demonstration classroom, Cen Meng looked at the screen happily and muttered to himself, "Such a small incision. He's really confident."
"Yes, even standard appendectomies rarely have such a small incision."
"I've learned a lot this time."
The sarcastic comments were like a slap to Department Associate Director Pan's face, one after another.
He lowered his head further and further, preparing himself to be humiliated.
The only thing that supported Chief Physician Pan's belief was Zheng Ren's splendid pancreaticoduodenectomy.
Xinglin Garden was even livelier than the demonstration classroom.
After all, it was an online live broadcast. No one knew each other and there was no conflict of interest, only pure academic discussion.
Therefore, it was more direct and unpleasant to hear.
"Exploratory laparotomy on the right upper abdomen with a five-centimeter incision. Is the surgeon trying to kill himself?"
"He diagnosed acute appendicitis. According to his diagnosis, the inflammatory cord in the gallbladder area is a suppurated appendix. Stop talking and watch the surgery quietly."
"This is the most ridiculous surgery I've ever seen. It's a miracle that the doctor survived until now without being beaten to death."
Zheng Ren did not hear the discussions in the demonstration classroom or Xinglin Garden.
The operating theater was quiet. Zheng Ren used a small gauze to protect the wound. He reached out and a pair of curved forceps fell on his hand.
"Aspirator, put on a condom," Zheng Ren said coldly as he placed the curved forceps on the surgical drapes and focused on the surgical field.
Xie Yiren's judgment was wrong for the first time. She quickly screwed on the aspirator and placed it in Zheng Ren's hand.
The hissing sound of the aspirator broke the silence in the operating theater.
Zheng Ren held the aspirator in one hand and used the curved forceps to dissect the peritoneum. The aspirator was inserted the moment the peritoneum was opened.
"Cen Meng, prepare to scrub in," Chief Surgeon Liu instructed when he saw Zheng Ren preparing the aspirator to dissect the peritoneum.
His voice was not loud, but Old Chief Physician Pan could hear him clearly.
This was disdain, undisguised disdain.
There was nothing to be picky about in Zheng Ren's surgery, from the opening of the skin until now. If they really nitpicked, their technical authority would be questioned.
However, Chief Surgeon Liu was convinced that Zheng Ren had made a mistake. When the peritoneum was opened, he arranged for one of his men to scrub in and prepare for the next surgery. This was also Chief Surgeon Liu's plan to humiliate Zheng Ren.
Seeing that the script was progressing according to his expectations, Chief Liu smiled.
He did not plan to participate in this surgery. Even if it was a complicated case of acute cholecystitis, there was no need for him to participate. Cen Meng, the chief resident, could handle it.
All he had to do was sit here and mock Old Chief Physician Pan with his eyes.
In the live broadcast room of the Xinglin Garden forum, many bullet comments began to flood the screen.
"F * ck! He really did it according to appendicitis. It's rare to see such an amazing doctor. "
"He doesn't even need an assistant. Where does his confidence come from?"
"Suction device? Was this livestream a joke? If he can suck out the pus, I'll eat the pus on a live broadcast. "
…
The suction device was quickly inserted into the opened peritoneum. Not a single trace of pus flowed out.
As soon as it was put in, a ball of yellow pus with a hint of green was drawn out from the pipe of the suction device.
The amount of pus was so large that the suction device took 32 seconds to suck out.
In the surgical demonstration classroom, Cen Meng, who was about to accept the order to scrub in, was stunned. The smile on Chief Surgeon Liu's face froze.
Pus? Usually, cholecystitis would not cause pus to seep out. The most common clinical case was acute appendicitis.
Could it really be acute appendicitis? Did everyone make a wrong diagnosis?
Impossible! Both Cen Meng and Chief Surgeon Liu were trying their best to recall the B-scan ultrasonographic findings of acute suppurative appendicitis. Even if it was an ectopic appendix, the B-scan ultrasonography should have indicated it.
Cen Meng stood in the doorway, not knowing whether to leave or stay.
He began to waver. If it was really appendicitis, would he be humiliated by the live broadcast while standing in the operating theater after scrubbing in? If that was the case, it would be extremely embarrassing.
The bullet comments in the Xinglin Garden live broadcast room were completely flooded.
"That's amazing. It can really suck out pus. Don't tell me the gallbladder was ruptured."
"How's the guy who said he was going to do a live broadcast? Is pus delicious? I'm waiting for the live broadcast. "
"F * ck … Could it really be appendicitis? Why haven't I seen such a case before? "
"Only a five-centimeter incision for a suppurative appendicitis. How confident. Who's the big shot doing the live broadcast?"
Thirty-two seconds later, pus was no longer flowing out of the suction device.
He placed the suction device on the sterile gauze Xie Yiren had laid out to avoid contaminating the surgical area.
Then, he continued to separate the peritoneum.
The peritoneum was opened by three centimeters, and a thick, purplish-black object emerged.
He continued to separate the peritoneum by five centimeters, and a purplish-black object popped out.
It was congested, edematous, and had a white pus coating it.
No matter what kind of shape it took, as long as one was a surgeon, they would be able to tell at a glance that this thing in front of them was an appendix.
It could only be an appendix.
It had to be an appendix.
There was dead silence in the surgical demonstration classroom.
Chief Surgeon Liu's smile was frozen on his face. His orbicularis oculi muscles were trembling uncontrollably as if they had been electrocuted.
Old Chief Physician Pan gradually straightened his back and stared at the screen with his fists clenched.
The bullet comments in the Xinglin Garden live broadcast room briefly disappeared, as if everyone had realized that this was indeed an appendectomy with an incision on the upper right abdomen.
After 47 seconds of silence, the bullet comments started to appear intermittently.
[Damn it, I'm really seeing a big shot.]
[I'm curious about how he made the diagnosis. None of the preoperative test reports could confirm that it was an ectopic appendix. I can guarantee that the surgeon must have hidden some other tests.]
[You make it sound as if you can diagnose a lower abdomen MRI scan. Mortals, tremble in front of a god.]
Zheng Ren's hands were steady. His movements were slow but accurate.
Due to the swelling and congestion of the appendicular artery, Zheng Ren did not use conventional ligation. Instead, he used suture. The small needle and thread were shuttled up and down the five-centimeter square with ease.
The suppurative appendix was cut off and tossed into the specimen basin with forceps.
Zheng Ren reached out. Xie Yiren's movements were a little slow and hesitant.
"Small curved scissors," Zheng Ren said without turning his head as if he knew what Xie Yiren was thinking. He focused on the operating area.
"After the appendix is resected, it should be rinsed with warm saline. What does he need a small curved scissors for?" someone in the surgical demonstration room asked.
Although it was a question, it was not as blatant as before the surgery.
That was right. Being able to accurately identify an ectopic appendix was enough for many surgeons to brag about for the rest of their lives.
Moreover, the surgery had been done beautifully. It had only been three minutes since the incision, and half a minute of that had been spent sucking pus.
To avoid being slapped in the face, those who had questions could only suppress them. They only dared to ask in the smallest voice possible, as if they were cursing silently.
[Small curved scissors? Scissors? What is he trying to do?]
[The appendix has already been removed. What else is there to show? Big Shot, you're already amazing. Leave us a classic memory. Don't make fun of it.]
[What do you know? Isn't he better than you?]
Xinglin Garden lived up to its reputation as a professional website. Once a surgeon's skill was discovered, more than half of the users immediately fell to their knees.
Only skilled people could get close to skilled people. Those who were willing to visit such a professional website were basically skilled people. They showed an attitude of worship toward high-level surgeries.
[He's dislodging the pus on the wall of the gallbladder!]
[Oh my god, isn't he afraid of damaging the edematous gallbladder?]
[Worship! I want to know which expert is performing this surgery. I want to study there!]
… …
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