"Chief, come and take a look. The appendix can't be found." Feng Jianguo gave up struggling and sighed.
He really couldn't find it. Let the chief take a look. If he couldn't find it, then it was really …
No! Boss Zheng was here!
This thought suddenly appeared in Feng Jianguo's mind.
However, it was best if Chief Wei could solve this kind of problem. He must not look for Boss Zheng to solve it.
It was embarrassing to not be able to handle an appendectomy.
"Have you looked through it?" Chief Wei frowned and asked cautiously.
"Yes." Feng Jianguo and the other professor nodded in unison.
Chief Wei also did not want to perform this kind of surgery.
This was not a problem of skill. Even if he did it himself, there was a high probability that he could not find the appendix.
However, he was the chief and all the messy things would eventually fall on him.
This was the responsibility and obligation of the chief.
Chief Wei had no choice but to brace himself and go on stage.
The operating theater was quiet and the background music had been turned off long ago. Surgeons at this time had a bad temper. If they blamed it on the music, it would be an undeserved disaster.
Not only music, but also driving, joking, and that sort of thing.
No one was driving, and even the sound of their voices was very low.
He was afraid that his words would make the surgeon unhappy and he would start to throw the equipment on the operating table. This was also a common occurrence.
The incision was covered with white gauze. The two professors gave up the last struggle and simply waited for Chief Wei to go on stage.
Quan Xiaocao stood at the side and waited for Chief Wei to come out and put on a sterile gown so that she could rush up and help him tie the gown.
Although this was a small detail, it could leave a good impression on Chief Wei.
As for the surgery … Quan Xiaocao had long been stunned.
The patient's appendix seemed to have disappeared into thin air. It was impossible to find it.
Chief Wei's face was gloomy. He washed his hands, disinfected, put on a sterile gown, and came to the host surgeon's position.
He opened the white warm saline gauze and saw that the incision had extended to nearly 10 cm.
The incision at the beginning of the appendix extended upwards and became a straight incision with a small hook. It looked particularly 'ugly'.
Every time he encountered such an ugly incision, it meant that the surgery was extremely not going smoothly.
Chief Wei took a deep breath and reached out to ask the scrub nurse for a large forceps. He began to look for the 'disappeared' appendix again.
2 ′ 12 seconds later, Chief Wei's heart sank.
Sure enough, it was not Feng Jianguo's mistake. The appendix was not in all the familiar positions.
The contralateral appendix, the high appendix, and the retroperitoneal appendix could not be found even after a simple examination.
He had no choice but to search his intestines bit by bit. He really didn't believe that he couldn't find this little guy.
Because he was too focused and nervous, his sympathetic nerves were highly excited, and Chief Wei felt that his armpits were a little cold.
He knew that he was sweating.
The incubation period of mental perspiration from stimulation to sweating was extremely short, only a few to 20 seconds.
Nervousness constantly stimulated the sympathetic nerves, and nerve impulses were transmitted from the cerebral cortex to the palms, armpits, and sweat glands on the forehead and face.
The concentration of norepinephrine increased, causing the secretion and excretion of sweat glands to increase rapidly in a short period of time, which resulted in mental sweating.
First, the apocrine glands in the armpits began to secrete sweat. Soon, the other exocrine glands began to secrete sweat.
Department Director Wei turned around and asked the circulating nurse to bandage the wound with white sterile gauze.
He planned ahead. If he really could not find the appendix and sweated in the operating area, he would not be able to live in the future.
However, no matter how much hormones the sympathetic nerves induced the body to secrete because of the tension, making Chief Wei more focused, his hands more stable, and his skills to the peak, all of it was in vain.
After 23 '45 ″, Chief Wei began to sweat.
Acetylcholine AP began to increase the energy of the nerve cells, but it was useless. He still sweated more and more.
The intestines were almost completely swept from the cecum to the duodenum. Down, almost to the rectum, the appendix seemed to not exist at all.
"Is the preoperative diagnosis clear?!" Chief Wei said in a deep voice.
"Yes." Another professor said guiltily, "Metastatic pain. The onset of the disease is in the upper abdomen, followed by pain around the umbilicus, and finally fixed to the right lower abdomen. On physical examination, there is tenderness and rebound pain in the right lower abdomen. There is no muscle tension. Blood routine … "
He began to report the condition.
It was a very simple and clear medical history.
Physical examination, symptoms, clinical examination, except for the absence of the right lower abdomen B-scan, all the evidence pointed to acute simple appendicitis.
What the f * ck! Chief Wei cursed in his heart and continued to sweep the intestines.
The duodenum. When he was young, he encountered a case of appendicitis, and it was discovered here.
He hoped that it would be the same this time.
After 2 '12 ″, Chief Wei was disappointed again.
The intestines were all swept, but there was nothing.
Even the rarest retroperitoneal appendix did not exist.
Chief Wei felt despair. Even the retroperitoneal appendix had ruptured and perforated due to severe swelling.
Although the surgery was extremely troublesome, it was better than not being able to find the appendix at all.
He turned his head, and the anesthesiologist immediately came up to wipe his sweat.
After all, the treatment of the chief was different from that of the leading professor.
Chief Wei turned his head back and looked at the operating area in a daze. He did not continue to move.
He was recalling the cases he had experienced over the years.
The most complicated and troublesome was the retroperitoneal appendix, also known as the extraperitoneal appendix. And this kind of detailed search, but the appendix could not be found at all. It had never happened before.
Could it be that he was going to fail in this small gutter?
A lifetime of fame was ruined by appendicitis.
Could it be an endoscopic appendix? Chief Wei suddenly thought of such a term.
He found the ileocecal region, gently squeezed the intestines with his hand, and searched up and down.
Still nothing.
"Chief, why don't we get Boss Zheng to take a look?" Feng Jianguo suggested in a low voice.
"The intestines have been touched. There's definitely no appendix. Is it useful to get Boss Zheng to take a look? "Chief Wei glared at Feng Jianguo.
"…"
Feng Jianguo did not dare to speak.
The conversation was very soft. The patient was lying on the operating table, and he knew that something big had happened. He was so scared that his upper limbs were trembling. His upper and lower teeth kept colliding, making loud banging sounds.
Because of the sterile sheet, he could not see anything. He could only vaguely hear the sounds on the other side.
When the operating table fell silent, the patient mustered up his courage and asked in a low voice, "Chief, I won't die, right?"
"…" Chief Wei really wanted to cry.
However, because he was sweating too much, the amount of body fluid was obviously insufficient. At this moment, even if he wanted to cry, he could not.
The body distributed body fluid to the most important organ, the tear duct? That was not important at all.
Chief Wei did not answer the patient's words. He was silent for a few seconds, sighed, and said, "Call Boss Zheng."
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