Chapter 21 Angry Operation

Lift the pregnant woman onto the bed and adjust the angle of the operating table to 15 degrees to the left.

This is to move the pregnant uterus to the left, making it easier to find the appendix. At the same time, it can also reduce the excessive stimulation of the uterus during the operation, so as to avoid complications such as aggravation of threatened miscarriage.

The preoperative preparations were quick, and the Xie Yi people were already in place.

Zheng Ren brushed his hands, put on clothes, laid out sterile sheets, and stood at the surgeon's position.

"0.5% lidocaine, add half a bottle of milk." Zheng Ren said.

Milk is the nickname of propofol, which is an anesthesia inducer. It is generally used in the induction process of general anesthesia and continuous epidural anesthesia, and the effect of local anesthesia is not strong.

The anesthesiologist was startled for a moment and wanted to argue something, but seeing Zheng Ren's concentration, he held back.

Even if he had appendicitis during pregnancy, he dared not to use anesthesia, what else could he dare to do?

"5ml syringe, change to 1ml syringe needle." Zheng Ren stood under the shadowless lamp, his figure was slightly taller. Every word is so firm that it cannot be questioned.

The thinner the needle of the syringe, the less painful it is for the patient, but the more difficult it is to deliver the anesthetic.

Begin anesthesia, and the skilled and rhythmic infiltration anesthesia movements make the anesthesiologist feel relaxed and happy.

After each injection, there will be a delay for a few seconds, waiting for the lidocaine mixed with propofol to take effect before proceeding to the next step. The manipulation is gentle but accurate. Judging from the patient's vital signs, there is basically no needle-like pain caused by the syringe.

Really cow, no wonder he dared to do an appendectomy under local anesthesia.

Anesthesiologists are people who know the goods, and the more they look, the more fascinated they become.

In the classroom, Lao Director Pan and Director Liu exchanged expressions.

When he saw that the patient had appendicitis during pregnancy, Director Pan put down the old "Pipe Cone".

When seeing Zheng Ren preparing for local anesthesia, Director Pan became anxious.

"Director Pan, your vision is really good." Director Liu thought he had the chance to win. Zheng Ren was courting death himself and couldn't blame himself. At this time, he was in a relaxed mood and began to use trash talk to attack opponents who were beyond his ability.

"Appendectomy under local anesthesia, I haven't done it for many years. Mr. Pan, you used to do it often when you were in the county and township hospitals and the army. It is estimated that Zheng Ren learned from you, and I will study hard today. Up your skills."

After speaking, Director Liu changed to a more comfortable position, smiling at the projection that Zheng Ren had begun to have local anesthesia.

Director Pan wanted to retort him, but where is he in the mood now?

It was already midnight when hundreds of accounts on Xinglinyuan's website suddenly logged in at the same time, roaring and crowding into a live video.

[My God, what did I see, appendicitis during pregnancy! Even local anesthesia is needed! Is this the Great God's live broadcast trick to die? 】

[What do you know, sit down well, you are blocking my sight. 】

[Appendicitis under local anesthesia, I have never done it before, I really need to study hard this time. I hope that God will do it slowly, and I will quickly inform others to watch it. 】

【Have you ever had an appendectomy under local anesthesia? I haven't done it before, move a small bench and have a good and big theology. 】

【Not done +1.】

【None did +2.】

【…】

【I haven't done it +10086.】

Behind every account in Xinglinyuan is a doctor. This is a professional website that requires real-name authentication and a medical practitioner's certificate as the audit standard.

The basic form of anesthesia for appendectomy is a continuous epidural, which is commonplace.

The people who stayed up until this point were all young doctors in their thirties. Not a single one of them had performed appendectomy under local anesthesia, even if they were professional doctors.

[Why is the anesthetic in his syringe cloudy? 】

[I just heard that propofol needs to be added, do you have any colleagues in the anesthesiology department? Tell me what is the principle of this arrogant operation. 】

[I am the deputy chief physician of the anesthesiology department of a tertiary hospital. 】

At the beginning of the operation, a group of professional doctors began to enter the confused mode.

Appendectomy under local anesthesia is an unfamiliar surgical procedure, no doubt about it. Can't even understand the anesthetics injected by the surgeon? This is a bit too much.

The barrage starts to swipe.

【Why do you stop for a few seconds after an injection? What is the principle? 】

[It is estimated that the local anesthesia drug takes effect and avoids stimulating the patient. The onset time of 0.5% lidocaine infiltration anesthesia is generally about 12 seconds. Why is the interval between each injection of anesthesia drugs about 3 seconds? 】

[Is this the effect of propofol? 】

[Already on my knees, please accept my knees. 】

[Don't swipe the screen, watch the surgery, watch the surgery! 】

In the end, the barrage issued by those who called for a quiet operation, was covered up by a dense barrage and disappeared into the sea of ​​​​people.

[I remember appendectomy during pregnancy, the incision on the right side of the rectus abdominis at McBurney's point written in the textbook, why does the incision position of the Great God feel a little high? Did I remember wrong? 】

[It may be a dialectical examination to determine the location of the appendix. 】

[5cm small incision, do appendicitis in the second trimester, how confident it is! 】

Although it was only a case of appendectomy, everyone watched it with relish. As the surgery began to open the skin, the barrage gradually decreased.

...

...

Zheng Ren cut the skin with a knife, bluntly separated the subcutaneous tissue and muscle, and opened the peritoneum.

Every step of the operation must be anesthetized with local anesthetics. The operation is not fast, but it is very stable.

The anesthesiologist looked at the operation, looked at the ECG monitoring, and then turned his head to look at the operation. He had reached the peritoneum, and the patient's blood pressure, heart rate, and breathing were stable.

This means that Zheng Ren's local anesthesia effect is particularly good, and the patient does not feel the pain of the operation.

What a monster, the anesthesiologist thought to himself.

Zheng Ren has already reached his limit, and if someone specializing in anesthesia does it, he will not have such a perfect performance. Could it be the effect of propofol? Would you like to try it out at your next surgery?

The anesthesiologist quickly shook his head, pushing the unrealistic thought out of his mind. You should go to the anesthesia in a normal manner. In case of any accident, your small shoulders can't bear it.

After incising the peritoneum, Zheng Ren used the middle bend to probe and clipped the appendix directly.

The middle-curved pliers were vain, not giving the swollen, fragile appendix any extra strength.

One hand holds the midbend, and the other hand stretches out in front of the Shay people.

Xiaowan was photographed in Zheng Ren's hands.

"Don't Xiaowan." Zheng Ren patted Xiaowan back and said, "Syringe."

Xie Yi realized that this was not the appendectomy he was used to doing, but an appendectomy under local anesthesia. The ligaments and arteries around the appendix cannot be clamped directly, and local anesthesia is also required.

Xie Yiren, who had been bored with the appendectomy, had little stars in his eyes, as if he had found a new toy, and stared at Zheng Ren's movements with all his attention.

After lightly injecting anesthesia, Zheng Ren picked up Xiaowan and began to separate the ligaments.

Zheng Ren felt that he was unfortunate. When life and death were at stake, he encountered a patient with appendicitis during pregnancy, and he needed local anesthesia to do it.

Although in the system space, he has specially practiced the operation of local anesthesia and appendicitis, but he will try not to do this kind of irritating operation unless he can do it, there are too many accidents.

Fortunately, this case of appendicitis during pregnancy is relatively simple appendicitis.

Because of pregnancy, the uterus is distended, and the omentum that should have been covering the appendix is ​​pushed away. If the appendix is ​​perforated, without the protection of the omentum, the patient will have serious complications, and the intraoperative treatment is also very troublesome.

The patient in front of me did not know whether it was because of a clear diagnosis and timely treatment or because she was too young, in good health, and had a high immunity. The appendix was swollen to the limit, but there was no perforation.

Inflammatory exudates around the appendix are also not severe.

Good luck.

Zheng Ren began to remove the appendix, sutured the appendix artery, and sutured the stump of the appendix with a purse-string suture.

The surgery was done cleanly and beautifully.

It went well, and beyond everyone's expectations, both the classroom and Xinglin Garden fell into silence.

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