Due to sudden abdominal pain in an overweight child, the operation was changed from elective to emergency.

Zhang Wei's initial speculation was that the appendix might be perforated. When he asked the patient about his feelings, the patient's statement was consistent with this:

"The pain suddenly subsided and then suddenly worsened."

This was clearly an inflamed appendix perforation. The pressure was relieved and the pain was relieved, and then more severe pain was caused by diffuse peritonitis.

Zhang Wei thought that his judgment was not wrong, but what he didn't expect was that the child's appendicitis had perforated to such an extent!

Gangrene and perforation, diffuse peritonitis!

This is no longer an ordinary appendicitis surgery, this is simply the king of appendicitis surgeries!

Zhang Wei was sweating heavily on his head and kept rubbing Su Jie's shoulders, looking like he was stuck on gas.

"Why is this happening? There is no reason why appendicitis can be so serious. The test results two days ago were only moderate infection!"

Zhang Wei is now completely wilted. He doesn't want to compete with the provincial hospital. He just wants to get off the operating table safely.

Jiang Wu said at this time: "The wall of the appendix in children is inherently weak. Once perforation occurs, the disease will progress more violently than in normal adult patients."

"Perhaps his infection was not too serious two days ago, and for an adult patient, the condition will not change much in two days, but for a fifteen-year-old child, and a severely obese child,

For me, two days is too long."

Two days ago.

The child was transferred from the provincial hospital to Southeast Hospital. After completing a series of necessary examinations, both Zhang Wei and Director Miao were optimistic about the child's condition.

Elective surgery, waiting for Director Miao to come back, laparoscopic appendectomy, it's at your fingertips!

But just in these two days.

Fifteen years old and weighing over 160 kilograms, this particular patient's appendix inflammation suddenly progressed.

The inflammation of the appendix intensifies and perforation occurs. In children, the wall of the appendix is ​​weak and the perforation continues to expand. At the same time, the greater omentum in children is incompletely developed, and the inflammation cannot be localized, resulting in large-scale peritonitis.

The signal of severe pain came too late. Although Zhang Wei decisively sent the patient to the operating table, the current situation was beyond everyone's expectations.

Very, very serious!

"Open the abdomen, open the abdomen! Open the abdomen quickly!"

Zhang Wei panicked and said that with such severe appendicitis, gangrene, perforation and peritonitis, he was not sure about laparotomy, so there was no need to talk about laparoscopic surgery.

But Jiang Wu stopped him: "I advise you not to open his abdomen. His abdominal cavity is full of inflammation. If the abdominal cavity is opened, the inflammation will spread further, and it will be even more difficult to control."

"And his fat layer is so thick. You just made three holes and you were so exhausted that you were like a bear. Do you want to open the abdomen? Are you still willing to do the surgery after the operation?"

Zhang Wei looked at the 'chocolate-flavored ice cream' with despair in his eyes.

"Teacher Jiang Wu, what should we do now? If laparotomy is not possible, is it possible to use laparoscopy?" Zhang Wei asked in difficulty.

His eyes couldn't help but look at the display screen of the laparoscope.

Appendiceal gangrene and perforation, generalized peritonitis, how to describe this...

It's like a leather bag filled with hot tar. As if too much tar is filled, the leather bag suddenly breaks a hole, and then the tar is poured on the ground, solidifies when exposed to cold, and the leather bag is also tightly stained.

on the ground.

What needs to be done now is to remove the tar and take away the leather bag.

Zhang Wei didn't have any confidence in this kind of operation even if it was done through laparotomy, but now it has to be done under laparoscopy?

As if by mistake, Zhang Wei turned his attention to Su Jie, the mascot he brought to the operating table: "You, can you do anything?"

After saying that, Zhang Wei wanted to give himself a slap in the face.

You are so shameless, Zhang Wei, that you want to blame an intern doctor at this time?

But what he didn't expect was that Su Jie nodded and said, "Can my name be included in the operation record for this operation?"

"ah?"

Zhang Wei was stunned. He didn't expect Su Jie to suddenly ask this question: "I don't know about this. I have never been on the operating table with an intern."

Jiang Wu said at this time: "Write it on the position of surgical assistant. Our hospital can operate like this."

Zhang Wei was still a little unresponsive. He looked at Su Jie and said, "What do you mean, are you confident in this operation?"

"I have been practicing for more than half a month and I have a little confidence. Let me give it a try!" Su Jie replied cautiously.

Zhang Wei was speechless. He had been practicing for more than half a month. Are you kidding me? Not only have I practiced for more than three years, but I have also done hundreds of practical exercises. I have no confidence at all, but you actually have confidence?

Who gave you your confidence?

It seemed as if a second had passed, and it seemed as if several hours had passed. Su Jie's expression suddenly changed from indifferent to exhausted, as if he had just done something strenuous and had entered a period of exhaustion.

Zhang Wei saw the whole process of Su Jie's expression changes and asked: "What's wrong? Are you feeling uncomfortable?"

"No, let me do the surgery. I feel I have more confidence now."

Although Zhang Wei didn't understand what Su Jie meant, he still honestly gave up his position as the surgeon.

The surgery continues.

Jiang Wu put his hands behind his back again and looked at Su Jie on the stage. He did not give guidance like last time.

After more than half a month of practice, Jiang Wu understood that Su Jie now had more than just "hands", he already had the "brain" to complete a laparoscopic appendicitis surgery alone.

"It's been more than half a month. It's only been more than half a month. This kind of learning speed is really terrifying."

"Also during this time, Su Jie should be still preparing for spring recruitment and thesis. Does his day really only have 24 hours, or does he not need to sleep at all?"

Jiang Wu had heard that some people could maintain sufficient energy even if they slept only three or four hours a day. In the past, he only regarded it as nonsense, but when he saw Su Jie, he had to start to believe it.

Otherwise, how can one person's energy support him to do so many things at the same time?

On the operating table, Su Jie began to operate.

After getting used to it for a while, he said: "Adjust the pneumoperitoneum pressure to 12mmHg."

A very precise value. After repeated trials countless times, I found the best result.

The pressure is increased, the pneumoperitoneum is slightly enriched, and the surgical field within the laparoscope becomes clearer.

Explore the abdominal cavity, aspirate purulent secretions, and fully expose the appendix.

Like a leather bag stuck tightly with tar, the appendix and surrounding tissues are so severely adhered that they are almost indistinguishable from each other.

Zhang Wei couldn't help clenching his fists, thinking to himself: "Can we really handle it? The adhesions are so severe, and the space in the child's abdominal cavity is small, and there is too much fat, so the originally narrow space is further squeezed.

"

"The angle at which the laparoscope can move inside is very limited, and the 'chopstick effect' can occur at any time, with the laparoscopic operating rods fighting with each other."

"When will Director Miao come back? If laparoscopy still doesn't work, is it okay to gamble on laparotomy? If laparotomy doesn't work, what should I do?"

Thoughts are falling like snow from the sky, each piece is full of sadness, falling on the head, dyeing the hair white.

At this moment, Su Jie started to operate.

The extended hands are extremely flexible, and the edge of the appendix is ​​easily separated, silky and smooth.
Chapter completed!