Chapter 36 So big!
Wang Yang wore a sterile suit, gloves, put on the last layer of sterile sheet, and installed the handle of the shadowless lamp.
In this way, Wang Yang can debug the shadowless light according to his needs, and he will always look like he needs it.
Wang Yang stretched out his hand, and Meng Yue slapped the scalpel in his hand. Wang Yang began to disinfect the iodine vapour and wipe the dry gauze.
Just as Wang Yang was disinfecting, Xinglin's live broadcast room also began to synchronize.
"Hey, is this master preparing to start the surgery today?"
"Only by taking surgery can you learn more practical skills. Watching the big guy's live broadcast for so many days, I feel that my strength can be a wrestle with the director!"
Wang Yang incited the epidermis and dermis from the right rib margin, then began to bluntly separate the subcutaneous tissue and muscles, open the peritoneum, and use a hook to expand the surgical field to facilitate surgery.
The patient's stomach and small intestine did not change abnormally, and the liver did not experience edema.
However, the patient's gallbladder is 10cm in size, which is more than twice as big as normal, and there are obvious signs of edema on it.
"This gallbladder gives me a feeling of a balloon that breaks at once. Think about it, after the gallbladder is broken, the bile leaks into the abdominal cavity. The scene is terrifying."
Li Xunhuan used to have cholecystectomy, and when he saw this gallbladder, he found it very difficult.
This gallbladder enlargement is not just edema. Li Xunhuan also suspected that it is related to stones or parasites. It is impossible for photoedema to be so big.
Wang Yang's live broadcast room soon exceeded 300, and some doctors with free time opened the live broadcast one after another.
After all, Wang Yang has now become a legend of Xinglin.com. Although he doesn’t know his name, his technology has become a god.
Wang Yang naturally didn't know that he was still being broadcast live, and he was still undergoing surgery. Wang Yang opened a small mouth 0.5cm from his liver.
"It's coming again, it's coming again!"
"As soon as the mouth is released, the operation will be successful!"
Wang Yang's opening of a small mouth has become his signature move.
If you have surgery, you must not miss a small mouth.
Wang Yang began to use hemostatic forceps to intermittently separate the fingers, and the barrage in the live broadcast room suddenly decreased.
Everyone knows that it is about to start! I haven’t seen Wang Yang’s blunt separation of appendicitis surgery, so I’m embarrassed to say that it’s an old man in the live broadcast room.
Wang Yang's amazing blunt separation attracted many imitations, but without any surprise, most of them failed and almost caused a medical accident.
The next scene exploded again in the live broadcast room.
This time, Liu Bing and Wang Jing were not around, but there were still dozens or hundreds of experts who had cholecystectomy in the live broadcast room. When they saw Wang Yang's actions, some criticized them, and some said they had learned it.
Those who say criticism are all those who have just entered the live broadcast room to watch it and are recommended by their peers to learn.
All I learned were slapped in the face before.
At present, the congestion and edema of the gallbladder has caused extremely high tension on the surface of the gallbladder. Not to mention blunt separation, even if the people in the live broadcast room have a simple open cholecystectomy, most people dare not do it.
If you don’t pay attention, the gallbladder is broken and the bile is overflowing.
But Wang Yang exceeded their imagination and went straight to the knife, without thinking at all. The middle-bending forceps penetrated deep under the serous layer on the surface of the gallbladder and quickly separated.
The speed is very balanced, but there is no pause at all.
Soon, everyone in the live broadcast room held their breath and reached the most critical point of the operation, the gallbladder triangle area.
At this time, the patient's gallbladder triangular area had been wrapped in a mess of connective tissue by inflammatory stimulation. Wang Yang paused for more than ten seconds, and the blunt separation continued again.
Every small separation made the doctors in the live broadcast room feel worried. Many doctors involuntarily made the knife-holding action. Looking at the gallbladder triangle area on the picture, the feeling of substitution was too strong.
The new doctors were shocked.
"This is just looking for excitement. Generally, gallbladder experts and professors in Grade A hospitals dare not do this like you. Are you really capable or are you eye-catching?"
This is too risky for surgery. If one is not good, it is a medical accident.
Many general surgeons and hospitalized hospitals in tertiary hospitals always dare not go to this operation. At least one gallbladder professor needs to be guided by the side to do it without hesitation.
Even if you dare to do it, you will be careful. It is impossible to start with a pliers and perform blunt separation without even looking at the gallbladder.
As the gallbladder triangulation gradually exposed, the gallbladder duct and gallbladder artery were exposed, Wang Yang began to ligate the gallbladder duct and gallbladder artery, and finally the gallbladder was removed retrogradely.
"I'm helpless and have no culture. I'm so awesome to go all over the world with just one word! I'm making a laposcope and can be open, and I can be said to be omnipotent!"
"Haha, it's been a bit late at once. The boss will also have various appendicitis and tumor resections."
As soon as experts take action, everyone is studying medicine. In Xinglin, whether you can learn anything depends on yourself.
Moreover, Wang Yang's anatomy was so beautiful. After the gallbladder was cut off, there was no obstacle to the connective tissue. The common bile duct and the common liver duct appeared in the field, and they could clearly distinguish which one was which one.
“5ml!”
Wang Yang patted the bent forceps into Meng Yue's hand, took a 5ml syringe, and pierced and extracted bile.
Seeing that the bile was pulled out, Wang Yang was sure that this one was indeed the common bile duct.
The next step is to do the traction wire, stretch the common bile duct, and at the same time, to prevent infection with sterile gauze.
After taking the suction device in the cover, Wang Yang cut open the main tube and stuffed the suction device into it without a pause for half a second.
No bile even leaked out, and a large amount of silted bile in the main tube was sucked out by the suction device.
Wang Yang's move also shocked the live broadcast room.
Generally, no matter what doctor does this kind of surgery, some bile will flow out around the main body because of protection.
But Wang Yang seemed not so worried. He took good care of it and stuffed the suction device directly into it. The opening was exactly the same size as the suction device, which just entered and blocked the opening, so that the bile would not leak at all.
It seems that all this is flawless and extremely relaxed. The doctors who have done it in the live broadcast room know that this procedure is extremely difficult.
"I cried and felt that I was not worthy of being the attending physician of general surgery."
"Oh, stop talking. I had the first time obstructive gallbladder surgery. I was originally doing protection, but the bile still leaked out, causing postoperative infection, and it was still bacterial. I was tormented for half a month and almost beaten by my family."
"The operation should be over at this point!"
Although the doctors in Xinglin Live may not be able to do Wang Yang's operation, if they can't even understand the operation, they will be scolded.
This is the most basic textbook thing. Everyone is a professional doctor. He has never eaten pork and has always seen pigs running.
Chapter completed!