Wang Yang took the suction device, pressed his fingers on the surface of the patient's skin, incised the peritoneum, and immediately put the suction device into the abdominal cavity.

Then turn on the suction device to discharge the pus, digestive fluid and food residues in the patient's abdominal cavity to ensure the cavity.

In this situation, Wang Yang could not let the patient fast to eat water, so he could only rely on surgical equipment to empty his abdominal cavity first.

There will be some feces from the human body. If you eat for a long time, the doctor may need to take out the feces yourself.

This is not easy to be a doctor. In order to save people, you can do anything.

In reality, if you ask him to pick up the feces, he will definitely not accept it.

Don’t look at the doctors in reality, they all work with masks in the hospital.

After sucking the abdominal cavity completely, Wang Yang began to protect himself, carefully opened the abdominal cavity and accurately found the appendix.

There is a perforation at the root of the appendix, and the perforation has begun to be carbonized.

The mucosa is partially ulcerated, and there is bloody pus in the appendix cavity. At the same time, the omentum around the appendix and the intestinal canal are surrounded by adhesion.

However, at least the patient only has gangrene tissue at the root of the appendix, and only other parts are adhered to each other, and normality can be restored through separation.

"Damn it, the gangrene tissue at the root of the appendix is ​​a bit serious. Although it is convenient for ligation and will not bleed, there is no gangrene on the root of the appendix. If the ligation is not good, the ligation line will fall off after the edema is eliminated."

"And, it would be fine if you ligate it twice. If the strength is not controlled well, it would be serious if you have to tear after the operation."

Before Wang Yang started ligation, the doctors in the live broadcast room had already started discussing ligation. They felt that the difficulty of this operation was ligation. If the ligation was not good, the operation could not be considered successful.

The patient's appendicle gangrene is indeed a bit serious. Except for some old doctors in the live broadcast room, this is the first time that young doctors have seen.

These old doctors are all famous, such as Liu Bing and others, and they also expressed their opinions.

"I think it is impossible to suture and bury the purse. I can only choose to ligate the mesangial membrane in segments. The closer we get to the root, the more firmly we need to ligate it."

"The boss woke up the dreamer with a word. I had been thinking about how to ligate, but I didn't expect to use segmented ligation."

It is simple to find the problem, but it is difficult to propose solutions to the problem. Since Wang Yang’s live broadcast room has many big shots, many newbies have learned the skills in it, and the surgical skills have been greatly improved.

Liu Bing actually had a guess, which was a previous paper about complications of acute gangrene appendix. Peritonitis will occur after perforation of acute gangrene appendix, and it is diffuse peritonitis. Once it is not discovered in time, it will cause sudden shock and death.

It is a rare fatal case among appendicitis.

Liu Bing has also had appendicitis surgery before. Surgeons who have not had appendicitis surgery are not good doctors. Moreover, Liu Bing is a master of gastrointestinal science. Human digestion is closely related to the abdominal cavity, so naturally he has also had his own research.

Liu Bing felt that the patient was a shock patient with a high probability. The shock patient was very particular about the medical skills of a doctor. He wanted to see how Wang Yang would deal with this patient, whether the operation failed or was successful?

Wang Yang lifted the peritoneal margin with mosquito-type forceps to fix the dressing around the incision, and used a pair of tiny forceps to separate the adhesion of the root gangrene tissue and edema tissue. Due to carbonization, the surrounding edema tissue is particularly fragile.

Sweat drips emerged from the forehead, and Wang Yang left the surgical field. Lu Ming quickly wiped the sweat drips on Wang Yang's forehead to prevent the sweat from falling on the wound and causing inflammation.

Wang Yang took a deep breath, and his whole heart was tied to the ligation at this moment. As the doctors in the live broadcast room said, the difficulty of this operation was the cleavage. If the cleavage was not good, a second operation was possible.

"Here, the sewing is coming!"

"Yes, that's it, that's right!"

Liu Bing did not see the strong-mouthed kings on the barrage. His theories were comparable to those of top doctors, and his actual operations were even worse than those of interns.

Wang Yang held the needle device in his hand and pierced the needle into the body tissue under the appendicular artery.

He kept injecting the needle to reach the edema area below the gangrene area. Only then did Wang Yang let the big round needle penetrate from another direction.

After handing the needle holder to Meng Yue, Wang Yang began to do double-channel sewing, because the patient's appendix cannot be ligated in one way and is prone to collapse of thread, so he cannot do purse suture and embed.

If you are tied with double-channel sewing, use Line 7 to tie the roots, Line 4 to tie the seam, Line 7 is not firm, but it will not collapse the line. Line 4 is firm, and after the edema subsides, it may cause a cut effect on the root of the appendix. It is best to use it as the best knot.

The entire operation seemed easy, but in fact, Lu Ming wiped the sweat from Wang Yang's forehead three times.

When the entire gangrene appendix was completely removed from Wang Yang's abdominal cavity, the entire live broadcast room was infuriated.

"Big Boss, I take out one piece of appendix surgery in one piece, and I just take one piece."

"I have come into contact with a case of gangrene appendix. I don't want to say the difficulty. You guys understand it yourself. Anyway, the boss is awesome!"

The doctors in the live broadcast room frantically expressed their admiration.

When Liu Bing saw Wang Yang's handling, he nodded. It was so perfect. The double-channel stitching he considered at that time did not actually consider a few lines.

I originally thought that I would use Line 4 or Line 7. When Wang Yang performed the operation, Liu Bing was curious why Wang Yang used different sutures.

It was the moment when the operation was finally completed that Liu Bing realized that Wang Yang had considered more than himself, and he also considered the edema tissue of the appendix and the condition after the edema subsided.

I have to say that every time I watch a live broadcast, I can learn something new.

But the operation is not completely over and the cavity is still needed.

Wang Yang looked at the anesthesiologist and asked, "Are you ready to test antibiotics?"

"Negative!"

Antibiotic tests are just like skin tests. Some doctors used to be careless and did not do skin tests. The surgery was a very successful one. Because of allergies, they could only perform a second surgery, and some even directly declared the operation failed.

"Prepare three-tied ceftriaxone and rinse with gentamicin first!"

Wang Yang directed them. Wang Yang was also frightened in this operation. Although he knew it would be successful, he did not expect the process to be so difficult.

This operation took Wang Yang more than an hour, and the previous appendicitis surgery was only one for more than ten minutes.

The moment he closed his abdomen, Wang Yang moved his body and his entire arm felt a little sore.

[Congratulations to the host for completing the acute gangrene appendicitis surgery. Since the patient has peritonitis, the surgery reward is doubled and 1,000 skill points are rewarded.

】Looking at the skill point, Wang Yang was a little happy. At least the operation was very busy and was recognized by the system.
Chapter completed!