When Duan Bo saw this scene, he was stunned for a moment.

However, Duan Bo and Guo Cheng are completely different.

When Guo Cheng asked Chen Cang for surgery, Chen Cang was basically doing it.

Duan Bo is different. This person has a lot of ideas. An appendectomy gives Chen Cang an expert fee of 2,000 yuan, and takes over and gives it to him and treats him warmly, hoping to learn Chen Cang's skills.

Duan Bo is responsible and has ideas. He is young and strong now, and now he is determined to build the general surgery department of Lan County People's Hospital into a model department and make a name for himself.

After encountering something, Duan Bo was not panicked, but was very calm.

He began to carefully search for the cecum through tissue forceps, but at this time, there was a piece of adhesion in the abdominal cavity and there was no way to see anything.

Duan Bo hesitated: "Expert Xiao Chen, in this case, can the small incision be handled?"

Chen Cang was stunned, hesitated for a while and walked over. The scene in front of him made him hesitate a little.

The intraperitoneal cavity is quite serious. The difficulty of surgery will increase at this time, and most importantly, the appendix has not been found yet!

What's the situation?

Is it an ectopic appendix?

Duan Bo saw this: "Why, open your stomach?"

Chen Cang was not confused about small incision surgery. After all, patient safety is more important than anything else. Even if Chen Cang does not make this money, the patient's safety must be guaranteed!

Of course, Chen Cang can also insist on small incision surgery. According to Chen Cang's technique, there should be no big problem.

Even the usual trick-like operations may gain a wave of emotion and shock after completing them.

But Chen Cang did not want to pass on this risky impulse to these doctors.

They don’t have a deep understanding of small incisions. If there are some emergencies, don’t have big problems!

So, Chen Cang nodded decisively: "On-open surgery! Let me do it? The patient's condition is a bit special, and I think this surgery is not very ordinary."

Duan Bo nodded and took the initiative to move out of position. Chen Cang took the tissue forceps and suddenly frowned. Why is there so much pus in the abdominal cavity?

The perfect appendectomy allowed Chen Cang to understand the intraabdominal appendic environment and various surrounding conditions.

At this moment, he thought of a very difficult appendectomy!

Chen Cang said to Duan Bo, "Help me pull the hook!"

Duan Bo nodded quickly and took it.

Chen Cang continued to say to the doctor beside him: "Doctor Yang, absorb liquid."

The other party also started quickly.

After the liquid was sucked away, Chen Cang picked up the tissue forceps and started the operation.

Finally, the cecum was found in the upper right abdomen!

Duan Bo was stunned: "Why did you run there?"

The little doctor next to him also nodded: "I won't go anywhere even if I do not have any other position?"

Chen Cang turned around and said to the nurse: "Scalpel!"

The nurse thought Chen Cang was about to open his abdomen, so she quickly handed over the knife!

Chen Cang did not continue to expand the incision at the original place, but opened 5m in the right upper abdominal gallbladder area!

This made Duan Bo stunned...

"Expert Xiao Chen... are you?"

Not only did Chen Cang not expand the wound on his original position, but decided to change the place and open the mouth after the liquid suction examination. How could everyone not be curious?

Chen Cang did not raise his head, but said while incision: "This should be a very rare case. It may only be this time in his life. The patient himself has an ectopic appendix, and it can be found through the cecum, but it cannot be performed because the appendix system may be severely adhesion to the gallbladder triangular, liver, peritoneum, and large omentum. Once the force is too strong, it may damage the liver!"

After saying that, the incision appears!

After opening the mouth, the scene in front of everyone took a breath.

Chen Cang explained: "The patient should have had a cholecystectomy, which caused complications after the operation, which did not heal, resulting in chronic adhesions. However, the patient himself has an ectopic appendix. During a series of reactions, the omentum, peritoneum, appendix system and gallbladder triangulation, and the liver has adhesions during this process."

After saying that, Chen Cang carefully stripped it away!

Chen Cang said and did: "If you guessed correctly, gangrene should have formed at the root of the patient's appendix, and there is an abscess around the appendix!"

Most peripheral abscesses are wrapped by surrounding tissues such as the omentum, lateral peritoneum, small intestine after the perforation of the appendix gangrene.

The scene in front of me is a mess, how can I perform the surgery?

Duan Bo's scalp became numb after seeing this scene.

But Chen Cang received a system prompt!

[Ding! Mutant gangrene perforated appendix with peripheral abscess, lv40, king-level appendix monster! Characteristics: Strong adhesion makes the appendix system and gallbladder triangular, and the liver tightly connect...]

After seeing the prompt, Chen Cang couldn't help but be stunned for a while!

King level?

This may be the most rare appendic surgery, right?

Thinking of this, Chen Cang's eyes lit up!

What equipment will he have after cutting it?

Artifact?

still……

This is the first time Chen Cang has encountered a disease of this level.

Thinking of this, Chen Cang was eager to try it out!

“Separation pliers!”

"gauze!"

"Tissue clamp!"

"tweezers……"

...

The entire separation work is very complicated, with too many factors involved, which damages the gallbladder and bile ducts, which may cause more troublesome abdominal infections and damage to the liver, which is even more troublesome!

This means that the difficulty of this surgery is increasing geometrically!

However, Chen Cang's hands are very stable, detailed and accurate!

Every step is to be careful.

And Chen Cang is very patient.

Take your time one millimeter one millimeter.

The people around me were nervous and proud and dared not vent their breath!

Time passes by minute by minute.

Chen Cang gradually began to lose his energy.

More than an hour has passed since the operation.

Such a high-intensity and high-precision surgery is really energy-consuming.

Not to mention Chen Cang, even Director Duan, who was pulling the hook on the side, felt soreness in his waist and sleepiness, and wanted to stretch, but was worried that he would affect Chen Cang's operations.

He simply gritted his teeth and continued to persevere.

This is a competition for physical strength.

It is also a battlefield of patience and care.

There is no smoke, no shouting.

The quietness on the operating table makes everyone feel their heartbeat.

At this time, the patient took a deep breath: "Doctor, I... feel a little hurt..."

Chen Cang frowned immediately!

The anesthetic is about to pass!

Generally, the appendectomy with an open abdominal incision is local anesthesia, which uses intra-spinal anesthesia, which belongs to the broad sense of local anesthesia, and will have perception during the operation, and may have some discomfort or pain. If it is laparoscopic surgery, it will definitely be general anesthesia.

General anesthesia is the safest and most reliable, and it is completely unconscious and very comfortable. However, the cost is much higher.

The anesthesiologist's face changed: "The anesthetic may be almost over... Should I continue to have anesthesia?"

It is definitely unrealistic to continue anesthesia at this time, just a little bit.

Chen Cang shook his head: "No need!"

Speed ​​up!
Chapter completed!