Yuan Fang walked to the side of the bed and asked Yan Xiong, "Can you still hold on to walking a few steps?" Yan Xiong nodded, he thought that he was a dying man, and he had nothing to fear about the knife. Pen? Interesting? Pavilion wWw. ｂiquge。 ｉｎfo

Yuan Fang helped Yan Xiong up, took off his shirt and pants, leaving only a pair of underwear, helped him lie on the long table, and nodded to Qin Cao. Qin Cao understood, and dispersed the prepared hemp boiling to Yan Xiong's clothes, and used a cotton ball dipped in strong wine to help wipe Yan Xiong's entire abdomen.

Ren Fei, Yang Xing, and Xiaomei came back with sterilized tools, and Yuan Fang took a few cloth towels to cover Yan Xiong, waved his hand and said, "Go out and change into clean clothes." ”

Xiaomei had already brought the clothes, everyone changed their clothes and returned to the bedroom, Yuan Fang had also changed his clothes, put on the slurry washed overcoat, washed his hands with hot water soap, and asked Qin Cao: "How is it, does the hemp boil work?" ”

Qin Cao tried it with a silver needle and said, "Okay." ”

Yuan Fang looked at everyone: "I need a few assistants, you listen to my arrangement, everyone go and wash your hands first, pay attention, you must wash it clean, especially between your nails." Everyone nodded in unison, and carefully brushed according to Yuan Fang's requirements, especially Yang Xing, who stopped when his hands were about to brush his bald skin.

After everyone had washed their hands, Yuan Fang gave each of them a pair of gloves, looked around at everyone and said, "It's urgent, so I won't be polite to everyone." Brother Qin, you just stand on the side of Yan Du's head, pay attention to his reaction at any time, and remedy it as soon as the anesthesia fails. Qin Cao responded and stood at the head of Yan Xiong.

Yuan Fang stood on the right hand side of Yan Xiong's abdomen and said to Xiaomei: "Xiaomei, you are my first assistant, stand opposite me, and help me pull the hook and cut the thread for a while, especially after the knife is cut out, use gauze to compress and stop the bleeding." Xiaomei stood a little nervously opposite Yuan Fang.

Yuan Fang looked at Ren Fei: "You stand on Xiaomei's left hand side and be the second assistant." Yang Xing, you stand beside me and hand me tools. Ren Fei and Yang Xing stood up separately.

Yan Yue said anxiously: "What about me, can I help in any way?" Yuan Fang pointed to the oil lamp and said, "Help me hold the lamp to illuminate it when I need it later." Yan Yue nodded, Yuan Fang basically didn't have any hope for Yan Yue, the first time he saw this kind of scene, it was very good to be able to hold on without fainting.

Everything was ready, Yuan Fang took a deep breath, disinfected the skin again with a strong wine cotton, and covered most of Yan Xiong's body with a cloth, leaving only a dozen centimeters around the appendix.

At this time, Yuan Fang's heart was a little worried, and he muttered secretly: "Use this kind of wine to disinfect, I hope you don't get infected." ”

Stretched out his hand to Yang Xing and said, "Scalpel." Yang Xing found the scalpel and handed it to Yuan Fang.

Took the scalpel, took a deep breath, calmed down his complicated mood, calmed down, and was about to do it, but he felt that something was missing, pondering for a moment, Yuan Fangyi stomped his feet, yes, masks and hats.

Looking around at everyone and Yan Xiong, who had been anesthetized, now that he was ready to fly, he didn't have time to prepare for those, so he had to find a few square scarves for everyone to wrap their heads and faces, only revealing their eyes, and suddenly, the atmosphere in the room was different, it looked like a room full of masked thieves gathered together to share the spoils.

The knife fell in his hand, and a knife cut of about five centimeters obliquely in the place where the tenderness in Yan Xiong's right lower abdomen was most obvious, and blood gushed out, Xiaomei, who had been prepared for a long time, used tweezers to clamp gauze to stuff it, and Yuan Fang also helped together, and after a while, stopped the bleeding. According to Yuan Fang's instructions, Yang Xing handed the hook to Xiaomei, Xiaomei gently separated the wound with the hook, and the blood gushed out again, Yuan Fang and Ren Fei worked together until the blood stopped flowing.

Yuan Fang used a scalpel to pick open the peritoneum, pushed the small intestine to the inside with a gauze pad, first found the cecum, and then traced along the three colonic belts to the top of the cecum to find the diseased appendix.

He took the hemostat handed by Yang Xing, clamped the mesangial appendix, ligated the appendiceal artery with silk thread at the root of the appendix, lifted the appendix outside the incision, and sutured around the base of the appendix on the cecum wall from the root of the appendix, and did not tighten it for the time being.

Everything went well, the sterilized silk thread was taken, the root of the appendix was ligated, the appendix was cut off at the far of the tie, and the stump was rubbed and disinfected with spirits.

Next, with the help of Xiaomei, she lifted the cecum wall on the opposite side of the purse suture with toothless forceps, and held the hemostat clamping the thread knot in her right hand to push the appendix stump into the cecal cavity, and at the same time Yuan Fang lifted and tightened the purse suture, so that the stump was buried in the purse mouth, and the suture was cut off after ligation, and finally, the mesangial stump of the appendix was covered and strengthened to make the local surface smooth and prevent postoperative adhesions.

Then, a piece of gauze was clamped and stretched into the abdominal cavity and around the cecum for examination, and there was no oozing, pus, and bleeding at the ligation site, and the operation was basically successful. The next step is the incision suture, first use the thinnest silk thread to suture the peritoneum, and then, suture the subcutaneous tissue, Xiaomei helps cut the thread and tie the knot, Yuan Fang is responsible for the suture, and the two cooperate very tacitly.

In the end, only the skin layer was sutured, and Yuan Fang looked at Qin Cao: "Brother Qin, you can suture the skin." Qin Cao hesitated, glanced at Ren Fei, exchanged positions with Yuan Fang, held the tooth tweezers on the left and right, held the needle pliers in his right hand, took the triangular needle with the thread threaded, nodded to Xiaomei, and began to stitch.

(The surgical process is collected online, please do not investigate any omissions or errors.) ）

This is the first time that Qin Cao has practiced intermittent stitching on a living person, and it is inevitable that he will be a little nervous, but after the first stitch is completed, he gradually relaxes, a total of five stitches, the spacing is comparable, the knots are neat, and the position is unified, Yuan Fang nodded secretly and praised.

Next, wipe off the remaining blood stains on the skin, bandage the wound, and hand them over to Xiaomei for treatment, Yang Xing trembled and packed up the scalpel and other instruments, and together with Ren Fei, looked at Yuan Fang like a wronged child.

Yang Xing and Ren Fei's state was obviously not good, Yuan Fang smiled faintly: "Let's go out first, relax, and come in later to help lift Yan Du's head to the bed." Ren Fei and Yang Xingru were amnestied, and walked out of the room with trembling Luo Quan's legs, as for Yan Yue, she fainted on the bed as soon as Yuan Fang's surgery was opened, and she has not woken up yet.

Qin Cao picked up the small basin with the appendix and looked at it carefully: "This is the appendix you are talking about?" ”

Yuan Fang took off his gloves and said: "Well, this is the appendix, the appendix is dispensable for the human body, once the disease occurs, the mild person can be treated with medication, but it is easy to repeat, like Yan Dutou, it can be cut off directly by surgery." ”

Xiaomei bandaged the wounds, cleaned up the mess all over the ground, raised the iron basin filled with blood-stained gauze and asked, "Brother Yuan, how to deal with these?" ”

The disinfection process here is not enough, and it is easy to cross-infect after repeated use, so Yuan Yi waved his hand and said: "Wait a minute, burn it directly, these things can't be reused." Xiaomei sighed with some pity.

Yuan Fang continued: "This is the first time we have cooperated, and there is no preparation, in fact, according to the usual practice, after the operation, all the tools and all the gauze used and unused should be counted. ”

Xiaomei asked suspiciously, "Why?" ”

Yuan Fang smiled: "Sometimes if you don't pay attention, you will leave something in the wound." ”

Xiaomei and Qin Cao couldn't believe it, and said in unison, "No." ”

Yuan Fang shrugged: "Don't believe it, there have been many examples in the past, and there are all kinds of things found out of the patient's stomach, gauze or something is quite good, and it is not uncommon for rings and earrings to be sewn into the stomach." ”

Xiaomei opened her mouth wide in surprise, and Qin Cao looked at Yuan Fang: "Before? Could it be that many people have had such surgeries before? ”

Yuan Fang secretly complained, why did he talk about it, and hurriedly covered it up and said, "That, I also heard about it." ”

Seeing that Yuan Fang didn't want to talk deeply, Qin Cao didn't ask anymore and changed the topic: "Senior brother, is it okay as long as the appendix is cut off?" ”

Yuan Fang washed his hands, shook his head and said: "As far as I know, colic sha is a general term for abdominal visceral lesions, and appendicitis is only one of them. Qin Cao thought for a moment and kept these words firmly in his heart.

Xiaomei looked at Yan Xiong, who was in a state of anesthesia, and asked, "What's next, what do you have to do next?" ”

Yuan Fang looked at Qin Cao: "Brother Qin, do you have any painkillers, after a while, the anesthetic effect will pass, and the wound will be very painful." ”

Qin Cao was stunned: "Yes, I'll go back and grab the medicine." ”

Qin Cao left, all that was left was to wait, leaving Xiaomei to take care of Yan Xiong and Yan Yue's father and daughter, Yuan Fang came out of the temporary operating room, took a deep breath of fresh air, and suddenly felt much refreshed, and looked at Yang Xing, who was still trembling, with some amusement, and praised: "Yes, it's much stronger than last time." Yang Xing's face was pale and he smiled hard, and that smile looked even uglier than crying.

Ren Fei was no better, his face was pale and scary, his eyes were full of horror when he looked at Yuan Fang, he really couldn't understand how such a weak person could be so ruthless, stabbing people in the stomach and cutting people's intestines, and now he was afraid to think about it.

Xiaomei came out with gauze and other waste items, gently closed the door, and whispered, "Sister Yan Yue is awake, she is taking care of Yan Dutou." Brother Yuan, do you really have to burn all this? ”

Yuan Fang said undoubtedly: "Well, it's all burned, nothing is left, and the same goes for the severed appendix." ”

Xiaomei looked at Ren Fei, Ren Fei looked at the kitchen, Xiaomei proposed, "Brother Ren Fei, is there a charcoal stove?" ”

Ren Fei really didn't have the strength to pneumocate, and pointed to the kitchen: "The fire hasn't been extinguished yet, just throw it in the stove pit and burn it." ”

Xiaomei reminded: "Also, there is that appendix, burn there, and you don't have to worry about cooking in the future." Ren Fei's face changed when he heard this, and he stood up with difficulty and leaned against the wall like a drunk to prepare the charcoal stove. The charcoal stove was prepared just right, and after Xiaomei burned the discarded gauze, Qin Cao just used it to decoct the medicine.

During this period, Yuan Fang, Ren Fei, Yang Xing and Qin Cao carried Yan Xiong to the bed and placed him, removed the temporary operating table, and restored the original appearance of the bedroom.

Two hours passed quickly, the effect of the anesthetic disappeared, Yan Xiong woke up slowly, opened his eyes and saw Yuan Fang, Qin Cao and others beside the bed, Yan Xiong said with a hint of happiness and joy in a daze: "I, still alive?" As he spoke, he was about to get up, and there was a sharp pain in the wound in his abdomen, and he couldn't help but snort in pain.

Yuan Fang hurriedly stopped: "Don't move, you have to rest well, and you can get out of bed only after the knife wound heals." ”

Yan Xiong subconsciously looked at his abdomen, only to see a large piece of cloth, and asked tentatively, "Doctor Yuan, is the operation over?" ”

Yuan Fang smiled and nodded: "The operation was successful, and you will be fine after a few days of rest." ”

Yan Xiong couldn't believe it: "Really? Is colical sha really cured? ”

Yuan Fang was very sure and said, "That's right, it's cured." ”

Yan Yue burst into tears, looked at Yuan Fang and thanked him, "Thank you Brother Yuan, thank you Doctor Qin, thank you Xiaomei, thank you Brother Yang, thank you for saving my father." ”

Xiaomei hugged Yan Yue: "Thank you for what I did, I just did a little favor, if you want to thank you, you should thank Brother Yuan and the teacher." ”

Qin Cao waved his hand and smiled: "Don't thank me, it's all the credit of the junior brother." ”

Yuan Fang said modestly: "You can't say that, if it weren't for the help of Brother Qin and everyone, the operation would not have been able to go smoothly." Qin Cao didn't care about those vanities, and waved his hand again and again.