Yang Tian did not have any important tasks to do in the morning. All he did was follow up on some patients 'conditions and record them down.?There were also some who did odd jobs.
In the afternoon, Yang Tian finally had the chance to perform an acute appendicitis surgery with Department Director Yang Jinrong.?
If suturing surgeries and bleeding control surgeries were considered entry-level minor surgeries, then appendicitis surgery was considered a first-level surgery.
The surgery was divided into four levels from easy to difficult.
Level 1 surgery: Low risk, simple surgical process, and low difficulty: For example, appendectomy, hemorrhoids surgery, incision and drainage of pus on the surface of the body, and so on.
Level 2 surgery: The technical difficulty is average, the surgical process is not complicated, and the risk is medium. For example, he had to perform surgery such as intestine removal, stomach puncture repair, simple cholecystectomy, and so on.
"Level 3 surgery: Various surgeries with high technical difficulty, complicated surgical procedures, and high risks. For example, radical surgery for Ru cancer, proctectomy, liver, gallbladder, and other surgeries.
[Level 4 surgery: The surgery is difficult, the surgical process is extremely complicated, and the surgery is the most risky.] For example, total gastrectomy, coronary-artery bypass surgery, corneas transplantation, brain tumor removal, and so on.
After all, Level 4 surgeries were the most difficult! The riskiest.
Of course, one should not underestimate Level 1 surgeries. Although Level 1 surgeries were simple, they were only relatively easy for doctors with excellent skills.
For an intern like Yang Tian, the difficulty was also very high.?
First of all, appendectomy was not something that could be compared to minor surgeries like suturing wounds or stopping bleeding.
If you want to perform appendectomy, first of all, you have to be familiar with the procedure. Second, you have to understand the structure of the human body. At the very least, he didn't need to understand the structures of the abdomen, intestines, lining, blood vessels, appendix, and so on.
Otherwise, if you cut the intestines, cut the blood vessels, cut the lining, and so on during the surgery, it would cause a second injury during the surgery. That would really be GG.
What was supposed to be a simple Level 1 surgery has become serious because of you!
Therefore, when one performed a Level 1 surgery or even a higher level surgery, it did not just depend on one's basic skills. One had extremely strong basic skills, such as incision, suturing, suturing, bleeding control, and so on. These basic skills were only the prerequisites for performing a Level 1 surgery.
After all, surgeries required the use of these basic skills.
However, if you only have the skills of the above few surgeries, it will definitely not work if you go and perform appendectomy.
Now, Yang Tian had a great opportunity to learn!
In the operating room, Yang Tian stood beside Yang Jinrong, quietly watching him perform the surgery.?
"Surgery for appendicitis is very simple. As long as you remember the basic knowledge of appendectomy surgery, and after some experiments, you can start practicing. However, you should watch me perform the surgery first. I'll explain to you as I do it.”Yang Jinrong said to Yang Tian.
"Yes." Yang Tian nodded gently.?
He knew that he was lucky now. He had only been an intern for less than two weeks, and he could already perform surgeries with the department director. Many doctors who had just become full-time doctors might not even have such an opportunity!
"This patient has simple appendicitis, so we only need to operate on the McDonnell's point in the right lower abdomen.”
After all, Yang Tian graduated from a key medical university, so his basic knowledge was not bad.?
He knew that after appendectomy, the appendicitis would enter the abdominal cavity through the skin, superficial fascia, external oblique abdominal muscles, internal oblique abdominal muscles, transversus abdominis muscles, transversus fascia, extraabdominal fat tissue, and mural laparum.
The surgery was done in a supine position. A McBurney incision was made on the right lower abdomen, and the appendectomy was located. The mesentery was handled to protect the appendectomy and the cecum. The purse-string suture was performed, and the root of the appendectomy was ligated. The appendectomy was cut off, and the remnant of the appendectomy was handled. The remnant of the appendectomy was buried, the mesentery was covered, and the abdomen was closed. The surgery was completed!
It sounded simple, but it was different when it was done.
Now, Yang Tian was being taught on the spot!
"The McBurney incision is very particular. From the umbilicus to the front of the Ke, the incision made on the middle and outer third of the line connecting the superior spine is about 5 to 7 centimeters long. The average expert would use 5 cm, while the average player would use 7 cm.”Yang Jinrong said as he started the surgery.
Yang Tian knew that the bigger the incision, the harder it would be to heal.?
Of course, the doctor also wanted the incision to be smaller so that the patient could recover faster.
However, if the incision was small, the difficulty of the surgery would increase!
Obviously, as the director of the Emergency Department of Jiangbei First Hospital, his surgical skills were not to be underestimated. His opening was five centimeters!
This surgery usually took more than two hours.
However, Yang Jinrong finished it in half an hour.
It was definitely an existence with both speed and quality.
Yang Tian had benefited greatly from observing the surgery!
…………
After coming out of the operating room, Yang Jinrong told Yang Tian,""How about it? If I give you guidance and you do it, how confident are you of succeeding?”
"Uh, this, three points." Yang Tian rubbed his nose awkwardly.?Although his surgical skills were heaven-defying, this kind of first-class surgery was definitely very difficult for newbies like them.
Of course, if he had drawn the skill of appendectomy, he could guarantee that he could perform it at any time now.
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