He headed straight for the fourth battlefield.
He had thought that Ye Chen would continue to use the sling technique, but this time, Ye Chen was going to perform a single-site laparoscopy.
The commonly used laparoscopy was the three-hole method. As the name suggested, it was to open three holes in the patient's stomach to assist in the completion of the surgery.
For the single-site method, only one instrument needed to be inserted to remove the appendix.
The single-hole method was better than the three-hole method and the double-hole method. There was almost no visible scar on the abdominal wall, and the cosmetic effect was excellent. The postoperative recovery effect was also very good.
However, it was very difficult to operate, so it was not widely used.
For some doctors, three-hole surgery was not easy, let alone single-hole surgery.
However, Yechen wanted to use single-site surgery!
"Readjust the bed. The patient's feet are 15 degrees above his head and tilted 15 degrees to the left.”
Under Ye Chen's instructions.
The nurses and assistants started to get busy.
Then, Ye Chen made a 2cm long circular incision below the umbilicus.
"Chief Physician Liu, please help me lift the patient's other abdominal wall.”
"Ah, alright!"
Liu Hongjie immediately did as he was told. He used cloth forceps and Ye Chen to lift up the abdominal wall from both sides of the umbilicus and placed a 10mm Trocar and two 5mm Trocars, respectively. The 10mm Trocar was placed at the left end of the incision, and the 5mm Trocar was placed at the middle and right ends respectively. They were placed through different orifices, and the direction was slanted to the right lower abdomen. A 30-degree specula and two separating forceps were inserted into the abdominal cavity to explore and check the position of the appendix and the degree of the pathological changes.
Searching for the appendix was the same as performing an open appendectomy. Moreover, Ye Chen's eyes were different from others. He could see where the appendix was at a glance.
Then, he inserted a large, straight needle with a #7 thread into the abdominal wall projection of the right lower abdomen. He used the needle holder to seal the tip of the appendix in the abdominal cavity, and then passed it out of the abdominal wall to perform external traction on the appendix.
The patient was twenty-four years old. He was thin and did not have much fat. The blood vessels of the appendix could be clearly seen. He only used the electrocautery hook close to the appendix to perform electrocautery and cautery treatment on the mesentery of the appendix, and successfully reached the root of the appendix.
The two forceps were combined to bypass the root of the appendix with a No. 7 silk thread. The external slipping knot was used to tighten the root of the appendix. After it was ligated again with the same method at a distance of 1 cm on the far side, it was short between the lights. The stump was 5-7mm long, and the inner membrane of the stump was destroyed by electrocautery.
Due to the patient's severe inflammation, Ye Chen placed the appendix specimen into the specimen bag and pulled it out to prevent the wound from being contaminated and causing infection.
There was not much pus in the patient's abdominal cavity, so he used gauze to dry it and sutured the wound at the umbilicus.
The final time was 31 minutes.
Ding! Successfully removed Level 8 infected appendix. Obtained EXP 160, Proficiency 320, Gold 800.
Ding! Congratulations to the host and apprentice for completing a surgery together. Mission progress: 4/10
After watching the surgery, Liu Hongjie was so shocked that his jaw dropped.
For single-site laparoscopy, the speed of each doctor was different. The average time was 55 minutes, which was close to an hour.
And Ye Chen's speed was far faster than average!
This technique was definitely at the level of a chief physician!
Furthermore, there were no problems during the four consecutive surgeries!
Master, you're too strong. I don't think…I can learn it…"
Ye Chen walked off the operating table and said lightly,""You're so smart. You'll definitely learn it in the future.”
Although it was only an appendectomy, Liu Yiyi had a lot of respect for Ye Chen after witnessing his skills.
Her master was really amazing!
Liu Yiyi secretly made up her mind.
He had to learn from his master seriously.
Liu Hongjie was also thinking in his heart that he must nurture Ye Chen into his own person!
The fifth surgery.
Liu Yiyi and Liu Hongjie were both waiting to see if Ye Chen would use a new method.
However, Ye Chen said,"We won't be performing laparoscopy this time. We'll be performing laparotomy."”
Everyone was shocked.
Directly perform laparotomy?
That was not difficult at all. It was the most traditional surgical method.
Liu Hongjie smiled in his heart,'After all, he's just a resident doctor. There are so many surgical methods available. Besides, he's already so tired. It's not a big deal to change to an easier surgical method.'
However…
The truth was not what they thought.
This was because Ye Chen had used a small incision for the surgery.
The most common appendectomy was to make an oblique incision of 5-7cm through McBurney's point, but it would leave an unsightly scar in the end.
As for the small incision appendectomy, it was an improvement made by the surgeons in terms of the location, size, surgical operation, and other aspects of the incision for appendicitis.
The effect of appendectomy with a small incision was good.
It was also one of the commonly used surgical methods in surgery.
However, the difficulty was not something that ordinary laparotomy could compare to.
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