Just before the start of the competition, the contestants found out that the topic of the competition was actually random drawing?
It was not the contestants but the judges. In other words, the judges did not know what would be tested this time.
The emcee took a sealed box and came up. There was a round hole at the top that was just enough for her hand to reach in. There were a total of eight judges who drew the questions from the boxes in turn. The most frequently drawn questions were the questions for this round.
Zhang Yi was a little at a loss for what to do. He had spent the entire night practicing the basics.
The first judge drew an appendectomy, the second drew a mouse's severed tail, and the third drew a blood vessel suture…
Zhang Yi couldn't help but be speechless. How was he supposed to do it when it was so difficult? He couldn't possibly really have to remove his appendix later, right?
The first seven judges had drawn different questions, so there was only one judge left. If one of them was a duplicate, then this would be the question. If there were eight different questions, then the judges would discuss on the spot and choose one of the eight questions as the final question of the round.
The results were out. It was really an appendectomy!
In the end, the judge drew the appendectomy, so the question for this competition was the appendectomy.
There were two methods for appendectomy. One was to remove the appendix from the rectus abdominis incision, which was about 5 cm in length. The other was to perform a laparoscopic-assisted appendectomy (LA), which was also a minimally invasive type. It required three tubes to be inserted into the abdomen near the appendix and the cecum, and the free appendix would be inserted into the laparoscope.
Since minimally invasive surgery was less painful, painkillers were generally not needed. They could resume their diet and get out of bed on the same day, which significantly shortened the length of hospital stay. The extremely small scar was also more in line with aesthetic requirements.
Then there was the infection factor. The infection rate of traditional appendectomies was relatively high, about 4% to 7%. During LA surgery, the infection rate was also significantly reduced because the inflamed focus did not come into contact with the abdominal wall during the entire surgery and was directly removed from the trocar after appendectomy.
The appendectomy in this competition was not a minimally invasive method. It was an appendectomy.
Firstly, he wanted to see some of the basic skills of the contestants. Secondly, because minimally invasive surgery equipment was relatively expensive, it was impossible for everyone to really carry out surgery with a laparoscope. Therefore, he chose to use the incision method.
The staff carried 20 upper-body-only humanoids and surgical tools and placed them in front of the participating doctors. Then, the host explained to the doctors,"The simulated human form has the cecum, small intestine, appendix, and blood. We use normal saline to infuse the blood, so the contestants who lose more than 50ml of blood in this game will be eliminated immediately.”
"Wow, 50ml is already eliminated?!”
"Too ruthless!"
"It would be strange if I wasn't ruthless. This is a national competition. Do you think it's so easy to get a prize and a chance to study at the Mass General Hospital?”
Many doctors started to whisper among themselves. When the host said," Let the competition begin," everyone quieted down and began to operate.
The first step was to put on a mask and gloves, followed by disinfection. Use a sponge clamp to hold an iodovor-based cotton ball for disinfection. The top was the flat papilla, the bottom was the lowest end of the simulated human shape, and the left and right were the mid-axilla line.
The position of the incision was 2- 3 cm away from the ileocecal loop. The near end of the incision was the anus, and the far end was the blind end.
Therefore, the most commonly used incision for appendectomy was the right lower abdomen oblique incision. The muscles of this incision intersected, and the healing was more firm. It was not easy to form an incisional hemorrhoid, and it was also closer to the appendix, making it easier to find.
First, he cut open the skin and about 5 cm of the underlying tissue. Then, he bluntly separated the aponeurosis of the external oblique abdominal muscle, the internal oblique muscle, and the transversus abdominis muscle. Since he was in a simulated human form, it was not as easy to operate as a real abdominal cavity. Therefore, a doctor was eliminated from the first incision.?
This made the remaining doctors on the field nervous.
Then, he used a curved forceps to open the incision, and pulled open the two ends of the incision with a hook. He cut open the fascia transversalis and the abdomen to enter the abdominal cavity, and then immediately used an electric knife to stop the bleeding.
The small intestine was retracted with an S-shaped hook, and the cecum was exposed to look for the appendix. The mesentery of the appendix was separated to the root with a medium-curved forceps, clamped, and cut off with a No. 11 blade. Then, it was immediately sutured with a 6X17 round needle and a No. 4 thread.
When removing the appendix, try not to touch the abdominal wall to avoid infection.
After cleaning the abdominal cavity with the suction device, he checked if any surgical instruments were left in the abdominal cavity. After counting them, he began to perform the final suture.
Suturing was Zhang Yi's best skill at the moment. At least, the other doctors on the field were not as good as Zhang Yi in terms of suturing skills.
"I'm done!" After Zhang Yi finished everything, he took off his gloves and mask and raised his hand.
Although Zhang Yi had never practiced appendectomy in the System Training Space, he could now even perform a difficult surgery like a cholecystectomy. If that was the case, appendectomy would be a piece of cake for him.
The judges also started to notice Zhang Yi. They used the tablet to repeatedly watch Zhang Yi's actions and could not help but nod.
This time, Zhang Yi was the fastest among the doctors. The whole process took less than twenty minutes. Some doctors had only just found the position of the appendix when Zhang Yi had already finished.
Wang Kaiping, the director of the Imperial Capital People's Hospital, looked at Zhang Yi's operation on the tablet. He couldn't help but stand up and walk to Zhang Yi's table. He took out his presbyopic glasses from his bag and put them on. He bent over and carefully looked at the wound and suture that Zhang Yi had treated.
He raised his head and looked at Zhang Yi with an excited expression,""Which city hospital are you from?"
"I'm from a county hospital. My name is Zhang Yi.”
This book is provided by FunNovel Novel Book | Fan Fiction Novel [Beautiful Free Novel Book]