BXBX NOVEL Chapter 36: The Blade of the Electro-Knife
[Newbie in the Operating Room: Appendectomy+1, currently at a total of 5. Keep up the good work and achieve a ten-surgery streak.]
Chen Cang muttered to himself, What kind of reward will there be for a ten- surgery streak?
But it was also close, as the recent influx of patients all needed surgery for appendicitis. With some effort, he estimated he could complete the ten-surgery streak challenge this week.
He hadn’t waited long in the operating room when An Yanjun came down with Wang Qian.
“Chen, have you used a laparoscope before?” An Yanjun asked.
Chen Cang nodded, “Hmm, I can use it a bit.”
An Yanjun nodded, “Okay, then, you’ll assist with the laparoscope later, and
Wang Qian will perform the surgery.”
After An Yanjun had walked a good distance away.
Wang Qian stealthily approached from behind Chen Cang, sneakily patted his butt, and let out a strange laugh, “Cang Er, did you miss me?”
Chen Cang couldn’t help but distance himself!
“Brother Qian, you’re a married man. If you pinch my butt again, I’ll accuse you of sexual harassment.”
Chen Cang sighed and, looking up at the imposing Wang Qian, dared to be angry but did not dare to speak.
This guy’s weight matched his height, standing at 180 cm with a weight of 180 pounds, not fat but very sturdy.
Having been on a honeymoon, he had clearly slimmed down a bit, it seemed he hadn’t taken it easy.
Chen Cang was a generous person, easy to talk to; in the emergency department, being “easy to talk to” meant easy to switch shifts with, almost always saying yes to requests, occasionally covering shifts or working overtime for them. Thus, he was easy to get along with. Wang Qian was a typical surgeon, big and burly, outgoing; he was decent in every aspect except that he was a bit stingy, and he couldn’t keep his hands to himself around Chen Cang.
There always seemed to be a few old rascals in life, harassing men left and right, oozing charm.
Facing someone weighing 180 pounds, Chen Cang decided not to take offense.
Wang Qian sighed and said eerily, “Cang Er, you’ve changed.”
Chen Cang chuckled, “Heh, beat it!”
Wang Qian let out an awkward laugh, “I actually brought you a gift, but it’s gone now, yeah, successfully gone!”
Chen Cang scoffed, “The Dove chocolate you brought back from the US last time was bought from the supermarket downstairs; I saw the receipt in the box, and I secretly threw it away. I guess this time’s Hawaiian candy is probably about the same.”
Wang Qian:…
Curious, Chen Cang poked Wang Qian.
[Wang Qian: A wild exterior cannot contain a heart full of flamboyance, Favorability: 25.]
Well, it seems the butt pinching wasn’t in vain, the favorability is quite good. Suddenly, Chen Cang thought of Xu Rou, a wild woman who instilled fear in others; perhaps these two were evenly matched.
Being a doctor seemed like a magical profession, no matter how lazy or ridiculous you normally were, the moment you stood in front of a patient, it was as if you had donned a “solemn and serious” buff!
Wang Qian stood before the patient, ready to begin the surgery.
The difference between a laparoscopic appendectomy and a regular appendectomy was quite significant.
If a regular appendectomy was like digging a canal, then… a laparoscopic appendectomy was more like drilling a well.
Of course, it all depended on the surgeon’s preference. Some preferred to drill one well; others liked two, and most for an appendectomy preferred three.
So, there are many advantages!
The incisions are just a few small holes, which leaves minimal scarring and satisfies aesthetic requirements.
Also, because the focal area is small, the rate of infection at the incision site is extremely low. During the surgery, the area of appendicitis inflammation doesn’t come into contact with the abdominal wall, and the appendix is removed through the cannula, which significantly reduces the risk of infection at the surgical site.
The most important advantage is its “cost-effectiveness”!
And by cost-effective, I don’t mean cheaper, but more convenient for making money.
For example, the patient lying on the bed right now is a beautiful urban beauty. She could resume activities and diet on the same day after the surgery, requiring a very short hospital stay. In contrast, the traditional surgery would need 1-2 weeks to change dressings, and in severe cases, up to a month, which is well known to all.
The patients who had “wells drilled” could leave the hospital sooner to work and earn money—now isn’t that “cost-effective”?
In fact, it mainly meets the needs of young people nowadays.
Wang Qian began to drill!
No, to make the incision!
About 10 mm above the umbilicus, an insufflation needle is inserted to begin the infusion of carbon dioxide gas. Yep, that’s right, it’s inflating!
Before an appendectomy, you first need to create an artificial pneumoperitoneum, also known as the medical version of laparoscopic surgery.
Suddenly, a song pops into Chen Gang’s mind:
The “Calorie” of the operating room!
The first thing every day in surgery is to pump some air into the patient.
Apologies must be said with every extra millimeter I trim!
Mirror, mirror, look over here, where is the appendix and cecum?
Strive, you must strive, I must find the appendiceal mesentery!
(Original!!)
All… Chen Cang sighs.
I feel like I’m definitely an artist delayed by medicine!
The surgery continues; punching holes and inflating both need to go on.
After the gas is sufficiently infused, Wang Qian inserts the trocar and begins to navigate the abdominal cavity with the laparoscope: right upper, left upper, left lower, pelvis, right lower… This replaces the great merit of exploratory laparotomy.
At that moment, Chen Cang suddenly finds that his external plugin is also very handy right now!
Everywhere the laparoscope goes, names appear!
[Greater omentum]… [Descending colon]… [Appendix]…
Besides, this isn’t even the most crucial point because as long as you are very familiar with human anatomy, this part is still quite easy to achieve.
As a surgeon,
You might not understand a woman’s heart,
But you must understand a woman’s viscera!
There, rhymed again.
The most crucial thing is, Chen Cang finds that through the laparoscope, he could also get detailed information about these organs.
For example [Descending colon: green, this vibrant stretch of the descending colon.]
[Inflammatory fluid: purulent secretion resulting from appendicitis, recommendation: clean up.]
[Appendix: red, Ivin, this is a long-standing chronic appendicitis with purulent secretion, recommendation: excise and clean up.]
All under the laparoscope, the field of view is accompanied by names.
Chen Cang is somewhat amazed and filled with admiration.
My plugin works so well, doesn’t it?
From now on, laparoscopy is basically stress-free for me, right?
As long as I slowly get used to the procedural flow of laparoscopic operations, everything will be simple, right?
Hey!
When heaven is about to place a great responsibility on a man, it always first gives him a plugin to level up.
Chen Cang feels he should study diligently and comprehend the essence of laparoscopy soon.
After all, laparoscopic surgery is the mainstream now.
What if, on the day of the exam, I have to perform a laparoscopic surgery and don’t know how, wouldn’t that be embarrassing?
So he holds his breath and observes with concentration.
In laparoscopic surgery, they don’t use a scalpel, but a bipolar cautery instead, which is used to grasp and cut the mesentery close to the appendix in full layer. Remember, this cautery is not a static blade nor a lightning dagger; it doesn’t increase attack speed or add critical hit, and it doesn’t have a movement speed bonus or a unique passive.