I am Dr. Krypton Gold

In the morning, Yang Tian did not have any important tasks, nothing more than to follow up the condition of some patients and record it. Others are miscellaneous or something.

In the afternoon, Yang Tian finally had the opportunity to follow Director Yang Jinrong to perform an operation on acute appendicitis.

If suture surgery, hemostatic surgery, etc. are entry-level minor surgeries, then appendicitis surgery is a first-level operation.

Surgery is divided into one to four levels from easy to difficult.

Level 1 surgery: small risk, simple surgical process, low difficulty: generally such as: appendicitis surgery, hemorrhoidal surgery, body surface abscess incision drainage, etc.

Secondary surgery: the technical difficulty is average, the surgical process is not complicated, and the risk is moderate. For example, enterectom surgery, gastric perforation repair, when the gallbladder is simply resected, etc.

Tertiary surgery: various surgeries with high technical difficulty, complex surgical process, and greater risk. For example: radical resection of RU cancer, rectal resection, hepatobiliary and pancreatic surgery.

Fourth-level surgery: the operation is difficult, the surgical process is super complicated, and the most risky operation. For example: total gastrectomy, coronary artery bypass grafting, corneal transplantation, brain tumor resection and so on.

Anyway, the fourth-level surgery is the most difficult! The riskiest is greatest.

Of course, don’t underestimate the first-level surgery, although the first-level surgery is simple, it is only difficult compared to the skilled doctor.

For an intern like Yang Tian, the difficulty is also very high.

First of all, appendicitis surgery is not like wound suturing, wound hemostasis can be compared to this minor surgery.

If you want appendicitis surgery, first you need to be skilled in the process of appendicitis surgery, and second, you need to understand the structure of the human body. At least don’t know about the structure of the abdomen, intestine, lining, blood vessels, appendix, etc.

Otherwise, when you do surgery, in case you cut the intestine, in case you cut the blood vessel, in case you cut the lining, etc., causing a second injury to the operation. That’s really GG.

A simple first-degree surgery was made serious by you!

Therefore, to achieve this first-level surgery or even higher-level surgery, not only depends on your basic skills, you have super basic skills, such as surgery, suturing, ligation, hemostasis, etc., these basic skills are only the premise of doing first-level surgery.

After all, surgery requires the use of the above basic skills.

But if you have the above surgical skills alone, you will run to do this appendicitis operation, which is definitely not possible.

Now Yang Tian has a good opportunity to learn!

In the operating room, Yang Tian stood beside Yang Jinrong, quietly watching him perform surgery.

“Appendicitis surgery is very simple, as long as you remember the basics of appendicitis surgery, and then after experimentation, you can start with more practice. But now you still watch me do the operation first, and I will explain it to you while doing it. Yang Jinrong faced Yang Tiandao.

“Hmm.” Yang Tian nodded gently.

He knew that now he was lucky. After less than two weeks of internship, I was able to follow the director for surgery. Many doctors who have just become regularized do not necessarily have this opportunity!

“This patient has simple appendicitis, so we only need to use the right lower abdominal wheat-style point position.”

After all, Yang Tian graduated from a key medical university, and his basic knowledge is still good.

He knew that after appendicitis surgery, the location would pass through the skin, superficial fascia, external oblique, internal oblique, transverse abdomin, transverse abdominal fascia, extra-abdominal adipose tissue and parietal peritoneum.

The procedure of the operation is to lie on the supine position, make an incision in the right lower abdomen, find the appendix, treat the mesangium, protect the appendix and cecum, suture the purse, ligate the root of the appendix, cut the appendix, treat the appendix stump, embed the appendix stump, cover the mesangium, close the abdomen, and the operation is completed!

It sounds simple, but it’s different to do.

Now Yang Tian has been taught on the spot!

“The Mai’s incision is very exquisite, from the umbilicus to the kee, at the middle and outer third of the upper spinous connection, the incision perpendicular to this line is about 5 to 7 centimeters long. Generally, masters use 5 cm, and the difference in level is basically 7 cm. Yang Jinrong said as he began the operation.

Yang Tian knew that the larger the incision, the harder it would be to heal.

Of course, doctors also want to make smaller incisions to allow patients to recover faster.

But the incision is smaller, and the operation becomes more difficult!

Obviously, as the surgical emergency director of Jiangbei First Hospital, of course, the level of surgery is not covered, and his opening is 5 cm!

This procedure usually takes more than two hours.

But Yang Jinrong actually finished it in half an hour.

Definitely a combination of speed and quality.

After observing the operation site this time, Yang Tian also benefited a lot!

…………

Coming out of the operating room, Yang Jinrong said to Yang Tian: “How about it, if I give you guidance and you do it, how sure are you that you will succeed?” ”

“Uh, this, 3 points.” Yang Tian touched his nose awkwardly. Although his surgical skills are against the sky, this first-level operation is definitely very difficult for a new bird like them.

Of course, if he had drawn the appendicitis surgery skill, he could guarantee that he would be able to do it right now.