Xie Wan was concentrating on using gauze to push the small intestine inwards, looking for the cecum, and did not answer.
Wu Jian seemed relieved and said, "I suspect she used to be a butcher. She is braver than any man."
Xie Wan traced along the three colon bands to the top of the cecum and found the appendix.
She clamped the appendix with an appendectomy forceps and the mesoappendix with a hemostatic forceps, and lifted the appendix out of the incision.
The appendix really doesn’t look good, and Xie Wan felt a little nauseous.
But she had seen enough appendices, so the feeling was fleeting.
At this moment, she felt like she was leveling up and fighting monsters. In her eyes, the tiny appendix was just a little monster.
Xie Wan cut the appendix with lightning speed and decisively removed it.
"Looking at her knife skills, I suspect she was a butcher in the past."
Wu Jian teased.
Xie Wan silently handled the appendix mesentery and root, as steady as an old dog.
After she had sewn the last stitch, she replied to Wu Jian: "You are the butcher. I am sweeping away all enemies with my might. The only sword technique in the world that cannot be broken is speed. Do you understand?"
Wu Jian snorted, "I taught you all this, do you think I understand it?"
At this moment, Xie Wan heard a buzz in his mind: "Professional skills are upgraded, and you will be rewarded with a Dedication Card."
Xie Wan didn't expect that he would get a dedication card for his first time as the main surgeon. He was very happy and stared at the removed appendix with a silly smile.
Wu Jian suddenly felt terrified. Who the hell could laugh like that just by looking at an appendix?
"Um...Xiao Wan, you don't want to have this as a midnight snack, do you?"
Xie Wan smiled awkwardly: "No, that... I'm just happy, I suddenly like it."
Wu Jian leaned over to take a look at the appendix on the plate, made a vomiting expression, and complained: "This thing is ugly no matter how you look at it. How can you like it? Do you have a fetish for ugliness?
If that's the case, I'll feel relieved.
I'm really worried that following a master as handsome as me, you might have bad thoughts towards me."
Xie Wan knew that Wu Jian loved to joke, so she didn't bother to pay attention to him. She glared at him and pointed at the patient's abdomen and scolded:
"Ichisuke, have you any self-awareness? It's time for you to close your abdomen."
Wu Jian stared in disbelief: "You rebellious disciple, you actually dared to let your master really help you?
Close your abdomen yourself!"
Xie Wan's momentum suddenly weakened, and while he was stitching, he complained: "Why, when you were the main surgeon, I was the assistant, and I was the one who closed the abdomen.
Now you are my assistant in my first surgery, and you asked me to close my abdomen by myself?
Can you let me fully experience the joy of being the surgeon?"
Liu Chunyang and other nurses burst into laughter, thinking that this master and apprentice pair were really a funny pair.
The next day Zhou Aimin learned that Xie Wan had performed an appendectomy the night before.
Zhou Aimin asked Wu Jian to report the operation in detail, and personally checked the patient's wounds and recovery condition.
Xie Wan felt a little nervous, fearing that Zhou Aimin would think she was not qualified enough and deprive her of the right to continue operating as the surgeon.
Participating in an operation and performing the operation as the main surgeon are completely different concepts.
Xie Wan learned a lot from last night's operation.
This season, the most common surgeries in their emergency room are for appendectomy patients.
That morning, before Zhou Aimin entered the operating room, he said to Xie Wan, "The patient must have a perforation. Do you dare to perform the surgery?"
Xie Wan's heart skipped a beat. The latest patient was very lucky. After opening the abdomen, they found that there was no perforation and no contamination in the abdomen, so the operation was very easy.
Xie Wan really didn't expect that Zhou Aimin would ask her to perform an operation the next day that was definitely for perforation.
Wouldn't this be a bit too much of a hassle?
However, Xie Wan was not afraid and bravely agreed: "I dare."
Zhou Aimin frowned.
He actually just wanted to see what Xie Wan was capable of. With him around, nothing would go wrong.
But seeing that Xie Wan didn't hesitate at all when he heard that it was perforating, he felt that Xie Wan was a little eager for quick success, and felt a little unhappy.
But the words have been spoken, and I can't go back on my word.
The operation began, and Xie Wan made an incision at McBurney's point in the right lower abdomen.
This patient is a little fat and has a lot of subcutaneous fat.
Xie Wan took some effort to cut through the dermis and subcutaneous fat layer by layer.
She looked at Zhou Aimin. Zhou Aimin probably seldom served as an assistant to others. Only then did he realize that it was time for him to use electrocoagulation to stop the bleeding.
Xie Wan complained in his heart: "This assistant's eyesight is not as good as Dr. Wu's."
Of course, she was just complaining with a bad taste, and didn't think about Zhou Aimin. If it wasn't for teaching her, how could a director like her have much chance to become an assistant?
Xie Wan carefully explored the abdominal cavity and found that a large amount of pus had seeped into the abdominal cavity.
This is so sad.
She had to clean out the pus in the patient's abdominal cavity before she could fully expose the surgical field.
"Gauze!" As soon as Xie Wan stretched out her hand, the nurse handed her gauze.
Xie Wan began to pull out a pile of intestines.
Zhou Aimin nodded silently.
Although she is a female student, she is not afraid of dirt or hard work, which is pretty good.
Finally, Xie Wan cleaned up the pus and exposed the front end of the appendix.
Following the cecum, we found the appendix which was obviously congested and enlarged.
This appendix is about 10 cm long and 1.5 cm in diameter. It is gangrenous and perforated at the root, surrounded by fat and severely adhered to the surrounding tissues.
Xie Wan had no experience in separating such tissue adhesions.
She did not rush forward, but looked at Zhou Aimin for help: "Teacher Zhou, please show me how to peel off the adhesion tissue."
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