The Surgeon's Studio

Chapter 1501: Chapter 1501 – vermiform appendix

In Sea city, on the night of his appendicitis, Zheng Ren had already received sufficient appendectomy training in the system space.

Appendectomy was the foundation, the foundation of surgery.

Zheng Ren’s Foundation was extremely solid, enough to support a ten thousand feet tall building.

Even so, Zheng Ren could not guarantee that he would be able to handle the appendectomy in front of him.

Standing in front of the operating table, Zheng Ren thought for a while and carefully chose to make a 10 – centimeter incision on the right side of the abdominal wall.

He opened the peritoneum and began to clear the intestines.

As he was worried that he would indulge too much and make a big mistake outside one day, Zheng Ren habitually performed regular surgeries in the system space.

Ten minutes later, Zheng Ren sighed.

He knew what kind of situation chief Wei was in. He did not have an Appendix!

After searching through his intestines, he could not find his Appendix at all!

Zheng Ren would rather have gangrene appendicitis like fan Tianshui’s or Wu Hui’s appendicitis that had not been removed in one go than this type of appendicitis.

He took a closer look at the system panel. The diagnosis was clear. It was indeed acute pure appendicitis.

“That’s right, but where’s the appendix?”

......

Let’s dissect them. I can only use my final killing weapon.

Zheng Ren did not hesitate. He looked around to make sure that there were no assistants or anesthetists, and that the environment was also the system operating theater.

And in front of him were experimentals, not patients.

He raised his hand and began to dissect the experimental body.

15 minutes later, Zheng Ren felt like he was going crazy.

On the operating table ... The dissection table, the intestines were completely turned over, and the appendix could not be seen even if one looked directly at it. The peritoneum was complete, and there was no peritoneum rupture. There was also the possibility that the verniform herniation extended to the retroperitoneum.

There was also no groin herniation.

It was a simple and standard anatomical structure, but there was no freaking Appendix.

The operation was declared a failure.

Appendectomy, the operation failed!

Zheng Ren was a little dejected.

He recalled what department Director Luo said just now. Even though gastrointestinal endoscope was simple, one had to give it their all every time.

Even so, he couldn’t avoid mistakes.

His general surgery skills were already at the master level, and with the system operating theater, he could directly perform dissections.

Even a cheater might not be able to find the appendix.

He sighed, calmed his irritable mood, and selected another operation.

The dissected experimental body disappeared, and another experimental body appeared in front of him.

Zheng Ren was not in a hurry to perform another surgery. Instead, he quietly recalled.

There were all sorts of literature reports and case analyses.

The medical cases flashed through Zheng Ren’s mind like a revolving lantern. He suddenly thought of a possibility of the appendix in the Xuanji cavity.

Verniform Appendix meant that the appendix did not grow outside, but inside the appendix.

The cecum was the beginning and the shortest section of the large intestine. It was about 6 – 8 cm long and located in the lower right part of the abdominal cavity.

There was an ileocecal valve at the junction with the ilectomy, and the cecum was below it. There was a hole that connected the appendix, and then the ascending colon.

This was the primogenitor of the large intestine. It was in the shape of a pouch and was located in the right iliola, which was connected to the colon. The mucous membrane from the intestine to the entrance of the cecum protruded into the intestinal cavity, forming two lip – shaped ileocecal valves, which prevented the contents of the large intestine from flowing backward into the small intestine.

In many places, especially in Xiangjiang city, appendicitis was called appendicitis because of its anatomical structure.

Verniform Appendix meant that the appendix did not wander outside, but instead grew abnormally inside the appendix.

This type of Appendix would usually narrow the appendix and cause intestinal obstruction.

Moreover, the probability of its appearance was not high. Even if there were some individual reports, the overall number was very small.

A sudden flash of inspiration allowed Zheng Ren to find a new direction.

He thought for a while. He had already dissected the experimental body, but he had not seen the appendix. The only possibility was that it was an artillum Appendix.

Let’s open it then.

When he arrived in front of the experimental body, he made the same vertical incision on the right side of the ABS, which was 10 cm in length. He cut into the abdomen layer by layer and found the cecum.

Zheng Ren touched it with his hand.

There was no sign of a duoluozhong Appendix in the intestinal tract.

However, Zheng Ren did not give up. He continued to touch his intestines.

On the operating table outside, this kind of operation should be avoided as much as possible. This was because damaging the intestinal mucous membrane would increase the possibility of postoperative intestinal adhesion and intestinal obstruction.

However, in the operating theater of the system, Zheng Ren did not have such concerns.

He went back to his blind area and touched about 12 cm before he vaguely felt a foreign object.

Normally speaking, it should be something like feces. However, to Zheng Ren, who could not find the appendix, this was the clearest hint.

He squeezed hard, not caring if there would be postoperative intestinal obstruction. After all, he was an experimental subject, and the strength he used was somewhat unbridled. This time, Zheng Ren was even more confident.

He then picked up the lancets and cut open the cecum.

As the intestines were cut open, the appendix, which could not be found anywhere, appeared in his field of vision. It was like a small worm, lying obediently at the end of the cecum, with slight edema.

This time, Zheng Ren’s heart finally settled down.

He observed the appendix carefully. In terms of “size,” the patient’s Appendix was relatively small, which was probably the reason why it did not cause intestinal obstruction.

The surface of the appendix had a little pus, blood congestion, and edema. It was still early, and it was estimated that it would take at least two to three days for a perforation to appear.

But how should he cut it?

Zheng Ren was a little confused.

It was not like the appendix, which was outside the appendix. After cutting, ligation, and paying attention to the vermiform artery, it would be done.

Now, the appendix was in the appendix, and the intestines were folded. It would still be difficult to remove it after incision.

Let’s try it.

Zheng Ren began to practice appendectomy.

It was as if he had returned to the time when the system space was unstable. Zheng Ren returned to the starting point and began to study appendectomy again.

……

……

“Boss Zheng, do you want to come up and take a look?” Feng Jianguo asked in a low voice.

“How long does the patient need to abstain from water before the surgery?” Zheng Ren suddenly asked.

“Six hours,” Another leading professor said in a low voice.

“It’s a routine. You didn’t get an sausage, right?”

“Yes.” The two leading professors and director Wei were a little confused. Why did boss Zheng ask so many questions?

“If you can’t find it, it might be an arcamentum vermiform appendix. It’s best to use a endoscope to take a look. “But there’s no colon ...” Although Zheng Ren had already confirmed that it was a duoluozhong appendectomy, he still had to give a reason to cut open the intestines.

“Boss Zheng, I’ve touched it. There’s no Appendix around 6-8cm above and below the ileocecal region. ”

‘He’s really experienced,’ Zheng Ren thought to himself. However, the position of the patient’s Appendix was extremely special. It was very far away from the ileocecal region, so chief physician Wei did not manage to touch it.

If it were not for the system’s operating theater, which allowed him to explore without any worries, he probably would not have been able to find the position of the appendix in this cavity.

“Director Wei, you’ve searched his intestines, right?” Zheng Ren asked.

“Yes.” Chief Wei nodded.

“What about the retroperitoneum?”

“There’s no hernium, and it’s not a retroperitoneum vermiform the appendix. ” Director Wei sighed, as if what boss Zheng said didn’t matter.

Zheng Ren looked at the operating area and said,”I’ve already flipped through them. I’m thinking that the possibility of endoskeletal Appendix is higher.” Why don’t you use a endoscope to observe it?”

“Endoscope?” Chief Wei was stunned for a moment.

“Yes. If there’s no problem with the diagnosis, I’ve searched the abdominal cavity, but I still don’t see the appendix. “The possibility of the verniform Appendix being inside the abdominal cavity is higher. It might even be a variation in the position. I suggest you use a endoscope to take a look. If you still can’t find it, we’ll think of another way. ”

After he finished speaking, he looked at director Wei and asked,””What do you think, director Wei?”

“Prepare for an intraoperative sausage!” Director Wei agreed with what Zheng Ren said. He was a little excited and said directly,””Tour?”

The circulating nurse was dumbfounded.

Do you need an intraoperative sausage? How troublesome would that be?

Trouble was a small matter. What could be more troublesome than a ‘missing’ Appendix?

The patient’s position, the sterile area, and the filling process ... What about the things that would come out?

“Please wait a moment, director Wei.” “How many days did the patient suffer from pain before the surgery?” Zheng Ren asked.

“Three days,” Another professor said,”it’s a liquid diet with a small amount. It should be ...... Almost all of the feces have been discharged. ”

“Try the endoscope, but not the intestine. He didn’t need a endoscope to do anything, he just took a look. If there’s a lump of feces, it’s still not too late to stuff it into your intestines. ” Zheng Ren said.

The circulating nurse let out a long breath.

“I’m going to do a colonoscopy. ” Feng Jianguo said.

“Director Luo came up with me, so he’ll probably be here soon. Let director Luo do it.” Zheng Ren turned around and said as he was about to wash his hands.

Director Luo? What was he doing here?