Since coming to this era, it is not the first time that Hu Xiaotian has performed surgery, and for him, an appendicitis operation is not difficult at all.
Originally, he was still a little hesitant because of Long Yelin's identity, but after he really decided to operate on him, Hu Xiaotian quickly calmed down, what is the emperor, the emperor is also a patient, if you want to perform a successful operation, you must forget the identity of the patient, and simplify the relationship between them, there is no monarch and minister, there is no high and low, I am a doctor and you are a patient, it's as simple as that.
Hu Xiaotian's purpose in looking for Li Yifeng was to get surgical instruments from him, Hu Xiaotian's earliest operation was carried out with the help of Yi Yuantang, and later Li Yifeng also specially according to the map he provided, and found Dakang's first-class workshop Tian Gongfang to create a complete set of surgical instruments, and before Hu Xiaotian went to Qingyun, he also gave him a set as a gift, but that set of instruments was lost when he left Qingyun.
Hu Xiaotian asked Li Yifeng, and Li Yifeng really still had a set there, so he hurriedly sent someone to Yi Yuantang to get the equipment.
In modern surgery, appendicitis surgery is preferably performed with spinal anesthesia or epidural anesthesia.
Of course, local infiltration anesthesia can also be used, and in the immediate medical conditions, only local anesthesia is most feasible.
Li Yifeng provided Yi Yuantang's anesthetic, but his anesthetic didn't seem to work well for the emperor, and after taking it internally and applying it externally, Long Yelin's pain did not reduce much.
According to Hu Xiaotian's requirements, the Xuanwei Palace was temporarily converted into an operating room, and all the idle people withdrew, and the surgical area was simply disinfected, and Long Yelin's body skin was disinfected with spirits.
The preparation process was quite smooth, but the effect of the anesthetic was always not good, and Long Yelin was humming in pain.
The endurance of this thing is really poor, Hu Xiaotian listened anxiously, quietly invited Ji Feihua aside, and said in a low voice: "Is there any way to relieve the emperor's pain?"
Ji Feihua said indifferently: "You are Langzhong, and the miscellaneous family doesn't know anything about medical skills. ” Hu Xiaotian thought of another idea: "It's okay to let the emperor sleep temporarily." ” Ji Feihua nodded and said, "This matter is simple.
He came to the side of the dragon bed and lit Long Yelin's sleeping hole, and Long Yelin really fell asleep in a daze.
Hu Xiaotian was overjoyed.
Now that the biggest problem has been solved, the surgery can be performed as much as you want.
Hu Xiaotian's surgical instrument atlas gave Li Yifeng a great inspiration, and after Hu Xiaotian went to Qingyun to take office, Li Yifeng improved the instruments and items he drawn.
The rest of the imperial doctors have already left, leaving only Li Yifeng as his assistant, and Hu Xiaotian put on a mask and headscarf and twisted a lancet.
When the only two remaining personal eunuchs of the emperor around saw Hu Xiaotian pick up the lancet, the expression on his face was terrified to the extreme, if Hu Xiaotian had the slightest evil thought in his heart.
If the knife is stabbed, I am afraid that the emperor will die in Huangquan, they looked at Ji Feihua, but saw that Ji Feihua was calm and calm, sitting far away with a cup of tea in his hand and tasting it slowly.
Ji Feihua was calm on the surface, but in fact, he was still a little apprehensive in his heart, his apprehension was not because Hu Xiaotian stood beside the emperor with a knife, with his understanding of Hu Xiaotian.
Hu Xiaotian is a smart man and will never kill himself.
As he himself said just now, even if he doesn't care about his life, he still has to care about the lives of his parents.
Ji Feihua's apprehension was that he couldn't be sure that Hu Xiaotian would be able to cure the emperor and cut his belly to treat the affected area, which was the first time he had heard of it.
Hu Xiaotian took a breath.
Remind yourself to be calm, it's just a minor operation, and it's just an ordinary patient in front of you.
After his emotions were completely calmed down and he reached the realm of having no external objects, Hu Xiaotian twisted the scalpel.
A knife was slashed on Long Yelin's belly, and the two eunuchs who were watching from the rear didn't dare to look anymore, and hurriedly turned around.
Hu Xiaotian used an oblique incision in the right lower abdomen, which uses muscle crossing, which is relatively firm after healing and is not easy to form an incisional hernia; And it is close to the appendix, which is easy to find.
The incision is generally less than two inches long, and Hu Xiaotian is decisive in the knife, and the incision is made in one go.
After cutting the peritoneum, he found that a small amount of exudate and pus were overflowing, and the situation was generally consistent with Hu Xiaotian's prediction, which was not good, nor too bad, he motioned Li Yifeng to pick up the self-made suction device, suction, and suck the exudate in the abdominal cavity clean.
Li Yifeng then used a retractor to pull the incision to the sides, and Hu Xiaotian began to look for the appendix.
The trick to finding the appendix is to first find the cecum, which is small in color and grayish-white, with a colonic band in front and fat lobes on both sides.
Hu Xiaotian was extremely familiar with the anatomy of the human body, and it didn't take much time to find the cecum at all.
After finding the cecum, pinch the intestinal wall with the gauze pad of the fingers, gently lift the cecum, and quickly find the appendix along the colonic belt.
There was no adhesion between the appendix and the surrounding tissues, and Hu Xiaotian used his fingers to dial the tip of the appendix to the incision.
It is important to note that the appendix itself should not be clamped with hemostats or tissue forceps, regardless of the severity of the inflammatory changes, to avoid the spread of infection; It can be clamped with special appendiceal forceps or with a hemostat to clamp the mesangium at the tip of the appendix.
Removal of the appendix should be performed outside the abdominal wall as much as possible, and the mesangenium of the appendix and the appendiceal artery within it must be ligated and removed before the appendix can be removed.
The anatomy of this true dragon son is no different from ordinary people, his appendix mesangium is thinner, and the anatomical relationship is clear, Hu Xiaotian used a hemostat to pierce a small hole in the place where there is no blood vessel next to the appendix artery at the root of the mesangium, pulled through two mulberry lines, and tied one at a distance of about half a centimeter between the top and bottom, and then quickly cut off the mesangium, and then ligated another one at the proximal end.
To complete this step, Hu Xiaotian wrapped the appendix with a small piece of dry gauze, clamped it firmly with tissue forceps, and then wrapped it around the cecum at the base of the appendix with saline gauze, which was to prevent intraoperative contamination.
Lift the appendix and make a purse suture around the base of the appendix on the cecum wall half a centimeter away from the root of the appendix, and do not tighten it for the time being.
After the sutures are completed, a straight hemostat is used to squeeze about half a centimeter from the base of the appendix to prevent the sutures from slipping during ligation.
Immediately use mulberry thread to ligate the indentation, and then use a hemostat to clamp the ligature against the appendix, and cut off the thread with forceps.
The appendix is then clamped half a centimeter distal to the ligature with a straight hemostat, and the needle is sutured deep into the muscular layer, but avoiding penetration into the intestinal lumen.
After the above steps are completed, the appendix can be removed by cutting the appendix with the blade of the lancet upwards and under the straight hemostat clamped at the base of the appendix, and the knife and appendix are discarded together.
The stump of the appendix is then disinfected with a cotton ball clamped with hemostats, and the saline gauze that protects the cecum is discarded.
Hu Xiaotian instructed Li Yifeng to lift the cecum wall on the opposite side of the suture of the purse with a toothless forceps in his left hand, and to hold a hemostat clamping the knot in his right hand to push the stump of the appendix into the cecum cavity, and at the same time Hu Xiaotian lifted and tightened the suture of the purse, so that the stump was buried in the purse opening, and the suture was cut after ligation.
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The last step is to cover the mesangium and strengthen the suture: use mulberry suture to make a seromuscular layer figure 8 suture half a centimeter outside the purse suture, and fix the mesangial stump of the appendix or fatty colon to make the local surface smooth, which can prevent postoperative adhesions to the greatest extent.
Before closing the abdomen, a small gauze ball was clamped with oval forceps, stretched into the abdominal cavity, and the cecum was checked for oozing, pus, and bleeding at the ligation site.
Ji Feihua originally sat there drinking tea, but later she couldn't help but stand up curiously and look at Hu Xiaotian's every move.
Although the people who stayed by Hu Xiaotian's side to help were all laymen, everyone knew this guy's superb medical skills from Hu Xiaotian's skillful techniques and skills, and now no one doubted that Hu Xiaotian was talking nonsense, and began to believe that he did have the ability to save people.
The surgery was done quickly, and it took less than half an hour from start to finish, and the actual operation took even less time.
Hu Xiaotian took off his mask, first came to Ji Feihua's side, and said with a smile: "The operation is done." ” "How" In fact, Ji Feihua already knew the result from the expression on his face.
"Fortunately, not dishonored" Ji Feihua did not immediately unlock Long Yelin's acupoint, after the operation, Empress Jian rushed in as soon as possible, and as soon as she came in, she panicked and said: "Your Majesty, Your Majesty" met Hu Xiaotian head-on.
Empress Jian said: "What's the matter with the emperor, did you take out the bloodsucking bug?"
Hu Xiaotian didn't speak, and shook the tray in his hand in front of Queen Jane, and when Queen Jian saw the bloody, red, swollen and festering appendix, she was so frightened that she felt disgusted and abnormal, and she turned around and vomited.
The appendix can sit up on the day of this minor operation, Hu Xiaotian explained the precautions after the operation to them, one of which is that they can only eat after exhausting, a group of palace maids and eunuchs were all confused when they heard the word exhaust, and someone asked: "What is exhaust?"
Hu Xiaotian originally wanted to say that exhaust is farting, but it seems that the emperor's fart seems to be very disrespectful, so he thought about it: "Exhaust is a dragon's fart in layman's terms, and the emperor can only eat if he hears the dragon's fart." ” A group of palace maids and eunuchs couldn't help but want to laugh when they heard him say this, but no one dared to laugh in front of the emperor and queen, and their faces were flushed, and they endured it quite painfully.
Empress Jian sat on the edge of the bed and saw that the emperor had never woken up, and couldn't help but worry: "Why can't the emperor wake up from his deep sleep?"
Hu Xiaotian looked at Ji Feihua, he was only responsible for the operation, the emperor fell asleep and had nothing to do with him, Ji Feihua didn't understand the acupoints, I am afraid that the emperor would not wake up for a while.
Ji Feihua walked over and gently shook the emperor: "Your Majesty, wake up" has actually quietly unlocked Long Yelin's acupoint.
After Long Yelin's acupoint was unlocked, he woke up leisurely, and the first thing he said when he opened his eyes was: "I am still alive" This chapter is the gofgod league floating red plus more.,whoo league.,The red plus more of the boy and Bao Bao.,In the future, I will continue to release thanks to all the brothers and sisters who reward the octopus and support the octopus.。。
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