Chapter 13: with translation of chapter title

Zheng Ren made the incision, incision 5cm, the practice of standard small-incision appendectomy. The instrument nurse was Xie Yiren, attentively watching Zheng Ren's hand movements, before completion, anticipating the next step, handing over the instrument.

In line with the standard, very professional.

Electrocautery hemostasis, small curved forceps Blunt Dissection, step by step began a "misdiagnosis" Shou Bing.

In the demonstration room, Cen Meng happily looked at the screen, muttering to himself: "Such a small incision, really confident."

"Yeah, the incision for a standard appendectomy rarely opens this small."

"This time I really learned."

The sarcastic comments were like slaps, one after another hitting Director's face, making papapa sounds.

His head lowered more and more, preparing to lose face.

The belief supporting Director was only left with Zheng Ren's pancreaticoduodenectomy performance, like a celestial being flying in from beyond, at its peak.

In Xinglin Yuan, it was livelier than the demonstration room.

After all, it's an online livestream; nobody knows anyone, no conflicts of interest, only pure academic discussion.

Therefore, the remarks were more direct and also harsher.

"Cutting a 5cm opening in the right upper abdomen for exploratory laparotomy, is the surgeon trying to ascend to heaven?"

"He diagnosed acute appendicitis; according to his diagnosis, the inflammatory strands in the gallbladder area are a suppurative appendix; stop nitpicking, quietly watch the god Shou Bing."

"This is the most absurd Shou Bing I've ever seen; that the doctor has survived to now without being beaten to death is already a miracle."

Whether the demonstration room or in Xinglin Yuan, none of it reached Zheng Ren's ears.

The Operating Room was very quiet; Zheng Ren protected the wound with a small gauze, reached out, and a medium curved forceps landed in his hand.

Suction Device, put on a cover. Zheng Ren slapped the medium curved forceps onto the sterile drape, focused on the operating field, and said somewhat coldly.

Xie Yiren's judgment made its first mistake; hurriedly she screwed on the Suction Device's cover and slapped it into Zheng Ren's hand.

The Suction Device emitted a "hissing" sound, breaking the silence in the Operating Room.

Zheng Ren held the Suction Device in one hand and used a curved forceps to perform Blunt Dissection of the peritoneum; at the moment the peritoneum opened, the Suction Device was inserted.

"Cen Meng, go prepare to scrub up." Seeing Zheng Ren need the Suction Device, preparing to open the peritoneum, Director Liu arranged.

His voice wasn't loud, but just enough for Director Pan to hear clearly.

This is contempt, undisguised contempt.

Zheng Ren's Shou Bing, from skin incision to now, has nothing to fault. If one were to nitpick like finding bones in an egg, the Technique authority would be questioned.

But Director Liu was certain Zheng Ren had misdiagnosed; when opening the peritoneum, he arranged his own people to scrub up, preparing to take over the subsequent Shou Bing—this was also a face-slapping step he had long planned.

Seeing the script unfold according to his expectation, Director Liu's face showed a hint of a smile.

He had no intention of performing this Shou Bing; even if it were complex acute cholecystitis, he himself had no need to do it—Inpatient Chief Cen Meng could handle it.

He just needed to sit here and use his gaze to mock Director Pan.

In the Xinglin Yuan forum livestream, barrage after barrage began to flood the screen.

"Damn! It's really being done according to appendicitis; such an awesome doctor is too rare."

"He doesn't even need an assistant; where does his confidence come from?"

"Suction Device? Is this livestream just a joke? If he can suck out pus, I'll livestream eating all the pus."

…………

The Suction Device quickly fell into the opening of the opened peritoneum, just right, not a bit of pus would leak out.

As soon as it was put in, clumps of yellow-green pus were sucked out through the Suction Device's tubing.

The amount of pus was large; the Suction Device sucked for 32 seconds.

In the demonstration room, Cen Meng, who was about to receive orders to scrub up, froze; Director Liu's smile also froze on his face.

Pus? Generally, cholecystitis does not produce pus leakage; clinically, the most common source of pus leakage is acute appendicitis.

Could it really be acute appendicitis? Everyone misdiagnosed?

Impossible! Whether Cen Meng or Director Liu, they are desperately recalling the B-ultrasound presentation of acute suppurative appendicitis. Even if it were an ectopic appendix, the B-ultrasound should have shown something.

Cen Meng stood at the doorway, neither going nor staying.

He began to waver; if it really were appendicitis, having scrubbed up and standing in the Operating Room, would he be slapped in the face by the livestream? If so, he would lose face big time.

In the Xinglin Yuan livestream, the barrage completely flooded the screen.

"Awesome, it really can suck out pus; it won't smash the gallbladder, will it?"

"How's that brother who said he'd livestream eating the pus? Is the pus tasty? Waiting for the livestream."

"I go... Could it really be appendicitis? I've never seen such a case."

"Suppurative appendicitis, yet only a 5cm small incision—truly confident; which big shot is doing the livestream?"

After 32 seconds, no more pus appeared in the Suction Device.

Zheng Ren placed the Suction Device on the sterile gauze that Xie Yiren had laid out, to avoid contaminating the Shou Bing area.

Then he began to continue dissecting the peritoneum.

The peritoneum opened 3cm, and a thick, large, purplish-black thing protruded.

Continuing the dissection, the peritoneum separated 5cm, and a purplish-black thing sprang out directly.

Congested, edematous, and covered with a white purulent coating.

No matter the shape, any surgeon can recognize at a glance that this thing before them is the appendix.

It can only be the appendix.

It must be the appendix.

The demonstration room was dead silent.

Director Liu's smile had already frozen on his face, the orbicularis oculi muscle trembling uncontrollably, like an electric shock.

Director Pan's back gradually straightened, he stared straight at the screen, his hands slightly clenched.

In the Xinglin Yuan live-streaming room, the bullet comments briefly disappeared; it seemed as if everyone realized this truly was an appendectomy, with the incision in the right upper abdomen.

After 47 seconds of silence, the bullet comments began to appear intermittently.

【Damn, I really saw Da Niu.】

【I'm curious about how he diagnosed it; the pre-op test report didn't have a single item that could confirm it was an ectopic appendix. I guarantee the surgeon definitely hid other tests.】

【It's as if you think doing a lower-abdomen MR qualifies you to diagnose; mere mortal, tremble before the great god.】

Zheng Ren's hand was very steady, his movements not fast, but very accurate.

Because the appendix artery was congested and swollen, Zheng Ren did not take the usual ligation but used a suturing technique. The fine needle and thread shuttled back and forth within a 5 cm square, handling it with ease.

The suppurated appendix was cut off, thrown into the specimen basin with forceps.

Zheng Ren reached out; Xie Yiren's actions were a bit slow, a bit hesitant.

"Xiao Wan, scissors." Zheng Ren seemed to know what Xie Yiren was thinking, focusing on the surgical area without turning his head as he said.

"After the appendix is removed, shouldn't it be rinsed with saline? What does he want Xiao Wan and the scissors for?" In the teaching room, someone raised a question.

Although it was a question, there was none of the blatant contempt from before the surgery.

Yes, not talking about how the surgery went, just being able to accurately diagnose an ectopic appendix is enough for countless surgeons to brag about for a lifetime.

Moreover, his surgery was beautifully done; from the incision to now, it took less than three minutes, with half a minute spent suctioning pus.

To avoid being embarrassed, those with doubts could only hold back; when they did ask, they dared only use the smallest voice, akin to muttering.

【Xiao Wan? Scissors? What is he going to do?】

【The appendix has already been removed, what more is there to show? Da Niu, you're already amazing; leave us a classic memory, don't mess it up.】

【What do you know? Others aren't better than you.】

Xinglin Yuan truly is a professional website; once they spot the surgeon's badass aspect, immediately over half of them kneel.

Only Technique can get close to Technique; those willing to browse such a professional website are basically technique-oriented.

They essentially reveal a worshipful attitude toward high-level surgery.

【He's detaching the pus membrane attached to the gallbladder wall!】

【Good heavens, isn't he afraid of damaging the swollen gallbladder?】

【Worship! I want to know which great god is performing this surgery; I want to go study under them!】