Chapter 140: Chapter 140: The Royal Appendicitis Monster You Can Only Meet Once in Your Life! (5th update, please subscribe!)
When Duan Bo saw this scene, he was momentarily stunned.
But Duan Bo and Guo Cheng were two completely different people.
When Guo Cheng asked Chen Cang to perform surgery, it was basically Chen Cang doing all the work.
Duan Bo, on the other hand, was full of ideas; he gave Chen Cang a professional fee of 2000 for an appendectomy, took care of everything from reception to send-off, and treated him warmly, all in the hopes of learning Chen Cang’s technique.
Duan Bo was a man with a sense of responsibility and ideas. At the peak of his strength, what he wanted most was to make the Lanxian City People’s Hospital General Surgery Department a model division, and to make a name for it.
When something happened, Duan Bo did not panic; instead, he was very calm.
He began to carefully search for the appendix with the tissue forceps, but at this moment, the abdominal cavity was full of adhesions, and nothing could be seen.
Duan Bo hesitated, “Expert Chen, with a situation like this, can it be handled with a small incision?”
Chen Cang was taken aback and hesitated for a moment before walking over, only to hesitate at the scene before his eyes.
The situation inside the abdominal cavity was serious; if surgery was performed now, the difficulty would increase. Most importantly, the appendix had not yet been found!
What was this?
Could it be a misplaced appendix?
Seeing this, Duan Bo said, “Should we go for an open surgery then?”
Chen Cang did not fixate on the small incision surgery; after all, patient safety was more important than anything else. Even if Chen Cang didn’t make this money, he still had to ensure the patient’s safety!
Of course, Chen Cang could also insist on the small incision surgery. With Chen Cang’s technique, there shouldn’t be a big problem.
Even a showy operation could, after completion, possibly elicit sighs and shocks.
But Chen Cang did not want to transmit this kind of risky impulse to these doctors.
They were not very familiar with the small incision approach, and if they encountered some unforeseen situations, it could lead to serious problems! Therefore, Chen Cang swiftly nodded, “Open surgery! Shall 1 do it? The patient’s condition is a bit special, I think this surgery is not ordinary.” Duan Bo nodded and actively stepped aside. Chen Cang took the tissue forceps, frowned suddenly, and wondered, why was there so much pus in the abdominal cavity?
The perfect level of appendectomy allowed Chen Cang to be well-informed about the environment of the appendix in the abdominal cavity and various conditions around it.
At this moment, he thought of an extremely difficult appendectomy!
Chen Cang said to Duan Bo, “Hold the hook for me!”
Duan Bo immediately nodded and took over.
Chen Cang continued to the doctor beside him, “Doctor Yang, suction the fluid.”
The latter also hurried to begin.
After the fluid was suctioned away, Chen Cang picked up the tissue forceps and began to operate.
Finally, the cecum was found in the right upper abdomen!
Duan Bo was instantly stunned, “How did it get there?”
The young doctor beside him nodded too, “Even if it’s misplaced, it shouldn’t be that far, right?”
Chen Cang turned to the nurse and said, “Scalpel!”
The nurse thought Chen Cang wanted to perform an open surgery, and hurriedly passed the scalpel!
Chen Cang didn’t continue to enlarge the original incision, but instead made a 5cm opening in the area of the gallbladder in the right upper abdomen!
This left Duan Bo looking bewildered…
“Expert Chen… what are you doing?”
Chen Cang not only did not enlarge the wound at the original location but decisively chose to make an incision elsewhere after the suction inspection, which naturally made everyone curious.
Chen Cang did not look up, but while making the incision, he said, “This should be a very rare case, perhaps once in a lifetime. The patient has a misplaced appendix, and through tracking the cecum, it can be found, but it’s inoperable because the appendix’s mesentery may be severely adhered to the gallbladder fossa, the liver, the peritoneum, and the omentum. If too much force is used, it could potentially damage the liver!”
As he finished speaking, the incision appeared!
After opening the incision, the scene that met everyone’s eyes made them all gasp.
Chen Cang explained, “The patient must have previously had a cholecystectomy, which caused complications thereafter, lingering, and resulting in chronic adhesions. Additionally, the patient’s appendix was inherently misplaced, and in the process of all these responses, adhesions occurred between the omentum, the peritoneum, the appendix’s mesentery with the gallbladder fossa, and the liver.”
After finishing, Chen Cang began to carefully dissect.
As Chen Cang continued to speak and operate, “If I’m not mistaken, the base of the patient’s appendix should have formed gangrene, and there are abscesses around the appendix!”
Most peri-appendiceal abscesses are contained by the omentum, the lateral peritoneum, small intestine, and other nearby tissues following perforation caused by gangrenous appendix.
The scene in front of them was a complete mess, how to perform the surgery?
Duan Bo felt a tingling on his scalp after seeing this scene.
Meanwhile, Chen Cang received a system prompt!
I Ding! Atypical Gangrenous Perforated Appendix with Surrounding Abscess, 1V4O, King-level Appendicitis Monster! Traits: Extreme adhesion connecting the appendix to the gallbladder triangle and the liver…]
After seeing the prompt, Chen Cang couldn’t help but be astonished!
King-level?
Could this be the most difficult appendectomy ever?
At this thought, Chen Cang’s eyes lit up!
What kind of equipment would he get from cutting it out?
A divine artifact?
Or…
This was the first time Chen Cang had encountered a disease of this level.
Thinking this, Chen Cang was itching to try!
“Separating forceps!”
“Gauze!”
“Tissue forceps!”
“Tweezers…”
The entire separation process was very complex, with too many factors involved; damaging the gallbladder or bile duct could lead to a more serious intra-abdominal infection, and liver damage would be even more trouble!
This meant that the difficulty of the surgery was exponentially increasing!
However, Chen Cang’s hands were steady, meticulous, and precise.
He proceeded with extreme caution.
And Chen Cang was patient.
Moving a millimeter at a time, slowly.
The spectators watched, so tense they hardly dared to take a deep breath!
Time passed by the minute and by the second.
Chen Cang gradually began to feel the strain.
More than an hour had passed since the surgery started.
This kind of high-intensity, high-precision operation truly drained one’s energy.
Not to mention Chen Cang, even Director Duan, who was assisting with retraction, felt his back and waist aching, wanting to stretch out, yet worried that he would disrupt Chen Cang’s operation.
He simply gritted his teeth and continued to hold on.
It was a contest of physical endurance.
It was also a battlefield for patience and meticulousness.
Without smoke or shouts.
The operating table was so quiet that everyone could hear their own heartbeat.
At that moment, the patient gasped, “Doctor, I… am beginning to feel pain…”
Chen Cang frowned immediately!
The anesthesia was wearing off!
Typically, an open incision appendectomy like this is done under local anesthesia, using spinal anesthesia, which is a form of regional anesthesia; during the operation, the patient will be conscious and might feel discomfort or pain. If it were a laparoscopic operation, general anesthesia would be used.
General anesthesia is the most safe and reliable, completely without sensation, and very comfortable, but it is much more expensive.
The anesthesiologist’s face changed, “The anesthesia might be wearing off… Should we continue with the anesthesia?”
At this point, continuing with anesthesia was definitely not practical; he was almost there.
Chen Cang shook his head, “No need!”
Pick up the pace!
At this moment, Chen Cang’s hands moved with steady agility, leaving Dr. Yang beside him somewhat dumbfounded, these hands were extraordinary….