City First Hospital.
In a ward in the ergency departnt, Song Pingping had already confird with her doctor about the surgery scheduled for that day.
Song Pingping’s boyfriend, who followed Yao Shi, had imdiately seen his latest video, and it made him have second thoughts.
"Pingping, maybe you should reconsider. Your sister does really well in school, right? Does she have any high school classmates who went into dicine? Have her ask around about this Wu’s Umbilical Hole Laparoscopic Appendectomy."
Song Pingping’s younger sister was currently studying in Xianglin City. She had previously attended the best high school in Fan City, Fan City First High School. As it turned out, she did have a classmate studying at Qinghe City Jiuhua Hospital.
Song Pingping knew her boyfriend was just concerned for her, so she sent her sister a ssage asking her to look into it.
When her sister learned she was having an appendectomy, she didn’t dare be careless.
She quickly contacted her best friend from high school, Ling Ling, who was now an intern at Jiuhua Hospital.
Ling Ling herself was a doctoral student at Jiuhua Hospital. Her ntor was Ma ngchao, the director of general surgery.
The general surgery departnt of Qinghe City Jiuhua Hospital had a brilliant history in the annals of Jin Country dicine, having produced many dical experts who were famous nationwide and even internationally.
Ma ngchao’s teacher was the esteed Scholar Zeng Jiu, and Ma was his star pupil and chosen successor. His field of research was hepatobiliary surgery and liver transplantation, and he had long been dedicated to the study of modern hepatobiliary surgical theory and techniques.
Scholar Zeng was the first in the world to propose the new concept of "Precision Surgery," establishing the paradigm for precision hepatobiliary surgery.
This concept received widespread recognition from academic circles at ho and abroad. It was incorporated into eight national industry guidelines, included in the national standardized surgery textbooks, and featured in the Southern Country-published textbook *Hepatobiliary Cancer*!
As Zeng Jiu’s star pupil, Ma ngchao showed great potential to carry on his ntor’s legacy and was even a candidate for the title of Scholar himself. He was a senior mber of the Jin Country Surgical Society and the editor-in-chief of the *Jin Country Surgery Journal*.
Furthermore, he was the editor-in-chief for the *Encyclopedia of dicine - Abdominal Surgery Volu*, a highly influential work in the field.
As Scholar Zeng Jiu’s grand-disciple, Ling Ling was also the cream of the crop. Her perspective and experience were far beyond that of an ordinary doctor.
When she heard Song Guoguo ntion the Wu’s Umbilical Hole Laparoscopic Appendectomy, she realized she had truly never heard of it.
Song Guoguo forwarded her the article from Fan City First Hospital’s official account. After reading it, Ling Ling, with her understanding of surgery, found herself quite interested in this surgical technique.
"Guoguo, this is all I can say. Based on my knowledge and experience, even though I’ve never seen it or read about it before, I think it has its rits."
"I’m surprised a local hospital in our own Fan City has a doctor like this. Tell you what, I’ll forward the details of this surgical technique to my ntor right now and ask him to take a look and give his assessnt."
"But, you know my ntor is extrely busy. I wouldn’t dare bother him with a typical question. This new surgical technique from Fan City, however, has so interesting ideas and technical substance. I believe he’ll be interested. I just can’t guarantee when he’ll reply."
"For now, all I can say is that without any data from completed cases, this surgical technique still carries risks."
Ling Ling’s reply was very conservative. She remained objective and rigorous, not daring to jump to any conclusions.
"Okay, I understand. I’ll forward your advice to my sister."
Song Guoguo forwarded Ling Ling’s opinion to Song Pingping.
After reading it, Song Pingping hesitated for a mont but still chose to go ahead with the surgery as planned.
After all, the results from City First Hospital’s extrely elderly patient had been the real deal.
Once Song Pingping made her decision, her boyfriend didn’t press the issue.
Song Guoguo knew her sister’s personality well. She told Ling Ling that after hearing her advice, her sister was still preparing to go through with the surgery.
"Okay, Guoguo. I’m so sorry, my ntor still hasn’t replied. After your sister’s surgery is done, could you send so postoperative photos? I’m also very curious to see the results of this surgical technique."
"If your sister is unwilling to share for privacy reasons, I completely understand. I don’t an anything by it; it’s purely for academic research."
Ling Ling was very passionate about academic research; after all, Wu Ting’s new surgical technique had significant clinical value.
After Song Guoguo asked her sister, Song Pingping generously agreed.
At the scheduled ti, after the preoperative consultation and the signing of the inford consent form...
Wu Ting’s first-ever Wu’s Umbilical Hole Laparoscopic Appendectomy officially began.
Wu Ting was the chief surgeon, with Jiang Ming personally serving as first assistant, Luo Ming as second assistant, and Cheng Feng observing to learn.
The entire operation was recorded from multiple angles, serving as a milestone record for this surgical technique.
Following Wu Ting’s design, the operating table was tilted 30° to the right, and the patient’s right side was elevated 30° to bring it to a horizontal plane.
". . . Knee straps . . ."
Following Wu Ting’s instructions, Luo Ming did the grunt work, securing the patient’s knees and applying corresponding restraints to her left hip and the right side of her chest.
Feeling the patient’s physique and skin, especially her flawless abdon, Luo Ming felt it was a work of art. To perform a standard appendectomy would be to ruin a masterpiece of creation.
The anesthesiologist then entered and administered general anesthesia via endotracheal intubation, ensuring the patient’s abdon was relaxed, before placing the hip supports.
". . . Wu’s Umbilical Knife . . ."
It was also the first ti the scrub nurse had handled such a special umbilical knife. She handed it to Wu Ting with great care.
Based on Song Pingping’s height and abdominal wall thickness, he began precise calculations, designed the incision, and then thodically cut into the abdon!
". . . Balloon trocar . . ."
Jiang Ming imdiately coordinated, inserting the trocar to prevent any air leakage.
". . . Create a 12mmHg pneumoperitoneum . . ."
". . . Patient in Trendelenburg position . . . Head down, tilted 40° to the left . . ."
While controlling the entire process of the surgical technique, Wu Ting also adopted Director Huo’s posture as he explained the principles behind it.
"This is one of the key steps of our surgical technique. It ensures the small intestine is displaced to the upper left abdon, guaranteeing full exposure of the cecum."
Listening to Wu Ting’s explanation, Luo Ming and Cheng Feng both nodded, committing it to mory.
Jiang Ming was also savoring the comprehensive and intricate design of Wu Ting’s surgical technique.
’This guy,’ Jiang Ming thought. ’To be able to consider every aspect with such precision just by running simulations in his head... what monstrous talent.’
Jiang Ming had seen many top-tier doctors, but for his age, Wu Ting was the most monstrously talented one he had ever encountered.
". . . Before the procedure, it is imperative to conduct one final, comprehensive observation of the appendix’s condition to determine if any inflammatory disease is present . . ."
Wu Ting continued to share the key points of the surgical technique.
Jiang Ming, Luo Ming, and Cheng Feng all morized his words intently, planning to review the video recording after the surgery was complete.
After confirming everything was in order, they proceeded to the next step.
". . . 45cm grasping forceps . . . Director Jiang, coordinate with on the cara . . ."
Jiang Ming controlled the laparoscopic cara while Wu Ting took the lead, expertly manipulating the grasping forceps to retrieve the patient’s appendix and cecum.
Then, a clean and decisive appendectomy . . .
Burying the appendiceal stump . . .
Effectively achieving hemostasis of the soappendix . . .
Afterward, the cecum was returned to the abdon, and the pneumoperitoneum was re-established . . .
". . . Next is the most critical part. We must confirm that the pelvis and the right iliac fossa are free of bleeding and fluid accumulation before proceeding with abdominal closure . . ."
". . . If pus is present, a suction-irrigation cannula must be used to treat the area with tronidazole. Then, the solution must be completely suctioned out, and the umbilicus disinfected with povidone-iodine . . ."
". . . Finally, the most crucial steps: peritoneal closure and umbilical reconstruction . . ."
An ordinary abdominal closure might be delegated to an assistant, but not for this surgical technique.
Wu Ting used a Costic Surgery suturing technique to close the umbilicus!
"Post-operatively, all that’s needed is a sterile dressing with a povidone-iodine-soaked cotton ball. This can be stopped after three days, followed by another three days of antibiotic treatnt."
The surgery took a re 39 minutes, and that was with a significant amount of ti spent on explanations. Wu Ting had completed City First Hospital’s very first Wu’s Umbilical Hole Laparoscopic Appendectomy.
Looking at the umbilicus Wu Ting had just finished suturing,
the other doctors in the operating room were completely stunned.
"Did she really just have an appendectomy?"
"This must be a post-appendectomy patient’s photo that’s been Photoshopped!"
"Even standing right here, you can’t see an incision on her abdon. The costic result is incredible!"
"Most importantly, an incision like this causes almost negligible trauma. Recovery will be several tis faster than a conventional laparoscopic appendectomy!"
"It’s a success! It’s a success!"
"This is a perfect surgical technique! It combines advanced principles, a sound scientific basis, minimally invasive costic benefits, and outstanding therapeutic effects. It has huge market potential and clinical significance!"
. . .
. . .
When Song Pingping was brought back to her ward from the operating table, she saw her abdon for the first ti and froze, thinking the surgery hadn’t even been perford.
It took her a good while to confirm that the surgery was, in fact, successful.
Song Pingping burst into tears. This ant the surgery would have zero impact on her professional career.
’City First Hospital, City First Hospital, you’re amazing!’
Song Pingping had her boyfriend imdiately take a few pictures of her abdon—a wide shot, a dium shot, and a close-up. She sent them to her sister to forward to Ling Ling at Jiuhua Hospital.
Ling Ling received the photos and looked through them one by one:
"???"
"Guoguo, you must have sent the wrong ones. These are from before your sister’s surgery." Followed by a facepalm emoji.
Until she saw the final close-up shot!
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