The Enhanced Doctor-Chapter 601 Xu Yino’s First Small-incision Kill

(Thanks to Yanxia Misan, Book Friend 110813135333134, Smart Book Dork, Meower Gazing at the Moon, Lazy Deer Calling, Speak to Me Gently, Agreement of the Heartless, Creature of the Night, YiYi Mythology, MoMoSin, davy_7191 for the monthly ticket encouragement)

Although Liu Banxia’s status as the "face of the department" was self-proclaimed, the actual results he produced were genuinely not bad.

By now, Liu Banxia had indeed established a client base and a reputation based on his signature small-incision surgeries.

Before the surgery, Liu Banxia brought Xu Yino to the patient’s ward. He was the young man whose ward Liu Banxia had visited the previous night.

"Sorry for the delay this morning. We had a pregnant woman in labor, so we had to postpone your surgery to the afternoon," Liu Banxia said.

"That’s alright, as long as you’re the one doing it," the young man replied with a smile.

"Well, there’s something I need to discuss with you," Liu Banxia said.

"You know Doctor Xu, right? She’s responsible for some of your relevant examinations and is also your attending doctor for this ward stay."

The patient nodded, a slightly uneasy premonition dawning on him.

"The matter I want to discuss with you is, after the incision is made and we’re locating the appendix, could we let Doctor Xu try to feel for it?" Liu Banxia asked.

The young man was a bit bewildered, not understanding what he meant. Why would they want to *feel* his appendix?

"You see, she’s my student, and we also have certain teaching responsibilities," Liu Banxia continued.

"Some places might let interns get hands-on experience directly during surgery, but whether it’s general or local anesthesia, I always seek the patient’s consent beforehand."

"The small-incision appendectomy, among current medical techniques, offers certain advantages. However, mastering it is much more difficult than laparoscopic and conventional incision methods."

"Doctor Xu studies very diligently, but she’s currently just missing that final bit of practical experience. Could you help her out, let her get a good feel for it, and try to retrieve the appendix?"

"Uh... Dr. Liu, will that affect anything?" the patient asked hesitantly.

Liu Banxia smiled and shook his head. "Not at all. Besides, women’s fingers are generally more slender, which might allow her to locate it faster during the search, potentially reducing the time."

He was stretching the truth a little here. While slender fingers did offer some convenience in exploration, they weren’t so directly related to the task of retrieving the appendix.

The key was the ’feel’ for it; without that particular knack, even the most slender fingers would be useless.

Nearby, Xu Yino looked at the patient with pleading eyes. If the patient agreed, this would become her first independently performed small-incision appendectomy.

If this surgery was successful, she would temporarily take the lead in small-incision appendectomies. If it wasn’t smooth, she would have to continue practicing.

Such cases weren’t easy to come by. This patient had a history of chronic appendicitis, but it wasn’t currently inflamed, making the operational difficulty relatively low.

Otherwise, if she encountered a severely inflamed and swollen appendix, she might not have the courage. What if there was exudate or suppuration? Would she end up harming the patient?

It was unclear whether it was Xu Yino’s pleading gaze or his own feeling that he should contribute to the nation’s medical advancement, but after considering for about two minutes, the young man nodded.

"Thank you! Don’t worry, although my skills might not match Teacher Liu’s, I’m still very capable," Xu Yino immediately perked up upon seeing the patient nod.

"There’s no doubt about that. Other departments are all eager to get the interns I’ve trained," Liu Banxia affirmed.

"So, are we doing it now?" the young man asked.

"Around one o’clock. You can rest a bit longer. We’ll see you in the operating room then—be there or be square, that kind of thing," Liu Banxia said with a straight face.

The young man grinned. Dr. Liu seemed quite playful. It was a good thing; his earlier nervousness had now vanished, he didn’t know where to.

「As they walked out」

"Thank you, Teacher Liu," Xu Yino said happily.

"Don’t just be happy. Strive for success, and don’t drop the ball," Liu Banxia said.

"You’ve palpated quite a few appendices by now. I’ll give you two chances today. If you don’t succeed after two tries, I’ll take over. Alright?"

Xu Yino nodded earnestly. "Don’t worry, Teacher Liu. Whenever you want your appendix removed, I’ll be in charge."

Passing nurses were highly amused. Only Dr. Liu could produce interns who dared to speak like this. They hadn’t seen interns from other departments jesting so freely.

Back downstairs, Xu Yino eagerly announced the news to everyone.

"Enjoy it while it lasts. What will you do if you mess up later? Review the scans again, deepen your impression," Liu Banxia said.

"Hehe, I studied them for an hour last night," Xu Yino said with a grin.

Joking aside, Xu Yino was taking today’s first attempt at a small-incision appendectomy very seriously.

After staying downstairs for a while, seeing it was about time, Liu Banxia led Xu Yino to the operating room.

The patient was already lying on the bed, chatting with Li Liwei.

"Brother Li, we’re changing the chief surgeon today. Doctor Xu will be the chief, and I’ll be the first assistant," Liu Banxia said.

"Oh, congratulations to Doctor Xu then," Li Liwei said with a smile.

"Thank you, Teacher Li," Xu Yino replied gleefully.

"Beauty, just don’t let me suffer too much," the patient spoke up.

"Don’t worry, it’ll be absolutely fine. Dr. Liu, verify the patient’s information," Xu Yino said seriously.

Liu Banxia quickly did the verification.

"Dr. Liu, is this even allowed? She can just order you around like that?" the patient asked curiously after the verification.

"Let her be a little cheeky. Besides, it’s somewhat of an unwritten rule," Liu Banxia said with a smile.

"This surgery is her first time leading a small-incision procedure. She’s already proficient with laparoscopic and conventional incisions; this is the last one she needs to master."

"Besides, she’s the chief surgeon, and I’m the first assistant, so I have to listen to her arrangements. Rules can’t be disregarded; rules ensure order. Otherwise, why would we still verify your information even though we all recognize you?"

The patient nodded. "Actually, this is my first surgery. I’m still a bit nervous."

"That’s perfectly normal. I haven’t had surgery myself either, I’ve only performed it on others," Xu Yino said.

"An appendectomy is a very minor surgery. When we retrieve the appendix, even with the anesthesia, you’ll feel a slight pulling sensation."

"If you feel any significant discomfort, just tell me, and we’ll give you medication to manage it. When I retrieve the appendix, I’ll do it very slowly to minimize any discomfort for you."

"Does everyone experience that?" the patient asked curiously.

"Not necessarily. But I have to tell you, so you won’t be scared. Anyway, I’ve assisted Teacher Liu in many of these, and no patient has ever found it unbearable," Xu Yino said.

"Then it’s no big deal. I can definitely handle it," the patient said.

"Actually, many patients are incredibly worried before surgery. After it’s done, they realize it was nothing," Xu Yino said.

"It’s just one appendix per person. If you had another, you wouldn’t think twice about having it removed next time. How should I put it? To me, it feels similar to incising and draining an abscess."

"Should be about right. The man in the next bed also said it’s over quickly and you don’t feel much," the patient nodded in agreement.

Everyone in the operating room was highly amused. One truly dared to say anything, and the other truly dared to listen. No matter how you put it, an appendectomy is still an organ removal, inherently riskier than incising and draining an abscess.

"Alright, the anesthesia has taken effect. Doctor Xu, you can begin," Li Liwei said after checking.

"Thank you, Teacher Li. Okay, tilt the operating table twenty degrees," Xu Yino said, picking up the scalpel.

"Incision site selected at McBurney’s point, a 1.5-centimeter transverse incision, slightly lateral."

"Electrocautery. Open the tissue. Pay attention to clamping and traction."

Xu Yino operated while verbalizing her steps.

Liu Banxia remained silent this time. He could see the girl was still a bit nervous; otherwise, she wouldn’t be muttering all these things aloud.

After opening the peritoneum, the next step was the most critical: retrieving the appendix.

No matter how perfectly you performed the preceding steps, if you couldn’t retrieve the appendix, how could you resect it?

Xu Yino inserted her finger, her eyes looking towards Liu Banxia, blinking repeatedly.

"HA-HA, I found it! How many seconds, how many seconds?" Xu Yino shouted excitedly.

"Calm down a bit. You’ll scare the flowers and grass if you’re not careful. Thirty-seven seconds, not bad. Next is clamping. Pay attention to the key operational points," Liu Banxia reminded.

"Doctor Xu, you’re very skilled. Go ahead and retrieve it with confidence," the patient chimed in.

"Uh-huh, I’m applying the appendix clamp now. It’s clamped. Feeling a little something? It’s alright, that’s just how it is. The appendix looks pretty good. Do you want it? If not, can I keep it?" Xu Yino asked while operating.

"Sure, sure, if you like it, take it," the patient didn’t know what to say.

He had imagined countless versions of what the surgery would look like, but he never thought it would be like this.

"Not too much discomfort, right? It’s already removed. I’m doing the purse-string suture now. When we close the abdomen, we’ll have Teacher Liu suture it for you. After the New Year, you won’t even find the scar," Xu Yino said.

"Actually, a small scar is fine. At least it’s a memento of having surgery," the patient said.

"In that case, I’ll do the stitching. Actually, I just wanted to boss Teacher Liu around for a change. He’s always ordering me around," Xu Yino said.

Liu Banxia felt quite helpless. Well, he wouldn’t bicker with the girl. Today was her big day, and it was a success, so she could call the shots.

At any rate, she had independently completed her first small-incision appendectomy. Now, other interns could get a chance to experience it.