"A seemingly simple operation may be fine if you do it a thousand times. But if you are careless, it may be fine once or twice, but eventually something will happen." Zheng Ren also sighed with emotion.
"That's the truth." Director Luo patted Zheng Ren hard on the shoulder and said.
"I have been doing gastroenteroscopy for fifteen years, and I have always been cautious and walking on thin ice. But I still encountered many problems that I couldn't solve." Director Luo said while watching the doctor's operation.
"Severe damage to the piriform recess, esophageal perforation, and cardiac mucosal tear. Should we tell the patient that this is a complication? Would it have been avoided if the operation had been gentler?" Director Luo shook his head as he spoke.
"I have taught many people how to do gastrointestinal endoscopy, and most of them think it is very simple. They say they can do it with their eyes closed. I don't agree with this. Every examination must be performed carefully and go all out. If you feel it’s not enough, don’t close your eyes.”
Zheng Ren nodded, he thought Director Luo's words were right.
"Pediatrics... do they know how complicated children's diseases are?" Director Luo said disdainfully.
"I used to go to Haicheng City No. 1 Hospital, where they just started to perform painless gastrointestinal endoscopy. This surgery was also just started, and the doctor was inexperienced. There was a case of intestinal leakage in the splenic flexure of the colon." Zheng Rendao.
"The patient is under basic anesthesia. The surgeon does not know how to use force at that bend and can only use brute force." Director Luo said with certainty.
Zheng Ren nodded.
Who hasn’t accumulated skills through trial and error
Are you born with it? People like Su Yun need to see it once to understand.
Zheng Ren thought in his heart.
"So, Boss Zheng, your surgery live broadcast room is really a blessing." Director Luo said frankly: "You have already accumulated a lot of experience and selflessly passed it on to other doctors."
"Thank you for the award." Zheng Ren smiled modestly and said, "By chance, someone just asked me to do it."
"What an award, I haven't said enough." Director Luo glared, then found that he was a little excited, and immediately smiled gently.
In the past few days, I have been too obsessed with studying ESD surgery, and my affection for Boss Zheng has increased unknowingly.
"Many cases are achieved by trial and error." Zheng Rendao: "Just like the patients with hyperemesis gravidarum we met today, they don't know when the jejunal feeding tube will be blocked after surgery, so they are still very worried."
"After all, most patients with lower jejunal feeding tubes are patients with late-stage cancer. In order to improve the quality of survival. But the patient in front of me is different. She is a good person after giving birth."
"Well, so we have to be more careful. I still need to think about the surgery." Zheng Ren calculated several different surgical techniques and prepared to go to the system operating room to try it out immediately after the patient's family agreed to the surgery.
"I just caught you." When Director Luo saw the colonoscopy in front of him finished, he grabbed Zheng Ren's arm and said with a smile: "You need to explain to me the ESD surgery you performed a few days ago. "
Zheng Ren didn't expect that things would turn out like this. He just came to take a look at the machine and figure out what kind of technique it used.
It would be best if you could communicate with the gastroenteroscopy doctor.
But looking at the current situation, Director Luo should be preparing to arrange a gastroscopy for himself.
This... is a bit flattering.
Zheng Ren had no choice but to go to the demonstration classroom with Director Luo and began to explain his ESD surgery that day.
…
…
At the same time, in the operating room of the Department of Surgery, a professor of gastrointestinal surgery panicked.
The surgery was simple, and the preoperative diagnosis was acute appendicitis.
Laparoscopic single-port appendectomy is already a very mature technology. But after he entered the abdominal cavity, his hands and feet became numb.
At the tender point in the right lower abdomen, the intestines are smooth and there is no shadow of the appendix at all.
After searching for ten minutes with endoscopic equipment, there was still no trace of the appendix.
There is no other way. Let's switch to laparoscopic surgery. If we try to straighten the intestines under direct vision, we still have to find the appendix.
The worst conditions for appendicitis surgery are when a barefoot doctor comes to your home and performs an appendectomy under local anesthesia on a kang or bed.
That's it, surgery can be done.
And generally, as long as interns are diligent and do a lot of work, they will be recognized by their teachers. When he was about to graduate, he would be allowed to perform 1 or 2 appendectomies by himself.
This is the highest and supreme honor during the internship. When I go back to school, I can play with other classmates until graduation.
But appendectomy has also stumped many great surgeons.
After the incision, the appendix, which was supposed to pop out the moment the peritoneum was opened, disappeared. I searched my intestines for 2 hours and found nothing at all.
Any ectopic appendix is a piece of cake, but retroperitoneal appendix and the like are the real headaches.
But these are not as good as the "missing" appendix.
After searching the intestines for an hour, I still couldn't find the appendix. The professor in charge had no choice but to call someone.
An arrow pierces the clouds, thousands of troops and horses come to meet each other.
If you can't do it yourself, then find someone with a higher level to take a look.
But unfortunately, Director Wei has a complicated operation for intestinal adhesion and intestinal obstruction, which is not possible yet.
Feng Jianguo came up to help.
The two leading professors searched for another hour, but still could not find the appendix.
Is this lost? Or has it evaporated
It can't be.
The incision was extended and extended, twisted and twisted.
It doesn't matter whether it's embarrassing or not. If a layman doesn’t understand, and says the surgery is poorly done, there is nothing that can be done about it.
Everyone in the know understands that if you really encounter such a case of missing appendix...
Everyone gets numb claws.
The two of them were sweating profusely.
The outside of the sterile cap is wrapped with two circles of sterile gauze to prevent sweat from falling into the surgical area.
In this way, the two of them would look back from time to time to ask the circulating nurse or anesthesiologist to help wipe away the sweat.
If you have appendicitis, if you really can't find the location, how to open and finally close the surgery... That would be a big deal.
What should patients do? Always hurting? Until the appendix finally perforated somewhere
Or go to another hospital
Being laughed at from now on will be a secondary matter.
If you can't find it yourself, you can definitely find it in other hospitals
Feng Jianguo didn't believe this evil.
If you can’t find it yourself, neither can anyone else.
If you really can't find it, you can only use large doses of antibiotics in the hope that the inflammation will go away.
After that, there is a high probability that the patient will eventually develop a large-scale abdominal infection, followed by irritative peritonitis, which will eventually lead to septic shock and death.
Thinking of this possibility, the two leading professors sweated even more.
The dark green sterile gown had been penetrated, and the color of the sterile gown on the back looked like ink had been splashed on it.
56′ later, Director Wei came.
"what's the situation?"