The Surgeon’s Studio

Chapter 2700: 2653 can tie the knot with full marks (lead fennel plus 4 more)

Views:

Professor Yang saw Feng Xuhui's quick action, and the stent he took out was exactly the 24mm dual-chamber side-by-side metal stent he used this time, and it was from Lanke.

He knew that the small consumables dealer accompanying Boss Zheng was from Changfeng Company. You, a Changfeng person, just took out Lanke's bracket. Is this a clear sign of betrayal

And... Boss Zheng seems to have never performed endoscopic ultrasound-guided pancreatic pseudocyst drainage, so why does his consumable supplier carry this kind of stent with him

"Manager Feng, right?" Professor Yang asked cautiously.

This is Boss Zheng's opposite number. It is said that at the cancer hospital, someone wanted to cause trouble for Manager Feng. Lin Ge went into battle shirtless, causing a big fuss.

I don't feel anything when I listen to what others say, and usually Manager Feng has no sense of existence. But today... things are different. Professor Yang tried to slow down his tone for fear of making this person unhappy.

I have opened Wushuang once, and it will take some time to regain mana and accumulate honor points. Even when facing the equipment dealers in Boss Zheng's medical team, I have to be more careful.

It sounds ridiculous for a professor in charge of a group to please an equipment dealer.

But that depends on who is standing behind him.

"Professor Yang, what are your orders?" Feng Xuhui took out the stand and bowed slightly and asked.

"How did you prepare this kind of stent?" Professor Yang asked.

"I read the various interventional surgeries written in the book, and I prepared a copy of whatever I could fit in as needed." Feng Xuhui said, "Who knows when it will be needed."

"Can your box fit it?"

"I also have an assistant, and she has two big boxes." Feng Xuhui said with a smile: "It is more likely to be used here. If there are special patients and Boss Zheng has other needs, my assistant can be there in 5 minutes. Send the supplies."

"Uh... where is your assistant?"

"Isn't it because the consumables dealer is not allowed to enter the operating room? There are so many people and it is difficult to cause any trouble to Boss Zheng as much as possible." Feng Xuhui said.

I'll go... This sounds low-key. But you carry a trolley case half a person's height into the operating room. Isn't this high-profile enough? Professor Yang sighed inwardly and said, "It's troublesome."

"No trouble, this is all as it should be." Feng Xuhui asked politely: "Teacher Yang, do you have nothing else to do?"

"No more, no more."

Feng Xuhui bowed slightly, then stepped into the operating room with pounding steps.

In addition to a few consumables, he also took a few more items, packed them in sterile bags, put on a lead suit and stood in the corner of the operating room.

"Brother Yang, how do you do this? This hemp flower is very good at twisting it." Su Yun said with a smile.

"Alas..." Professor Yang hesitated, and then asked, "Xiao Su, what are Boss Zheng going to do?"

"How many steps does it take to close the elephant in the refrigerator?" Su Yun eased Professor Yang's nervousness with a playful smile.

"..." Professor Yang was completely indifferent to Su Yun's joke.

"Three steps, open it, put it in, and close the door. If I go on stage, I'll use a balloon to open it." Su Yundao said, "Then take out the stent, insert a guide wire, remove the stent, and the operation is over."

Professor Yang really didn't know what to say.

If only it were as simple as Su Yun said, that would be great.

The stomach wall is indeed elastic, but the elasticity of a pancreatic pseudocyst is not very high. If the balloon expands, it is very likely to cause the cyst wall to tear. In severe cases, blood vessels may even tear, requiring emergency surgery.

"Brother Yang, you are really caring. It has only been a few months, and you have already become so skilled in the endoscopic ultrasound-guided drainage of pancreatic pseudocyst." Su Yun sat on the sofa and said with a smile.

"Oh, if you were skilled, this kind of thing wouldn't happen." Professor Yang said frustratedly.

"This is what I asked you to say. Whether something goes wrong during surgery or not, technical level is one thing, and probability is another." Su Yunqian said nicely, "There is an old saying, I listened to the school the first day I entered the operating room. My teacher said - if there is nothing wrong with the operation, it is because you have done too little. If you have done too much, everyone will be the same."

Professor Yang knew that what he said made sense, but when things came to a close, no one would worry.

Why is the development of new technologies slow in China? In the past, there was no money to replace new machines. On the other hand, clinical doctors are conservative.

My laparotomy went well, but who knows what complications there may be. My laparoscopy was done well, but who knows what complications there may be with minimally invasive interventional surgery.

All mature surgical techniques, to put it bluntly, are derived from the accumulated experience of accidents one after another.

At this moment, various accidents still happened one after another, and one accidentally fell into the water.

"Brother Yang, have you encountered complications such as stent migration, stent blockage, infection, and sinus tract formation?" Su Yun asked.

Professor Yang shook his head blankly.

"These are the most common complications." Su Yundao said, "It is too rare for the guide wire to tie a flat knot on the stent inexplicably. Listen to me, pass by the lottery station to buy a lottery ticket when you go home. "

“…”

Professor Yang was a little disapproving of Su Yun's nonsensical way of chatting, but it was undeniable that he really felt a little more relaxed when he chatted like this.

"No kidding, we have seen reports of guidewire knotting during gastrointestinal endoscopic surgery. It has only been reported in endoscopic surgeries in urology and vascular surgery." Su Yundao said, "If you are interested, write an article after the surgery." Case reports, proper top SCI, can be considered a blessing in disguise.”

"Xiao Su, how do you think this situation came about?" Professor Yang asked with a grimace. He was puzzled by this matter.

"The stent has a larger cystic cavity and can accommodate more guide wires. If a guide wire that is too long is inserted and then folded back and inserted into the end of the stent, a knot will occur. However, this flat knot is tied really well. I give it full marks." Su Yun smiled. said.

"How can we prevent it in the future?" Professor Yang, apart from whether surgery can save the disease, is most concerned about prevention.

Anyway, Boss Zheng was undergoing surgery and he couldn't contribute, so he just chatted casually.

"If I look at it, if the guidewire insertion is controlled to a length that can guide and support the stent, this complication can be avoided. Brother Yang, the most awesome thing about you is that you didn't panic after discovering the problem, and clearly realized that it was too much. Pulling does not solve the problem, it will only cause damage to the stomach wall." Su Yun praised.

Is this considered an advantage

"Look at your expression. Let me tell you, in this case, if you exert even a little force, it will be a big hole. It won't work without an abdominal opening... The boss should be able to use endoscopic suturing, but after all, it is not troublesome. Now there are many Okay, it will be done in a few minutes, and the patient can be discharged and go home tomorrow.”

Hopefully, Professor Yang silently prayed in his heart as he saw the airtight lead door slowly closing.