Since there were no family members of the patient, a clerk from the medical office rushed over with equipment in the middle of the night and left audio and video materials as legal evidence.
After sending the patient to the stage, Feng Jianguo felt that what he had just said was a bit sinister.
But there was no other way. If he didn't scare him like this, how could he be willing to do the surgery? Without surgery, whether or not you can sleep today is a trivial matter. What if the patient really dies on 912? Although he did it by himself, it still cost him his life.
Really, I have seen all kinds of foreign objects in the rectum in my life, and I have also seen rolling pins twice, but they were all made with lubricants, and some even wore covers on the rolling pins because they were afraid of getting dirty.
This guy is so good, he doesn't understand the meaning of a little quarrel with his girlfriend... Tsk, tsk, Feng Jianguo felt funny while changing his clothes. I quarrel with my girlfriend and wife. I am really old. It seems that I have lost the interest in quarreling for several years.
Feng Jianguo immediately shook the thought away and continued to think about the patient.
To say he is bold is not true. When I mentioned the surgery, I was so frightened that I shivered. Finally, I reluctantly agreed to use a colonoscopy to see if it could be done, then do a laparoscopy, and if it didn't work, then do an operation.
Call him timid, but he still isn't. Are you too timid to put the rolling pin directly in? You are still young, Feng Jianguo thought with emotion. When you reach your age, you will know that surviving is more important than anything else. Isn't it good to live? Is it because the game is not fun or the hot pot is not delicious
After changing his clothes and looking at the time, Feng Jianguo estimated that the operation should be completed in about 2 hours.
I can still sleep for a while, I can still sleep for a while, he comforted himself.
Entering the operating room, I saw Quan Xiaocao preparing the colonoscopy equipment. The anesthesiologist was anesthetizing the patient. Feng Jianguo smiled and said to the patient, "Look, that's the colonoscopy equipment. Use this equipment to take a look first. If it can be solved, there won't even be a hole."
He knew that he was comforting the patient and wishing him a good dream under anesthesia.
In fact, Feng Jianguo himself doesn't know whether this approach is right or not. Who knows
Colonoscopy? That's just a "placebo" shot to fool the patient. But since I have already said it, there must be a note in the operation record about colonoscopy exploration, seeing xxx, unable to xxx, and finally choosing laparoscopic surgery.
"Xiaocao, are you ready?" Feng Jianguo asked.
"Teacher Feng, it's ready."
"Boss, go wash your hands while I pull out the rolling pin." Feng Jianguo arranged.
The boss prepared the laparoscopic equipment, checked it over, and then went to clean his hands. Feng Jianguo put on a pair of sterile gloves, looked at the rolling pin with one head exposed, and sighed, "Why is this thing so deep? This young man is really ruthless."
"Well, I understand this time." The circulating nurse was about to tap the equipment with the equipment nurse, and she took the time to say, "I turned around and told my husband, don't mess around with women outside, or make me anxious. This is an example. "
The anesthesiologist laughed and said, "You can't get it in even if you try."
"Nonsense, I've had more intestines than you..."
"Stop talking, it's disgusting." The anesthesiologist knew that he couldn't speak to the aggressive traveling nurse, so he quickly stopped the topic, "Professor Feng, when will it be finished? There are two more caesarean sections waiting to be picked up."
"Two o'clock!" Feng Jianguo said with a smile, "Have you finished the anesthesia?"
"It's done. The anal sphincter has relaxed. Even if you don't pull it out, you will probably be able to pass it out by yourself in a while." The anesthesiologist smiled.
Feng Jianguo didn't use much force, and a blood-stained rolling pin was taken out. He put it aside casually, and when he saw a small amount of active bleeding, he said, "Xiaocao, hurry up and see if you can find the bleeding point."
This was his only expectation for Quan Xiaocao. It was good to find the bleeding point and stop it first. Although the patient had no substantial organ damage, the possibility of major bleeding was low.
The patient's blood pressure was stable. It was not like a penetrating injury from a sharp instrument. It was unknown how many internal organs were damaged. If that's the case, I don't dare to pull it out casually.
But this time it was just a blunt-ended rolling pin. Only 20cm was in the body, so there would be no problem in pulling it out.
"I'm going to wash my hands." Feng Jianguo said afterwards.
He glanced at Quan Xiaocao and saw that Xiaocao had already finished giving him psychological suggestions. This time, he even went too far. He even wore two layers of sterile masks!
Boss Zheng is not enough for you to imitate. He even imitates Su Yun's habit of wearing a mask, and Feng Jianguo has nothing to do about it.
But for such a coward, it is good to be able to perform the surgery well.
It seems that she has entered the state and directly started her own unparalleled mode.
Feng Jianguo found it funny, but he was still worried that one of the patient's small blood vessels might be ruptured and bleeding, so he quickly went to wash his hands.
Quan Xiaocao did not answer Feng Jianguo, not because she disrespected Professor Feng, but because she had already activated Wushuang and entered the mode of Boss Zheng + Brother Yun.
Put the colonoscopy lens into the anus and ignore the bleeding point of the anal tear. The bleeding can be cleaned up after it comes out.
Quan Xiaocao has been practicing laparoscopic treatment of the rectum for three months, and there are more than 40 simulators taken and used from community hospitals alone.
In this regard, Quan Xiaocao still lives frugally. The simulators were all costs, and Brother Yun still refused to accept the money... This made Quan Xiaocao feel a little guilty.
In Brother Yun's words, if one day you can perform endoscopic surgery alone, it will be a reward. Quan Xiaocao doesn't think this sentence is true, but he doesn't know what to do if he wants to repay him. Boss Zheng and Brother Yun seem to be lacking everything.
After practicing day after day, Quan Xiaocao is now able to activate Wushuang in an instant, and smoothly enters the mode of Boss Zheng + Brother Yun, preparing for surgery.
Concentrating on inserting the colonoscope into the rectum, Quan Xiaocao narrowed his eyes as if it was Boss Zheng's habit and looked at the endoscope picture carefully.
The rectum is fine, just a little congested and edematous, but okay.
The colonoscope continued to move forward. During the examination, the patient's sigmoid colon was obviously twisted. After entering the colonoscope, it was found that there was an intestinal perforation with a diameter of about 1.0cm 20cm away from the anus.
She did not repair the intestinal perforation immediately, but continued to explore upward.
Make sure everything is fine, then return the colonoscope lens and start preparing to repair the intestinal break.
Quan Xiaocao had done similar treatment countless times, and coupled with the experience of dealing with esophageal fistula with the help of Boss Zheng last time, she did not think about what Feng Jianguo meant, but started to deal with it in one fell swoop.
After withdrawing from the mirror, he placed the Olympus MH463 transparent mucosal suction sleeve, that is, the transparent cap, on the end of the colon lens. Then Quan Xiaocao took a deep breath, with steady hands and determined eyes. He could not see the coward he looked like before the surgery. .
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Note: The case is from Chinese Journal of Digestive Endoscopy, 2013, 30(06): 348-348. DOI: 10.3760/.1007-5232.2013.06.018