Zheng Ren never looked up at the time, everything was under control. After interrupted suturing, forceps are introduced to lift the incised diverticular wall to cover the interrupted suture incision, and then cover and suture it.
Uh... The people standing in the operating room at this time were all big-shot figures, and they were all shocked by Boss Zheng's operation.
For patients who are highly suspected of having a fistula, the greater omentum should be removed to cover it. This will provide an extra layer of protection and allow the esophageal suture position to grow as much as possible.
But using the diverticulum wall to cover it is a heck of an operation that I have never encountered. Generally, diverticula are removed, and no one thinks of this blind spot.
It turns out that there is such a method, and the possibility of esophageal fistula... Mr. Gu still thinks that the possibility is not small.
The operation was quite fast, at 38′02″, Boss Zheng had already reinforced the incised esophageal diverticulum wall and the interrupted sutured esophageal wall while threading the needles.
This is about to be over. It seems that recovery after surgery still depends on fate.
"Everyone, please go out first." Zheng Ren said softly before he finished sewing. At the same time, Gao Shaojie raised his hands flat on his chest and walked back.
Everyone was stunned for a moment when they saw Gao Shaojie wearing lead clothes, just like Boss Zheng and Su Yun.
"When inserting the jejunal feeding tube, insert it just under fluoroscopy and observe it with a mirror to avoid any problems." Su Yun explained.
Mr. Peng didn't ask why, but turned around obediently and led everyone to the operation room.
The airtight lead door was closed, and only then did they realize why everyone in Boss Zheng's medical team wore lead suits for surgery.
There is such an operation!
Originally, it was surprising that the thoracoscopic surgery could be completed within one hour, but now Boss Zheng has to add a small surgery.
Whether it is compared to laparoscopic surgery or an out-of-this-world operation to treat diverticula, the next jejunal feeding tube is just a small operation worth mentioning, but for operations with limited operating time, this will not matter. Will it be the straw that breaks the camel's back
probably not…
There are many people in Boss Zheng’s medical team, not only for surgical operations, but also for interventional operations.
Through the leaded glass, he saw two groups of people performing surgeries at the same time. One group was using the diverticulum wall to reinforce the interrupted sutures, and the other group was using the lower jejunal feeding tube. Mr. Gu sighed.
"Lao Peng, what I said before doesn't count anymore." Gu Lao said.
"There's no problem with the surgery, right." Mr. Peng looked very relaxed, with a hint of joy on his brows and corners of his eyes.
"Well, I didn't consider that Boss Zheng would eventually put in a jejunal feeding tube. This little guy didn't include this in his list." Mr. Gu complained with a smile.
"Maybe Boss Zheng thinks that combined surgery is a routine operation." Mr. Peng said with a smile.
With the jejunal nutrition tube, it solves the problem of eating after surgery, strengthens nutrition, promotes the healing of internal and external incisions, and undoubtedly provides an insurance for rapid recovery after surgery.
Seeing the people on Boss Zheng's medical team busy in the operating room, they did not open the airtight lead door after inserting the jejunal feeding tube. Everyone watched quietly, and no one went in to ask questions with particular curiosity.
44'21" after the operation started, the airtight lead door opened and Lao He had been extubated. The time was exactly as scheduled by Boss Zheng.
Zheng Ren tore off the surgical gown, took off the lead coat, walked out and said with a smile, "I was worried that the esophageal wall was a little thin, so I did a little 'extra' treatment. I used a jejunal feeding tube to eat for 3 days after the operation, and I was able to eat normally." ”
"Uh..." Mr. Gu looked at Zheng Ren doubtfully and asked, "Boss Zheng, if the patient was younger, could he eat directly after the operation?"
"Absolutely, but there is no need for the elderly to take this risk. It is better to be more stable. It is best to insert the jejunal feeding tube, and the elderly will be hungry for two more days." Zheng Ren said.
Everyone was speechless. At such an old age and in such a bad condition, he underwent surgery. Isn't this considered an adventure
Ye Qingqiu and Lin Ge walked into the operating room and wanted to help carry the patient.
"Ye Chu, Lin Chu, wait a moment." Zheng Ren shouted from outside, "The old man will wake up from anesthesia first, and then he will do a barium dialysis of the upper gastrointestinal tract."
“…”
This time everyone was stunned.
Can't you just finish the operation properly? The operation was performed in less than an hour, which is already quite amazing. What kind of monster is Boss Zheng going to do!
"You can eat after you wake up completely from the anesthesia, and do a barium X-ray to check the condition of the esophagus, otherwise you will have to suffer after the operation." Zheng Ren explained.
No one can say no to a magician's request.
It was absolutely impossible for an operation to be completed so smoothly. No matter how incredible the idea was proposed by Boss Zheng, everyone could only hold back any objections they had.
"Thank you for your hard work, Xiao Zheng." Mr. Peng said with a smile.
"The operation is very simple, no problem." Zheng Ren said with a smile, "The jejunal feeding tube is just for precaution, the operation is no problem."
Zheng Ren emphasized.
Mr. Peng shook his head slightly and said, "The operation was very stable. Your level of laparoscopic surgery is really high."
"fine."
"I think the operation is fine. You young man is more careful than me." Mr. Peng continued to tease with a smile.
"There's no 100% guarantee, so it's better to check it out. Even if it's a postoperative barium dialysis, it'll be fine. Mr. Peng, you have to watch it and eat with a jejunal feeding tube for 3 days." Zheng Ren warned worriedly.
Dean Yan stood aside, his hanging heart finally relieved.
Boss Zheng is indeed very stable. Not only did the operation go well, the operation was completed in 45 minutes including the anesthesia time, which speaks for itself.
The key is that he doesn't put all his hopes on surgery. Even if there are small flaws, there are ways to remedy them. This is so reassuring that if something goes wrong, it can be rectified, instead of swearing to the patient's family that nothing will happen.
The gap between the two... Although it seems more reassuring to tell the patient's family after the operation that the operation was successful and that nothing will happen, but who can guarantee that there will be nothing left unattended to by the operation.
On the contrary, Boss Zheng's cautious attitude made Dean Yan more at ease. He had no doubt that if there was a problem, Boss Zheng would put in place a stent or use some new technology that he didn't even know about to solve problems that others seemed helpless.
It's just that this hour is really hard.
After the old man woke up from anesthesia, Mr. Peng walked into the operating room, held his lover's hand, and his vital signs were stable. After ten minutes, he was able to conduct simple questions and answers. The operation can be said to be a great success.
One hour later, an upper gastrointestinal tract angiogram was performed with oral contrast agent. The pharyngoesophageal diverticulum was significantly smaller than before the operation, the ridge between the diverticulum and the esophagus disappeared, the contrast agent descended smoothly, and there was no esophageal stenosis.
"Come back." Zheng Ren smiled and said, "I guess he will recover quickly."
…
…
Note: This is what is written in the paper. A barium dialysis was performed 1 hour after the operation. I think it might be a translation error? Or it might be some new technology. Although I didn’t understand it, I wrote it anyway. Please forgive me if there are any errors.