Colon tumor, need stent? When Zheng Ren heard what Professor Yang said, he was stunned for a moment, and then smiled bitterly.
But this matter seems to have nothing to do with Professor Yang. He is a hepatobiliary surgeon, and colon tumors are the job of general surgery.
Seeing Zheng Ren's wry smile and confusion, Professor Yang sighed and said: "They have all gone to the front line, leaving one professor to lead the family. Our General Surgery Department is a big department, and more people go there. Old Feng from the General Surgery Department is ten days a day After several surgeries, I felt tired and sick, so I took a day off.
Isn't this the case where the patient is consulted early in the morning and asked to go to the interventional department to see how to insert a stent? Zhao Wenhua said so stupidly that they didn’t have anyone and couldn’t perform the surgery! "
As he spoke, Professor Yang opened his mouth and cursed.
"Old Feng asked me to come and see what was going on. Zhao Wenhua, this coward, kept pushing away. One moment he said that the operation would be huge, and the next moment he said that the tumor was blocked and he couldn't do it. He made me so angry." Professor Yang's hair was so angry that he couldn't do it. They all exploded.
Zheng Ren listened quietly, probably already knowing what was going on.
For colon tumors, preoperative enema is used to clean the intestines, and then the tumor is removed and the remaining intestines are anastomotic. This is a general surgical situation.
Some patients are discovered late and come to the hospital for treatment because of intestinal obstruction.
Before interventional surgery, these patients had no choice but to leave a fistula on the abdominal wall because they were unable to prepare their intestines, and then waited a few months before performing a second-stage anastomosis.
After all, there was no bowel preparation, and the area above the obstruction was full of feces and countless bacteria. Even if an anastomosis is achieved, the anastomosis will not grow due to severe infection.
After interventional surgery, if there is a gap in the obstructed part and the guide wire can pass through, the stent can be removed. The stent resists the power of the tumor and spreads the intestines.
In this case, bowel preparation can be performed, the surgery can avoid an ostomy, and one-stage anastomosis can be achieved.
Whether it is to avoid tumor metastasis or to improve the quality of life of patients, interventional intestinal stent is a surgical procedure that is particularly beneficial to patients.
After many years of running-in between clinical departments, the general surgery department has gradually become accustomed to the interventional department's preoperative stent placement model for this kind of patients.
but,
there is a question.
This surgery
Extremely dirty.
Once the stent is inserted, the obstructed area is opened, and the huge abdominal pressure will cause the feces to spurt out directly.
Not to mention the surgeon and assistant, they must be full of shit.
The smell in the entire operating room will also become the same as that of a septic tank.
This is a kind of surgery that patients and general surgeons want to do, but the interventional department won’t do it if they can.
For such an operation, the income will not increase, but the work will be countless times more. Especially the smell of feces...
It can make people sick.
Zheng Ren used to be a general surgeon, so he naturally knew the ropes.
No matter how early, because Haicheng City No. 1 Hospital does not have an interventional department, patients who encounter this kind of disease have to undergo an ostomy surgery and wait for the second-stage anastomosis.
Zheng Ren also knew why Zhao Wenhua didn't want to do it.
The operation is not difficult, but it is unpleasant to have the feces sprayed all over the body and the smell lingering around for a few days.
He hesitated.
You really have to hesitate. He had undergone similar surgery in general surgery, but that was at least a year ago. Even now, when he talks about it, Zheng Ren can still vaguely smell the smell.
"Brother Yang, how about I do it?" Zheng Ren said.
"..." How could Professor Yang not consider Zheng Ren before. But Zheng Ren's team is engaged in research on tip surgery, and the usual 912 consultations and other tasks have nothing to do with him.
It is possible to work together on tips surgery. But it’s hard to find someone suitable to do this kind of dirty work.
"I'll do it. When can the patient come on stage?" After the psychological defense opened a hole on its own, Zheng Ren was no longer reserved.
There is no smell of stool... that is still very important. However, as long as medical means are available and you can do it yourself, you cannot just watch the patient undergo a second-stage anastomosis.
As Zheng Ren spoke, he was already thinking about how to apologize to the head nurse and nurses in the interventional operating room.
Otherwise, I could clean up the mess myself, but when I think about it, I get a splitting headache.
This kind of work of removing feces is essentially different from that of general surgery.
The general surgery department said that it is necessary to remove feces, but in this case, you must first make an incision, suction it with a suction device, and then open it to remove the remaining feces. If it is too dry, you can also put a sterile plastic sleeve around the intestines and push the stool out bit by bit.
And the surgery that is going to be done soon will cause you to be sprayed all over...
Zheng Ren almost cried.
To be honest, I really don’t blame Zhao Wenhua for not doing it. This surgery is simply too dirty.
After mustering up the courage, Zheng Ren put aside his distracting thoughts and told himself in his heart that this was all work.
Professor Yang was stunned for a while and then patted Zheng Ren on the shoulder.
"Boss Zheng, I'm sorry to trouble you."
"Brother Yang, don't worry, I'm panicking." Zheng Ren smiled and said, "I'll ask if there's a stage. If there is, I'll call you. Is that place available at any time?"
In fact, this is a bit redundant.
It is not a sterile surgery, and the patient cannot eat or drink yet, so naturally it can be performed at any time.
"Yes." Professor Yang hesitated. This was not Boss Zheng's job. But... He hesitated for a moment and then patted Zheng Ren heavily on the shoulder.
"I won't be polite to you anymore. I'll go back and wait for your letter." Professor Yang left directly, a little hastily.
If there was another professor here, Professor Yang would not be like this. Boss Zheng was recruited by Director Kong to work on the Nobel Prize project team, and the surgeries in the interventional department really have nothing to do with him.
And I wanted Boss Zheng to undergo such an operation. It was simply not too much.
Forget it, don't think about this anymore, just help Boss Zheng more elsewhere in the future, that's all.
Professor Yang thought to himself as he trotted away from Zheng Ren's sight. He felt like Zheng Ren was like a soldering iron behind him. If he walked slower, he would be injured.
Zheng Ren sighed and went directly to the interventional operating room without making a call. He was a little worried. He was not Director Kong. If he wanted to perform such a dirty operation, he would have to come to the operating room to pretend to be his grandson first.
He kept bowing and apologizing to the head nurse of the operating room. Zheng Ren also promised to clean up the operating room by himself. The head nurse in the operating room looked a little ugly, but she did not refuse. She just glared at Zheng Ren fiercely and asked him to send the patient away.
After solving a problem, Zheng Ren immediately called Professor Yang and asked the general hospital to send the patient up.
Zheng Ren doesn't have to worry about pre-operative instructions and the like. If the general surgery department can't even handle this little thing, why don't they just do a wool operation
Zheng Ren didn't call Professor Su Yunhe, so he had to do this himself. But he still has a question, what to do with Xiao Yiren.
When he thought of Xie Yiren, Zheng Ren's head turned into two heads.
Forget it, just bite the bullet.
Zheng Ren never thinks about things that he doesn't understand, so he might as well kick the little girl out when the time comes and clean up the mess by himself.
After changing clothes, Zheng Ren took the time to smoke a cigarette, trying to remember the smell of tobacco and not think about the surgery for a while.