In addition, Liu Zewei was interested in the intraperitoneal appendix.
Although he was not from the surgery department, he still had some understanding of it when he heard people bragging while they were drinking and eating.
Boss Zheng had actually succeeded in saving the stage of that kind of appendectomy that belonged to an otherworldly flying immortal.
"I went to touch it. There was no tumor in the ileocecal region, but I searched it all over. I asked Chief Luo to go on stage to do a colonoscopy exploration."
"…" Liu Zewei was stunned.
Boss Zheng, you're cheating.
Cutting out the appendix with one cut is the real deal. But you … "
However, Boss Zheng's actions seemed to be a long-term solution.
In the future, if there was a similar situation where the appendix could not be found, the colonoscope machine would be pushed up to see if it was an endoscopic appendix.
This kind of action was not coquettish at all, nor was it cool at all, but it was very practical.
"Boring." Su Yun reprimanded: "Don't you already have a plan?"
"Something like that." Zheng Ren smiled and said, "I've already thought about it. If it really doesn't work, I'll use gastrointestinal angiography if I can't see it with the endoscope. There are plenty of ways anyway."
"Where did you find it?"
"About 12cm above the ileocecal region, Chief Physician Wei almost touched it. However, I don't dare to be sure even if I touch it. I will even be very cautious when I use my knife. "
"What a pity. Next time, remember to bring the entire treatment group with you." Su Yun reminded again, "No matter where I am, they will fly over within ten minutes."
"Don't talk nonsense. Are you really going to fly back with your underwear on the street?"
"If there's an endoscopic appendix, that's also an option."
He joked casually as he arrived at the endoscopy room. After changing their clothes, the three of them walked in.
"Boss Zheng, what's going on today? I heard it's hyperemesis gravidarum? "Liu Zewei asked.
"Yes, she's vomiting too much, and the pregnant woman doesn't want to be induced, so we can only try this method." Zheng Ren said, "But it's very troublesome. I won't talk about the process of the surgery. After the surgery, the jejunum nutrition tube is blocked and the tube has to be changed. Nutrient fluid is injected into the jejunum nutrition tube every day. It's really troublesome to check all kinds of things regularly. "
"But there is still a way."
"Yes, it's just tentative. There aren't many related surgeries around the world, but there are some successful cases, "Zheng Ren said.
Is that so? Liu Zewei sketched out the technique Zheng Ren wanted to perform in his mind. Although it was not difficult, it was commendable to have such an idea.
Sometimes, a bold and imaginative idea would eventually become a commonly used surgical method in clinical practice, saving countless lives.
The patient had already been sent over. Chief Du from the gynecology department came together with Chief Luo.
The directors of the 912 were still very interested in a relatively new surgical method. They wanted to see it with their own eyes.
Zheng Ren suddenly remembered that he had not reported this new surgical method to Department Chief Kong. Would he be angry?
Sigh.
Performing surgery was difficult.
It was difficult to perform difficult surgeries.
It was even more difficult to perform difficult surgeries that others had never done before.
He had encountered a case of intracavitary appendix today and did not call anyone else. He had already been 'seriously' warned by Little Yiren.
Although he was not holding a rolling pin or pulling his ears, Zheng Ren could feel the murderous intent.
Zheng Ren knew he was courting death.
Next time, he must make a phone call to inform everyone.
Wouldn't it be too eye-catching to bring the entire medical team to the rescue? Wouldn't it incur the jealousy of others? Zheng Ren was a little worried.
Imagine if Chief Wei wanted to save the surgery himself. As soon as he entered the door, there would be seven or eight people. Whether it was the surgeon, the assistant, the scrub nurse, or even the anesthesiologist, they would all be kicked out …
It was too f * cking arrogant.
If he was arrogant, then so be it. If he could not perform the surgery, how could he be reasonable?
Forget it. He did not want to think about these troublesome things. He should perform the surgery first.
"Boss Zheng, the preoperative instructions you wrote are too detailed," Chief Du said with a bitter smile. "I was shocked when I explained it to the patient's family."
"Many of them are very rare complications. There's nothing I can do about it," Zheng Ren said. "In order to avoid future disputes, it's still necessary to do this."
"You do it. I'll broaden my horizons." Chief Du smiled and said, "I've considered giving the patient a jejunal nutrition tube through the esophagus. What surgical method are you going to choose?"
"The kind you're talking about is small, but there's a tube passing through the oropharynx. The patient will be greatly stimulated. The specific pathogenesis of this kind of patient with hyperemesis gravidarum has not been studied, but the method of passing through the oropharynx is not suitable. "
Zheng Ren began to seriously explain why he had chosen the surgical method. His previous worries were swept away.
The only way to solve his worries was through surgery.
"As for the rest, there are two methods. The first is the domestic percutaneous gastric puncture for people with sclerosis, and the second is the jejunal puncture from the inside to the outside to place the nutrient tube.
"Each has its own advantages. The first advantage is that the possible side effects during the surgery are relatively small. Bleeding and the like can be avoided as much as possible. However, the disadvantage is that pregnant women may have a reaction to the jejunal nutrition tube passing through the pylorus. This is very troublesome.
"The advantage of the second method is that there is no pylorus stimulation. However, the tube directly enters the jejunum and pierces from the inside to the outside. It can't be pierced under the guidance of CT. I'm worried that there will be problems during the surgery. Also, there may be infection after the surgery, and a series of other troublesome things. "
Chief Du did not expect Zheng Ren to be able to say one, two, three, four, and five things about this' simple 'surgical method.
"What surgical method are you going to choose?"
Zheng Ren smiled slightly and did not say anything. Instead, he went to the operating room.
The gastroscope was ready, and Chief Luo was ready to operate it personally.
Zheng Ren came to the patient and pretended to do a physical examination. He directly entered the System space and clicked to buy surgical training time.
..
"I want to choose percutaneous endoscopic gastric puncture. The gastroscope will guide the jejunal nutrition tube through the pylorus into the jejunum." Zheng Ren finally made a decision.
After disinfection, a sterile sheet was laid out, and the surgery began.
This surgery was rather special. It could be considered a surgical method for two surgeons.
One of the surgeons was Zheng Ren, and the other was Chief Luo.
Su Yun, who went on stage to scrub in, was only considered an assistant to the guide wire. He was completely ignored.
The gastroscope gently entered the pregnant woman's stomach. Because there was local anesthesia, there were side effects, but they were slightly lighter.
Chief Du had personally talked to the pregnant woman before the surgery. This should be the only chance to save the child.
Although it was very uncomfortable, the pregnant woman forced herself to hold back her tears. She tried her best not to bring any trouble to the surgery.
The balloon was opened and the stomach was pushed up.
The pregnant woman began to vomit violently, although she could not vomit anything.
This was a kind of nerve reflex. It was not something that could be endured even if she wanted to.
Zheng Ren did not wait for the pregnant woman to stop vomiting and struggling. He directly punctured it. Under the direct view of the gastroscope, the puncture kit opened the abdomen and stomach wall umbrella and fixed the puncture needle.
"Chief Luo, let's release the air." After this step was completed, Zheng Ren heaved a sigh of relief.
All that was left was to send the jejunum tube in.
Chief Luo nodded, but his hand was grabbed by a pale, cold, and sweaty hand.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
