Chapter 1498

"It looks like a simple operation. It may be okay to do it a thousand times. But if you are careless, it may be okay twice at a time, but something will happen in the end." Zheng Ren also sighed.

"That's the truth." Director Luo patted Zheng Ren on the shoulder and said.

"I've been doing gastroenteroscopy for 15 years. I've been cautious and walking on thin ice. But I still encounter many problems that I can't solve." Director Luo looked at the doctor's operation and said.

"Serious injury of piriform recess, perforation of esophagus and tear of cardiac mucosa. Is it a complication? Will it be avoided if the operation is gentle?" Then director Luo shook his head.

"I have taught many people to do gastroenteroscopy. Most of them feel very simple. They can do anything they say with their eyes closed. I don't agree with that. Every examination should be carried out carefully. They don't think it's enough to go all out, let alone with their eyes closed."

Zheng Ren nodded. He thought director Luo was right.

"Pediatrics... They know how complex children's diseases are?" Director Luo said contemptuously.

"I was in the first hospital of Haicheng City. I just started to do painless gastroenteroscopy. I also just carried out this operation. The doctor has no experience. There is a case of stabbing and leaking of colon, spleen and intestine." Zheng Rendao.

"The patient's basic anesthesia state, the strength at the bend, the surgeon does not have skills, but only uses brute force." Director Luo said with certainty.

Zheng Ren nodded.

Skills, who is not a little groping, accumulated?

Born? People like Su Yun have to see it once.

Zheng Ren thought to himself.

"So, boss Zheng, your live operation room is really meritorious." Director Luo said frankly, "you have already completed a lot of empirical accumulation and imparted it to other doctors selflessly."

"You flatter me." Zheng RenQian smiled and said, "by chance, someone just came to me to do it."

"What flattery, I said is far from enough." Director Luo stared, then found that he was a little excited, and immediately smiled gently.

I've been studying ESD surgery these days. I've been too addicted to it. I've unconsciously increased my favor with boss Zheng.

"A lot of things are groping." Zheng Ren said: "it's like the patient with hyperemesis gravidarum encountered today. I don't know when the jejunal nutrition tube will be blocked after operation, so I'm still very nervous."

"After all, most of the patients with lower jejunal nutrition tube are patients with late cancer. In order to improve the quality of survival, this patient is different. He is a good person after delivery."

"Well, so be more careful. I have to think about the operation again." Zheng Renpan worked out several different surgical procedures. After the patient's family agreed to the operation, he immediately went to the system operating room to have a try.

"Just caught you." When director Luo saw that the colonoscopy in front of him was finished, he grabbed Zheng Ren's arm, smiled and said, "you have to tell me about the ESD operation you did a few days ago."

Zheng Ren didn't expect that things would turn into what they are now. He just came to see the machine, and then he absolutely used what technique to do it.

If you can communicate with the doctor of gastroenteroscopy, it's the best.

But judging from the current situation, director Luo should be ready to prepare a gastroscope for himself.

This... Is a little flattered.

Zheng Ren couldn't help it. He went to the classroom with Director Luo and began to explain his ESD operation that day.

……

……

At the same time, a professor of gastrointestinal surgery panicked in the operating room.

The operation is simple. The preoperative diagnosis is acute appendicitis.

Endoscopic single hole appendectomy is a mature technique. But after he entered the abdominal cavity, his hands and feet were numb.

At the tenderness point of the right lower abdomen, the intestinal tract is smooth, and there is no shadow of the appendix at all.

I looked for it with the endoscope for ten minutes, but I still didn't see the appendix.

There's no way. Let's switch to endoscopic surgery. Stroking the intestines under direct vision, we also have to find the appendix.

The worst condition for appendicitis surgery is that barefoot doctors come to the door and perform appendectomy under local anesthesia on the Kang and bed at home.

That's it. Surgery can be done.

And generally, as long as interns are diligent and do more work, they are recognized by the teachers. Near graduation, he will be allowed to do 1 or 2 appendectomy by himself.

This is the highest and supreme honor during the internship. Back to school, I can blow with other students until graduation.

But appendectomy has also baffled many cattle surgeons.

After incision, the appendix that should have "jumped" out at the moment of opening the retroperitoneum disappeared. He stroked his intestines for 2 hours and didn't find it at all.

What kind of ectopic appendix is a piece of cake. Retroperitoneal appendix is the real headache.

But these are not as good as the "missing" appendix.

After stroking his intestines for an hour, he still couldn't find the appendix. The professor with the group had no choice but to call someone.

A cloud piercing arrow brings thousands of troops to meet.

If you can't do it yourself, find someone with a higher level to have a look.

But unfortunately, Director Wei has a complicated operation for intestinal adhesion and intestinal obstruction, which can't come down for the time being.

Feng Jianguo came up to help.

The two professors with the group looked for another hour and still couldn't find the appendix.

Is this lost? Or has the world evaporated?

No.

The incision is extended and twisted.

Shame or not, I can't care about it. The layman doesn't understand. It's impossible to say that the operation is bad.

Experts know that it's really necessary to encounter such a case of missing appendix

Everyone has claws.

They sweat like milk.

Two circles of sterile gauze were wrapped around the outside of the sterile cap to prevent sweat from falling into the operation area.

In this way, they turned back from time to time and asked itinerant nurses or anesthesiologists to help wipe their sweat.

If you can't find a place for an appendicitis, how to open the operation and how to close it at last... That's a big deal.

What about the patient? It hurts all the time? Until I don't know where the appendix was last perforated?

Or go to another hospital?

Being laughed at later is the second thing.

If you can't find it yourself, you can find it in other hospitals?

Feng Jianguo doesn't believe in this evil.

I can't find it myself, nor can anyone else.

If you really can't find it, you can only use large doses of antibiotics, hoping to eliminate the inflammation.

After that, it is likely that the patient will eventually develop a large-area abdominal infection, and then develop irritant peritonitis within 1-2 days, resulting in septic shock until the patient dies.

At the thought of this possibility, the two professors with the group sweated more.

The dark green sterile clothes have been beaten through, and the color of the sterile clothes on the back seems to be splashed with ink.

After 56 ', Director Wei came.

"What happened?"