Chapter 1506

In addition, Liu zewei was also interested in hearing about the intracavitary appendix.

Although I'm not a surgeon, I still know something when I drink and eat and listen to people boasting.

Boss Zheng saved Taiwan successfully for the appendectomy that belongs to tianwaifeixian level.

"I touched it. There was no tumor in the ileocecal part, but I turned it over. I asked director Luo to go on stage for colonoscopy."

"..." Liu zewei was stunned.

Boss Zheng, you are cheating.

It's really awesome to cut out the appendix with one knife, you

However, boss Zheng's doing so seems to be a way of long-term stability.

In the future, if you can't find the appendix, push the enteroscope machine up to see if it is an endoluminal appendix.

This operation is not coquettish or cool at all, but it is very practical.

"Boring." Su Yun scolded, "have you already known it?"

"Almost." Zheng Ren said with a smile, "I've thought about it. I can't. If I can't see it through the endoscope, I'll use gastrointestinal angiography. Anyway, there are some ways."

"Where did you find it later?"

"Director Wei almost touched the position about 12cm above the ileocecal part. But I'm afraid I can't be sure. I'll even be very careful when I cut."

"Unfortunately, next time, remember to bring the whole treatment group." Su Yun told again, "no matter where I am, I will fly there in 10 minutes."

"Don't be ridiculous. Are you really going to put your underpants out and fly back in the street?"

"If you have an endoluminal appendix to see, this is also an option."

Casually joking, came to the mirror room. After changing their clothes, the three walked in.

"Boss Zheng, what's the situation today? I heard it's hyperemesis gravidarum?" Liu zewei asked.

"Well, I vomit too much. Pregnant women still don't agree to induction of labor, so I can only try this way." Zheng Ren said, "but it's troublesome. I won't talk about the operation process. After the operation, the jejunal nutrition tube is blocked. Change the tube, and put some nutrient solution along the jejunal nutrition tube every day. It's really troublesome to check all kinds of things regularly."

"But there is a way."

"Well, it's only tentative. There are not many related operations in the world, but there are some successful cases." Zheng Rendao.

Is that so? Liu zewei outlined in his heart what Zheng Ren wanted to do. Although it was not difficult, it was commendable to have this idea.

Sometimes, a wild idea eventually becomes a commonly used clinical operation, saving countless people.

The patient has been sent. Director Du of gynecology came with him, and director Luo is also there.

The directors of 912 are still very interested in a relatively new operation and want to see it with their own eyes.

Zheng Ren suddenly remembered whether he would be angry if he didn't report this new technique to director Kong.

Oh.

It's hard to operate,

Difficult surgery,

It's more difficult to do difficult surgery that others haven't done.

I met a case of intraluminal appendix today. I didn't call anyone else. I have been "seriously" warned by Xiaoyi.

Although he didn't carry a rolling pin or his ears, Zheng renneng felt the murderous spirit.

This is death, Zheng Ren knows.

Next time, you must call everyone.

Would it be too eye-catching and hateful to take the whole medical team to the rescue station? Zheng Ren is a little sad.

Imagine that Director Wei wanted to save Taiwan himself. As soon as he entered the door, there were seven or eight people. Regardless of whether it was an operator or an assistant, an instrument nurse or even an anesthesiologist, they were all kicked out

It's so arrogant.

Arrogance is arrogant. If you can't do surgery, why?

Forget it, don't think about these annoying things, you'd better have an operation first.

"Boss Zheng, the preoperative explanation you wrote is too detailed." Director Du said with a wry smile, "I told the patient's family and startled myself."

"A lot of complications are very rare. I can't help it." Zheng Ren said: "in order to avoid future disputes, we should do so."

"You do it. I'll open my eyes." Director Du said with a smile, "I've considered giving the patient a jejunal nutrition tube through the esophagus. What operation are you going to choose?"

"The kind you mentioned has little trauma, but there is a pipe passing through the oropharynx, and the patient's stimulation is great. The specific pathogenesis of this kind of hyperemesis gravidarum has not been studied and understood, but the way of passing through the oropharynx is not appropriate."

Zheng Ren began to seriously explain why he chose the operation, and his previous troubles were cleared away.

Why worry, only surgery.

"There are two kinds of rest. The first is the method of percutaneous gastric puncture and indwelling nutrition tube for gradually frozen people in China; the second is the method of indwelling nutrition tube through jejunum from inside to outside."

"Each has its own advantages. The first advantage is that the possible side effects during the operation are relatively small, and bleeding and the like can be avoided as much as possible. But the disadvantage is that pregnant women may react to the jejunal nutrition tube passing through the pylorus, which is very painful."

"The second advantage is that there is no pyloric stimulation. However, the pipe directly enters the jejunum and punctures from inside to outside. It can't be punctured under CT guidance. I'm worried that there will be problems in the operation. In addition, there may be infection and a series of other troublesome things after the operation."

Director Du didn't expect that Zheng Ren could say one, two, three, four, five in this "simple" technique.

"What are you going to choose?"

Zheng Renwei smiled and didn't speak, but came to the operation room.

The gastroscope is ready, and director Luo is ready to operate it himself.

Zheng Ren came to the patient, made a physical examination, directly entered the system space, and clicked to buy the operation training time.

……

"I want to choose the operation of percutaneous endoscopic gastric puncture and gastroscope guided jejunal nutrition tube into the jejunum through pylorus." Zheng Ren finally made a decision.

Disinfect, lay the sterile sheet, and the operation begins.

This operation is special. It is a double operation.

One is Zheng Ren and the other is director Luo.

Su Yun, who brushed his hands on the stage, was just an assistant holding the guide wire, which was completely ignored.

The gastroscope gently enters the stomach of pregnant women. Because of local anesthesia, there are side effects, but slightly less.

Director Du talked to the pregnant woman before the operation. This should be the only chance to keep the child.

Although it was very uncomfortable, the pregnant woman endured her tears and tried not to bring any trouble to the operation.

The balloon opens and pushes up the stomach.

The pregnant woman began to vomit violently, although she couldn't vomit anything.

This is a kind of nerve reflex. You can't bear it if you want to.

Zheng Ren did not wait for the pregnant woman to stop vomiting and struggling and puncture directly. Under the direct vision of gastroscope, the puncture kit abdomen and gastric wall umbrella were opened and the puncture needle was fixed.

"Director Luo, let's breathe." When this step was completed, Zheng Rencai breathed a sigh of relief.

All that's left is the jejunal tube.

Director Luo nodded, but his hand was caught by a pale hand full of cold sweat.