Chapter 2827

Because there were no family members of the patients, the small staff of the medical department came with equipment in the middle of the night and left audio-visual materials as legal documents.

Sending the patient to the stage, Feng Jianguo felt that what he had just said was somewhat insidious.

But there's no way. If you don't scare him like that, how can the goods be operated on. Without surgery, it's a small matter whether you can sleep today. What if the patient really dies in 912? Although it is made by yourself, it is also a life.

Really, I've seen all kinds of rectal foreign bodies and rolling pins twice in my life, but they all use lubricant and some are afraid of getting dirty.

How nice of you! You don't know the depth of your mouth when you quarrel with your girlfriend... Tut Tut, Feng Jianguo feels funny while changing clothes. I'm really old to quarrel with my girlfriend and wife. It seems that I haven't even been interested in quarreling for several years.

Feng Jianguo immediately threw away the idea and continued to think about the patient.

He said he was brave, but he wasn't. At the mention of the operation, he was scared and trembled. Finally, he reluctantly agreed to take a look at whether he could do it with enteroscope, and then operate under laparoscope. If not, he would operate again.

He said he was timid, but he was still not. Timid, can you put the rolling pin directly in? It's still young. Feng Jianguo thought with emotion. When you live to your age, you know that living is more important than anything. Isn't it good to live? Is the game not fun or hot pot not delicious.

After changing his clothes and taking a look at the time, Feng Jianguo estimated that the operation should end in about two hours.

He could sleep for a while. He comforted himself.

Entering the operation room, see Quan Xiaocao preparing colonoscopy equipment. The anesthesiologist was anesthetizing the patient. Feng Jianguo smiled and said to the patient, "look, that's the colonoscopy equipment. Take a look with this equipment first. If it can be solved, there won't be even a hole."

He knew he was comforting the patient and wished him a good dream under anesthesia.

In fact, Feng Jianguo himself doesn't know whether this practice is right or not. Who knows? He doesn't want to have some of these.

With colonoscopy? It was just a "placebo" to fool the patient. But now that we have said that we must leave a sum of money in the operation record for colonoscopy exploration, see XXX, can't XXX, and finally choose endoscopic surgery.

"Grass, are you ready?" Feng Jianguo asked.

"Teacher Feng, OK."

"The boss went to brush his hands, and I pulled out the rolling pin." Feng Jianguo arranged it.

The boss prepared the laparoscopic equipment, checked it again, and then went to brush his hands. Feng Jianguo put on a pair of sterile gloves, looked at the rolling pin with a head exposed and sighed, "why is this thing so deep? It's said that the young man is really cruel."

"Well, I know this time." The itinerant nurse was ready to light the equipment with the equipment nurse and said, "I'll go back and tell my husband, don't be so naughty outside, which annoyed my mother. This is an example."

The anesthesiologist laughed, "you can't put it in if you do it."

"Bullshit, I poured more intestines than you..."

"Stop it. It's disgusting." The anesthesiologist knew he couldn't say anything, but the vicious itinerant nurse quickly stopped the topic, "Professor Feng, when can we finish? There are two caesarean sections waiting to be followed."

"Two o'clock!" Feng Jianguo said with a smile, "is the anesthesia over?"

"It's over. The anal sphincter has relaxed. Even if you don't pull it out, you'll be able to discharge it later." The anesthesiologist smiled.

Without much effort, Feng Jianguo took out a bloody rolling pin. Put it aside and saw a small amount of active bleeding, he said, "grass, hurry up and see if you can find the bleeding point."

This is his only expectation for Quan Xiaocao. It's also good to find the bleeding point and stop bleeding first. Although the patient has no substantial organ injury, the possibility of massive bleeding is also small.

The patient's blood pressure is stable, unlike the penetrating injury of sharp instruments. I don't know how many internal organs have been damaged. In that case, I dare not pull it out.

This time it's just a blunt rolling pin. Only 20cm is in the body. There won't be any problem pulling it out.

"I'll brush my hands." Feng Jianguo then said.

He glanced at Quan Xiaocao and saw that Xiaocao had finished his psychological hint. This time it was too much. He even wore two layers of sterile masks!

A boss Zheng is not enough for you to learn. Even Su Yun imitates the habit of wearing a mask. Feng Jianguo has no good way to do this.

But for such a counsellor, it's good to have a good operation.

It seems that she has entered the state and directly opened her own unparalleled mode.

Feng Jianguo thought it was funny, but he was still worried about the rupture and bleeding of the patient's small blood vessel. He quickly went to brush his hands.

Quan Xiaocao didn't answer Feng Jianguo, not because she didn't respect Professor Feng, but because she had opened an unparalleled and entered the model of boss Zheng + Brother Yun.

Put the enteroscope lens into the anus and ignore the bleeding point of anal tear. The bleeding point can be cleaned up after it comes out.

Xiao Cao has practiced endoscopic treatment of rectum for 3 months, and there are more than 40 rotten simulators obtained and used in community hospitals alone.

In this regard, Quan Xiaocao is still frugal. Sims are all costs, and Brother Yun still refuses to accept money... All these make Quan Xiaocao feel a little guilty.

In Brother Yun's words, one day you can perform endoscopic surgery alone, even if it's a reward. Quan Xiaocao doesn't think this sentence is true, but he doesn't know what to do if he wants to repay. Boss Zheng and Brother Yun seem to lack nothing.

Through day-to-day practice, Quan Xiaocao has now been able to open unparalleled in an instant and successfully enter the mode of boss Zheng + Brother Yun to prepare for surgery.

Concentrate on sending the enteroscope into the rectum, Quan Xiaocao's eyes narrowed as if it was the habit of boss Zheng, and looked at the picture of the endoscope carefully.

The rectum is OK, just some congestion and edema, OK.

The enteroscope continued to move forward. During the examination, the sigmoid colon of the patient was obviously distorted. After entering the enteroscope, an intestinal perforation with a diameter of about 1.0cm was found 20cm away from the anus.

Instead of repairing the intestinal perforation at the first time, she continued to explore upward.

Make sure it's all right, then return to the enteroscope lens and start preparing to repair the intestinal breach.

Similar treatment right Xiaocao has done it countless times. Coupled with her experience in dealing with esophageal fistula with the help of boss Zheng, she didn't think what Feng Jianguo meant, but started to deal with it one muscle.

After withdrawal, the Olympus mh463 transparent mucous membrane suction sleeve, that is, the transparent cap, was placed at the end of the colon lens. Then Quan Xiaocao took a deep breath. His hands were steady and his eyes were firm. He couldn't see the appearance of the counsellor before the operation.

……

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Note: the case is from Chinese Journal of digestive endoscopy, 2013, 30 (06): 348-348 DOI: 10.3760/cma. j.issn. 1007-5232.2013.06.018