Chapter 1498: The ‘missing’ Appendix
“It might look simple, but it’ll be fine if I do it a thousand times. However, if you’re careless, it might be fine once or twice, but you’ll eventually get into trouble. ” Zheng Ren sighed with emotion.
“This is the logic.” Department Director Luo patted Zheng Ren’s shoulder and said.
“I’ve been working as a gastroenterologist for fifteen years, and I’ve always been very careful. However, I still encountered many problems that I couldn’t solve. ” Department Director Luo said as he watched the doctor’s operation.
“The pearform nest is severely damaged, esophageal perforation, and cardiac mucous membrane rupture. Tell the patient that it’s a complication? Would it have been avoided if the operation had been gentler?” Director Luo shook his head as he spoke.
“I’ve taught many people how to do Gastroenterology, and most of them felt that it was very simple. They said that they could do it with their eyes closed. I don’t agree with that. You have to be careful with every single examination. If you think it’s not enough even when you try your best, then you can forget about closing your eyes. ”
Zheng Ren nodded. He thought director Luo was right.
“Child’s play ... Do they know how complicated the disease in children is?” Department Director Luo said in disdain.
“I used to work in the First People’s Hospital of Haicheng City, where I just started to do painless Gastroenterology. This surgical method has just been launched, and the doctors are inexperienced. There was a case where the colon and spleen were punctured. ” Zheng Ren said.
“The patient is under basic anesthesia. The surgeon doesn’t know how to use any techniques and only knows how to use brute force to bend the patient’s body.” Director Luo said with certainty.
Zheng Ren nodded.
Who didn’t explore and accumulate their skills bit by bit?
Born with it? Even people like Su Yun had to see it once before they knew.
Zheng Ren thought to himself.
......
“So, boss Zheng, your surgery livestream room is really a great service.” Department Director Luo said frankly,”you’ve already accumulated a lot of experience, and you’ve also selflessly passed it on to other doctors.”
“You’re overpraising me,” “It’s just a coincidence that someone asked me to do it. “Zheng Ren smiled humbly.
“What do you mean by overpraising? I’m still far from enough.” Department Director Luo glared at him and immediately realized that he was a little emotional. He immediately smiled gently.
He had been too engrossed in studying the surgery for the past few days, and his impression of boss Zheng had unconsciously increased.
“Many situations are obtained through trial and error.” “It’s just like the patient with morning sickness. We don’t know when the patient’s colon nutrient tube will be blocked after the surgery, so he’s still very nervous,”Zheng Ren said.
“After all, most of the patients suffering from lower jejunus nutrient tubes have late cancer. The patient in front of us is different. She’s fine after giving birth. ”
“Yes, that’s why you have to be more careful. I still need to think about the surgery. ” Zheng Ren thought of several different surgical methods. He was prepared to go to the system operating theater to try it out immediately after the patient’s family agreed to the surgery.
“I just happened to catch you.” When Department Director Luo saw that the colonoscopy was finished, he grabbed Zheng Ren’s arm and said with a smile,”You have to tell me more about the surgery you performed on me a few days ago.”
Zheng Ren did not expect things to turn out like this. He was only here to take a look at the machine and then decide what surgical method to use.
It would be best if he could communicate with the gastrointestinal doctor.
However, looking at the current situation, Department Director Luo was probably preparing to personally arrange a table for him to perform the gastroscopy.
This ... He was a little overwhelmed by the favor.
Zheng Ren had no choice. He went to the demonstration room with Department Director Luo and began to explain the surgery he performed on the day of the emergency.
……
……
At the same time, a professor from the gastrointestinal surgery department was panicking in the operating theater.
The operation was very simple. The preoperative diagnosis was acute appendicitis.
Laparoscopic single appendectomy was already a very well – developed technique. However, after he entered the abdominal cavity, his hands and feet were numb.
At the place where the pain was pressed in the lower right abdomen, the intestines were smooth, and there was no sign of the appendix at all.
He used the laparoscope to look for the appendix for ten minutes, but there was still no sign of it.
He had no choice. He would switch to laparoscopy and cut the intestines directly. He would have to find the appendix even if he had to cut the intestines directly.
The worst conditions for an appendectomy were when a barefooted doctor came to the brick bed or bed at home to perform an appendectomy under local anesthesia.
He was able to perform the surgery just like that.
Moreover, under normal circumstances, as long as an intern was diligent and did a lot of work, they would be recognized by the teaching teacher. When he was close to graduation, he would more or less be allowed to perform one or two cases of sparanutectomy.
This was the highest and Supreme honor one could receive during an internship. When he returned to school, he could brag about his graduation to the other students.
However, appendectomy had also stumped many great surgeons.
After he made the incision, the appendix that should have popped out the moment the retroperitoneum was opened was gone. Even after cutting his intestines for two hours, he still didn’t find anything.
Ectopic vermiform appendix was a piece of cake, but the truly troublesome part was the retroperitoneum Appendix.
However, none of these were as good as the “missing” Appendix.
After checking the intestine for an hour, the professor still could not find the appendix. He had no choice but to call someone.
A cloud – piercing arrow, and thousands of soldiers and horses would meet.
If he couldn’t do it himself, then he would find someone with a higher level to come up and take a look.
But unfortunately, there was a complicated surgery on intestinal adhesion and intestinal obstruction on chief Wei’s side, and he could not get it done for the time being.
Feng Jianguo came up to help.
The two leading professors searched for another hour, but they still could not find the appendix.
Was it lost? Or did he just vanish from the world?
It can’t be.
The incision was extended again and again, and it was in a mess.
He couldn’t care less about being embarrassed. If a layman did not understand, there was nothing they could do about it if they said that the surgery was performed poorly.
All the experts knew that if they really encountered a case where the appendix was lost ...
Everyone would be in shock.
The two of them were sweating profusely.
Two circles of sterile gauze were wrapped around the sterile cap to prevent sweat from falling into the operating area.
Even so, the two of them would turn around from time to time to ask the circulating nurse or anesthetist to help them wipe their sweat.
If they really could not find the right position for an appendectomy, the surgery would end up in a very bad state ...
What about the patient? Always in pain? Until the appendix finally ruptured somewhere?
Or should he go to another hospital?
Being laughed at in the future was secondary.
Even if he couldn’t find it, he could find it in other hospitals?
Feng Jianguo did not believe this.
If he couldn’t find it, no one else would be able to either.
If he really couldn’t find it, he could only use a large dose of antibiotics and hope that the inflammation would go down.
After that, there was a high probability that the patient would eventually have a large area of abdominal infection, and within one to two days, it would develop into a stimulating pneumoperitoneum, which would eventually lead to infectious shock until the patient’s death.
The two leading professors sweated even more when they thought of this possibility.
The dark green sterile coat had been pierced through, and the color of the coat on his back looked like it had been splashed with ink.
After 56 ‘, director Wei arrived.
“What’s the situation?”
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