Chapter 2698 The general trend of surgery
Feng Jianguo was quite unhappy. Quan xiaocao had already come up with a solution to the problem, but she did not dare to say it.
Forget about what happened just now. She was just a student, so it was only right for her to be a little quieter in front of so many professors, directors, and the hospital administration Director. But now, boss Zheng was obviously backing her up, so she really didn’t know what she had to be afraid of.
Although it was said that honest children had little trouble, Quan xiaocao was a little too honest. Feng Jianguo was a little distressed.
Quan xiaocao was obviously scared. She stood up with her head lowered and walked to Zheng Ren’s side.
“Do you still remember the surgery?” “You’d better prepare yourself mentally,” Zheng Ren said with a smile.”Just treat it as if I’m here.”
Quan xiaocao lifted her head and looked at Zheng Ren in confusion.”Boss Zheng, you’ve said everything you needed to say ...”
“Have you practiced surgery before?” Zheng Ren asked with a smile.
“I’ve practiced it before ... What I practiced was the treatment of an anal fistulas with the metal clamp system of a rectal endoscope. It’s different from this. ” “I just remembered that they’re all fistules,” Quan xiaocao said timidly.”I think we can also use OTSC to do it.”
Lin Ge and the others were stunned when they heard Quan xiaocao’s words, especially director Luo, who furrowed his eyebrows.
Quan xiaocao had already started researching colorectal surgery? A huge sense of danger rose in his heart.
Director Wei from the gastrointestinal surgery department and the other group professors did not give him that feeling, but now, he clearly felt it from a student.
She was very pure and did not have the arrogance of a surgeon at the top of the food chain. She was most afraid of newcomers like this. With director Wei’s support, who knew what kind of trouble they would cause.
Zheng Ren patted Quan xiaocao’s shoulder and said,””Wait for me.”
After he finished speaking, he tapped on the film on the film reader and said,”The surgery I’m thinking about will be divided into two steps.”
“First, when I saw the gastroscopy report–saw that the enterojejunostomy anastomosed between 37 and 39 centimeters away from the front teeth-there was no strictness, and the endoscope could be passed smoothly. There’s a portal in the left wall of the anastomosed area. There’s a residual anastomosed nail at the edge, and it’s about 0.8 cm in diameter. “
“Clamp the mucous membrane at both ends of the fistburst with both arm forceps and suck it in at the same time. Pull the tissue around the fistburst into a transparent cap, then turn the handle to release the OTSC anastomosed clip.”
“Since it’s a esophageal and jejunostomy, the elasticity of the colon’s mucous membrane is still very large, and we can grab as much tissue as possible. After the OTSC anastomosed clip is clamped, it’s equivalent to having new tissue blocking the fistburst. There’s a high possibility that the fistburst will recover. “
“Second, perform an esophageal stent insertion after the surgery. When the balloon is being expanded, the stent must go along with the pressure so that the tissue clamped by the local OTSC anastomosis clip will not be anemic. “
Zheng Ren explained the surgery process as he looked at Quan xiaocao from the corner of his eye.
She was very excited at first. Zheng Ren felt that what he said was exactly what she was thinking. However, when she reached the second step, Quan xiaocao started to feel lost.
“The purpose of setting up a stent is to avoid the corrosion of digestive fluid. It’s still not certain if we should do this step or not.” “I still suggest doing it. It can shorten the patient’s recovery period,” Zheng Ren continued.
“Yes, I’m done.” Zheng Ren stood in front of the film reader and looked around at the people in the office.
“Boss Zheng, have you done it before?” Director Luo asked.
“No, I didn ‘t,” Zheng Ren smiled.”I’ve seen it in the news report. The theory is very simple, and it’s supported by preliminary data.”
“According to the report, doctors such as Arezo treated 14 patients with postcolon anastomosed fistules with OTSC anastomosed clips. Among them, eight were acute ones, and seven were successfully closed under endoscope. Out of the six cases of slow-acting colon fistules, five were closed successfully. “
“Doctors like Galizia performed OTSC clamping on three patients with sutured rifts after Roux en Y’s surgery, and all the surgeries were successful.”
“The current data sample is a little small, so I can only say that I’m giving it a try. This is a new and emerging type of endoscopic treatment. I think it’s very suitable for the current patients. “
“Boss Zheng, is it okay if I use the anastomosis fistules for stomach and esophagus anastomosis?” Professor Lu asked.
“Theoretically, it’s possible. The elasticity of the stomach wall is greater, so the relative difficulty level will be reduced a lot.” Zheng Ren took a glance at Fang Lin after he was done speaking. He then continued,””Whether it can be done or not, we still need more data to support it.”
Fang Lin’s heart stirred when he saw boss Zheng’s gaze.
He knew very well what kind of person Quan xiaocao was. He was just a student, but he was in contact with endoscopies. Under boss Zheng’s inspiration, he began to research minimally invasive treatment.
Although he wasn’t a member of 912 yet, after all the things that had happened, it was inevitable that he would stay in 912.
How could professor Feng let such a person go? Besides, even if the Department of Gastrointestinal Surgery did not treasure it, Department Director Luo was probably going to poach Quan xiaocao.
If a student could get to where he was today, what about him? Fang Lin began to ponder. He also knew that the trend of the surgery was for the trauma to become smaller and the surgery to become more detailed.
Initially, cardiothoracic surgeries had ranged from laparoscopy to thoracotomy, but right now, laparoscopy had basically reached the peak of perfection. Chutzling and other similar surgeries, which were difficult to perform even by opening up the chest, were now all treated with a chonoscope.
Could it be that he was going to develop it into an endoscopic surgery in the future?
Fang Lin felt a little lost. It seemed like he would have to have a good chat with Brother Yun about this matter in the future.
“Professor Lu, how is the patient? I suggest that we prepare for the emergency treatment. ” Zheng Ren said,”the epineurium of the patient’s aorta has been affected to a certain extent. It might ...”
“Alright!” Professor Lu didn’t wait for boss Zheng to finish and immediately agreed.
A sneeze could kill a patient. This kind of thing had to be avoided. Besides, if the surgery was to be performed today, it looked like boss Zheng would have to follow.
With boss Zheng around, the problem would be solved directly. He had no reason to refuse.
“Alright, then let’s get ready.”
“Boss Zheng, do you have OTSC anastomosed clips?” Professor Lu asked carefully.
“I have it here. Xiao Cao is also practicing. She should have it too.” Zheng Ren looked at Quan xiaocao.
Quan xiaocao nodded her head vigorously.
Seeing boss Zheng take his phone to make a call, director Luo sat firmly in his chair and thought a lot.
Most of the time, endoscopies were just a change in thought.
Director Luo had personally experienced this step of building something from nothing, so he knew how difficult it was. But to sit on the difficulties of the past and not make any progress? Director Luo did not think so.
“OTSC surgery? let’s see if boss Zheng’s surgery is suitable for me. Can I start developing it?”
Director Luo shook his head slightly. The main purpose of OTSC surgery was to treat various anastomosed fistules, which was a remedial measure for surgical complications.
He definitely didn’t have any patients, so he didn’t need to think about it. On the other hand, that primary school student would probably have a good chance to soar to the sky.
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