Chapter 1505 How to Solve the Worries, only Surgery

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

Although he is not a surgeon, he still understands a little when he drinks and eats and listens to people bragging.

The kind of appendix surgery that belongs to the level of Feixian, Boss Zheng actually succeeded in saving Taiwan.

"I went to feel it, and there was no tumor in the ileocecal area, but after I checked it all over, I asked Director Luo to come on stage for a colonoscopy."

"..." Liu Zewei was stunned for a moment.

Boss Zheng, you are cheating.

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

However, doing this by Boss Zheng seems to be a long-term solution.

In the future, if the appendix cannot be found, push the colonoscopy machine to see if it is an intraluminal appendix.

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

"Boring." Su Yun scolded: "Have you already counted?"

"Almost." Zheng Ren said with a smile: "I've thought about it, but it's really impossible. I can use digestive tract imaging if the endoscope can't see it. Anyway, there are ways."

"Where did you find it later?"

"Director Wei almost touched the position about 12cm above the ileo-blind area. But I guess I have touched it, but I'm not sure, and I would be very cautious even with the knife."

"It's a pity, next time, remember to bring the entire treatment group." Su Yun urged again, "No matter where I am, I will be there within 10 minutes."

"Don't talk nonsense, are you really going to fly back with your pants on the street?"

"If there is an intracavitary appendix that can be seen, this is also an option."

Just joking, come to the endoscopy room. After changing clothes, the three walked in.

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

"Well, I vomited too much, and the pregnant woman didn't agree to induce labor, so I can only try this method." Zheng Ren said: "But it's very troublesome, so I won't talk about the operation process. , every day along the jejunum feeding tube instillation of nutrient solution. It is really troublesome to check various things regularly. "

"But after all, there is a way."

"Well, it's just tentative. There are not many related surgeries around the world, but there are some successful cases." Zheng Rendao.

Is that so? Liu Zewei sketched in his mind the technique that Zheng Ren wanted to do. Although it was not difficult, it was commendable to have this idea.

Sometimes, an imaginative idea eventually becomes a commonly used clinical technique, saving countless lives.

The patient has been sent, and Director Du of the gynecology department has followed, and Director Luo is also there.

The directors of 912 are still very interested in a relatively new technique 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.

Ugh.

Surgery is difficult.

It is difficult to do difficult surgery.

It is even more difficult to do difficult operations that others have not done.

I encountered a case of intracavitary appendix today, and I didn't call anyone else, and I was warned "seriously" by Xiao Yiren.

Although he wasn't holding a rolling pin or his ears, Zheng Ren could feel the murderous aura.

This is killing, Zheng Ren knows.

Next time, make sure to call everyone.

Wouldn't it be too conspicuous to bring the entire medical team to the rescue station? Zheng Ren was a little sad.

Just imagine that Director Wei would save Taiwan if he wanted to. As soon as he entered the door, there were seven or eight people. It doesn't matter if it is the surgeon or assistant, the equipment nurse or even the anesthesiologist, they are all kicked out...

So arrogant.

Arrogant is arrogant, can't do surgery, is there any reason?

Forget it, don't think about these troublesome things, let's do surgery first.

"Boss Zheng, the preoperative explanation you wrote is too detailed." Director Du said with a wry smile, "I explained it to the patient's family, which surprised me."

"Many are very rare complications, there is no way." Zheng Ren said: "In order to avoid future disputes, it should be done."

"You do it, I'll open my eyes." Director Du smiled: "I have considered giving the patient a feeding tube through the esophagus and jejunum. What surgical method are you going to choose?"

"The kind you said is less traumatic, but there is a tube passing through the oropharynx, and the patient's irritation is great. The specific pathogenesis of this type of hyperemesis gravidarum has not yet been studied, but the method of lowering the tube through the oropharynx is not suitable. ."

Zheng Ren began to explain very seriously why he chose the technique, and the previous troubles were swept away.

How to solve the worry, only surgery.

"The rest, there are two types. The first is the domestic procedure of percutaneous gastric puncture for indwelling feeding tubes for people with gradual freezing; the second is the procedure of indwelling feeding tubes through jejunum puncture from the inside out."

"Each has its own advantages. The first advantage is that the side effects that may be caused 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 feeding tube passing through the pylorus, which is Very frustrating."

"The second advantage is that there is no pyloric stimulation. However, the tube goes directly into the jejunum and is punctured from the inside to the outside, and it cannot be pierced under CT guidance. I am worried that there will be problems with the operation. Besides, there may be infections after surgery, and other A whole bunch of troublesome things."

Director Du did not expect that Zheng Ren would be able to say one, two, three, four or five about this "simple" technique.

"What spell are you going to choose?"

Zheng Ren smiled slightly, but did not speak, but came to the surgery room.

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

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

...

"I want to choose percutaneous endoscopic gastric puncture, and the jejunal feeding tube is guided by the gastroscope to enter the jejunum through the pylorus." Zheng Ren finally made a decision.

Sterilize, lay sterile sheets, and start the operation.

This operation is quite special, and it is considered a double-surgery operation.

One of the practitioners is Zheng Ren, and the other is Director Luo.

Su Yun, who came to the stage with his hands, was only an assistant to help the guide wire, and was completely ignored.

The gastroscope is gently inserted into the stomach of the pregnant woman. Because of the local anesthesia, there are some side effects, but they are slightly milder.

Director Du personally talked to the pregnant woman before the operation, and this should be the only chance to save the child.

Although it was very uncomfortable, the pregnant woman held back her tears and tried her best not to cause any trouble to the operation.

The balloon is deflated and the stomach is pushed up.

The pregnant woman began to vomit violently, although she could not spit out anything.

This is a neural reflex, not something you can endure if you want to endure it.

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

"Director Luo, let out your breath." After this step was completed, Zheng Ren was relieved.

All that's left is to send the jejunal tube in.

Director Luo nodded, but his hand was grabbed by a pale, wet and sweaty hand.