1498 The missing appendix
"It seems simple to do it, it may be fine if you do it a thousand times. But if you are careless, it may be fine once or twice, but something will happen in the end." Zheng Ren also sighed.
"That's the reason." Director Luo said as he patted Zheng Ren's shoulder hard.
"I have been doing gastroenteroscope for fifteen years and have been cautious and walking on thin ice. But I still encountered many problems that I couldn't solve." Director Luo said as he looked at the doctor's operation.
"Severe damage to the piriform crypt, esophageal perforation, and cardia mucosa tear. Is it a complication to the patient? Will it be avoided if the operation is gentle?" As he said that, Director Luo shook his head.
"I have taught many people that do gastroenteroscopes. Most of them feel that it is very simple. They can do whatever they say with their eyes closed. I don't agree with this. You have to be careful when you do your exam. If you do your best, you don't think it's enough, so don't say you have your eyes closed."
Zheng Ren nodded, thinking that Director Luo's words were correct.
"Pediatrics...they know how complicated the diseases of children are?" Director Luo said contemptuously.
"I used to be in Haicheng First Hospital, and I just started having painless gastroenteroscopes. I just had this procedure. The doctor had no experience. There was a case of a splenic tract intestinal tract leaking from the colon," Zheng Ren said.
"The patient's basic anesthesia state, the surgeon does not know how to use brute force at that bending point, but only uses brute force." Director Luo said with certainty.
Zheng Ren nodded.
Skills, who didn’t accumulate them by exploring them little by little?
Born to know? People like Su Yun have to see it once before they can.
Zheng Ren thought to himself.
"So, Boss Zheng, your surgery live broadcast room is really meritorious." Director Luo said frankly: "You have already completed a lot of experience and have taught it to other doctors selflessly."
"You've been too rewarded." Zheng Renqian smiled gently and said, "By chance, someone happened to ask me to do it."
"What a bonus, what I said is far from enough." Director Luo glared at him, then found that he was a little excited, and immediately smiled gently.
I have been studying ESD surgery these days, and I am too addicted to the research, and my favorability towards Boss Zheng has increased unknowingly.
"Many situations are exploring." Zheng Ren said: "Just like the patient with hyperemesis gravida who I encountered today, I don't know when the jejunal nutrition tube will be blocked after the operation, so I'm still very nervous."
"After all, most patients with lower jejunum nutritional tubes are patients with late cancer. In order to improve the quality of their survival, the patient is different. They are a good person after giving birth."
"Well, so you have to be more careful. I have to think about the operation." Zheng Ren calculated several different procedures and prepared the patient's family to agree to the operation, and immediately went to the system operating room to try it.
"I just caught you." Director Luo saw that the colonoscopy in front of him was completed, so he grabbed Zheng Ren's arm and said with a smile: "The ESD surgery you had a few days ago, you have to tell me."
Zheng Ren didn't expect that things would turn into what they are now. He just came to see the machine and then he could definitely use any technique to do it.
If you can communicate with a gastroenteroscope doctor, it is the best.
But judging from the current situation, Director Luo should be preparing to personally provide a gastroscopy for himself.
This...is a bit flattered.
Zheng Ren had no choice but to go to the classroom with Director Luo and began to explain his ESD operation that day.
...
...
At the same time, in the Dawai operating room, a professor of gastrointestinal surgery was panicked.
The operation is very simple, and the preoperative diagnosis is acute appendicitis.
Laparoscopic single-hole appendectomy is already a very mature technique. However, after he entered the abdominal cavity, his hands and feet were numb.
The tender point of the right lower abdomen is smooth and there is no shadow of the appendix at all.
After searching for ten minutes with a laminoscope device, I still couldn't see any appendix.
There is no other way. If you turn laparoscopic surgery, you will have to find the appendix if you look directly at the intestines.
The worst condition for appendicitis surgery is that the barefoot doctor comes to the bed at home for an appendicectomy under the anaesthesia appendicectomy.
Just this, the surgery can be done.
Moreover, under normal circumstances, as long as the intern is diligent and does a lot of work, he will be recognized by the instructor. When graduation is approaching, he will be given 1 or 2 cases of appendectomy.
This is the highest and supreme honor during the internship. When you return to school, you can brag about it with other classmates until you graduate.
But appendectomy has also stumped many big-level surgeons.
After the incision was opened, the appendix, which was supposed to "jump out" the moment behind the peritoneum, disappeared. After stroking the intestines for 2 hours, no trace was found.
All kinds of ectopic appendixes are just a piece of cake, and the retroperitoneal appendix and the like are the real headaches.
But these are not as good as the "missed" appendix.
After stroking my intestines for an hour, I still couldn't find the appendix. The professor in the group had no choice but to call to find someone.
A cloud-piercing arrow, thousands of troops will meet.
If you can't do it yourself, then find someone with higher standards to come and take a look.
But unfortunately, Director Wei had a complicated intestinal adhesion and intestinal obstruction surgery, and he could not get out of the patient for the time being.
Feng Jianguo came up to help.
The two professors in the group searched for another hour, but still couldn't find the appendix.
Is this lost? Or has the world evaporated?
No.
The incision is extended and then extended, twisting and crooked.
It’s not embarrassing to be embarrassed, and I can’t take care of it anymore. The layman doesn’t understand and says that the surgery is not done badly, so there is nothing I can do.
All experts understand that if you really encounter such a case of losing your appendix...
Everyone needs numb claws.
The two of them sweated like slurry.
Two circles of sterile gauze were wrapped outside the sterile cap to prevent sweat from falling into the surgery area.
In this way, the two of them turned around from time to time and asked the circuit nurse or anesthesiologist to help wipe the sweat.
If you really can't find the location of appendicitis, how to start the operation and how to close it...then it will be a big deal.
What should the patient do? It keeps hurting until the appendix is finally perforated?
Or go to another hospital?
Being laughed at in the future will be the second most important thing.
If you can't find it yourself, you will definitely find it in other hospitals?
Feng Jianguo doesn't believe this evil.
If you can't find it yourself, you can't find it either.
If you really can't find it, you can only use large doses of antibiotics, hoping to eliminate the inflammation.
After that, it is highly likely that the patient will eventually develop a large-scale abdominal infection, then develop irritating peritonitis, which will eventually lead to septic shock until death.
When the two professors in the group sweated more when they thought of this possibility.
The dark green sterile clothing has been penetrated, and the sterile clothing on the back seems to have been splashed with ink.
After 56′, Director Wei came.
Chapter completed!