In addition, I heard about the appendix in the cavity before, Liu Zewei was also interested.

Although I am not a surgeon, I still understand it when I drink and eat and listen to people brag.

Boss Zheng successfully saved the appendix surgery that belongs to the level of Feixian in the sky.

"I went to touch it. There was no tumor in the ileocecal area, but after I looked it over, I asked Director Luo to go on stage for colonoscopy."

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

Boss Zheng, you are cheating.

It’s really awesome to cut the appendix with one knife on it, you…

However, Boss Zheng does this seem to be a way to maintain long-term stability.

In the future, if you encounter a situation similar to the appendix that cannot be found, push the colonoscopy machine up to see if it is the appendix in the cavity.

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

"Bored." Su Yun scolded: "Did you have figured it out long ago?"

"It's almost the same." Zheng Ren smiled and said, "I thought about it, but it really doesn't work. If you can't see the endoscope, you can use digestive tract imaging. Anyway, there are some ways."

“Where did you find it later?”

"Director Wei almost touched the position about 12cm above the ileo-blind part. But I guess I didn't know for sure, and I would even be very cautious when I took the knife."

"What a pity. Next time, remember to bring the entire treatment team." Su Yun reminded again, "No matter where I am, I will fly there within 10 minutes."

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

"If there is an appendix in the cavity, this is also an option."

They just joked and came to the laposcope room. After changing their clothes, the three of them walked in.

"Boss Zheng, what's going on today? I heard it was hyperemesis gravida?" Liu Zewei asked.

"Well, I vomited so much, and pregnant women don't agree to induce labor. So I can only try this method." Zheng Ren said: "But it's very troublesome. I won't talk about the surgery. After the operation, the jejunum nutrition tube is blocked, the tube is changed, and the nutrient solution is calmed down along the jejunum nutrition tube every day. I also have to check various things regularly. It's really troublesome."

"But there is a way after all."

"Well, it's just a trial. There are not many related surgeries around the world, but there are some successful cases." Zheng Ren said.

Is that true? Liu Zewei outlined the technique Zheng Ren wanted to do in his heart. Although it was not difficult, it was more commendable to have this idea.

Sometimes, a wild idea eventually becomes a common clinical technique, saving countless people.

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

The directors of 912 are still very concerned about a relatively new technique and want to see it with their own eyes.

Zheng Ren suddenly remembered that he would be angry if he had not reported this new technique to Director Kong.

well.

It's difficult to perform surgery,

It is difficult to perform difficult surgery.

It is even more difficult to perform difficult surgery that others have not performed before.

I encountered a case of an appendix in the cavity today, but I didn't call anyone else, and I was "seriously" warned by Xiao Yiren.

Although he didn't carry the rolling pin or his ears, Zheng Ren could feel the murderous aura.

This is a tragedy, Zheng Ren knows.

Next time, you must call and notify everyone.

Will taking the entire medical team to rescue the Taiwan Strait, will it be too eye-catching and jealous? Zheng Ren is a little worried.

Imagine Director Wei wanted to save the platform himself. As soon as he entered the door, seven or eight people were driven down, regardless of whether it was a surgeon or an assistant, a device nurse or even anesthesiologist...

So arrogant.

If you are arrogant, you are arrogant. If you can't perform the surgery, is there any reason?

Forget it, if you don’t think about these troublesome things, you should have surgery first.

"Boss Zheng, the preoperative explanation you wrote is too detailed." Director Du said with a wry smile: "I told the patient's family that I was shocked."

"Many of them are particularly rare complications, and there is no way to do it." Zheng Ren said: "In order to avoid subsequent disputes, it is still appropriate to do this."

"You do it, I'll open my eyes." Director Du smiled and said, "I have considered giving patients a jejunal nutrition tube under the esophageal tract. What surgery do you plan to choose?"

"The kind you mentioned is less trauma, but there is a duct passing through the oropharynx, which makes the patient very stimulating. The specific pathogenesis of patients with hyperemesis gravida have not been studied yet, but the method of lowering the oropharynx is not suitable."

Zheng Ren began to explain seriously why he chose the technique, and his previous worries were wiped out.

The only way to relieve the worries is surgery.

"There are two types of leftovers. The first is the domestic method of percutaneous gastrospinning of A.D. The second is the method of indwelling nutrient tubes through the jejunum from the inside to the outside, and indwelling nutrient tubes."

"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 can be avoided as much as possible. But the disadvantage is that pregnant women may react to the jejunal nutritional tube passing through the pylorus, which is very scratching their heads."

"The advantage of the second type is that there is no pyloric stimulation. However, the pipe directly enters the jejunum, punctures from the inside to the outside, and cannot be penetrated under CT guidance. I am worried that there will be problems with the surgery. In addition, there may be infections after the operation, and a series of other troublesome things."

Director Du didn't expect that Zheng Ren could say one, two, three, four or five in this "simple" technique.

"What technique are you going to choose?"

Zheng Ren smiled slightly, didn't say anything, but came to the sci-study room.

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

Zheng Ren came to the patient, pretended to do physical examination, went directly to the system space, and clicked to purchase the surgical training time.

...

"I want to choose the operation of percutaneous endoscopic gastric puncture, which guides the jejunal nutrient tube into the jejunal through the pylorus," Zheng Ren made the final decision.

Disinfect, place sterile sheets, and the operation begins.

This surgery is quite special and is considered a surgery for both surgeons.

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

Su Yun, who came on stage with a brush, was just considered an assistant to support the wire guide and was completely ignored.

The gastroscopy gently enters the pregnant woman's stomach because of local anesthesia and side effects, but slightly milder.

Before the operation, Director Du talked to the pregnant woman in person, and this should be the only chance to save the child.

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

The balloon is stretched out and the stomach is pushed up.

The pregnant woman began to vomit violently, although she couldn't vomit anything.

This is a kind of nerve reflex that cannot be tolerated just by wanting to endure.

Zheng Ren did not wait for the pregnant woman to stop vomiting, struggled, and pierced directly. Under direct gastroscopy, the piercing kit was opened on the abdomen, the stomach wall umbrella was opened, and the piercing needle was fixed.

"Director Luo, please let go." Zheng Ren breathed a sigh of relief after completing this step.

The rest is to send the jejunum tube into it.
Chapter completed!