Surgical artist

Chapter 255 Luban lock style "knotting technique"

Zhao Peiru confessed: "Director Chai, Director Chang, you can follow the original operation plan and do the first half of the operation normally."

"In the second half, when the cystic artery and cystic duct need to be ligated, I will take over."

The two nodded.

Although the two of them didn't understand what Zhao Peiru wanted to do, they just obeyed the leader's arrangement.

Hao Zhigao, director of general surgery, saw Wei Yuanfei at this moment: "You are...Professor Wei from the University of Science and Technology?

Before Wei Yuanfei opened his mouth, Zhao Peiru's voice came over, "Yes, he is the ambassador for gallstone disease technology promotion, Professor Wei."

Zhao Peiru came over with a smile, and said apologetically, "Something happened just now, I ignored Professor Wei."

Professor Wei Yuanfei waved his hands again and again, he asked doubtfully, "This operation is a laparoscopic cholecystectomy, right?"

Zhao Peiru nodded: "Yes, to be precise, it is gallstone removal plus cholecystectomy."

Professor Wei Yuanfei looked at Zhao Peiru: "In this operation, is there a 'new technology that is easy to promote'?"

Zhao Peiru smiled and nodded: "Yes, it's the ligation part."

Professor Wei Yuanfei seemed to think of something, his brows furrowed.

He had already somewhat guessed what "new technology" Zhao Peiru planned to use.

Even, I started to feel a little dissatisfied in my heart.

This "cholecystectomy" originally required the use of titanium clips during the ligation of the cystic artery.However, this kind of titanium sandwich has disadvantages such as foreign body sensation, easy conduction, and easy perforation.

Recently, a "biological titanium clip" has just appeared on the market, which has the advantages of "not easy to fall off, low rejection, and has no effect on instrument inspection".

This biological titanium clip can be said to have great advantages!

"Director Zhao, is he showing me the new 'biological titanium clip'?"

Professor Wei Yuanfei shook his head secretly.

This biological titanium clip has a fatal flaw.

The cost of construction is too high.

In particular, many medical device companies have united to engage in centralized pricing, and even raised the price of this newly launched "biological titanium clip".

No matter how great the advantages of this bio-titanium clip are, the "high cost" alone determines that it is not suitable for promotion, especially in many county-level primary hospitals, which simply cannot afford it.

As a promotion ambassador, what he dislikes the most is this kind of expensive equipment.

"Director Zhao."

Wei Yuan spoke quickly, not wanting to waste time: "If you are showing me the biological titanium clip, then I think... I can leave."

Zhao Peiru smiled.

This Wei Yuanfei is really straight.

"Professor Wei, you will find out after reading it, it will definitely satisfy you."

At this time, the first half of the operation on the operating table was almost done.

Chai Baorong and Chang Lifang looked up at the observation room and asked Zhao Peiru for instructions.

Zhao Peiru and Xiao Meng stepped forward together to take over the operation.

Wei Yuanfei collected his mind and looked carefully at the operating table.

"How does Director Zhao plan to do the second half of the operation?"

Not only Wei Yuanfei was curious, but everyone in the fourth courtyard was also kept in the dark at the moment.

Hao Zhigao, Director of General Surgery, asked Chai Baorong in a low voice, "Do you know what Director Zhao is going to do?"

Chai Baorong and Chang Lifang shook their heads.

Ma Lin also looked dazed: "Accordingly, Director Zhao is good at bile duct stone extraction."

"But Director Chai and Director Chang have already finished the stone removal part of this operation. Now only the second half of the "ligation" work is left. Isn't it enough to do routine ligation?"

Next to him, Professor Wei heard this, and asked, "If Director Zhao didn't take over today, how are you going to do the ligation part of this operation?"

Chai Baorong said: "In the original operation plan, it was planned to be clamped with titanium clips."

Professor Wei Yuanfei: "Isn't it a biological clip?"

Chai Baorong and the others shook their heads.

"Bio-titanium clips are too expensive, and patients don't choose them."

Wei Yuanfei nodded slightly.

If it's not a bio-titanium clamp, what would Director Zhao use?
Wei Yuanfei's eyes showed some doubts.

on the operating table.

Zhao Peiru said to the equipment nurse next to him, "Give me a No. 10 silk thread with a length of 4 centimeters."

Then he said to Xiao Meng: "You take the separating forceps and cooperate with me to send the silk thread into the abdominal cavity."

Xiao Meng nodded again and again, focusing on doing things according to Zhao Peiru's instructions.

Zhao Peiru grasped the gallbladder with gallbladder grasping forceps from the right midline of the clavicle through the third hole perforated by the laparoscope, exposing the cystic duct.

Then use the separating forceps under the xiphoid process of the second hole, and clamp through the cystic duct.

"Xiao Meng, send the silk thread now."

Following Xiaomeng's operation, the No. 4 silk thread accurately bypassed the cystic duct, and at the same time, Zhao Peiru loosened the gallbladder.

"Xiao Meng, take the grasping forceps and hold the cystic duct."

With his hands free, Zhao Peiru held the separation forceps in his left hand, and clamped the short end of the thread reserved on the left side of the gallbladder patient. After winding his hands horizontally, he pulled the end of the thread. After winding two standard surgical knots with his right hand, he used the two forceps to cooperate. Then, tie a surgical knot and pull tight.

After doing this set of operations...

It stunned everyone.

"What is Director Zhao doing?"

Everyone looked at each other.

How many surgical knots were tied instead of direct clipping with titanium clips?

"Director Zhao, this seems to be..."

"Clamping the cystic duct and cystic artery!"

"Using a No. 4 silk wire to achieve the function of the titanium clamp?"

When Chai Baorong said this, everyone reacted!

"It seems to be true!"

"Several laparoscopic puncture holes were cleverly used, and several surgical knots were tied to achieve the effect of ligation and clamping of the cystic duct and cystic artery?!"

"Hiss! Doesn't this mean that titanium clips are no longer needed?"

Chai Baorong's eyes were burning.

"Titanium clips are biological clips, and indwelling in the abdominal cavity always has various risks. They are easy to conduct electricity, fall off, and perforate. Many patients who have undergone cholecystectomy have postoperative complications because of metal titanium clips. "

"However, director Zhao's silk thread ligation has eliminated these problems from the root."

Professor Wei Yuanfei's eyes lit up.

"And it seems that the efficiency is also very high, and there is not much time wasted."

"The key point is that this ligation method is cheaper, even lower than the cost of the previous metal titanium clip! But it can achieve the advantages of 'easy to absorb and not easy to fall off' that can only be achieved by expensive bio-titanium clips. "

He immediately saw the "easiness of promotion" of this new technology.

Cheap, low cost, uncomplicated operation, less time delay, no risk of foreign objects!
No harm, high safety, strong practicability, easy to promote!
"This silk thread tying technique is very delicate!"

"At first glance, it's a little unclear why the knots are tied like this, but when you think about it carefully, it seems that every knot has its vital function."

Everyone began to ponder.

The more you ponder, the more you discover the beauty of this knot.

It's like a Luban lock.

The exterior looks unremarkable, but when you really study the inside, you find that the structure is extremely delicate, and every step requires a lot of thought.

The same is true for Zhao Peiru's surgical knots.

It is through the exquisite ligation technique that only one silk thread can achieve the effect that titanium clips can achieve.

(End of this chapter)