Surgical artist

Chapter 445 How is this different

In the corridor of Jiren Hospital, a group of gastroenterologists headed for the observation room.

Everyone's eyes were shining with light.

"Brother Zhang, what we want to observe is really the laparoscopic technique for treating Hirschsprung's colon? And is it further improved?"

At this moment, everyone still couldn't believe it.

Among the crowd, the oldest doctor smiled and said, "Professor Shu Yun himself said, can there be a lie? Besides, I also saw that Director Zhao, the top leader of our provincial medical research headquarters, has come in person. I guess Nine out of ten, this operation was performed by Director Zhao."

"Dean Zhao?"

Everyone looked at each other, pleasantly surprised!

"Then it looks like the news is true!"

"Dean Zhao's credibility is very high. It is said that as long as his operation success rate is still maintained at 100%!"

"And I heard that being able to observe Director Zhao's operation is a kind of luck and a great blessing!"

"Before, I used to listen to the Department of Hepatobiliary and Pancreatic Surgery and they went to observe Dean Zhao's operation. They said how superb and miraculous the surgery technique is, and they could hear calluses in their ears."

"This time, it's finally our turn."

Everyone entered the observation room and looked at the operating room below, their eyes lit up immediately.

Sure enough, there were not only Professor Shu Yun, but also Dean Zhao Peiru.

"If this time... these two big brothers really succeed, then we in Jiangnan Province will no longer have to send Hirschsprung patients outside."

"Yeah, our Jiangnan Province has always been lacking in this area, and it's not a problem to send patients outside all the time."

Everyone is full of expectations. As gastroenterology doctors, they are especially eager to have their own treatment technology in the field of colon.

At the same time, Du Rong, the chief director of the Port General Hospital, also arrived with their Hirschsprung patient.

As soon as he heard that the operation here was about to start, he quickly settled the patient and rushed towards the observation room.

He wants to see with his own eyes what this laparoscopic Hirschsprung operation is like.

On the way, Du Rong ran into Tao Jiangtao, the vice president of Jiren Hospital, and the two went to the observation room together.

Tao Jiangtao noticed that Du Rong had this document in his hand.

"Director Du, what is this?"

Du Rong smiled and said, "This is the information on the 'Laparoscopic Hirschsprung Technique' from Xiangtan Hospital that I was looking for."

Tao Jiangtao laughed and said, "It seems that you came here with the purpose of learning, and you are well prepared."

Du Rong eagerly said: "It would be the best if I could learn new technologies. Hirschsprung's intestinal aganglion disease, a disease lacking ganglion cells, Jiangnan Province lacks its own treatment methods."

At this time, on the operating table, the operation had just begun.

Just listen to Zhao Peiru say: "Professor Shu, build an artificial pneumoperitoneum."

Shu Yun nodded, and injected carbon dioxide into the abdominal cavity, keeping the pressure at 15 mm Hg.

Zhao Peiru said to the equipment nurse next to him, "Give me 1 to [-] adrenaline."

He injected epinephrine saline on the rectal mucosa, this step is to reduce bleeding.Subsequently, the rectal mucosa was incised circularly, and 12 traction wires at the proximal margin were pulled downward while the mucosal layer was separated upward.

Subsequently, a puncture hole is made.

"Look at Dean Zhao's puncture hole, it's actually quite beautiful. Dean Zhao, he used to be a medical cosmetologist, right?"

Everyone in the observation room exclaimed: "They saw that he made puncture holes 0.5 cm above the navel, outside the right inferior epigastric artery, and 2 cm from the midline of the pubic symphysis. Each is strictly 0.5 mm, very strict!"

"This surgical scar will be very small and beautiful in the future, and it will be completely different from the surgical scars we did."

"No wonder the doctors in the Department of Hepatobiliary and Pancreatic Surgery all praised this exquisite and beautiful surgical technique. This is just an incision approach, and it is so beautifully done. Is this treating surgery as an art?"

After everyone was a little emotional, they no longer paid attention to this incision.

After all, the core of an operation is not whether the incision is beautiful, but how to treat the root cause of the disease.

On the operating table, with the assistance of Professor Shu Yun, Zhao Peiru began to enter the laparoscope, put the non-invasive grasping forceps in the left upper abdomen, and put the single-stage electrocoagulation separation forceps in the right lower abdomen.After confirming the location with a laparoscope, the intestinal tube was dilated, and the diseased colon was lifted with grasping forceps to fully expose the mesocolic membrane.

"It's about to start!"

Everyone in the observation room sweated quietly.

At this point, it is the core part of the laparoscopic treatment of Hirschsprung's colon, which is also a part that no one has ever seen.

But Director Du Rong of the Port General Hospital was a little puzzled.

"its not right."

"Why is this different from the information I read?"

Vice President Tao Jiangtao asked in confusion, "What's the difference?"

"It's different from the soave technique I was injured." Du Rong took out the information and flipped to a page: "Look, Dean Tao, there is a difference starting from the operation here, it's a fork."

"What Dean Zhao did is like a different kind of operation. The treatment of the mesentery is different, the separation of the intestinal wall, and the suturing and anastomosis of the seromuscular layer of the colon are all different."

Tao Jiangtao's heart skipped a beat. Could it be that the laparoscopic technique from Xiangtan Hospital wasn't used in it?
"So... is this good or bad?"

"I don't know." Du Rong shook his head: "I can't say for sure."

The two felt a little more apprehensive.This kind of worry, on the surface, is worried about the difference in the technique, but in the final analysis, it is worried that Zhao Peiru and Professor Shu Yun will fail.

On the operating table, Zhao Peiru continued to dissociate the colon and rectal mucosa, and protruded from the rectal sheath muscle. Under direct vision, he defined the scope of the colonic lesion again, cut it out quickly, and sent it for examination after freezing.

The test results came out soon, confirming that there were normal ganglion cells in the proximal end of the resected colon, indicating that the resected area was sufficient.So far, the cutting part is over.

Next, start the anastomosis, use the No. 2 silk thread to perform an end-to-end anastomosis of the full-thickness proximal colon and the rectal mucosal opening on the dentate line, and suture 30 stitches...

In the observation room, everyone in the gastroenterology department exclaimed in their hearts.

"I saw another subtle detail."

"Look at Dean Zhao, when he attached the wall of the sigmoid colon to the far end for separation, he separated it all the way to the peritoneal reflex."

"I didn't understand this step at the beginning, but after a few steps, I suddenly understood that Director Zhao was trying to avoid damage to the patient's pelvic plexus, urinary catheter, and bladder in advance."

Some people nodded one after another, obviously already found out.

And another group of people, after hearing this person's explanation, suddenly understood.

More and more people discovered that in this operation, Zhao Peiru did many detailed operations, which contained some deep truths.Some, they can comprehend on the spot, and some, they are ignorant, and can only ponder and chew after the operation.

From this point alone, it can be seen that Zhao Peiru's level has surpassed theirs by several levels.

At this time, on the operating table, it was time to cut off the mesenteric blood vessels.

Zhao Peiru suddenly spoke, as if he was intentionally or unintentionally mentioning Professor Shu Yun and everyone in the observation room:
"The main point of cutting off the mesenteric vessels is to use an ultrasonic knife to coagulate at the secondary vascular arch and preserve the tertiary vascular arch."

"In this way, the intestinal tube can be fully freed, preventing excessive tension of the marginal vascular arch when it protrudes, and the colon with rich blood supply can be preserved."

For Zhao Peiru, this sentence can be mentioned or not.

But with the addition of his words, these people will be able to preserve an extra colon with rich blood supply for the patients when they save lives in the future.

This is a matter of curing diseases and saving lives, and saving lives.

When everyone heard Zhao Peiru clearly pointing out this point, they immediately understood that this point must be extremely important.Quickly engraved this point deeply in my mind.

Seeing this, the worry on Director Du Rong's face began to gradually decrease.

"Dean Tao, I seem to understand...why the technique is different."

"Dean Zhao's technique... seems to be a further improvement of the soave technique of Xiangtan Hospital!"

Tao Jiangtao was also surprised, as if it was true.

Du Rong: "Look, it's also a lower laparoscope. Director Zhao's improved technology can observe the overall situation in the abdominal cavity more intuitively."

"This is conducive to accurately judging the extent and degree of involvement of the disease. Even if the patient has complications, it can be treated at the same time."

"There is nothing to see in this operation because the patient has no complications."

"However, if you encounter a patient with complicated complications, I dare say that the soave operation in Xiangtan Hospital can only be delayed, and then re-treated after the operation. The improved technique of Director Zhao can be used in the The synchronous processing is performed during the operation, so that the patient does not have to suffer an additional time."

Tao Jiangtao's eyes lit up after hearing this: "You are right."

He took another look at Du Rong: "Your director Du's vision is so high! I didn't see this, I'm not as good as you."

Du Rong smiled and shook his head: "There are specialties in the surgery industry. I have worked more in the field of colon, and you have worked more in gallstone disease."

"Look, Director Zhao's operation has another great advantage. After the diseased bowel canal is resected and the anal canal is anastomotic, it can also observe whether there is bleeding in the abdominal cavity and whether the anastomotic stoma is twisted."

"Dean Zhao removed the rectal mucosa in the muscle layer at the very beginning of the separation of the free part, which also avoided damage to the nerves and sphincter."

"These are all better than the soave technique."

The more Du Rong talked, the more excited he became.

He could tell that Zhao Peiru was using a new improved technique, which was more advanced than that of Xiangtan Hospital!

Before coming here, he thought that it would be great if Jiangnan Province had its own treatment for megacolon.

But now he found that Zhao Peiru's vision was so high that he wanted to jump over the steps of Xiangtan Hospital in one breath, take a step, and walk up to a higher step.

This is... so awesome!

His explanation made not only Tao Jiangtao next to him suddenly understand, but also all the people in the gastroenterology department next to him.

Finished with surgery.

Beside the operating table, Professor Shu Yun also let out a long sigh of relief.

Happy, happy!This improved technique was really a success!
At this moment, she was very excited in her heart. They actually integrated the treatment concept of laparotomy and radical treatment of Hirschsprung into the soave surgery!
The advantages of combining the two are even greater than the advantages of Xiangtan Hospital.

Next to him, Tao Jiangtao, the deputy director, obviously also realized this: "Director Du, in Jiangnan Province, will we no longer have to send patients to Xiangtan Hospital?"

Du Rong nodded: "We have to re-evaluate the difficulty of this new operation, if it can be mastered by all major provincial hospitals..."

"At that time, let alone sending patients out, we can even attract patients from Xiangtan Hospital!"

As soon as this sentence was said, everyone's breaths couldn't help but rush!

They have leaped from "poor students" to "excellent students" in one step!
To actually attract patients from the most advanced Xiangtan Hospital in the country is like something that only happens in a dream, and I am excited to think about it.

……

Outside the operating room, the landline of the gastroenterology department rang.

The young doctor at Jiren Hospital glanced at the phone number: "It's the number from Xiangtan Hospital."

Picking up the phone, the other side asked bluntly:

"When will the two patients with Hirschsprung's disease in Jiangnan Province be sent over?"

The young doctor from Jiren Hospital who answered the phone looked in the direction of the operating room.

The "operating" light on it was still on.

He didn't know what was going on inside, so he didn't know how to answer.

At this moment, Vice President Tao Jiangtao came out from inside.

The young doctor quickly handed the phone to Tao Jiangtao: "President Tao, this is Xiangtan Hospital's number."

Tao Jiangtao answered.

The other side said to himself: "Our hospital bed is very tense. If you don't send the patient over, our hospital bed will be occupied by someone else."

Big hospitals are proud of big hospitals, and there are countless people fighting for every bed.After a long time, the resident doctors who arranged the beds were a little impatient, and their words were inevitably a little rushed.

Tao Jiangtao said: "Our two patients will not be transferred to another hospital. Give up your beds to others."

They were all stunned over there.

Tao Jiangtao: "Our patients have already treated themselves."

There was still some confusion over there.

But the phone was hung up by this time.

A while later, the chief of the gastroenterology department of Xiangtan Hospital personally called Tao Jiangtao, the vice president: "Brother Tao, I heard from the people below that I heard your voice, and you seem a little unhappy?"

"Brother Tao, we have been friends for many years, don't be as knowledgeable as those people below!"

Tao Jiangtao said with a smile: "Old Zheng, I'm not angry, I'm telling the truth, we admitted the patients ourselves, and now they've all finished their operations."

Old Zheng from Xiangtan Hospital said in surprise, "Have you also mastered the laparoscopic Hirschsprung technique?"

Tao Jiangtao laughed and said, "That's right, not only have we mastered it, but we have gone one step further and improved the healing technique on the basis of soave."

"what??"

Old Zheng over there was amazed. This laparoscopic technique for treating Hirschsprung's colon is a relatively difficult operation. Hasn't Jiangnan Province never mastered it?How did this suddenly improve?

real or fake?

Tao Jiangtao held a piece of paper in his hand, which was the "summary of postoperative data" compiled just now.

"Old Zheng, I'll read a few statistics to you, and you will know."

Tao Jiangtao read out the data somewhat as if showing off.

Over there, Lao Zheng was completely stunned after hearing this. Can these data really be produced by Jiren Hospital of Jiangnan Province?

(End of this chapter)