Surgical artist

Chapter 449
Haishi Xuri Hospital team.

"Academician Qin Minghui intervened?"

The person in charge of the wide-faced black-rimmed glasses, after pondering for a moment, shook his head slightly, with a smile on his face again.

"It is estimated that Academician Qin sent two people there just because of the good cooperation before."

"At most, it's just a matter of solidarity out of human relations."

If academician Qin really came to support him, he would definitely be afraid.Academician Qin is too advanced in this field, but Academician Qin has too many projects, and there are more important things to do, so he must not be able to take care of the field of megacolon.

After careful consideration, he thought that Academician Qin must have no skills at all, and would not personally participate in the field of megacolon, which made him feel at ease.

The wide-faced person in charge said: "I'm still not optimistic about the team in Jiangnan Province, even if there are two more people, Zheng Yuan and Lu Yaoyao."

"Though these two people are indeed backbones with great ideas, our team and the team in Kyoto also have quite a few backbones of this level."

"But have we completed the 'Advanced Age Adaptation Range' project? No."

"This kind of difficult project requires deep accumulation and some sudden inspiration, rather than the joining of one or two key members, it can be completed."

After hearing what the person in charge said, everyone stopped paying too much attention to the Jiangnan Provincial Team.

……

Jiangxin Hospital.

In his mind, Zhao Peiru used the "blank skill card" and learned "the treatment of Hirschsprung's disease in children".

Another "National Medical Level" level card was directly used to raise its level to the level of National Medical Level.

"call!"

"It feels so good."

When countless experiences poured into Zhao Peiru's mind, he only felt that he had a brand new and earth-shaking understanding of Hirschsprung's disease.

His level in this subdivided field is like a pool that is constantly being filled with water. The level is rising all the way, surpassing Zheng Yuan and even academician Qin Minghui.

"My level in the field of Hirschsprung's disease can be said to have almost reached the leading level in China."

After a little comparison in his mind, Zhao Peiru came to this conclusion: he is the top in the field of Hirschsprung's colon and has become the "strongest king".His level of skill, experience and judgment are unmatched.

Zhao Peiru showed a smile.

"This national medical level card is really easy to use."

After using this card, Zhao Peiru still has 2 national medical grade cards left, so I have to save it in the future.Or you have to find a way to earn more national medical grade cards.

……

In Zhao Peiru's ears, the voices of Professor Shu Yun and Director Du Rong came.

"Dean Zhao, we still don't quite understand the improvement method you mentioned just now, please explain in detail."

At this time, Zhao Peiru was explaining his treatment ideas to Shu Yun, Du Rong, Xiaomeng Xiaomu and others.

Du Rong also pondered: "Children between 6 months and 12 months old have low physical development and poor tolerance to surgery. Their small bodies lead to less space for abdominal operations, which can easily cause pneumoperitoneum and cause high pressure. , so that the cardiopulmonary function is inhibited, and the anesthesia circulation and airway are prone to problems."

Zhao Peiru glanced at Du Rong appreciatively.

The Chief of the Department of Surgery of the Port General Hospital is indeed unique in terms of Hirschsprung's disease, and he can see the problems of prematurely aged children at a glance.

The problem is found, accurate and complete.

In fact, when working on the direction of the project, the most feared thing is not that there are problems, but that the problems cannot be found accurately and completely.As a result, various problems were gradually discovered in the stage of the practical operation test, which led to confusion.

As long as the problem can be identified and all plans are made in advance, the difficulty of surgery can be greatly reduced.

Zhao Peiru slowly explained: "Using the free sequence of sigmoid colon, rectum, descending colon, transverse colon, ascending colon, and ileocecal part to preserve the rich blood supply of the colon, the method of coagulation with ultrasonic scalpel..."

He was giving a lecture to everyone when his cell phone rang suddenly.

Looking at the phone call, it was Lin Jinsong, the chief director of the Regional Joint Organizing Committee.

"Look at this plan first, and ask me if you don't understand anything."

Zhao Peiru distributed a newly written treatment plan to everyone.

He came outside, picked up the phone, and heard Lin Jinsong say: "Dean Zhao, we have coordinated a patient here, and it was coordinated by the Municipal People's Hospital in Chongshi."

Chongshi is a prefecture-level city in the southeast region and Fuzhou Province.In order to coordinate this patient, Director Lin spent a lot of effort and screened almost the entire five provinces in the southeast region.

"It's just..." Lin Jinsong hesitated and said, "You asked me to adjust the age from 6 months to 12 months. It stands to reason that the older the month, the less difficult the operation is. But in this case, there are exactly 6 patients. month and 12 days."

Lin Jinsong was afraid that the child would be too young, which would affect the success rate of Zhao Peiru's first case of surgery.

"Also, the child also has a ventricular septal defect, which may also cause trouble for your surgery."

Zhao Peiru: "Venticular septal defect?"

"Yes." Lin Jinsong said a little anxiously: "Or, I'll look for the case again."

He also felt that his coordination work was not done well.The coordinating patient is young and has serious comorbidities. The difficulty is so high. Isn't this a problem for Zhao Peiru?

Zhao Peiru thought about it, and quickly made an assessment in his mind through the massive cases and rich experience in his mind.

In the end, Zhao Peiru smiled and said: "It's okay, it doesn't matter, I first performed a radical operation for Hirschsprung's disease on the child, and then the ventricular septal defect operation, we can let our cardiothoracic surgery experts do it after the child recovers. It won't affect anything."

Among the tens of thousands of children with Hirschsprung's disease in his mind, not to mention ventricular septal defect, there are countless more troublesome complications such as pectus pectus excavatum and Meckel's chamber, but the strong medical skills of the surgeon All patients can pass through the operation period safely and soundly, as long as they use professional standards and do a good job in the preoperative evaluation.

Not long after, the patient arrived in the west courtyard area.

Zhao Peiru said to Mu Sisi: "You go and arrange for the child to have an examination, and prepare for the operation with a cleansing enema, oral metronidazole tablets, and eating liquid without residue."

Mu Sisi nodded and came to the ward.

I heard the child's young mother breaking down and crying, while the young father was beside him at a loss.

The young mother's eyes were full of tears: "I broke up with my parents, married far away in Fuzhou, and didn't tell my parents my current address. I just want to start a happy family with you, and everything will be fine. Wait until we live together I am extremely happy, I have a happy little family, and after I have a lovely child, I will go back to my parents and let them see how happy I am, but fate, why is it so unfair..."

She cried: "Since God gave us a lovely baby, why didn't he give him a healthy body?"

"He can't even be like a normal child. He can only rest at home every day, and he can't even go out to see the world."

The young mother whimpered softly.

Since she decided to rebel against her parents before marriage, broke up with her parents, came to Fuzhou alone, and married the man in front of her, she lost her parents' blessing forever.

The only thing she wants is to have a happy and healthy family.

But fate only allowed her to live a happy couple life for one year. Not long after giving birth, the child was diagnosed with this congenital Hirschsprung disease, as if falling into an abyss.

She has always been strong, and she has persisted for two years. Now that she has come to this quiet West Courtyard area, where there is no one around, she has accumulated a lot of discomfort in her heart, but suddenly, she can't stop anymore, and burst into tears.

The young father next to him, seeing his wife collapse, couldn't help but have red eyes: "Swallow, it's all because I'm not good enough."

"It's because I failed to satisfy your parents, or... I'll call your parents now?"

He knew that what his wife needed most was the comfort, support and wishes from her parents.

In the past two years since the child was diagnosed with a congenital disease, his wife Yanzi has already endured too much.

"No." His wife Yanzi wiped away her tears and readjusted her emotions: "I don't want them to see that I'm not doing well now."

The young husband said nothing more.This topic has been brought up frequently during their two years of marriage, but every time, the result is the same.

Outside the ward, Mu Sisi appeared at the door with two nurses.

She asked the young man and woman, "The child has had a cleansing enema for four days at your Chongshi People's Hospital, right?"

The man nodded.

Mu Sisi said to the nurse behind her: "Give the child another two days of cleansing enema. Tomorrow night and the day after tomorrow morning, we will arrange it regularly. In addition, we will take metronidazole tablets orally for two days. From today on, we must eat liquids without residue."

The nurse quickly wrote it down.

"doctor……"

The young husband asked: "I heard that the risks of this experimental operation are generally very high. Is it true?"

Mu Sisi smiled and said, "Our Dean Zhao has made an assessment. Although the age of surgery has been advanced, thanks to the advanced nature of the surgery, the risk of assessment is the same as the risk of surgery after the child is two years old. .”

"The choice is yours. Whether you choose to do it at the age of 6 months or wait for the next 24 months is up to you."

Now, the other party has not signed the consent form, and can still go back on his word.

The young wife made up her mind: "Do it! I think, give the child a childhood like any other normal child."

"The child has lost the love from his grandparents because of me. I can't let him lose his childhood of exploring the outside world and making friends with children."

"Since the risks are aligned, let's do it ahead of time."

Seeing his wife make a decision, the young husband also nodded.

Mu Sisi took out the surgery consent form, and the young wife and husband signed it together.

……

In the small meeting room, Mu Sisi knocked on the door and raised the folder in her hand.

"Dean Zhao, the family members have signed."

Zhao Peiru nodded, looked at Shu Yun, Du Rong, Xiao Meng and others: "What's wrong with the detailed plan?"

In the past few days, they have made a detailed plan based on Zhao Peiru's treatment plan.

With Zhao Peiru, a master at the "national medical level" level, giving advice at any time, everyone's level has also improved rapidly.

Professor Shu Yun has the background of cooperating with Zhao Peiru on "Adult Hirschsprung" once, and he accepted it very quickly.And Director Du Rong has a good talent in the field of Hirschsprung's disease, and he is a fast learner.Xiaomeng didn't care so much, and concentrated on learning what the deputy should do, and cooperating well during the operation.

The other young elites also did their chores very well.

Everyone looked at each other, and Professor Shu Yun said, "I'm fine now."

"Okay, nine o'clock in the morning the day after tomorrow, surgery on time."

"Xiaomu, you announce the fact that we are going to practice surgery on the official website."

"Also, if anyone has any questions, please come to me today and tomorrow."

……

Soon, the latest news was posted on the official website of Jiangnan Provincial Medical Research.

"Our hospital's project of 'Congenital Hirschsprung's Adaptation Range in Advance' has entered a new stage. The first case surgery test will be carried out the day after tomorrow (that is, on the 21st of this month), and the results of the surgery will be announced at that time."

As soon as the news came out, the entire Internet public opinion was shocked.

"The team in Jiangnan Province is going to conduct the first instance test? So soon?"

"No, didn't they just set up the project team?"

"The Jingdu and Haishi teams have been working for two months, but they are stuck and have no progress, so they give up and start working on other topics first, but the Jiangnan Province team, just a few days after they said they will do this direction, they have to enter Instance operation stage?"

The entire network of public opinion feels incredible.

……

Kyoto Medical Research Institute.

The gray-haired person in charge frowned and said, "How can this Jiangnan provincial team be so fast?"

He asked the people beside him: "Is it the credit of Zheng Yuan and Lu Yaoyao?"

The person next to him shook his head and looked at the calendar: "Zheng Yuan and Lu Yaoyao should still be in Nanjing now. It is said that the plane was delayed or something, and they will arrive the day after tomorrow."

The gray-haired person in charge: "What kind of support does the Jiangnan Provincial Team have?"

"Has the person in charge of the team had any experience with Hirschsprung's disease before? Whether it's treatment, study abroad, or further education."

The person next to him said: "The one related to Hirschsprung's colon is the adult Hirschsprung's laparoscopic improved scove technique that he performed some time ago, and the rest is slightly aside, that is, he once participated in the colonic lesion project of Academician Qin Minghui."

The gray-haired person in charge frowned: "This has nothing to do with megacolon. When did he master the megacolon technology?"

"Let's wait and see, the day after tomorrow, and see what information he will announce."

……

Haishi Xuri Hospital.

"The Jiangnan Province team, isn't it setting off a smoke bomb?"

The person in charge with a wide face, the first reaction is disbelief.

Babies from 6 months to 12 months are ten times more difficult than 2-year-olds!
Not to mention anything else, just to say that the small, incomplete abdominal cavity is a big problem if you want to penetrate into the laparoscope. A trembling hand may cause a big problem.

In addition, some of the medicines used in the surgery can be tolerated by a two-year-old child.But for babies aged 6 to 12 months, they can't bear it, and they are likely to have a tachycardia and die on the operating table.

(End of this chapter)