Doctor's Life Simulator

Chapter 219 Rescue, the operation was successful!
However, Qin Lang didn't care about these at all, and directly took over the dominance of the endoscope.

Under the aura of the chief swordsman, Zu Liang stood in Yizhu's position without any abruptness.

I saw Qin Lang controlling the front end of the endoscope, and while Zu Liang was still anxiously waiting, Qin Lang's first command sounded:
"Macular Zebra Guidewire, Catheter Prep."

Hearing these two words, Zu Liang was naturally familiar and couldn't be more familiar. Apparently, Qin Lang had already pushed away Gerlach's valve, and the endoscope had entered the appendix cavity.

In the simulated world, after all, Qin Lang has experienced many battles, and he is familiar with the series of appendicitis operations.

"It's too fast."

Zu Liang felt a little uncomfortable, but considering that Qin Lang had watched Professor Liu Bingrong's surgery video repeatedly, it must be in the video that Professor Liu taught the technique of pushing away.

Thinking of this, Zu Liang felt better.

Soon the equipment nurse brought over the macular guide wire. The zebra guide wire is generally used to explore the path of non-vascular lumens, and it also has the function of expanding channels of different widths.

To use an analogy, it is like the vanguard troops marching and fighting, scout troops, first explore the road or pave a road, so that the regular troops behind can proceed smoothly.

At first glance, the Zebra guide wire looks like a circle of extremely flexible steel wire covered with plastic skin. It consists of a guide wire rod, a soft spring tip and a plastic coating layer.

The guide wire in Qin Lang's hand is very flexible and not easy to bend, and the PTFE plastic coating has very good lubricity, which is conducive to insertion.

Looking at Zu Liang, the zebra guide wire, I thought of the jokes of my female superior doctor back then:

The scene of using it for the first time was to cooperate with the chief surgeon to dilate the urethra of a male patient. It was the first time to try to find the opening of the urethra. Urethra, the female doctor was so embarrassed that she wanted to be cremated on the spot.

You can imagine the picture of a young girl holding a circle of guide wire and slamming into the urethra of a male patient, it is really raw.

My hands were shaking, the guide wire was still slippery, and the thing was still soft, so I didn't dare to pinch it hard.

But a few years later, I have never seen any strange shapes, crooked left and right, and let the female doctor insert the urethra. By the way, I can also comment on the surgeon who performed the circumcision + skin surgery on the patient.

When Zu Liang was lamenting how time flies, Qin Lang had already inserted the yellow zebra guide wire quickly, and Zu Liang was startled by that vigorous posture.

"Qin Lang, slow down. Although the zebra guide wire is flexible enough, if you are so reckless, it is still possible to damage the outer plastic skin. If it remains in the lumen, it will leave sequelae."

"It's okay, I know what's on my mind."

Qin Lang had a beating expression on his face as he drove his newly bought yellow sports car to 180 mph on a country road.

"You are counted!"

Zu Liang slandered a few words in his heart, if his junior doctor dared to speak, he would never be on the operating table again.

However, after all, it is all dependent on Qin Lang now, Zu Liang reminded him a few words, but he did not stop him anymore.

After all, Qin Lang quickly and accurately inserted the zebra guide wire into the appendix cavity. With the guidance of the guide wire, the catheter naturally entered the appendix cavity easily.

“Zizzizi~”

Purulent secretions gushed out from the catheter port.

"When did endoscopic retrograde appendicitis treat ERAT so easily?"

Zu Liang was in a daze. Although ERAT was well-known, it was because of the complicated operation, high requirements on the surgeon, and restrictions on patients, so Hecheng No. [-] Hospital has not started it for a long time.

"Appendix Cavity Irrigation Preparation"

Qin Lang calmly ordered, prompting the next step to start, and Zu Liang immediately began to cooperate.

Director Zu's level is naturally beyond doubt. With his cooperation, the two of them quickly cleaned the appendix cavity.

The next step is to enter the very joint step, which is also the core of this operation: endoscopic retrograde appendicography (ERA).

"Contrast medium preparation."

Qin Lang pointed out the next order precisely.

Contrast agent (also known as contrast agent, contrast media) is a chemical product injected into human tissues or organs to enhance the effect of image observation.

The densities of these preparations are higher or lower than that of the surrounding tissue, creating a contrast that facilitates imaging of the patient's appendix cavity.

Naturally, the most commonly used iodine preparation was used in this operation.

With the injection of the contrast agent, an elliptical coil, which is the shape of the appendix cavity, soon appeared on the monitor.

"A fecal stone was found during the operation, and a balloon stone removal was performed to confirm that there was no perforation of the appendix."

As an assistant, Zu Liang truthfully reported the results of the operation to Qin Lang, the chief surgeon, so that he could judge and analyze the whole operation.

In Wang Xinxin's acute appendicitis, apart from the pus that had been washed away, the culprit was this bezoar. As long as it can be removed, the operation is [-]% complete.

"Balloon Catheter."

Qin Lang originally wanted to use a net basket to retrieve stones, but the balloon catheter method Zu Liang said was almost the same.

The so-called balloon catheter, also known as balloon expansion catheter, is a very classic interventional device. There is an additional air bag on the head of the conventional catheter, which looks like a lollipop. By controlling the air pressure of the air bag, changing the size, the to expand the lesion.

Under the operation of Qin Lang, he completed the intervention of the balloon catheter very skillfully.

"Plastic Stent Implantation and Preparation for Pus Drainage"

Qin Lang is still in the style of not leaving any breathing time between steps, and Zu Liang on the side is also a little surprised.

This guy has rehearsed this technique hundreds of times in his head, right?
Under the expansion of the balloon catheter, the insertion of the plastic stent is naturally very easy. With a perfect operating space, Qin Lang naturally took out the fecal stones in a smooth manner.

Seeing the excrement stones taken out, Zu Liang's heart was completely relieved.

"Normal saline, antibiotic preparation"

With a big wave of Qin Lang's hand, he threw the final drainage of pus and flushing of the appendix cavity to Director Zu.

Under normal circumstances, the chief surgeon took out the bezoar, which has indeed completed the task, and the next auxiliary work is the first aid.

If Zu Liang was still young, the final ending of the main knife reward would naturally be a thousand thanks.But now, he is already the director.

Zu Liang was embarrassed to say that, after all, Qin Lang was saving the situation for himself, but there was a kind of grievance.

I want to give Qin Lang a wink, but the latter has long been used to being cut off by big bosses, helping him all the way from the resident doctor to his own attending physician, and the chief physicians of each hospital. Now it seems that it is no big deal to have one more Zu Liang of.

Watching Qin Lang go straight to the bathroom without looking back, Zu Liang was dumb eating coptis.

Zhuang Tong and Li Ming on the side didn't blink!
Zu Liang's eyes suddenly lost their brilliance. He bit the bullet and gave Qin Lang a hand. After 10 minutes, Zu Liang completed the final step.

ERAT operation is a non-invasive operation. After the pus is sucked out and the fecal stones are removed, the abdominal pain is naturally relieved immediately, and there is no need to use a knife, and there is no healing problem.

After getting off the operating table, Wang's mind had recovered, so she was naturally very excited, which meant that her work tomorrow and the day after tomorrow would not be affected.

After getting his mobile phone, Wang Xinxin called Chai Shanshan immediately and thanked her for her recommendation.

Chai Shanshan was a little upset when Wang Xinxin asked Director Zu to perform the surgery instead of using Qin Lang as the main surgeon. However, when she heard that Director Zu couldn't continue the operation, it was Qin Lang who stepped forward and finally completed Wang Xinxin's surgery. After the surgery, Chai Shanshan suddenly had a glorious change of hair.

The person I introduced is really reliable and beautiful!

After putting down the phone, Chai Shanshan didn't enjoy herself, so she told Ma Shuya about it.

"Doctor Qin from the First Hospital of Hecheng City is really good. Today, he performed an endoscopic retrograde appendicitis treatment for ERAT. The patient is still the female star Wang Xinxin. The operating table that has just advanced is now able to move freely. Great! "

After a while, Ma Shuya's prestige came back: "No, the endoscopic retrograde appendicitis treatment of ERAT, I remember that this operation was not carried out in Hecheng No. [-] Hospital. Even our Zijingang No. [-] Hospital has only the deputy director A technique only doctors dare to try. Three surprised expressions!"

"Hey hey, bow your head to the boss of our city's No. [-] hospital! Let you, a doctor of Hangcheng, look down on our Hecheng hospital. Three cool expressions."

"Admiration! Admiration! I will tell our Director Han Hu in a while, speaking of it, our hospital just held an academic conference on acute abdomen. Maybe Director Han can bring exchange experts to the First Hospital of Hecheng City It’s an investigation and visit! After all, this Hecheng No. [-] Hospital has just completed the suspension gasless laparoscopic appendectomy, and now it’s doing the famous ERAT! I’m really looking forward to seeing Dr. Qin with superb skills!"

Ma Shuya sent a long prestige.

"Hehe, do you admire Dr. Qin's skills? You are the face value of a greedy man. Three smirks."

Ma Yashu turned back: "Three shy expressions, and a body."

Chai Shanshan: "Isn't it only Cantonese who cannibalize people? It's an expression that I don't understand when I'm still young."

After Qin Lang walked out of the operation, Weixin directly received a WeChat message from Chai Shanshan: "Doctor Qin, you are amazing! An emoji offering tea to the boss."

Qin Lang looked at it and smiled, and put the phone in his pocket.

It is very fulfilling to be able to successfully operate an endoscopic retrograde appendicitis for ERAT.

Originally, Qin Lang was resting today, but after finishing an operation, he became more energetic and rushed to the duty room of the emergency department.

As soon as he walked into the duty room, he saw Liu Peichun frowning looking at a medical record.

Hearing footsteps, Liu Peichun raised his head: "Qin Lang, aren't you resting today?"

"Today I went to Yuehe with my friends to participate in the recording of Lantai's "Ace". I originally wanted to be a passer-by, but who knew that Wang Xinxin had a sudden acute appendicitis, so I rushed back and performed surgery on her with Director Zu. Wang Xinxin has been discharged from the hospital."

Qin Lang described it plainly.

Liu Peichun was shocked: "You said Wang Xinxin can be discharged from the hospital after the operation?"

"Well, Wang Xinxin has a magazine shoot tomorrow and the day after tomorrow, so after discussion, he finally decided to treat ERAT with endoscopic retrograde appendicitis."

Qin Lang sat in his seat and was about to type out this case. As the first endoscopic retrograde appendicitis treatment ERAT is really worth writing about.

After listening to Liu Peichun, he immediately dropped the difficult case in hand, his eyes full of envy: "You said that you followed Director Zu of the General Surgery Department to use an endoscopic retrograde appendicitis treatment ERAT? The first one developed by our city's first hospital. Endoscopic retrograde appendicitis for ERAT?"

Liu Peichun followed Director Pang and mainly participated in appendicitis surgery, but now he is still in the stage of laparoscopic appendectomy.

Endoscopic retrograde appendicitis treatment for ERAT is a surgery that requires proficiency in endoscopic techniques. With his current level and experience, he can only look at it from afar.

"How do you feel? Tell me!"

(End of this chapter)