Chapter 1497 "Missing" Appendix

"It seems like a simple operation, but it may be fine if you do it a thousand times. But if you are careless, maybe it will be fine once or twice, but something will happen eventually." Zheng Ren also sighed.

"That's the truth." Director Luo patted Zheng Ren's shoulder hard and said.

"I've been doing gastroenteroscopy for fifteen years, and I've always been cautious, walking on thin ice. But I still encountered many problems that I couldn't solve." Director Luo said while watching the doctor's operation.

"Severe damage to the piriform recess, perforation of the esophagus, and tearing of the cardiac mucosa. Tell the patient that it is a complication? Would it be avoided if the operation was gentler?" Director Luo shook his head.

"I have taught many people to do gastroenteroscopy, and most of them feel very simple. You can do whatever you want with your eyes closed. I don't agree with this. Every examination must be handled carefully, and you must do your best. If you don't think it's enough, don't close your eyes."

Zheng Ren nodded, he thought Director Luo's words were right.

"Pediatrics... They know how complicated children's diseases are?" Director Luo said contemptuously.

"I used to be in Haicheng No. 1 Hospital, and I just started doing painless gastrointestinal endoscopy. It was also the first time that this type of surgery was performed. The doctor was inexperienced. There was a case of colon and splenic flexure leaking out of the intestine." Zheng Ren said.

"The patient is under basic anesthesia. The force surgeon at the bend is not skilled, but only uses brute force." Director Luo said with certainty.

Zheng Ren nodded.

Skills, who did not grope and accumulate a little bit?

Born to be? People like Su Yun have to watch it once.

Zheng Ren thought to himself.

"So, Boss Zheng, your live operation room is really worthless." Director Luo said frankly: "You have already completed a lot of experience accumulation and imparted it to other doctors selflessly."

"You passed the prize." Zheng Ren smiled modestly and said, "It was a coincidence that someone just asked me to do it."

"What is the prize, I haven't said enough." Director Luo stared, and immediately found that he was a little excited, and immediately smiled gently.

In the past few days, I have been studying ESD surgery too much.

"Many situations come from groping." Zheng Ren said: "It's like the patient with hyperemesis gravidarum that I met today. I don't know when the jejunal feeding tube will be blocked after the operation, so I'm still very nervous."

"After all, most of the patients with lower jejunal feeding tubes are patients with advanced cancer, in order to improve the quality of survival. But this patient is different. After giving birth, he is a good person."

"Well, so you have to be more careful. I have to think about the operation again." Zheng Ren calculated several different surgical techniques, and prepared that after the patient's family agreed to the operation, he would immediately go to the system operating room to try it out.

"I just caught you." Seeing that the colonoscopy in front of him was finished, Director Luo grabbed Zheng Ren's arm and said with a smile, "You have to tell me about the ESD operation you performed a few days ago. "

Zheng Ren didn't expect that things would turn into what it is now.

If you can communicate with the doctor of gastroenteroscopy a few words, that is the best.

But looking at the current situation, Director Luo should be preparing to give himself a gastroscope in person.

This... was a little flattered.

Zheng Ren had no choice, and went to the classroom with Director Luo to explain his ESD operation that day.

...

...

At the same time, in the operating room of Dawai, a professor of gastrointestinal surgery panicked.

The operation was simple, and the preoperative diagnosis was acute appendicitis.

Laparoscopic single-port appendectomy is a very mature technique. But after he entered the abdominal cavity, his hands and feet were numb.

In the right lower quadrant tender spot, the bowel is smooth, and there is no shadow of the appendix at all.

After ten minutes of searching with endoscopic equipment, there was still no sign of the appendix.

There is no other way, let’s switch to laparoscopic surgery, look straight at the intestines, and have to find the appendix.

For appendicitis surgery, the worst condition is that a barefoot doctor comes to the house and performs appendectomy under local anesthesia on the bed and kang at home.

That's it, surgery can be done.

And under normal circumstances, as long as the interns are usually diligent and do a lot of work, they will be recognized by the teacher. When he was nearing graduation, he would be allowed to do 1 or 2 cases of appendectomy by himself.

This is the highest and supreme honor during the internship. Back to school, can blow with other classmates until graduation.

But appendectomy has also stumped many great surgeons.

After the incision, the appendix that should have "popped" out the moment after opening the peritoneum disappeared. Stroke the intestines for 2 hours, and found nothing at all.

Any kind of ectopic appendix is ​​a piece of cake, and the retroperitoneal appendix is ​​the real headache.

But these are not as "missing" appendix.

After licking his bowels for an hour, he still couldn't find where his appendix was. The professor who led the group had no choice but to call someone.

A cloud-piercing arrow, thousands of troops meet each other.

If you can't do it yourself, then find someone with a higher level to come and have a look.

But unfortunately, there is a complicated operation for intestinal adhesion and intestinal obstruction on Director Wei's side, and it is not possible for the time being.

Feng Jianguo came up to help.

The two professors with the group searched for another hour, but still could not find the appendix.

Is this lost? Or has the world evaporated?

I can't.

The incision was extended again and again, twisted and crooked.

Shame or not, I can't take it anymore. Laymen do not understand, saying that the operation is poorly done, that is also something that can't be helped.

Experts all understand, I really want to encounter such a case of lost appendix...

Everyone gets numb.

The two were sweating profusely.

On the outside of the sterile cap, two loops of sterile gauze are wrapped to prevent sweat from falling into the surgical area.

In this way, the two still turned their heads from time to time and asked the itinerant nurse or anesthesiologist to help wipe the sweat.

An appendicitis, if you really can't find the location, how to open the operation and how to close it at the end... that's a big deal.

What should the patient do? Pain all the time? Until the appendix that I don't know where is the last perforation?

Or go to another hospital?

Being laughed at in the future is a secondary matter.

If you can't find it yourself, you can definitely find it in other hospitals?

Feng Jianguo did not believe in this evil.

If you can't find it yourself, neither can anyone else.

If you can't find it, you can only use large doses of antibiotics, hoping to subdue the inflammation.

After that, there is a high probability that the patient will eventually develop a massive intra-abdominal infection, followed by irritant peritonitis within 1-2 days, and finally lead to septic shock until the patient's death.

Thinking of this possibility, the two professors with the group sweated even more.

The dark green sterile clothing has been pierced through, and the color of the sterile clothing on the back seems to be splashed with ink.

After 56′, Director Wei came.

"what's the situation?"