Chapter 1883 Combined Surgical Intervention = No Second-Stage Surgery

Write the operation record when you see what you see? The endoscope in your old man's hand shakes like a big pendulum, what can you see!

"Do the operation well. Dr. Xia, remove the pus moss and pus, about 900ml." Zheng Ren said.

"Oh, oh." Xia Hua quickly wrote it down carefully.

"The next step is to loosen the adhesion, and then it's time to open the inferior pulmonary ligament." Zheng Ren continued.

Uh... have you made it this far?

Xia Hua looked at the screen hard, trying to find the shadow of the lower pulmonary ligament.

The location of the operation in front of him looks very similar, but the camera is too close, there is no overall intuitive image, and he can't be sure whether the incision is the lower pulmonary ligament.

Zheng Rensong opened the mediastinal pleura after releasing the lower pulmonary ligament.

The separating forceps are as flexible as fingers and quickly expose the esophagus to view.

"Move slowly and let Dr. Xia take a look, otherwise I won't be able to write the surgery records." Zheng Ren said.

"Make it up whatever you want, it's the same process anyway." Su Yun said.

"Here, Dr. Xia, you can see it. There is a tear in the esophagus, about 2cm long. The surrounding tissue is relatively fragile, and primary suture cannot be performed." Zheng Ren said.

Xia Hua looked carefully, and when Su Yun pulled the camera away, he saw a breach in the esophagus about 5cm away from the cardia, and the surrounding area was pale, with a small amount of pus moss.

The suturing of the esophagus is extremely difficult, because the elasticity of the esophageal tube wall is relatively weak, the suture is forced to be sutured, the tension is high, the local blood supply is not good enough, and necrosis is prone to occur after surgery.

Xia Hua is still estimating what kind of drainage strips should be left in the wound, so as to draw out the thick juice and exudate, so as to avoid further infection in the chest cavity and mediastinum.

It was Xia Hua's first decision to have a second-stage operation.

But is it difficult to choose the timing of the second-stage surgery, and the second-stage surgery of the esophagus is different from that of the gastrointestinal tract.

If the intestinal tract has similar problems, it is easy to solve it, and it is enough to make a fistula. It is the abnormal passage of defecation, and the patient is a little uncomfortable, and it will take a while to get used to it.

However, if the esophagus is waiting for the second-stage operation, the patient will need to be fed liquid food through nasal feeding, or intravenous high nutrition to maintain it.

How to ensure nutrition?

"Doctor Xia, come and assist Su Yun with the rest of the work." Zheng Ren said.

Xia Hua began to feel anxious. At this time, Zheng Ren's voice reached his ears, he was startled for a moment, and replied casually.

"Uh...how about you?"

"Hey, have you listened to the condition analysis?" Su Yun was really upset this time. If Zheng Ren hadn't stepped down and touched his arm, the hemostatic forceps left behind when the stage almost started would have been smashed.

"Are you really going to do the second-stage surgery that you're not sure about?" Su Yun said contemptuously, "The covered anti-reflux stent is lowered, the patient can eat for 7 days after the operation, and the stent can be recovered according to the situation after 14-28 days after the operation."

Xia Hua listened quietly, he felt that there must be something wrong. Either there is a problem with my understanding, or there is a problem with my cognition.

Anyway...

The problem lies with him, not with Boss Zheng.

Xia Hua can understand the meaning of the anti-reflux stent covered by this consumable, but he has never seen it before.

It should be with a bag to prevent gastric reflux, causing the wall of the stent-graft to be eroded and leaked.

But after the stent is placed, can it be recovered 14-28 days after the operation? Can the esophagus grow up?

"What happened after that?" Xia Hua asked.

"Looking at the situation later, it would be great if the esophagus can grow. The operation was successful and the patient was discharged. If it doesn't grow, although it's unlikely... how about the strength of your laparoscopic room?" Su Yun asked.

"..." Xia Hua had no idea what the new technique was.

"They probably haven't touched it before." Zheng Ren called Gao Shaojie to help, and then explained: "You need to keep up with nutrition after surgery, and the 2cm esophageal tear should be easy to grow. If it doesn't work, the edge will not be so brittle by then. The problem can be solved by suturing under esophagoscope.”

Xia Hua was still confused.

"Let's talk about it when the time comes. If it doesn't work, let the patient go to the imperial capital to find me, or I'll come back again. The chance of this happening is not high, and it should be able to grow up, so don't worry." Zheng Ren said.

"Boss Zheng, this stent is too advanced." Gao Shaojie said while measuring the coated anti-reflux stent.

"Well, it's specially made to prevent gastric reflux. It's basically not used in normal times, so it's not surprising that I haven't seen it before." Zheng Ren smiled.

Because the patient's condition was different from that of Xia Hua's father, the guide wire went in directly.

"It's time to step on the line, close the door." Zheng Ren said.

Gao Shaojie noticed that Feng Xuhui didn't go out, but stayed in the operating room wearing a lead suit.

This lad has a future! Gao Shaojie thought to himself that he was still in the operating room with the thread on, and refused to leave Boss Zheng an inch.

He regretted it for the 10,000th time, but if he did it all over again, he couldn't leave his son who was about to take the college entrance examination and Boss Zheng to go to the imperial capital.

This is life!

While pondering, Gao Shaojie quickly prepared to remove the brace.

After stepping on the line only once, the coated anti-reflux bracket was in place, and Boss Zheng opened the bracket without even measuring it.

"The position is just right, perfect!" Su Yun stood in the operator's position and touched the esophagus with the forceps.

The coated anti-reflux stent has completely blocked the damaged part of the esophagus, without any omissions, a few centimeters up and down, and the overall position selection is just like what he said-perfect!

Gao Shaojie was stunned.

The lower esophagus stent looks simple, but in fact there is still a saying. The upper and lower positions, the opening strength of the stent, and various details absolutely ensure the quality of life of patients after surgery.

The position under Boss Zheng's stent is just right. Judging from Gao Shaojie's years of rich clinical and surgical experience, it is the most ideal position.

Surgery can still do this! It looks like he has no brains, but Gao Shaojie knows that this is the embodiment of countless surgical experiences.

It looks relaxed, but Boss Zheng has practiced it many times.

Gao Shaojie felt emotional in his heart.

The preoperative diagnosis is clear, the assessment is accurate, the intraoperative movements are clean and agile, and the surgical operation is combined with interventional surgery, transforming a patient who originally needed a second-stage operation into a case that can be completed with a high probability of the first-stage operation.

Awesome!

Gao Shaojie felt emotional in his heart.

Boss Zheng beat him with hemostatic pliers every day, Lao Liu was already too strong, Gao Shaojie continued to regret in his heart.

"Old Gao, then I'll get off." After getting off the stand, Zheng Ren turned around and stepped off the stage.

"Oh." Gao Shaojie quickly responded.

The lower esophageal stent itself is not a major operation, and there are not many things to be done after the operation, so Gao Shaojie is busy finishing it.

"Doctor Xia, the operation process is roughly like this. After the operation, nutrition should be strengthened, and food and water should be fasted for 7 days." Zheng Ren reminded again worriedly.

"Hmm." Xia Hua gradually figured out the whole operation process.

Excluding the acrimonious and sissy assistant around him and the gorgeous but dizzying operation, the operation was perfect!