Chapter 2827 Xiaocao Kai Wushuang
Because there is no family member of the patient, a small staff member from the medical office rushed over with equipment in the middle of the night and left audio-visual materials as legal evidence.
After sending the patient to the stage, Feng Jianguo felt that what he just said was a bit sinister.
But there is no way, if you don't scare him like this, how can that guy be willing to have an operation. Without surgery, whether I can sleep today is a trivial matter. What if the patient really died on 912? Although it is done by oneself, it is also a life.
Really, I have seen all kinds of rectal foreign bodies in my life, and I have seen rolling pins twice, but they were all lubricated, and some even put covers on the rolling pins because they were afraid of getting dirty.
This one is good, I don't know the depth of a few words with my girlfriend... Tsk tsk, Feng Jianguo thought it was funny while changing his clothes. Arguing with girlfriends and wives, I am really old. It seems that I have lost the interest in arguing for several years.
Feng Jianguo immediately dismissed this idea and continued to think about the patient.
It is not true that he is bold. When the operation was mentioned, I was so frightened that I trembled all over. Finally, I reluctantly agreed to use a colonoscopy to see if it could be done, and then use a laparoscope to see if it can be done.
Said he was timid, but he was still not. If you are too timid, can you just stuff the rolling pin in? You are still young, Feng Jianguo thought with emotion. When you live to your own age, you will know that survival is more important than anything else, isn't it good to live? Is it because the game is not fun or the hot pot is not delicious?
After changing his clothes and looking at the time, Feng Jianguo estimated that the operation should be over in about 2 hours.
I can sleep for a while, I can sleep for a while, he comforted himself.
Entering the operating room, I saw that Quan Xiaocao was preparing the colonoscopy equipment. The anesthetist was anesthetizing the patient, and Feng Jianguo said to the patient with a smile, "Look, it's the colonoscopy equipment. Use this equipment to take a look first. If it can be resolved, there will be no wound."
He knew he was comforting the patient, wishing him a good dream under anesthesia.
In fact, Feng Jianguo himself didn't know whether it was right or wrong to do this.
Solved with colonoscopy? That's just a "placebo" shot to fool the patient. But since it has been said, there must be a record of colonoscopy exploration in the operation record, see xxx, if you can't xxx, and finally choose laparoscopic surgery or the like.
"Xiaocao, are you ready?" Feng Jianguo asked.
"Teacher Feng, it's all right."
"The boss is going to brush his hands, and I will pull out the rolling pin." Feng Jianguo arranged.
The boss prepared the laparoscopy equipment, checked it, and then went to brush his hands. Feng Jianguo put on a pair of sterile gloves, looked at the rolling pin with a head exposed, and said with emotion, "Why is this thing so deep, the young man is really ruthless."
"Well, I got it this time." The roving nurse was ready to tap the equipment with the equipment nurse, and hurriedly said, "I turned around and told my husband, don't mess around with women outside. If you get anxious, this is an example. "
The anesthesiologist laughed, "You can't even squeeze it in if you do it."
"Nonsense, the intestines that my old lady gave are better than yours..."
"Don't talk about it, it's disgusting." The anesthetist knew that he was not a pungent itinerant nurse, so he quickly stopped the topic, "Professor Feng, when will we finish? There are still two caesarean sections waiting to be picked up."
"Two o'clock!" Feng Jianguo said with a smile, "Is the anesthesia over?"
"It's over. The anal sphincter has been relaxed. Even if you don't pull it out, you may be able to expel it by yourself in a while." The anesthetist laughed.
Feng Jianguo didn't use much force, and a blood-stained rolling pin was taken out. Putting it aside casually, seeing a small amount of active bleeding, he said, "Xiaocao, hurry up and see if you can find the bleeding point."
This is his only expectation for Quan Xiaocao. It is good to find the bleeding point and stop the bleeding first. Although the patient has no substantial organ damage, the possibility of massive bleeding is not high.
The patient's blood pressure was stable, unlike a penetrating injury from a sharp object, and it is unknown how many internal organs were damaged. In that case, I dare not pull it out casually.
But this time it's just a blunt rolling pin, only 20cm inside the body, so it won't be a problem to pull it out.
"I'm going to brush my hands." Feng Jianguo said afterwards.
He glanced at Quan Xiaocao, and saw that Xiaocao had already given himself psychological hints, and this time it was even too much, even wearing two layers of sterile masks!
Boss Zheng is not enough for you to imitate, even Su Yun's habit of wearing a mask, Feng Jianguo has nothing to do about it.
But for such a coward, it's not bad to be able to perform a good operation.
It seems that she has already entered the state, and directly opened the unparalleled mode that only belongs to her.
Feng Jianguo thought it was funny, but he was still worried that a small blood vessel in the patient would burst and bleed, so he hurried to brush his hands.
Quan Xiaocao didn't answer Feng Jianguo, not because she didn't respect Professor Feng, but because she had already opened Wushuang and entered the mode of Boss Zheng + Brother Yun.
I put the colonoscopy lens into the anus, and ignored the bleeding point of the anal tear. The bleeding point can come out and be cleaned up later.
Quan Xiaocao has been practicing laparoscopic treatment of the rectum for 3 months, and there are more than 40 rotten simulators taken from the community hospital alone.
Just like this, Quan Xiaocao still saves food and money. Simulators are all costs, and Brother Yun still refuses to take money... All these make Quan Xiaocao feel a little guilty.
In Brother Yun's words, one day you will be able to perform endoscopic surgery alone, and that will be considered a reward. Quan Xiaocao didn't think this sentence was true, but she didn't know what to do if she wanted to repay it. Boss Zheng and Brother Yun seemed to have everything.
After practicing day after day, Quan Xiaocao is now able to open Wushuang in an instant, successfully enter the mode of Boss Zheng + Brother Yun, and prepare for the operation.
Concentrating on sending the colonoscope into the rectum, Quan Xiaocao's eyes narrowed as if it was Boss Zheng's habit, carefully watching the endoscope.
The rectum is fine, just some congestion and edema, okay.
The colonoscope continued to move forward. During the examination, the patient's sigmoid colon was obviously twisted. After entering the scope, a intestinal perforation with a diameter of about 1.0 cm appeared 20 cm away from the anus.
She did not repair the intestinal perforation immediately, but continued to explore upwards.
Make sure there is nothing wrong with the above, then return to the colonoscopy lens, and start preparing to repair the intestinal breach.
Quan Xiaocao has done similar treatment countless times, plus the experience of dealing with esophageal fistula with the help of Boss Zheng last time, she didn't think about what Feng Jianguo meant, but started to deal with it.
After withdrawing the mirror, put the Olympus MH463 transparent mucous membrane suction sleeve, that is, the transparent cap, on the end of the colon lens, and then Quan Xiaocao took a deep breath, her hands were steady, her eyes were firm, and she could not see the appearance of the coward before the operation. .
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Note: The case is from Chinese Journal of Digestive Endoscopy, 2013, 30(06): 348-348. DOI: 10.3760/cma.j.issn.1007-5232.2013.06.018