Surgical artist

Chapter 241 I was born to eat like a doctor

Five minutes later, Zhao Peiru's bile duct repair work was over.

Dean Tao watched it with satisfaction!

"The key to this continuous overlock stitching method lies in the control of the strength! The thin thread is in Director Zhao's hands, as if it grows on his fingers, how proficient it is..."

Dean Tao summed up a lot of experience.

He secretly wrote it down in a small notebook, planning to continue to ponder it slowly after returning home.

Everyone in the biliary tract hospital nearby also praised "beautiful"!
In particular, when comparing the piece that Zhao Peiru sewed up with the one patched up by Dean Tao before, it becomes more and more clear!

Zhao Peiru: "Next, let's do 'rigid choledochoscope straight-through lithotripsy'."

"Xiao Meng, prepare to puncture."

As soon as these words were said, everyone's spirits were lifted!
The stone removal operation is about to begin!

Especially Dean Tao Jiangtao, his eyes shined brightly, and he planned to take a good look at this performance!

In Director Cui's heart, he was also looking forward to it.

As an expert in biliary tract, he is curious about the excellent technology in this field and would like to know the specific procedure of this operation.

Now when he saw Dean Tao Jiangtao's huge reaction, he looked forward to it even more!

The others also opened their eyes wide, looking at the operating table.

Among the crowd, Mu Yin was the most nervous.

He was the "culprit" of the iatrogenic accident, and he was so nervous that he kept swallowing his saliva.

"Bold path... it can be regarded as repaired."

"Now the key is the stone, I hope it will succeed..."

Now that he had gotten into trouble, he could only hope that the operation could be completed smoothly, so that the result would at least be good, and he would feel better.

on the operating table.

Xiaomeng completed the puncture and implanted a superhard guide wire.

Zhao Peiru advanced the dilator, and then inserted the sheath.One end of the sheath remains outside the body.The other end goes directly to the target bile duct in the patient's body.

The tunnel is established.

"Is this... going directly into the country? Avoiding the fragile part of the biliary tract?"

"Is it necessary to use a rigid choledochoscope to forcibly remove the stone by crushing it?"

Everyone's heart skipped a beat.

This way of re-establishing the path is really novel to everyone!
Tao Jiangtao also watched very intently.

Although this is already the second time he has observed this operation, he still enjoys it.

"Director Zhao's operation, I will never get tired of watching it!"

"It's so comfortable to look at! There are some details that I didn't see clearly last time. I'm mentally prepared this time, so I have to take a closer look!"

Last time, Tao Jiangtao only focused on the idea of ​​the plan itself.But this time, he was pleasantly surprised to find that Zhao Peiru's personal operation is very worth learning!

In particular, many operating details of the camera movement seem to have been "optimized" by Zhao Peiru. At first glance, it is a simplified and efficient operation that has been carefully considered and improved.

Tao Jiangtao's eyes were shining brightly.

"wrong."

Dean Tao found something different from the previous surgery.

"Isn't there a rigid choledochoscope here? Why did Director Zhao get a fiber-optic choledochoscope?"

Cui Yongxin next to him also whispered: "What's the matter, Dean Tao, didn't you do this before?"

Dean Tao frowned and said, "Director Zhao used a rigid choledochoscope in the previous surgery, but this one was changed for some reason."

Just when the two were discussing.

On the operating table, after Zhao Peiru used the choledochoscope, he withdrew from the choledochoscope and put on the choledochoscope again.

Dean Tao and Director Cui were taken aback by this operation.

Why are you still in the mirror?
Could it be that Director Zhao entered the wrong mirror just now?

But how could such a rigorous and stable old doctor make such a low-level mistake?
And judging by the cooperation of the assistant Meng Xiang, it doesn't look like a mistake at all, and it seems that this is part of the plan.

Dean Tao concentrated his attention and looked at it carefully for a while.

My heart suddenly moved!
"It's not that I entered the wrong mirror!"

He stared intently at the sub-screen of the instrument monitor above the observation room.

"Director Cui, have you noticed that the choledochoscopy just now not only helped to find the stone, but also took care of the fragile part of the bile duct and the part of the bile duct with large angles, so that the speed of locating the stone was improved."

"If my guess is correct, after a while, Director Zhao will have another fiber choledochoscope after withdrawing from the rigid choledochoscope!"

"Used to improve the removal rate of residual rocks."

At this moment, Dean Tao, his heart is surging!

He completely understood what Zhao Peiru was thinking!
This is not a mistake at all, but Zhao Peiru has improved the technique again on the basis of the previous technique!

"That is to say..."

Cui Yongxin also showed some appreciation on his face: "Director Zhao gave full play to the advantages of the two mirrors in one operation?"

"Correct!"

Dean Tao smiled: "His... should belong to 'individual improvement'!"

"The medical record of the previous operation only needed a rigid choledochoscope. In this operation, the patient's biliary tract may be broken, and he had just suffered massive bleeding during the operation, so he was very fragile. So Director Zhao made a detailed review of the operation. individualized improvement."

"This fully demonstrates... Director Zhao has already mastered his 'rigid choledochoscope direct stone extraction' technique to the point where he can customize it at will!"

After Dean Tao finished speaking, he also admired Zhao Peiru in his heart.

The birth process of this technique was witnessed by him and the whole process.

It was only a few days.

But Director Zhao improved and studied this technique in just a few days!

Zhao Peiru's ability to learn and study is too terrifying!It really scared Dean Tao Jiangtao.

The people around were listening to the conversation between Dean Tao and Director Cui...

Also gradually come to understand.

Everyone's eyes widened, dumbfounded.

"This Director Zhao, you are awesome!"

"It's good to be able to develop a technique, and he can continue to improve it again in just a few days!"

"The point is, this technique is still very good. It is extremely efficient in removing stones and crushing stones, and it is also very safe! This is so rare!"

It is not difficult to innovate and improve common surgical techniques.But innovating and improving the excellent technique itself is very commendable!
Just like the scores in the student days, it is not difficult to improve from 20 points to 50 points or 60 points.But it is very difficult to improve from 70 points to 99 points, 100 points!The further you go, the harder it is to improve!
From the bottom of their hearts, everyone admired Zhao Peiru.

on the operating table.

Sure enough, as Dean Tao Jiangtao said, after withdrawing the rigid choledochoscope, Zhao Peiru put the fiber choledochoscope in again to clean up the remaining gravel.

I saw pieces of broken stones being picked out by the forceps and net bag of the endoscope, and "delivered" out one by one through the sheath.

Cui Yongxin kept nodding while watching.

Compared with the technique used by Mu Yin just now, this technique is simply infinitely better!
Not only does it not damage the fragile biliary tract, it even has a protective effect!

This is a truly patient-friendly procedure!

"This Director Zhao is truly a talent!"

"Last time at the Affiliated Hospital of the University of Medical Sciences, he used liver transplantation to treat 'congenital biliary atresia', and I was astonished."

"Shocked that he was able to overcome the 'big and small liver' problem that countless predecessors failed to overcome with a single blow."

"And today, with a single blow, he created this stone extraction technique of 're-establishing a channel'."

"Also, personalized improvements have been made!"

"This person's ability to study and innovate is too strong! He was born to be a doctor!"

On the operating table at the moment.

Zhao Peiru used the grasping forceps of the choledochoscope again, combined with the flushing and suction method, to remove all the gravel.

This is the end.

The stone extraction part is also coming to an end.

"Sure enough, I can learn a lot by watching Director Zhao's surgery more!"

Dean Tao has benefited a lot!
"It's no wonder that when Director Zhao performed liver surgery before, Professor Shu Yun, Professor Jiang, and Professor Feng from our hospital would all go to observe it."

Dean Tao fully understood the mentality of the troika in the field of liver at that time.

Looking at the whole operation, Dean Tao Jiangtao also has a clear understanding of the advantages of this operation, understand!

"This plan uses one-time formation of the tunnel, which shortens the treatment cycle. It also has a high rate of stone extraction, a low rate of residual stones, and a clean removal effect."

"The most important thing is that only one sheath is added, but it has the wonderful effect of 'straightening the relative angle between the sinus tract and the biliary tract'!"

"Even during the stone removal process, some doctors did not operate well, and if the residual stone was dropped, it fell into the sheath, and it was very easy to remove it again."

"The advantages are too great! And it is easy to promote!"

In Dean Tao's heart, he highly appreciated this plan and highly praised it!

Mu Yin among the crowd, seeing that the operation was about to be successful, finally freed his hands and quietly wiped off his sweat.

The mood is completely relaxed!

His legs almost gave way and he sat down on the ground!

This time his accident turned out to be good, at least it didn't cause more serious consequences to the patient.

However, this is certainly not over.

If the patient cancels his donation and sponsorship to the biliary tract hospital because of this, he will be a sinner of the biliary tract hospital.

……

On the operating table, entering the final stage.

Zhao Peiru said: "Although the stones have been removed, in order to prevent the recurrence of the stones, it is very necessary to relieve the stricture of the bile duct."

"The patient's membranous stenosis is dilated with a mirror body and a balloon, and the tubular stenosis is dilated with a guide wire into a fluid sac. Finally, a harder support catheter is placed."

"Dilating the bile duct is an indispensable step in eradicating stones."

Everyone nodded.

If the problem of biliary stenosis is not eradicated, the stone may recur in one to three years after the patient has the stone removed this time.

Finally, after the dilation, the whole operation was a complete success!
In the entire operating room, the atmosphere suddenly relaxed!
Many people have smiles on their faces!
Only the leaders of the Biliary Hospital and Director Mu Yin looked slightly relaxed, but they still had a heavy heart. They still had to explain to the patients and their families.

Some doctors in the biliary tract hospital felt deeply: "This operation is too friendly for patients with poor biliary tract!"

"Our biliary tract hospital needs this kind of surgery too much!"

All the doctors from the Biliary Path Hospital were directly on the scene, persuading their leaders.

Everyone wants to introduce this technique.

"Leader, our hospital has the most patients with gallstones, and also the most patients with biliary problems. If we can introduce this surgery, our methods of dealing with gallstones will be richer and more diversified!"

"In the future, even if you encounter a patient with a potential rupture of the biliary tract, you don't have to go into the mirror in fear!"

Entering the mirror is a nightmare for all doctors in the field of gallstone disease.

Especially every time they encounter patients with fragile, narrow and non-expandable bile ducts, they are like walking a tightrope. If they are not careful, they may pierce the patient's bile ducts and cause iatrogenic accidents.

They really had enough of this worrying feeling.

But now, a brand-new technique that doesn't need to be frightened appears, and they naturally can't wait to introduce it.

Almost all the doctors in hepatobiliary surgery spoke to the leaders in unison.

The hospital leader also nodded.

They also observed the whole operation.

Naturally, I also saw the advantages.

"Director Cui, what do you think?" The hospital leader looked at Cui Yongxin.

Cui Yongxin is the director of the liver and gallbladder department, with the highest level, and the leaders of the hospital also value his ideas.

Cui Yongxin said: "I think this kind of technology that breaks new ground is very worth introducing!"

"It will not only improve the safety and options of our hospital's stone removal surgery, but also allow our hospital to maintain a leading position in the ever-changing development of gallstone disease technology."

Seeing that Cui Yongxin was so decisive, the leaders also made up their minds.

They planned to contact Zhao Peiru himself and the Fourth Hospital after the operation.

……

after surgery.

The patient returns to the ward.

The hospital leader of the Biliary Path Hospital brought Director Mu Yin to the ward in person, and explained clearly the accident during the operation to the patient and his family members.

And it showed the attitude of the hospital, willing to be responsible for this accident to the end, and will definitely not treat patients badly.Willingness to compensate in other ways.

The patient Xiang Shichang's reaction was rather cold.

It is in stark contrast to the enthusiasm for biliary tract hospitals in the past.

If it were anyone who suffered from iatrogenic hemorrhage during the operation, and was still under local anesthesia, he could still hear the panicked voices in the operating room, as well as the voices of doctors talking and resuscitating...

After experiencing this kind of thing, I am afraid that no one can be calm and forgive easily.

It is understandable to have a psychological shadow on the hospital.

Seeing the patient Xiang Shichang's apparently indifferent attitude towards him, Mu Yin's heart skipped a beat.

The leaders of the hospital comforted Xiang Shichang for a while, and tried their best...

But they could tell from Xiang Shichang's obvious change of attitude that Xiang Shichang was really disappointed with the biliary tract hospital this time.

It also means that this donation and sponsorship may be going bad...

The leaders' attitude towards Mu Yin was even worse.

……

Not long after, Xiang Shichang called his staff.

Let it cancel this donation and sponsorship to the Provincial Biliary Tract Specialist Hospital.

At this time, Zhao Peiru came to the ward for rounds.

Before leaving the Biliary Tract Hospital, Zhao Peiru and Director Tao Jiangtao came to have a final look at the patient's postoperative recovery.

As soon as the patient Xiang Shichang heard Zhao Peiru's voice, he opened his eyes with joy on his face.

"It's Doctor Zhao!"

In the operating room, under local anesthesia, he heard countless noisy voices.But this voice alone seemed the most calm, not panicking at all.

This voice is a voice that makes people feel at ease when they listen to it.

The repair of the biliary tract and the operation of removing and crushing the stones were all done by Dr. Zhao.

"Dr. Zhao, thank you! Huiyun, this is Dr. Zhao who performed the second half of the operation on me, thank him soon!"

Huiyun is Xiang Shichang's wife, and there are some family members and staff beside him, who all expressed their gratitude to Zhao Peiru.

(End of this chapter)