Surgical artist

Chapter 276 Leisurely and Calm Director Zhao (Please ask for a monthly ticket to subscribe)
This series of problems is a common problem in many grassroots hospitals.

Not only the dozens of hospitals that jointly signed the letter, but also hundreds of hospitals across the province actually have this problem.

All grassroots hospitals are suffering from it.I want the experts to help me figure it out.

The provincial organization of this 'experts cutting-edge meeting' is to let the experts discuss a solution.

Miao Jinhui said: "Okay, I'll contact the experts."

……

Zhao Peiru also received the invitation.

He came to the Provincial Medical Association for a meeting.

"Zhao!"

"Group Leader Zhao!"

"Director Zhao!"

As soon as Zhao Peiru arrived, he became the most popular in the audience.

There are people with various titles, including Teacher Zhao, who has listened to his webcast lectures.There was a team leader called Zhao, who was invited by him to join the 'Special Project Team for Brain Protection'.Someone called him Director Zhao, but he was not very familiar with him.

Miao Jinhui welcomed everyone into the small meeting room.

At the same time, Lu Guangxuan and other provincial leaders and staff also took their positions.

"Everyone, today's cutting-edge seminar is for the majority of grassroots hospitals, and I would like to ask all the experts,"

Lu Guangxuan pointed out the theme of the meeting: "Discuss a way to effectively solve the problems of 'complex anatomy, difficulty in identifying the course of the hepatic duct, easy accidental injury, common bile duct clamping, transection and other biliary tract injuries during gallbladder surgery. question."

As soon as this was said, the following experts discussed it.

An elderly expert said: "In fact, this problem is a long-standing disease. In the final analysis, it is because each hospital has its own system, and there is no unified standardization and standardization system."

Many experts nodded.

One of the highly skilled experts said: "This gallbladder surgery technique is somewhat different from other surgeries."

"This surgery is particularly dependent on the operator's personal experience."

"If you have accumulated enough experience, you will naturally know how to cut the knife and how to distinguish it. If the bile duct and hepatic duct are cleared up."

He shook his head: "The lack of doctors in the grass-roots hospitals below is that they have too little experience, too few patients, can't accumulate experience, can't improve their medical skills, and have fewer patients, which has become a vicious circle."

"To me, the best way is to strengthen the training of gallbladder anatomy courses in primary hospitals, let them do more operations, and gradually increase their accumulation of experience."

This view is supported by some experts.

Gallbladder surgery is hard!Too much reliance on the operator's experience accumulation!There are too many and complicated changes in the condition of each individual case, so we can only do more, summarize more, see more, and it will happen naturally.

However, another respected expert shook his head.

"Although your reasoning is correct, what is a grass-roots hospital? It means that there are fewer patients, mild illnesses, outpatient visits and hospitalizations, which are not as good as large hospitals. With such a base, it is determined that their experience accumulation will be very slow."

"You just talk about improving experience accumulation, how to improve? This is not objective."

"Sitting here today, we can only face the objective reality that grassroots hospitals have little experience. On this basis, we must come up with a set of solutions."

The provincial leaders above all nodded in agreement.

The experts say what you say, and I say what you say.

Often you come up with an idea, and he refute it.He came up with an idea, which was refuted by another person.

veto each other.

After a while, fewer people spoke out, and everyone gradually fell silent.

There are no recruits.

In the final analysis, this kind of gallbladder surgery relies too much on the accumulation of experience, no matter what solution you think of, you can't get around the word "accumulation", but this is exactly what grassroots hospitals do not have.

At this time, someone suddenly said:

"How about we implement online consultation?"

"After the basic hospital diagnoses the patient, the experts in our province will guide the operation remotely."

After saying this, Director Miao Jinhui shook his head first.

"It's a good idea, but it only fits a special case."

"There are hundreds of grass-roots hospitals in the province, and there is almost a fifteen-to-one relationship with each provincial hospital."

"How can we have so many provincial experts to provide one-on-one guidance for a long time? Without that time and energy, there must be insufficient manpower."

After the idea was rejected, the audience fell into a longer silence.

Lu Guangxuan also sighed in his heart.

This "old disease" has not been solved for many years, and it is indeed because the solution is too difficult.It is not possible to come up with a solution through this seminar.

He secretly planned...

If there is no play this time, then put the topic aside for now.

After that, let's see whether to conduct small-scale multiple discussions, or organize experts from the province to study in other provinces to see if those medical provinces have better solutions.

Just at this moment, when Lu Guangxuan's gaze caught sight of a certain place, his heart skipped a beat.

"This Director Zhao looks leisurely and calm."

Others are either thinking hard, or frowning slightly, or putting their hands on their foreheads.

This makes Zhao Peiru, who is "relaxed, calm and composed, as if he is on vacation", stand out from the crowd.

Director Zhao has a clue?

Lu Guangxuan: "Director Zhao, do you have any suggestions?"

When everyone heard the sound, they all subconsciously looked at Zhao Peiru.

"It seems that I have to speak."

Just now Zhao Peiru didn't care about the meeting at all.

In his heart, he was pondering [Task [-]: Propose a standardized technology in the field of biliary tract to make up for the "barrel short board" of the department]

I just selected a standardized technology suitable for Chang Lifang's team in the department to improve their level.

This technique was originally only intended for use in his own department.

Since Lu Guangxuan asked...

Then simply announce it, and unify and standardize the systems of all grassroots hospitals and departments in the province.

Zhao Peiru smiled and said, "I really have an idea."

When he opened his mouth, everyone cheered up and looked this way.

Everyone knows that Zhao Peiru doesn't speak easily, but once he speaks, the suggestions he puts forward are very reliable!
Zhao Peiru: "Everyone, if anyone has a deep understanding of the anatomy of the gallbladder, he should know that at the right end of the transverse hepatic groove, there is a lateral groove about two centimeters long that extends to the right outer side. Anatomically it is called the hilum of the liver. Right notch."

Everyone here is an expert in the field of biliary tract, upon hearing this, they all nodded slightly.

This physiological characteristic, like the "liver avascular zone" that Zhao Peiru used before, is a special physiological characteristic of the human body.

When everyone heard Zhao Peiru mentioned the right incision of the liver portal, they were still a little confused.

You don't mention the solution, why mention this physiological feature?

Zhao Peiru said with a faint smile: "The right notch of the hepatic hilum is very important in anatomy, and it is an important anatomical landmark."

"But I think it can also serve as an important reference mark in surgery."

Zhao Peiru said something amazing:
"The right notch of the hepatic porta can completely become the 'standardized' standard technique that everyone calls!"

(End of this chapter)