Surgical artist

Chapter 510 Your technology is too backward

Zhao Peiru said: "Gastroscope for the patient."

Both Zhan Tong and the deputy director were shocked, subconsciously thinking that the patient's condition might be more serious than they imagined.

Deputy director: "Dean Zhao, do you suspect it's a stomach problem?"

Zhao Peiru nodded slightly: "Yes, do another B-ultrasound and liver function tests. I think it is caused by liver cirrhosis caused by the rupture and bleeding of short gastric veins. As for the veins in the esophagus, there may be some varicose veins at most and no bleeding."

Zhan Tong and the deputy director were all jumping in their hearts!
The deputy director immediately ran out to perform a gastroscopy on the patient and go for laboratory tests.

Zhan Tong, the director of the department, was afraid for a while. If what Zhao Peiru said was true, then the severity of this patient was far more dangerous and urgent than the previous diagnosis.

Marin watched and listened, and he was analyzing and learning this knowledge in his mind.

A moment later, the deputy director came back with the test results and B-ultrasound results with a pale face.

The patient did have cirrhosis of the liver. It seems that the probability of gastric fundus hemorrhage caused by portal hypertension is already very high. Now we only need to wait for the results of gastroscopy to make the final determination.

The director of the department, Zhan Tong, took a long breath: "Fortunately, you noticed it, otherwise, this patient would have been delayed."

At this time, the deputy director also came back again. This time he took the gastroscopy results, and it was exactly as Zhao Peiru expected...

The esophagus did not have ruptured and bleeding veins, only varicose veins, and there were no obvious red symptoms, but thick and raised varicose veins were found at the bottom of the stomach, accompanied by red symptoms and erosion.

Obviously, what Zhao Peiru guessed just now is exactly right.

Now that the diagnosis has been made, Zhao Peiru asked:
"Director Zhan, how does your department treat patients like this?"

Zhan Tong said: "Use the old method, esophageal and gastric fundus embolization."

Zhao Peiru shook his head: "This kind of technology is too backward, the operation is complicated, the success rate is low, and the chance of bleeding after surgery is still high."

"Haven't our hospital introduced the interventional radiology technique of percutaneous liver puncture?"

He wondered: "I remember four or five months ago, when I opened the hospital committee, I agreed to vigorously introduce interventional radiology and endoscopic minimally invasive technology. The hospital should have special learning in this area." Funding and introduction of funds, right?"

Zhan Tong said embarrassingly: "It is true that it has been approved a long time ago, but most of the funds in the early stage are concentrated in the hepatobiliary and pancreatic surgery. In the past few days, it has just been our turn to the Gastroenterology Department, and some funds have been allocated."

Zhao Peiru was speechless.

Well, that's still his reason.

Under his leadership, funds naturally flowed into the Department of Hepatobiliary and Pancreatic Surgery.For other departments, they couldn't even get assigned, so they had to line up slowly.

It's like having to wait for the most favored child to eat before it's the other children's turn to eat.

"How about this."

Zhao Peiru smiled and said, "There's no need to spend money. I'll send someone on a business trip to study outside."

"This percutaneous liver puncture short gastric vein embolization, I will teach, and it will be done in our hospital, which is convenient for everyone."

Zhan Tong was taken aback for a moment, and the deputy director next to him, as well as several senior doctors, were also taken aback.

You come to teach?
It seems that I have never heard of Zhao Peiru using this technology?

However, this does not make everyone have the slightest doubt about Zhao Peiru.

Because this kind of technology is not a new technology, many large hospitals have it, and even some excellent municipal hospitals, such as the Central Hospital of Jiangzhou City, have this kind of technology.And Zhao Peiru, such a great "academician candidate", would not casually joke about such things.

It's normal to think about it. Zhao Peiru has participated in many project teams of old academicians. It is estimated that he learned this technology during that time.

Thinking of this, Zhan Tong cheered up, "When will you have surgery? I'll call all the doctors from the department to study!"

Zhao Peiru thought for a while: "Arrange preoperative preparation for the patient, and do it early tomorrow morning."

Zhan Tong nodded excitedly, and said to the deputy director next to him: "Go and prepare the patient before surgery, tell the operating room to vacate operating room No. 1, and let our people come to observe and study tomorrow..."

The deputy director was also excited, and had been thinking about going out to learn this technique, and now, he was finally able to learn it.

Before, he planned to be the first one to sign up to study. Now he can not only learn it immediately, but also can learn it at home. He doesn't have to leave his family and children to go on a hard business trip, which is really comfortable.

……

the next day.

Because considering that there are too many people watching...

Zhan Tong called almost all the doctors in the gastroenterology department over. For this reason, he also advanced or postponed the scheduled meetings and operations, and made time for observation and study.

Not only the gastroenterology department, but some doctors from the hepatobiliary and pancreatic surgery department also came.Because this operation involves the treatment of portal hypertension, it also has learning significance for them.

Therefore, the hospital simply used the No. 1 operating room of the hepatobiliary and pancreatic surgery. There are two observation rooms here. monitor, very convenient.

This time, Zhao Peiru still used his royal assistant, Xiao Meng.

The operation begins.

The puncture was made two centimeters below the costal septal angle of the right axillary, and the needle was inserted in the direction of the hepatic hilum with a Chiba needle, and the needle was stopped three centimeters away from the side of the spine.

Zhao Peiru gave a teaching explanation while performing the operation: "This operation must be performed under angiographic fluoroscopy throughout the entire operation..."

"Xiao Meng, inject contrast medium."

With the contrast agent injected, the patient's main portal vein branched out on the TV.Subsequently, continue to insert the guide wire to establish a channel from the epidermis to the portal system.

Continuing with radiography, observe the portal vein and systemic vein system, embolize the short gastric vein, splenic vein and gastric coronary vein respectively.

"Xiao Meng, use a 5mm steel ring to embolize the blood flow."

While allowing Xiaomeng to operate, Zhao Peiru also slowly injected ethanol for flushing.

Subsequently, angiography was performed again to observe the degree of embolism until the varicose blood vessels were no longer displayed.

When they saw that there was no longer the varicose blood vessels protruding like a ball of earthworms on the radiography TV, everyone felt relieved. This meant that the biggest root cause of the patient's gastric fundus bleeding had been cured!

"This surgery looks so simple..."

There is a young doctor in the gastroenterology department, muttering softly.

I thought how difficult it was to learn this advanced technology, but it turned out that Zhao Peiru did the whole process, it was bland, just like a glass of cold water, before I felt it, I drank it and it was over.

The people around him all gave him a look, especially the old man from the Department of Hepatobiliary and Pancreatic Surgery, and explained in a low voice: "It seems simple to you, but that's because Director Zhao performed the operation. There are actually many things that need to be considered."

(End of this chapter)