Surgical artist

Chapter 623 Kicked In
"Brother Liao, have you tried to think differently about your problem?"

What Zhao Peiru said made Liao Qingyi angry.

Change your mind?

In order to solve this problem, he made the last kick before success. He and his team have changed their thinking in seventeen or eight ways.

And after every way of thinking, the result is always unsatisfactory, which makes him anxious to get angry, and pimples appear on the corner of his mouth.

The team members next to them heard this, and immediately understood that Academician Zhao came this time to help them solve their problems, and to help them kick the door.

Zhao Peiru smiled and said, "Academician Liao, in fact, this is a very simple solution to the obstruction of vascular return and blood stasis."

Liao Qingyi's eyes were fixed on Zhao Peiru, "Say it!"

He was too anxious to die, how could he wait so anxiously that Zhao Peiru would betray him?
Zhao Peiru smiled and said, "Just ask the patient to change the operation position."

This is also the way he came up with temporarily.

In fact, there are many ways to solve this "blocked vascular return and blood stasis".

But "changing the surgical position" is not only the simplest...

More importantly, Zhao Peiru's [Task [-]] is to set foot in the field of rectal cancer by "starting from the surgical position".

Zhao Peiru thought to himself: "No wonder I always feel that Nan is my blessed land, and every time I come, I can complete the task by the way."

This time, he was only here to treat some old friends to dinner, but he didn't expect to come to Academician Liao and complete a task by the way.

"Change the operation position?" Academician Liao Qingyi said in a daze, "Is it that simple?"

He didn't expect that the technical problem that made him anxious could be solved simply by changing the surgical position.

The team members next to them also opened their mouths in shock.

They racked their brains and thought of seventeen or eight ideas, but they couldn't solve the problem. You can solve it by changing the operation position?
But this, how to solve it?

Zhao Peiru picked up the information on the table: "I see that your operation is to put the patient under general anesthesia or half anesthesia, and perform the operation in the lithotomy position?"

Liao Qingyi nodded, and many team members beside her also widened their eyes and looked towards this side.

Zhao Peiru said: "The position of lithotomy position is to use the leg board of the outrigger to support the thigh socket and let the calf hang down. The focus point is to compress the arteries and veins in the socket. After a long time, the blood flow will be blocked. .”

Everyone listened carefully.

There are actually many reasons for the obstruction of blood return.What Zhao Peiru said was one of them.

"You can try this lithotomy position."

Zhao Peiru said casually, and improved the traditional stone cutting position.

"Before anesthesia, let the patient set up the lithotomy position when he is awake, lie supine on the operating table, his hips are at the junction of the lower third of the operating table, the height of the outrigger is the same as that of supine hip flexion, and the upper bed of the support is Put on the cushion so the lower leg is level."

"The final posture is that the hip joint of the patient's lower limbs is bent at 45 degrees, abducted at 45 degrees, the knee joint is bent at [-] degrees, and the width between the legs is [-] degrees at the physiological span..."

Zhao Peiru spoke carefully here, and academician Liao Qingyi listened carefully over there. He had already conceived the appearance of this position in his mind, and the members next to him quickly wrote it down in a notebook, writing it down stroke by stroke.

At the beginning, Liao Qingyi, an old academician, actually didn't care about it in his heart.

The blockage of blood flow and blood stasis are a big problem. Either drugs, stents, widening surgery, etc...

Is this just a change of position?How much can it change?

He admitted that changing the body position can slightly change the problem of blood flow blockage.

But that detail can change very little.

It can even be ignored.

Can it meet the expected value of his project?

But as Zhao Peiru slowly explained...

The old academician Liao Qingyi was also a little moved.

Zhao Peiru continued: "The method I'm talking about is to focus on the fullness of the calf muscles. During the long-term operation, it can reduce the compression of the fossa without causing nerve damage. The blood is normal and circulates well, and it will not affect the venous return of the lower extremities. .”

After some words, the old academician Liao Qingyi couldn't help but said: "How about...try?"

Although, he still feels that just changing the body position is a drop in the bucket for the return of blood.

Still too small an impact for his conundrum.

But Zhao Peiru couldn't stand the hype that Zhao Peiru said, so the old academician Liao Qingyi wanted to give it a try.

Anyway, their [-] or [-] solutions have already failed, so what if they try again?
Immediately, Senior Academician Liao Qingyi arranged another case surgery.

This kind of laparoscopic rectal cancer surgery can be completed in a relatively short time, only two hours.

During the operation, the patient was semi-anesthetized and awake throughout the operation according to the operation position mentioned by Zhao Peiru. Not only was the improved lithotomy position set up before anesthesia, but also according to Zhao Peiru’s instructions during the operation, adjustments were made accordingly. body position.

After a whole operation...

The data has not yet come out, but everyone involved in the operation feels completely different.

Academician Liao Qingyi, who is the chief surgeon, can fully feel that after changing the body position, the operative field is more fully exposed, the operation time is shortened, the trauma is small, and the bleeding is less.

The two assistants and the equipment nurse can also feel the position of the patient, which is more convenient, time-saving and efficient.

Because in the past, patients under general anesthesia have lost consciousness and their muscles are loose. It is more laborious and time-consuming for them to place the patient's position, and they can only place it according to experience. Whether the position is good or not, the support is suitable or not, and the point of focus It is more difficult to grasp whether it is suitable or not, and whether it has compressed blood vessels and nerves for a long time.

At this time, the operation data came out.

"Look at the blood return situation, the blood stagnation situation."

The first data was handed over to Senior Academician Liao Qingyi first, and the others couldn't wait to see it, so they could only stretch their necks and leaned over to look at Academician Liao.

When Academician Liao Qingyi saw it, a look of surprise appeared on his face: "The effect of blood flow back is so good?"

"There is no hypoxia, thrombus, and blood stasis are greatly reduced!"

Although, there is still no way to completely avoid stasis and reflux... After all, it is only a change of the surgical position.

But in terms of data, they have completely broken through the "critical point" of their project direction.The effect of "sprinting at the door" has been achieved!

"Our data meets the standard!"

"Haha, it's really in line with the standard! It was a little bit worse before, but I couldn't sprint up! This change of surgery position, I didn't expect that the data really rushed up!"

Everyone is overjoyed!

Academician Liao Qingyi was also excited!
It was only a short shot, but unexpectedly, Zhao Peiru was kicked in again in the end!
(End of this chapter)