Gou in the operating room to add some upgrades

Chapter 203: The prototype framework of functional reconstruction (please subscribe)
Bu Congming finally understood, here it is.

A professor like him is not as good as a dog, but walking around is about the same.Basically, who can walk in and be the chief surgeon, who is not a professor?

But how many professors are there in the Shonan University Affiliated Hospital?
A subspecialty, at least three to four, a major specialty, ten or twenty, and the Shonan University Affiliated Hospital, at least more than 50 or even sixty or seventy specialists.

One or two thousand professors.

If you hit someone with a brick from upstairs, you might hit a well-known professor in a subspecialty, a well-known figure in the province.

For a professor like him to come here to perform surgery, it is really inconspicuous.

On top of professors, there are also subject leaders, from our own college, from other colleges...

The food chain is very complete.

Even those who can enter the operating room and watch are very talented interns, and ordinary people will not let you in.

However, it seems that Fang Xian, a former student of his school, is still at a relatively high level in the food chain.

Bu Congming is very pragmatic.

He was forced to say nothing, but he was honest and had solid basic skills. Level 4 incision, level 4 debridement, basic specialist skills, specialist skills, and even specialist-related difficult surgeries are all very firmly mastered.

This kind of operation is naturally extremely smooth. Of course, it can only be said to be smooth.

He, who usually likes to teach in his hospital, said nothing at the moment.

Because Professor Lin Jiemo's operation is no worse than his, and he is much younger than him.

However, as the operation progressed, Bu Congming discovered that, well, this Fang Xian seemed to be slowly moving closer to him, and he gave up the opportunity to assist Professor Lin Jiemo in the operation.

Bu Congming just glanced at Fang Xian at first, thinking that Fang Xian could choose his position at will.

However, after an hour passed, Fang Xian was still standing on the opposite side conscientiously, and when he cooperated with him, Bu Congming accidentally glanced at Fang Xian again, but still did not speak.

……

Four o'clock in the afternoon.

After the entire operation was over, Fang Xian was still following him. Bu Congming walked to the dining room and asked, "Xiao Fang, why are you following me all the time?"

"Professor Bu, did you mainly perform colon-related tumor resection before?"

"I see that your excision method is different from what I usually see." Fang Xian's current vision is naturally extraordinary.

The reason why he approached Professor Bu Congming was naturally not because he looked down on Lin Jiemo, nor was he deliberately trying to please him, but because Fang Xian felt that Professor Bu Congming's colon resection techniques and suturing techniques were different from those of the professors he had seen before.

When Bu Congming heard this, he took a rice tray and made some food. After sitting down in the corner, he said: "Xiao Fang, it's not worth talking about. I just have a 4-level resection concept for descending colon tumor resection. Made some slight adjustments.”

"It didn't improve the patient's prognosis much after surgery, but it was barely recognized by the Medical Association, so I was promoted to a senior professional title in research. Otherwise, I would still be just an associate researcher."

Professor is a teaching title, which is related to the number and level of students taught.Director is a professional title related to personal abilities.Researcher is a research title, related to scientific research.

Hearing this, Fang Xian frowned slightly and asked for advice: "Professor Bu, if I remember correctly, tumor resection of the descending colon is a level four operation and a level five operation, right?"

The Medical Association divides the diseases into six categories and six levels according to their complexity and difficulty of operation.

Colon cancer is a type 5 disease. Although the mortality rate is not high, the prognosis is not good.

The difficulty of the operation is also divided into six categories and six levels. Colon cancer resection is at least a level [-] difficulty operation. The operation is tedious, takes a long time, and requires very solid skills, and even professional advanced surgical techniques may not be enough. Only then can we control it.

For example, the professional skills of gastrointestinal surgery such as intestinal segment transplantation and intestinal segment repair are not enough.

The first level of operation difficulty is a basic medical skill, which can be done by interns.

Level [-] operation difficulty is a basic professional skill, which requires senior residents and attending physicians to be able to perform it regularly.

Level 2 operation difficulty requires specialized skills and requires senior level [-] physicians, that is, attending physicians and associate professors, and can be performed routinely.

The level 3 operation difficulty is an advanced professional skill, which requires senior level [-] doctors, associate professors and professors to perform it regularly.

As for procedures with Level 4 difficulty, they can only be performed routinely by experienced Level [-] doctors.

"There are grade four and grade five, and occasionally smaller tumors are also defined as grade three. This is mainly related to the location and size of the colon cancer."

"Xiao Fang, my skill is just average among professors, and it's not surprising." Bu Congming replied, looking quite honest.

At this moment, Fang Xian could see his appearance. His lips were thick and thick, and he looked quite honest. There was a bit of handsomeness in his outline, but it was obvious that there were traces of being carved by the years.

"Professor Bu, what I want to ask is, is the new level 4 concept of colectomy you developed related to functional reconstruction?" Fang Xian did not check this information in depth.

Colon tumor resection is such a high-end surgery that it is difficult for ordinary people to imagine that it will be associated with the reconstruction of damaged colon function.

After all, the scope of colon tumor resection is too wide, and it cannot be used as a reference for other diseases.

However, Fang Xian saw a little hope in him.

"Yes, my new definition of colon tumor resection is to reserve a small part of the nerve function, and then reconstruct it through intestinal transplantation, hoping to recreate the function of autonomous relief."

"However, progress is limited. As you know, the colon is relatively fixed. If it is removed, it is difficult to reconstruct. The current understanding is still to create a fistula."

"You also know that only some patients require total resection for colon cancer surgery, and only a very small number of patients will choose non-anus-preserving treatment." Bu Congming said.

Compared with damage, the impact of colon cancer surgery on bowel function is relatively small.

Ostomy, on the other hand, connects the intestines to the abdominal wall so that feces can be expelled manually and alleviates problems with bowel control. This is a common alternative solution.

But who wants to carry a shit bag around with them.

"Professor Bu, have you ever thought about expanding this technology to non-colon cancer types? For example, you can thoroughly clarify the concept of such resection, and we can find a A better solution would be to expand the remaining functions.”

"For example, can we preserve the function of the toothed comb, or transplant it through muscle transplantation, muscle shape reconstruction, etc.?" Fang Xian lowered his voice, hoping that Professor Bu Congming could join his team.

Bu Congming is an expert in the treatment of colon cancer. He should be better able to understand the pain of patients. Moreover, Professor Bu Congming also has deep basic skills.

For example, Professor Gong Ziye, he mainly deals with trauma-related diseases in general surgery. Maybe his technical strengths are not in reconstruction.

Bu Congming said: "I must have thought about it, but the current anal reconstruction surgery techniques are actually relatively limited, and their applicability is relatively narrow."

"For example, perineal approach, abdominal approach, and fistula." "This is an improvement at the purely surgical level."

"However, some researchers are exploring the use of biomaterials or artificial implants to improve anal reconstruction surgery. However, progress is currently not smooth."

"There were expectations before that [-]D printing technology could create customized implants based on the patient's anatomical characteristics, thereby improving the accuracy and success rate of the surgery. But nothing came of it."

"Unless it's a valve that can be used to defecate regularly, similar to a pacemaker."

"But it is also very painful for the patient. He often wakes up at night, or it is just in his crotch..." Bu Congming is worthy of being a colon cancer patient, and he does not shy away from eating.

"If we want to make some achievements in this area, we must either make direct progress in biomaterials, or use three-dimensional printing technology to allow implants to be customized as desired. Otherwise, it will be difficult."

"On the other hand, some scholars are currently conducting research on triggering triggers similar to the trigger mouth, which uses the remaining muscle contraction to guide the active release of the catcher function. Instead of actively taking over."

"But there is a problem, that is, the corresponding muscles cannot contract unconsciously, otherwise?" Bu Congming explained the difficulty.

Bu Congming's understanding of the depth and difficulty of this disease is relatively professional.

Fang Xian nodded when he heard this: "Simple surgical reconstruction and implant reconstruction are two hot topics in surgery. Basically all surgeries are based on foreign implants."

"At least that's basically the case until xenogeneic bioprostheses are successfully developed."

"However, non-biological prostheses are difficult to be directly compatible with the human body and are controlled by the human body. This is also a major limitation of the replacement function of current implants. If a balance method can be found, there will be a glimmer of hope."

"Professor Bu, when you remove the colon, you will leave blood vessels and nerves to a greater extent. I think this kind of resection can also be used."

"If the trigger port you mentioned cannot be replaced by muscle function, then can it be replaced by body posture?" Fang Xian asked a similar question again.

If muscle function contraction is used to trigger the trigger, it will lead to unintentional changes. What about body position changes?
"Position?"

"What should we do if we change our body position? This is not good news for gay women. However, the position change you mentioned as a trigger is also an idea."

"But if you use your thigh to touch your front abdomen as a trigger, you have to consider the issue of having sex..." Bu Congming's understanding is still relatively comprehensive and profound.

Fang Xian was stunned when he heard this.

Well, I am an adult, but my thinking is not yet an adult.

……

You will benefit a lot from discussing it with professionals.

In the past, Fang Xian had been looking for the possibility of functional reconstruction under emergency general surgery. He had never thought about seeking ideas from the surgery of cancer patients. It was indeed because his own knowledge was too narrow.

The main reason is that the understanding of specialized diseases is not deep enough.

But it's already good, at least for now, he has got a possible solution.

The trigger fires, similar to a firearm.It would be good if the trigger can only be triggered after the trigger is pulled, giving the patient enough time to prepare.

Of course, before that, there is still a problem that needs to be solved, and that is the generation of bowel movements.

It can’t be accumulated there, right?
In fact, you can go to the toilet regularly, but if you have diarrhea, it will be more uncomfortable, and without corresponding feedback, the damage to the human body will still be fatal.

It would be great not to get hurt or get sick.

Fang Xian expressed this emotion when he was in the lounge.

However, when Fang Xian was curious about Bu Congming, Bu Congming also became curious about Fang Xian.

After dinner, Professor Bu Congming, who was relatively active in his work because he was new here, underwent another general surgery operation and brought Fang Xian up.

Professor Bu Congming discovered that, well, no wonder this Fang Xian dares to covet the development of surgical techniques that destroy damaged stool functions and reconstruct them, which is full of uncontrollability.

It turns out that Fang Xian's kung fu is still deep enough.

Professor Bu Congming is relatively decentralized in prefecture-level hospitals, so he gave guidance and let Fang Xian perform the entire operation for large-scale intestinal obstruction.

In the end, he completed the entire operation in a satisfactory manner, and the operation was not long. It was only [-]:[-] in the evening, and the operation that he expected to take eight or nine hours was completed ahead of schedule.

"Xiao Fang, your basic skills are really solid."

"It's a pity that I won't be on duty tomorrow. I can only be on backup duty. Otherwise, I would be more than happy to perform surgery with you and communicate together." Professor Bu Congming found that some of his ideas on colon cancer resection may be There is a place for it.

I am also very happy to cooperate with Fang Xian.

When he reached Bu Congming's position, he was not short of money, but just wanted to gain some fame and make more achievements professionally.

……

There is another village in the dark.

Fang Xian felt that, in fact, there were quite a lot of talented people in China. The techniques were complicated and the medical knowledge was vast. Sometimes, you might not always keep your eyes on the most awesome people.

Maybe some professors in prefecture-level municipal hospitals also have their own insights, but their contributions and research are not so prominent and important, so they are buried.

But in fact, their research results are of great significance to the development of the discipline.

While his cognition was improved, Fang Xian discovered that his professional skills, intestinal segment suturing and intestinal segment reconstruction, seemed to have a few extra points in the process of increasing to level 4.

"Wait a minute!~" Fang Xian hadn't studied his panel carefully for a long time.

But at this moment, Fang Xian discovered another change in the panel.

That is, the different concepts of level 4 skills will only appear if you are exposed to them. Only when you are aware of them and recognize them can you fill them up, otherwise.

Even if you have level 5 Ruyi-level skills, you still can't understand all the operating concepts.

The prerequisite for wishful thinking is that you have this awareness, at least know it?right?
When Fang Xian saw this, he smiled softly.

If you can't get a prototype at level 4, then go to level 5.

add a bit--

(End of this chapter)