The surgeon opens a cheat

Chapter 102 The ability to diagnose and distinguish is too strong (seeking the first order!)

There is abdominal wall edema.

Most of the misdiagnosis did not run away!
Because of this thing, coupled with the expansion of the small intestine, it is easy to be misdiagnosed as small bowel obstruction when filming.

Zhou Dongfeng was afraid after a while.

Fortunately, after listening to Zhang Gu's words, an exploratory laparotomy was performed in time.

Find out the cause now, as long as it can be remedied in time, it should not be too late to perform obturator hernia repair.

Probe further down.

Soon, Zhou Dongfeng found a [-]mm square hole in the ileum about [-]cm away from the blind part.There is a large amount of small intestinal fluid flowing out from the breach, forming a pale yellow pus cavity, which is the cause of the edema and expansion of the small intestine.

Found the root cause!
It is indeed an obturator hernia.

Zhou Dongfeng was completely relieved.

At the same time, he glanced at Zhang Gu beside the operating table.

Your ability to analyze hernia pathology is too strong!I wonder if you are seeing through your eyes, and you can directly see such a deep hidden obturator hernia.

Zhou Dongfeng remembered the case of incarcerated inguinal hernia in a child last time, which Zhang Gu could spot at a glance.

What does this show?

It shows that Zhang Gu is not only talented in anastomosis.In hernia repair, it also has unparalleled diagnostic ability!
These eyes are the same as the golden eyes.

Or, after discussing with Director Xiang, let Zhang Gu not only train in the direction of anastomosis and fundoplication, but also in the field of hernia?
In the field of hernia repair, the Third Hospital has no shortage of experienced surgeons, but it lacks doctors with accurate vision and strong diagnosis and discrimination ability.

Of course, these are things for later, and we will talk about them after the operation is over.

Zhou Dongfeng first focused on the operation in front of him.

Most of the difficulties in obturator hernia repair lie in the preoperative diagnosis and identification.

As for doing it, it is not difficult.

Especially for the experienced Zhou Dongfeng, this is not a major operation.

Zhou Dongfeng waved his hand and called Zhou Cheng up to act as his assistant.

It didn't take long for the two of them to complete the obturator hernia repair.

Waiting for the operating table.

Zhou Dongfeng looked around: "Where's Zhang Gu?"

With so many thoughts just now, he just wanted to talk to Zhang Gu to see what his future plans are.

The little nurse on the sideline said quickly: "Dr. Zhang went back to the office and said he was going to help you improve the comparison data."

Zhou Dongfeng felt warm in his heart.

Look at our students, they can repay the teacher.

excellent!

Heartwarming!

He glanced at Zhou Cheng next to him again.

Well, take it easy, in the future, you should be able to grow up and become an excellent doctor like Zhang Gu!

Maybe... can you?
……

On the computer, Zhang Gu wrote a comparison of the two hernia repairs.

The previous content was written when his "hernia repair" ability was at the intermediate level.

Now that I have an advanced level, if I write it again, many parts will have to be revised and rewritten.In addition, Zhang Gu has added a lot of content.

At this time, Zhou Dongfeng and Zhou Cheng who got off the operating table also came in.

"Teacher Zhou, I'm looking for you."

The printer in front of Zhang Gu just printed out the last piece of A4 paper, which was bound into a stack of about 30 pages of comparison materials.

"I sorted out the comparative data, all of which were summarized and aggregated from case records, various literature, and the tension-free hernia repair we performed before."

Zhou Dongfeng originally had a lot to say to Zhang Gu.

As a result, as soon as he entered the door, he saw Zhang Gu giving him such a big gift, and immediately forgot those words.

"You sorted it out too fast!"

Zhou Dongfeng regarded it as a treasure, took this document over, and carefully read a few pages.

Watching it with gusto and fascination.

Zhou Cheng next to him was also itchy, and wanted to read that document very much.

According to Zhang Gu's outstanding performance in the field of hernias in the past two days, that document is likely to have a very high gold content.

This is too tempting for Zhou Cheng, who is determined to take the hernia field route.

Finally, Zhou Dongfeng flipped through it, feeling unsatisfied, and then showed it to Zhou Cheng.

Zhou Cheng was overjoyed.

Once your eyes landed on this document, you couldn't take it away.

Zhang Gu and Zhou Dongfeng started a further discussion on the sidelines.

"Mr. Zhou, the advantage of your tension-free hernia repair is that it can reduce the recurrence rate of hernia, and the surgical injury is smaller than that of traditional hernia repair, and it also broadens the surgical indications. Some patients with chronic diseases cannot undergo traditional hernia repair. Can also do your tension-free hernia repair."

"The advantage of laparoscopic hernia repair is that it is minimally invasive, and the repair part can even be done at the same time as the inspection, saving time and effort. For patients who have relapsed after traditional hernia repair, there is also the possibility of avoiding two approaches. Less pain and faster recovery."

"It can be said that the two operations have their own advantages, and neither can replace the other."

Zhou Dongfeng was thoughtful.

There was also a look of disappointment in his eyes.

He thought that the tension-free hernia repair that he had conceived, perfected and developed for several years would be so good.

It can be far behind similar hernia repairs.

As a result, the laparoscopic hernia repair of the new era smoothed the gap.

This achievement, which took many years to complete, was not as great as he had imagined.

"Then this is the conclusion of a tie if we compare the content?"

Zhang Gudao: "There is one more thing I haven't considered."

"In terms of surgical cost, your tension-free hernia repair is much lower than laparoscopic hernia repair, or even half of it. And it also requires general anesthesia, and the recurrence rate is higher than your tension-free hernia repair."

"This is still very attractive to many patients who do not want to undergo general anesthesia, do not want to spend so much money, and pursue a low recurrence rate."

"all in all……"

"Mr. Zhou, the results of your intensive research for many years are still very worthy of recognition! When it is published, it will definitely trigger a wider discussion and comparison."

"Your tension-free hernia repair will definitely be promoted on a large scale!"

Zhou Dongfeng was a little relieved.

"Okay, then I will collect some surgical data, make a content support, and then publish the results."

Wait for Zhang Gu to leave.

Zhou Dongfeng always felt that he seemed to have something and forgot to mention it.

Gu opened his mouth just now, like the roar of a machine gun, blah blah blah.

It started from the moment he entered the door, like a wild bombardment, which made him never stop for a moment.

It took him astray.

What were you trying to say just now?

……

In the next few days, Zhou Dongfeng performed several laparoscopic hernia repairs and tension-free hernia repairs by himself, and applied the data in the article.

Coupled with some surgical example data collected.

After filling in the data content, Zhou Dongfeng wrote a discussion article based on the comparative information Zhang Gu wrote for him.

It was published on the medical association forum and the official website of the hospital.At the same time, he contributed to a professional medical journal.

"It's all sent out, just wait for the result."

Zhou Dongfeng was a little apprehensive, like a high school examinee waiting for the announcement of his test results.

Condensed the results of his years of research, and I don't know what kind of reaction my colleagues in the medical field will give.

Even the well-informed Zhou Dongfeng was a little nervous and expectant at the moment.

At this time, Zhang Gu came.

"Mr. Zhou, the article has been published?"

"Posted."

Zhou Dongfeng pointed to the computer screen and said, "Your name is also on it."

Zhou Cheng beside him also said happily: "I also have a name."

Although Zhou Cheng's name was at the end, it made him extremely happy.After all, this article is all the credit of the two big guys.

Zhang Gu laughed and said, "Then, Mr. Zhou, may I ask you to do something?"

(End of this chapter)