The surgeon opens a cheat
Chapter 110 The Irreplaceable Zhang Gu
Chapter 110 The Irreplaceable Zhang Gu
City First Hospital.
"I heard that the third hospital has done another one for colorectal cancer and terminal ileostomy."
Xu Jincai, chief of the medical department, said: "Two operations have been successfully performed in succession, which shows that the third hospital's technology in this operation is relatively mature, and it may be performed routinely in the future."
Geng Bozhong said: "I don't think it's strange."
"I was there for the operation to save Mr. Xu, and I have personally seen Zhang Gu's terminal ileostomy technique."
"That's not a coincidence, but hard power."
Geng Bozhong sighed: "Although the first half of colorectal cancer eradication is difficult with this combination surgery, there are at least six or seven other people in the city who can do it except me and Lao Xiang."
"However, in the second half of the anastomosis that deals with severe intestinal adhesions, there is only one person in the city, Zhang Gu, who can do it so perfectly."
Xu Jincai, chief of medical affairs, was startled: "Zhang Gu is so important? Even you can't do it?"
Geng Bozhong said: "I'm on the same level as the old Xiang of the Third Hospital. It can only be regarded as quite satisfactory. I can't be as ingenious and clever as Zhang Gu."
"Anastomosis is a test of the operator's subtle thinking. It can be said that a well-designed anastomosis can allow patients to have a longer postoperative survival time and a better recovery effect."
"As for Zhang Gu, judging from these anastomosis operations, he is undoubtedly the best among them."
Xu Jin was shocked.
In the past, he saw that Geng Bozhong valued Zhang Gu, and he only thought that Zhang Gu was an outstanding young junior with great potential and high growth potential.
But it never occurred to him that the current Zhang Gu, in matching this subdivision, has achieved perfection and is irreplaceable by no one in the city.
No wonder, the boss Geng Bozhong repeatedly tried to lure Zhang Gu to the city's No. [-] hospital.
Geng Bozhong glanced at Xu Jincai, and said, "If it weren't for Zhang Gu's irreplaceability, the city would be able to approve the training and teaching base of the Third Hospital? Those leaders in the city can see it in the long run."
"Talents like Zhang Gu may one day jump to a bigger stage. Before that, we should leave more seeds of matching in Yuancheng. This is the meaning of the training base."
……
"After completing a preventive terminal ileostomy, the final score is 3.3 according to the comprehensive evaluation of the difficulty factor, performance, and operation time of this operation."
"Issuing rewards: 1 advanced proficiency card, 1 intermediate proficiency card."
Zhang Gu was overjoyed, he finally got another high-level card!
It is still 2 cards away from the master level.
But here comes the problem...
It is already rare to have one case of Du Zhongzheng, and it is hard to say whether such a suitable patient will be encountered again in the future.
At this moment, Zhou Dongfeng came back.
He went to the hernia and abdominal wall surgery branch, participated in the joint consultation on difficult cases, and brought back the materials of this case, intending to think carefully about the treatment plan.
When Zhou Dongfeng saw Zhang Gu, his heart skipped a beat.
Why don't you ask Zhang Gu, this kid has seen the root of the difficult hernia several times with his piercing eyes.
"Zhang Gu, are you not busy now? Take a look at this case."
Zhang Gu took it and took a look.
"Is it a lumbar hernia? Is this also a difficult and complicated case?"
Zhang Gu couldn't figure it out, this case also needs a joint consultation with the city's hernia and abdominal wall surgery branch?
Zhou Dongfeng glared at Zhang Gu: "What do you mean this is also a difficult and complicated medical case?"
"Let me tell you, the hernia ring in this case of lumbar hernia is large, and it is very difficult to repair. During the joint consultation, the hernia repair experts from major hospitals proposed several solutions, but none of them was perfect. All sorts of flaws."
Zhang Gu: "Didn't you consider using your tension-free patch?"
Zhou Dongfeng said: "I have considered it! But even in the case of tension-free repair, the free space required is large, and the use of materials to fix it is also a problem."
"Not only that, we also considered the way of repairing before the muscle sheath, but after deduction, this method cannot solve the problem of subcutaneous fluid after surgery, and the infection and hernia recurrence rate will be relatively high."
"Experts from the first hospital proposed the method of retroperitoneal repair. With the help of intra-abdominal pressure, the gold-iron patch can be made to go deep into the muscle, accelerate fusion, and strengthen the abdominal wall. Adhesions, putting the mesh in the abdominal cavity will be limited."
"Some experts also mentioned the complete intra-abdominal repair method, which is to use an anti-adhesion composite patch and pad it in the abdominal cavity to repair the abdominal wall defect. But the difficulty is that the patch is prone to uneven force, resulting in movement and limitations. Sexual patch bulges or misses.”
Zhou Dongfeng sighed when he said this.
"Well, in short, at the joint consultation, everyone thought of many solutions, but they all had various flaws, and they still couldn't find a perfect surgical solution."
Zhang Gu couldn't help laughing.
What kind of plans are they thinking about?
Zhang Gu blurted out: "Isn't it enough to use a self-adhesive barbed patch?"
Zhou Dongfeng looked at Zhang Gu intently: "What did you say?"
Zhang Gu blinked, did I speak just now?
Zhou Dongfeng stared at Zhang Gu: "Say it quickly! Do you have a solution?"
Seeing that Zhang Gu was exposed, he could only say: "Ah, there is a solution."
"As long as a self-adhesive patch with a barbed structure is used, it can firmly grasp the covering tissue, and it is not easy to shift, and it does not need sutures to fix it. It is the most suitable for repairing lumbar hernias."
"Besides, under the action of intra-abdominal pressure, the self-adhesive patch can also cling to the deep surface of the muscle, facilitate fusion, strengthen the lateral abdominal wall, and effectively prevent recurrence."
Zhou Dongfeng murmured: "But, which medical device company has the self-adhesive barbed patch you mentioned?"
Zhang Gu thought to himself, could it be that this kind of patch hasn't been made in the market yet?
The hernia repair in his mind has already been advanced to an advanced level.So upon seeing this case, Zhang Gu naturally thought of the solution of "self-adhesive barbed patch".
But the reality is that no medical device company has ever made this kind of patch.
Zhang Gu pretended to be nonchalant: "Ah, this patch is my idea."
Zhou Dongfeng asked one after another: "Really? Then tell me quickly, what kind of material is your patch suitable for natural absorption? Does it need to be removed after surgery? Is it a tension-free hernia repair method? What are the characteristics? ?”
Zhou Dongfeng eagerly wanted to solve this complex and difficult case, and wanted to make a good impression on the hernia repair field of the Third Hospital.
So it turned into a hundred thousand whys at once.
From the bottom of his heart, he wanted to run the Third Academy, to win honor for the Third Academy, and to give face to the Third Academy.
At this time, Zhang Gu was also moved in his heart.
Why don't you just give it a try and get a high score with this operation?
Hernia repair, which can embarrass the whole city branch, can be regarded as a difficult and complicated case.On the operating table at that time, the operation of applying mesh is also very skillful.
Should get a high score.
By the way, I also help Comrade Zhou who is eager and eager.
Zhang Gu is certain in his heart, that's it!
(End of this chapter)
City First Hospital.
"I heard that the third hospital has done another one for colorectal cancer and terminal ileostomy."
Xu Jincai, chief of the medical department, said: "Two operations have been successfully performed in succession, which shows that the third hospital's technology in this operation is relatively mature, and it may be performed routinely in the future."
Geng Bozhong said: "I don't think it's strange."
"I was there for the operation to save Mr. Xu, and I have personally seen Zhang Gu's terminal ileostomy technique."
"That's not a coincidence, but hard power."
Geng Bozhong sighed: "Although the first half of colorectal cancer eradication is difficult with this combination surgery, there are at least six or seven other people in the city who can do it except me and Lao Xiang."
"However, in the second half of the anastomosis that deals with severe intestinal adhesions, there is only one person in the city, Zhang Gu, who can do it so perfectly."
Xu Jincai, chief of medical affairs, was startled: "Zhang Gu is so important? Even you can't do it?"
Geng Bozhong said: "I'm on the same level as the old Xiang of the Third Hospital. It can only be regarded as quite satisfactory. I can't be as ingenious and clever as Zhang Gu."
"Anastomosis is a test of the operator's subtle thinking. It can be said that a well-designed anastomosis can allow patients to have a longer postoperative survival time and a better recovery effect."
"As for Zhang Gu, judging from these anastomosis operations, he is undoubtedly the best among them."
Xu Jin was shocked.
In the past, he saw that Geng Bozhong valued Zhang Gu, and he only thought that Zhang Gu was an outstanding young junior with great potential and high growth potential.
But it never occurred to him that the current Zhang Gu, in matching this subdivision, has achieved perfection and is irreplaceable by no one in the city.
No wonder, the boss Geng Bozhong repeatedly tried to lure Zhang Gu to the city's No. [-] hospital.
Geng Bozhong glanced at Xu Jincai, and said, "If it weren't for Zhang Gu's irreplaceability, the city would be able to approve the training and teaching base of the Third Hospital? Those leaders in the city can see it in the long run."
"Talents like Zhang Gu may one day jump to a bigger stage. Before that, we should leave more seeds of matching in Yuancheng. This is the meaning of the training base."
……
"After completing a preventive terminal ileostomy, the final score is 3.3 according to the comprehensive evaluation of the difficulty factor, performance, and operation time of this operation."
"Issuing rewards: 1 advanced proficiency card, 1 intermediate proficiency card."
Zhang Gu was overjoyed, he finally got another high-level card!
It is still 2 cards away from the master level.
But here comes the problem...
It is already rare to have one case of Du Zhongzheng, and it is hard to say whether such a suitable patient will be encountered again in the future.
At this moment, Zhou Dongfeng came back.
He went to the hernia and abdominal wall surgery branch, participated in the joint consultation on difficult cases, and brought back the materials of this case, intending to think carefully about the treatment plan.
When Zhou Dongfeng saw Zhang Gu, his heart skipped a beat.
Why don't you ask Zhang Gu, this kid has seen the root of the difficult hernia several times with his piercing eyes.
"Zhang Gu, are you not busy now? Take a look at this case."
Zhang Gu took it and took a look.
"Is it a lumbar hernia? Is this also a difficult and complicated case?"
Zhang Gu couldn't figure it out, this case also needs a joint consultation with the city's hernia and abdominal wall surgery branch?
Zhou Dongfeng glared at Zhang Gu: "What do you mean this is also a difficult and complicated medical case?"
"Let me tell you, the hernia ring in this case of lumbar hernia is large, and it is very difficult to repair. During the joint consultation, the hernia repair experts from major hospitals proposed several solutions, but none of them was perfect. All sorts of flaws."
Zhang Gu: "Didn't you consider using your tension-free patch?"
Zhou Dongfeng said: "I have considered it! But even in the case of tension-free repair, the free space required is large, and the use of materials to fix it is also a problem."
"Not only that, we also considered the way of repairing before the muscle sheath, but after deduction, this method cannot solve the problem of subcutaneous fluid after surgery, and the infection and hernia recurrence rate will be relatively high."
"Experts from the first hospital proposed the method of retroperitoneal repair. With the help of intra-abdominal pressure, the gold-iron patch can be made to go deep into the muscle, accelerate fusion, and strengthen the abdominal wall. Adhesions, putting the mesh in the abdominal cavity will be limited."
"Some experts also mentioned the complete intra-abdominal repair method, which is to use an anti-adhesion composite patch and pad it in the abdominal cavity to repair the abdominal wall defect. But the difficulty is that the patch is prone to uneven force, resulting in movement and limitations. Sexual patch bulges or misses.”
Zhou Dongfeng sighed when he said this.
"Well, in short, at the joint consultation, everyone thought of many solutions, but they all had various flaws, and they still couldn't find a perfect surgical solution."
Zhang Gu couldn't help laughing.
What kind of plans are they thinking about?
Zhang Gu blurted out: "Isn't it enough to use a self-adhesive barbed patch?"
Zhou Dongfeng looked at Zhang Gu intently: "What did you say?"
Zhang Gu blinked, did I speak just now?
Zhou Dongfeng stared at Zhang Gu: "Say it quickly! Do you have a solution?"
Seeing that Zhang Gu was exposed, he could only say: "Ah, there is a solution."
"As long as a self-adhesive patch with a barbed structure is used, it can firmly grasp the covering tissue, and it is not easy to shift, and it does not need sutures to fix it. It is the most suitable for repairing lumbar hernias."
"Besides, under the action of intra-abdominal pressure, the self-adhesive patch can also cling to the deep surface of the muscle, facilitate fusion, strengthen the lateral abdominal wall, and effectively prevent recurrence."
Zhou Dongfeng murmured: "But, which medical device company has the self-adhesive barbed patch you mentioned?"
Zhang Gu thought to himself, could it be that this kind of patch hasn't been made in the market yet?
The hernia repair in his mind has already been advanced to an advanced level.So upon seeing this case, Zhang Gu naturally thought of the solution of "self-adhesive barbed patch".
But the reality is that no medical device company has ever made this kind of patch.
Zhang Gu pretended to be nonchalant: "Ah, this patch is my idea."
Zhou Dongfeng asked one after another: "Really? Then tell me quickly, what kind of material is your patch suitable for natural absorption? Does it need to be removed after surgery? Is it a tension-free hernia repair method? What are the characteristics? ?”
Zhou Dongfeng eagerly wanted to solve this complex and difficult case, and wanted to make a good impression on the hernia repair field of the Third Hospital.
So it turned into a hundred thousand whys at once.
From the bottom of his heart, he wanted to run the Third Academy, to win honor for the Third Academy, and to give face to the Third Academy.
At this time, Zhang Gu was also moved in his heart.
Why don't you just give it a try and get a high score with this operation?
Hernia repair, which can embarrass the whole city branch, can be regarded as a difficult and complicated case.On the operating table at that time, the operation of applying mesh is also very skillful.
Should get a high score.
By the way, I also help Comrade Zhou who is eager and eager.
Zhang Gu is certain in his heart, that's it!
(End of this chapter)
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