The surgeon opens a cheat

Chapter 113 Why is there Zhang Gu here?
"After completing a preventive ileostomy operation, the final score is 3.3 points based on the comprehensive evaluation of the operation's difficulty factor, performance, and operation time."

"Issuing rewards: 1 advanced proficiency card, 1 primary proficiency card."

If you perform the same operation continuously, the reward will be lower.

Fortunately, as long as you have a premium card.

"Then, I'm short of the last advanced card. I hope this lumbar hernia repair will bring me good luck."

Zhang Gu and Liu Guoxiang met and got the self-adhesive barb patch.

Liu Guoxiang gave him twenty patches at a time, in various sizes and specifications, so that Zhang Gu could cope with various situations.

……

"Teacher Zhou, I got the patch."

Zhou Dongfeng took it over and studied it: "Is this the self-adhesive barb patch? Compared with other patches, this barb-like structure is indeed stronger and not easy to shift, not bad!"

"How did you come up with this patch?"

Zhou Dongfeng looked at Zhang Gu: "I have been working in the field of hernia for so many years, and I am familiar with various meshes, but I never thought of combining the factors of self-adhesive, polyethylene, and barbed. "

Zhang Gu said with a smile: "Teacher Zhou has concentrated all his energy on the great technique of tension-free dilated hernia repair, so naturally he has no energy to develop the mesh."

Zhou Dongfeng nodded quite seriously: "That's true."

After Zhang Gu left, Zhou Dongfeng finally realized.

"Ok?"

"That's not right, how could Zhang Gu be able to make achievements one after another, developing new patches, staplers, and various surgical techniques?"

……

Zhang Gu: "Zhou Cheng, what's the condition of the patient with lumbar hernia?"

Zhou Chenggang came back with the patient and said: "A full abdominal CT and three-dimensional reconstruction of the abdominal cavity were performed. The ratio of the volume of the hernia content to the volume of the abdominal cavity is less than 30%, and there is no risk of abdominal compartment syndrome."

"Yesterday afternoon, Mr. Zhou arranged for the patient to do a routine intestinal preparation to prepare for the operation this afternoon."

"it is good."

Zhang Gu and Zhou Dongfeng discussed it.

For this operation, he will be the main surgeon, and Zhou Dongfeng will be his assistant.

Zhou Dongfeng also wanted to see how Zhang Gu would use the new patch he developed.

Before the operation, Zhou Dongfeng found Zhang Gu and told him:

"The branch leaders have been paying attention to this difficult and complicated patient. I reported the operation time. When the time comes, the branch leaders and some branch members will come to observe. Don't feel pressured by then."

"understood."

Zhang Gu didn't care.

Zhang Gu has become a little accustomed to being often watched by others for surgery, and he no longer feels nervous at the beginning.

If there are no other doctors watching him in the glass observation room, Zhang Gu is not used to it!

By the afternoon.

Fifteen or so leaders and important members of the "Hernia and Abdominal Surgery" branch came to observe, and the delegation arrived at the Third Hospital.

Seeing the situation, Xiang Jianhua hurriedly came forward to greet him. After a while, the vice president Liu Wenshuan also came to meet the leaders of the branch and gave the branch enough attention.

It's time for surgery.

All members of the observation group entered the glass observation room and discussed in a low voice.

"I don't know how the third hospital will treat patients."

"With Xiang Jianhua as the gatekeeper, it should be a more reliable technique."

"The recent performance of the Third Hospital is indeed a bit impressive. First, Zhou Dongfeng came up with the tension-free hernia repair technique, and now he has to solve this difficult and complicated hernia. It seems that the Third Hospital has capable people in the field of hernia."

The members of these branches are basically composed of doctors in the field of hernia from various hospitals.

Among them, a doctor from the first hospital suddenly turned his eyes to the three surgeons who came in.

Zhou Dongfeng, Zhang Gu, and Zhou Cheng came in, but they were wearing surgical gowns and masks, and they were a little uncertain for a while.

The doctor from the first hospital blurted out: "Didn't Zhang Gu do anastomosis and fundoplication? Why is he here for hernia repair again?"

"Looking at the outline of the body and face, it should be Zhang Gu, right?"

After being reminded by the doctors of the first hospital, a small half of the people who participated in the anastomosis training and teaching base also recognized it.

"It should be him, I have taken several lessons of his anastomosis class!"

Many people speculated in their hearts: "Could it be that the repair of this complicated lumbar hernia also uses anastomosis technology? That's why Zhang Gu was called here?"

For this reason, it makes sense.

A patient under general anesthesia is lying on the operating table.

At this time, everyone saw that Zhang Gu took the lead on the operating table.

However, Zhou Dongfeng, who was supposed to be the main surgeon for hernia repair, took the initiative to stand in the position of deputy.As for the last one, Zhou Cheng, whom everyone didn't recognize, he obviously looked like a younger brother, obediently standing by the side, ready to do some chores.

"What's going on here, how did Zhang Gu stand in the chief knife position?"

"Shouldn't Zhang Gu be the chief surgeon?"

"Zhou Dongfeng is the main surgeon for hernia repair, right? After all, even the concept of tension-free hernia repair was proposed by Zhou Dongfeng."

Just when people are in doubt.

Zhang Gu has already started the operation.

He incised the skin and subcutaneous tissue layer by layer, exposing the abdominal wall fascia.Then the hernia sac is freed, and the preperitoneal space is freed along the posterior sheath of the external oblique muscle...

Among the people watching, many people were stunned.

"How proficient is he in repairing hernias?"

"This is the preliminary work of Zhou Dongfeng's tension-free hernia repair? Could it be that Zhang Gu will also perform tension-free hernia repair?"

At this moment, one of the people in the crowd suddenly remembered something: "Everyone, have you forgotten? Zhang Gu's name is on the second author of Zhou Dongfeng's tension-free hernia repair article!"

Some people suddenly remembered it, while others said they didn't pay much attention to the second author before.

But at this moment everyone has understood that Zhang Gu, a master of anastomosis, probably has a certain level in the field of hernia.

But even so, it is obvious that Zhou Dongfeng, a veteran in the field of hernia, is more suitable to be the chief surgeon, right?

Could it be that Zhang Gu surpassed Zhou Dongfeng in a certain detail?
At this time, Zhang Gu had freed all the five centimeters around the hernia sac, including the outer edge of the rectus abdominis and the psoas major.And properly cut the hernia sac and kept the peritoneum intact.

Immediately afterwards, Zhang Gu took out a patch that no one had seen before.

He put the hook side up, closed the defect, and placed it so that there was no tension and no curling, and the patch maintained a certain degree of tension to avoid local swelling.Afterwards, pressurize and bandage, so that the mesh and the tissue are in close contact with each other.

"What kind of patch is that, have you seen it clearly?"

"Why does it seem to be a patch with sticky and barbed structures, have you seen it?"

Many people shook their heads. Some had seen similar ones, but they had never seen this one.

Several branch leaders looked at each other.

Just tell them that patch is the point.

Moreover, the idea of ​​this hernia repair is not exactly the same as the tension-free hernia repair that Zhou Dongfeng showed before.

Obviously, it was specially adjusted for this patch.

"After the operation is completed, you must ask carefully what is going on."

At this moment, these people have countless questions in their minds and want to prove the answers.

(End of this chapter)