The surgeon opens a cheat

Chapter 144 Give us a lesson

Zhang Gudao: "It's not difficult to realize. This kind of fine stitching is more of a change in thinking, and it doesn't increase the difficulty in practice."

When Xiang Jianhua heard this sentence, he felt safe in his heart.

The surgical formulas and operating skills that Zhang Gu developed several times before are all very difficult to operate.It was not until the development of the stapler that the difficulty of anastomosis was reduced.

Afterwards, the feasibility of promotion was realized, and the training base was established.

This parachute-style continuous suture, as long as it does not increase the difficulty of operation and can increase the advantages of anastomotic suture, then it has promotion value!
Xiang Jianhua took the materials and read them carefully for a long time.

Finally, he patted the table: "Let's go! I'll follow you to the Department of Hepatobiliary and Pancreatic Surgery and practice."

Practice brings true knowledge.

Xiang Jianhua also felt itchy. How much advantage does this new method of anastomosis have?

The two went straight to the Department of Hepatobiliary and Pancreatic Surgery.

……

Yao Yusen was leaving the office when he saw Zhang Gu rushing towards Jianhua with Xiang Jianhua.

Reminiscent of before, Zhang Gu quietly squatted in their department and operating room for two days...

Yao Yusen's heart twitched. Could it be that Zhang Gu secretly discovered some big problem and reported it to the big leader, and now he is here to reprimand him?

Without waiting for Yao Yusen to think too much, Xiang Jianhua said, "Xiao Yao, when will there be an anastomosis of gallbladder and intestine?"

Yao Jianhua was stunned for a moment, and realized that he didn't seem to be looking for trouble?

He replied subconsciously: "There is one now, counting the time, it should be finished soon."

Xiang Jianhua glanced at Zhang Gu: "Just right."

The two called Yao Yusen to the operating room on the sixth floor.

Along the way, Xiang Jianhua was chatting with Zhang Gu about parachute sutures.

Yao Yusen also gradually came to his senses, and his heart gradually became excited!

New anastomotic sutures!

According to Director Xiang and Dr. Zhang Gu, it seems that this kind of suturing can solve many problems and has great advantages over the existing suturing methods.

This is awesome!

As the director of the hepatobiliary surgery department, Yao Yusen was also very anxious to see that the hepatobiliary surgery department has never been developed, and even reduced to the present, occupying only half of the floors, shrinking more and more.

He desperately hopes that hepatobiliary surgery can advance, develop and improve.

It's good to be able to take a step forward.

The three came to the operating room.

At this moment, on the operating table, the stone removal part of the biliary stone surgery has just ended.

Just about to suture the anastomotic part.

Yao Yusen, the director of the department, went up to stop the operation, and the deputy director and several assistants who were the chief surgeons all looked over in surprise.

"Director Xiang and Dr. Zhang Gu are going to take over the operation, you guys just watch and study hard!"

These few members of the surgical team stepped off the operating table inexplicably.

It's all down to the final anastomosis, and the operation went smoothly, without any accidents.Why is it about to be taken over?

Could it be that Director Xiang has some new surgical experience?
Xiang Jianhua and Zhang Gu changed into surgical gowns and stepped onto the operating table.Zhang Gu is the main knife and Xiang Jianhua is the deputy.

Seeing this scene, the surgical team was a little confused.

Even director Xiang has been reduced to being a deputy?

Xiang Jianhua said: "Zhang Gu, tell me what to do, I will fully cooperate with you."

Hearing this sentence, Yao Yusen and the others felt even more complicated. It was something they couldn't even imagine to make Xiang Jianhua cooperate.

They looked at Zhang Gu more curiously, what kind of spell Zhang Gu was going to do?
"Give me 5-0 absorbable sutures."

Pass it to Jianhua.

Zhang Gu used double thread ends, started from the left side of the anastomotic stoma, and continuously sutured the back wall with a distance of [-] mm between the gallbladder margin and [-] mm between the bowel canal margin and [-] mm between the needles. Operating distance.

"Director Xiang, help me use a nerve hook to tighten the sutures."

Xiang Jianhua did as he did, keeping his eyes on Zhang Gu's movements.

He wanted to see the difference between Zhang Gu's parachute continuous stitching and ordinary continuous stitching.

I saw Zhang Gu sew the front wall with the right needle and thread, until the two threads meet and tie a knot, layer by layer, like a parachute.

Seeing this, Xiang Jianhua saw some clues.

Ordinary continuous suture is to sew a stitch on each side of the left and right sides, and then suture the whole layer continuously from left to right.

Zhang Gu's parachute-style continuous suture is characterized by not tightening the suture, making the front and back walls more continuous, and not tying a single knot during the whole process.The sutures are not tightened until the final suture is completed.

He immediately saw the advantage of doing so.

One is that less knotting means fewer needles, which ensures less surgical trauma and less chance of postoperative bile leakage.

The second is not to tighten the sutures, leaving enough room for the suture work, so that the whole operation is not only not more difficult, but also simplified and easier to handle!Allowing the operator to spend more energy and do more precise operations.

This almost brought about a series of reactions. With precise operation and room for operation, T-tubes can not be placed after surgery, and there is no need to worry about bile outflow.

Looking at Jianhua, he was deeply moved.

"This kind of suture changed from the source of thinking. I didn't expect that every subsequent step would benefit. It became easier, simpler, and more beneficial to patients."

Such a great stitching method, why didn't anyone come up with it earlier?
Yao Yusen and the surgical team under the operating table also stared straight at him.

This obviously better stitching and matching idea is not difficult to look at!

How come none of us can think of it?

At this time, Zhang Gu sewed the last stitch, tightened the stitches, and made the ending.

Waiting for the operating table.

Zhang Gu said: "How long will it take me?"

Yao Yusen looked at the watch next to him and was shocked: "It only took 11 minutes!"

Zhang Gu smiled and said: "Yes, the average continuous suture takes 16 minutes, and the intermittent suture takes longer. And this kind of parachute continuous suture should take an average of about 10 minutes. This is also the first time I am not proficient. some time."

Everyone took a deep breath, shocked.

It takes a short time, which is so important!
On the operating table, completing the operation in a shorter time means that the patient's wound exposure is reduced and the safety is greater.

Zhang Gu's new suturing and anastomosis method is worthy of affirmation just by improving the operation efficiency and simplifying the operation!

Zhang Gu continued: "The biggest feature of this suture method is that it can evenly and softly disperse the tension, especially for patients with bile duct wall edema and fragile texture. It is very troublesome for us to deal with. But with this suture anastomosis way, you can easily deal with it.”

Yao Yusen and the surgical team standing next to him were quite appreciative and agreed with it in their hearts.

They are most afraid of encountering a patient in their daily work.It is the fragile texture of the bile duct.

The sutures are often stitched, probably because of an extra knot, and the sutures are accidentally tightened too tightly, causing damage to the bile duct, or even rupture and damage, resulting in accidents and bleeding during the operation.

And this new stitching method directly solves this problem from the root!

Xiang Jianhua pondered for a moment, and finally made a decision.

"Xiao Yao, you guys from the Department of Hepatobiliary Surgery will do a concentrated training recently."

"The key training is to learn parachute continuous suture and ordinary continuous suture. In the future, Corey will clarify and standardize the suture and anastomosis methods, and strive to popularize this new anastomosis and suture method in your science as soon as possible."

Yao Yusen nodded repeatedly!
He has been eager to make some progress in hepatobiliary surgery.

This time is a good opportunity.

After discussing with the deputy director next to him, he opened his mouth to apply:

"Director Xiang, can we ask Mr. Zhang Gu to teach us a lesson?"

Xiang Jianhua glanced at Zhang Gu, he had no opinion, as long as he can improve the level of suture and anastomosis in hepatobiliary surgery as a whole.

Zhang Gu: "Me? It's not suitable. I'm a general surgeon. It's better for Director Yao to teach you in person. Besides, this kind of continuous parachute suture is just a new idea, and the specific operation is not difficult. Director Yao, you Practice a few more times, you can take it down, and then train your department in a unified way."

Yao Yusen smiled and said, "No, you, Dr. Zhang Gu, are experts in the field of anastomosis, and your anastomosis ideas are obviously a level above ours. When you teach, you not only bring us a new anastomosis method. "

"It conveyed a high-level matching idea to us!"

Xiang Jianhua silently praised Yao Yusen.

I didn't realize that you, Xiao Yao, are so eloquent and eloquent.

However, Xiao Yao really hit the point.Zhang Gu does have a better matching idea, otherwise, why can he alone come up with a new stitching and matching idea, but others can't?

Still have something in mind.

Yao Yusen asked: "Dr. Zhang Gu, in class, tell us about your operation method of preserving the spleen and removing the pancreas. Although our department does not perform this operation, it is all knowledge in the field of liver, gallbladder and pancreas. It is always beneficial to listen to it." , can broaden the thinking of our department and increase knowledge, which is beneficial and harmless.”

Xiang Jianhua also nodded in agreement.

Zhang Gu had no choice but to agree, mainly because Yao Yusen's "expert" was so nice.

Zhang Gu said: "That's fine! I'll make a PPT later, Director Yao, please arrange the time."

"Good!" Yao Yusen was happy.

……

Back in the general surgery department, Zhang Gu checked his mind.

"For such a small suture operation, the score is probably not high."

Sure enough, because the operation itself was small, Zhang Gu only did the suturing and anastomosis part, and the score was less than 2 points. He didn't even issue rewards, and the accumulation would be distributed together with the next one.

Zhang Gu didn't care either, he just wanted to pave the way for the next fringe subjects this time.

Seeing that Xiang Jianhua and Yao Yusen attached so much importance to it.

Zhang Gu's goal has been achieved.

Find Yao Na and Shen Wenting.

Ask about the progress of the two teams.

Yao Na has preliminarily selected three patients with gastric cancer and obesity and type [-] diabetes, and plans to select the most suitable one from these three patients.

Shen Wenting and others have almost mastered the technique of gastric bypass surgery.

Based on the reports of the two, Zhang Gu gave them some guiding opinions to carry out the fusion work of combining the two surgeries into one.

After that, send the two away.

Zhang Gu himself wrote a teaching PPT on the computer.

"I'm going to experience the addiction of being a teacher again."

(End of this chapter)