The surgeon opens a cheat

Chapter 99 What's Your Way of Thinking (First Order!)

Xiang Jianhua looked at Shuye.

Fragmented intestines that have been freed and resected have become numerous.

The diseased intestinal segment and pollutants are indeed removed very cleanly, but there are not many remaining intestinal tubes that are not seriously adhered.

This means that there are not many good places left for Zhang Gu's optional anastomotic incision.

If it doesn't match up...

The consequences, I really dare not even think about it, it's too terrifying.

Geng Bozhong also came back to his senses, and quickly glared at Zhang Gu: "It's so fragmented, can you still match it?"

Just now, he and Xiang Jianhua were too focused on removing the diseased intestine.

Unexpectedly, Zhang Gu didn't make a sound even once, and before he knew it, the operation was done to this extent.

At this time, Zhang Gu smiled and said: "I have never forgotten."

"The intestinal segments you operate will not affect the anastomosis later, so don't worry about it!"

"Really?"

"Is it not affected?"

The two felt relieved at the same time, and at the same time, they were also a little curious.

What kind of anastomosis method will Zhang Gu use, so many severed and severely adhered intestines, will it not affect his operation?

Geng Bozhong felt relieved when he heard Zhang Gu's confident words.

I can continue to do segmental resection with peace of mind.

Finally, the resection came to an end.

Geng Bozhong let out a long breath and got off the operating table.

I just felt sweat all over my body, and the underwear inside the surgical gown was already soaked through.

This kind of zero-error-tolerance rate requires very delicate operation at the same time, which is too much a test of the surgeon's skills and calmness of mind.

"It's the matching part."

Xiang Jianhua glanced at Zhang Gu: "What's your matching idea?"

Zhang Gu said calmly: "I plan to go a step further on the basis of anastomosis and make a preventive terminal ileostomy."

"The characteristics of the colon itself are that the intestinal wall is thin, the blood supply is relatively poor, and the branches of the marginal arteries are peripheral blood vessels. In addition, the patient's condition is even worse, and the intestinal adhesion is serious. The preventive terminal ileostomy is to solve this problem. .”

Xiang Jianhua thought for a while, artificial fistula is usually used to solve rectal problems, can this surgery also solve the problems of severe colonic adhesions and prone to anastomotic leakage?
"It seems that this also follows the principle of mesocolic dissection. It is really possible to avoid the most serious intestinal adhesion part of Mr. Xu."

After Geng Bozhong thought carefully, he gradually came to his senses.

"The existence of the stoma can at least reduce the pressure in the abdominal cavity and colon, and allow the anastomotic intestinal tube to heal faster. This is indeed even more valuable for Mr. Xu's frail constitution."

At this moment, Xiang Jianhua's thoughts became more clear.

"After preventive fistula, it can also improve the functional weakness caused by postoperative intestinal function changes and sphincter damage, which is more beneficial."

"The most important thing is that it can also avoid the most serious adhesion area."

"His main operation area is very convenient. It is also in the fragmented intestine area that we separated and cut off just now, and the section with severe adhesions. There is basically little intersection."

Both of them are top experts in the industry. After confirming their ideas for a while, they quickly put together a system of ideas.

Xiang Jianhua's eyes lighted up, and he said, "This kind of matching idea is good! No wonder Zhang Gu didn't say a word to remind you and me just now."

Geng Bozhong's tense face also showed a trace of relief: "It's not that he didn't remind, but that his way of thinking is very flattering, and it's almost tailor-made for Mr. Xu's condition!"

Xiang Jianhua nodded, and looked at Zhang Gu kindly.

Xiao Zhang's anastomosis ability can indeed be used to the point of perfection!

According to such a serious specific condition, corresponding advanced version improvements can be made.

At the same time, Zhang Gu has already started the operation.

He made a circular skin incision with a diameter of three centimeters near the McBurney's point in the right lower abdomen.

"Director Xiang, use a laparoscope to help me penetrate the hole and enlarge the incision."

Xiang Jianhua immediately cooperated with him.

Subsequently, Zhang Gu made a cross incision on the sheath, separated the muscular layer, and incised the peritoneum.Pull the end segment out of the abdominal cavity.

"Director Xiang, help me clamp this section of ileum with a laparoscope and make a fixed mark. I will use it later."

"Yeah." Xiang Jianhua also entered the role of deputy at the moment.

After approving Zhang Gu's matching ideas, he became Zhang Gu's deputy thoroughly and wholeheartedly.

As long as it can benefit the patient and save the respected old teacher, he is very willing to be Zhang Gu's assistant.

With Geng Bozhong beside him, he was a little relaxed and reduced to doing some chores.

He carefully observed Zhang Gu's operation, and gradually let go of his hanging heart.

Originally, he was worried that although Zhang Gu had ideas, he was not strong enough to perform such a difficult operation.

After all, even he himself was sweating all over just now.

But after observing for a while, Geng Bozhong suddenly discovered that Zhang Gu's operation, at least in the field of coincidence, was already very proficient.

Proficiency is reassuring.

On the operating table, Zhang Gu felt good.

He was the chief surgeon, and Xiang Jianhua was his deputy. As for Geng Bozhong, the boss of the city's No. [-] hospital, he became his teaching brother, busying around, doing chores "within his ability".

This is simply a fantasy scene in a dream!

It would be great if every operation had this lineup.

Zhang Gu calmed down, first cut out a section of chest tube, passed through Xiang Jianhua's fixed ileum, and supported it on the skin to prevent the intestinal tube from retracting, then cut off the rubber drainage tube, looped the two ends of the supported chest tube, and fixed it with sutures around it. A longitudinal incision was made, and a drainage tube was placed in front of the abdominal cavity.

Xiang Jianhua and Geng Bozhong praised this series of operations.

Xiang Jianhua said in his heart: "Zhang Gu has mastered the essence of anastomosis operation. The anastomosis formula, no tension, no torsion, empty top, smooth bottom, good blood circulation, Zhang Gu has completely implemented it from beginning to end."

Geng Bozhong also nodded secretly: "The size of the abdominal wall incision during the fistula is also very suitable, that is, it will not be too narrow to cause hernia or fistula, and it will not lose the function of the ileocecal valve and the absorption of the colon."

This operation is simply perfect!
Wang Ping, Liu Wenshuan, Lu Wei, several deputy directors and others who were watching from the side, although due to professional limitations, couldn't see deeply and clearly, not as clearly as Xiang Jianhua and Geng Bozhong saw.

But they could see that Zhang Gu's hands were steady, and every step was delicate.

Especially from the expressions of Xiang Jianhua and Geng Bozhong, they can judge some clues.

It allowed the two experts to breathe a sigh of relief from the tense atmosphere, and even to the back, there was a bit of a relaxed taste.

It is enough to show that Zhang Gu's performance on the operating table is very dazzling!

On the operating table, Zhang Gu finished the last operation.

Everyone breathed a long sigh of relief.

Several itinerant nurses had been suppressed by the tense atmosphere in the operating room. Now that the operation was completed, they couldn't help crying.

The few hours just now were too long and tormented.

finally...

The operation was finally a success!

(End of this chapter)