Chapter 1884: Surgical combined intervention = no need for stage 2 surgery

Do you write a surgical record when you see what you see? The mirror of your old man’s hand is like a big pendulum, you can see it!
"Do a good job. Dr. Xia, remove the pus and pus, about 900ml." Zheng Rendao.
"Oh, oh." Xia Hua quickly wrote down his heart.
"Under the adhesion, then open the lower lung ligament." Zheng Ren continued.
Hey... have you done this step?
Xia Hua tried to look at the screen and wanted to find the shadow of the lower lung ligament.
The position of the front operation is very similar, but the lens is too close, there is no overall intuitive image, and he is not sure whether the lower lung ligament is being cut.
Zheng Rensong opened the mediastinum pleura after dissolving the lower lung ligament.
The separation pliers are as flexible as a finger and quickly expose the esophagus to the field of view.
"You slow down and let Dr. Xia take a look. If you don't go back to the surgical record, you can't write it." Zheng Rendao.
"Just compile, anyway, the same process." Su Yundao.
"Hey, Dr. Xia, I saw it. The esophagus has a broken mouth and is about 2m long. The surrounding tissue is brittle and cannot be sutured in one stage." Zheng Rendao.
Xia Hua looked closely. When Su Yun pulled the camera away, he saw that the esophagus had a break from the position of about 5m from the Tuen Mun. It was pale and surrounded by a small amount of pus.
The suture of the esophagus is extremely difficult, because the esophageal wall is relatively weak, barely sutured, with large tension, and the local blood supply is not good enough. It is prone to necrosis after surgery.
Xia Hua is still estimating what kind of drainage strips should be left in order to extract the concentrated juice and exudate, and avoid further infection in the chest and mediastinum.
To have a second-stage operation, this is Xia Hua’s first judgment.
However, the timing of the second-stage surgery is not good, and the second-stage operation of the esophagus is different from the gastrointestinal tract.
If the intestines have similar problems, it is a good solution. It is an abnormal passage of defecation. Some patients are not suitable and it takes a while to get used to it.
However, if the esophagus is waiting for the second-stage operation, the patient will be fed through the nasal feeding, or the veins will be highly nutritious.
How to ensure nutrition?
"Dr. Xia, you come to help Su Yun do the rest of the work." Zheng Rendao.
Xia Hua began to swear. At this time, the voice of Zheng Ren’s speech reached his ear. He snorted and replied casually.
"Hey... what about you?"
"Hey, have you listened to the condition analysis?" Su Yun was really upset this time. If Zheng Ren stepped down, he would touch his arm and the hemostatic forceps left when the danger started.
"Are you really ready to do the second phase of surgery that you are not sure?" Su Yunyi said, "The lower lamella preventive stent can be eaten 7 days after surgery, and the stent can be recovered according to the situation 14-28 days after surgery."
Xia Hua listened quietly, and he felt that there was definitely a problem. Either there is a problem with your own understanding or a problem with your own perception.
In short...
The problem lies with oneself, not with the boss of Zheng.
Membrane anti-backflow bracket, what does this consumable mean, Xia Hua can understand, but he has not seen it.
It should be with a bag to prevent backflow of gastric juice, causing the wall of the stent to be eroded.
But after the stent is completed, it can be recovered 14-28 days after surgery? Can the esophagus grow?
"After that?" Xia Hua asked.
"After seeing the situation, if the esophagus can grow up, it will be good, the operation is successful, and the patient is discharged. If it is not long, although the possibility is not great... How is the strength of your vits room?" Su Yun asked.
"..." Xia Hua did not understand what the new surgery was.
"They should have never been in contact." Zheng Ren called Gao Shaojie to help, and then explained: "The postoperative nutrition should keep up, the 2m esophageal rupture should be easy to grow up. It is not good, when the edge is not so crisp, The technique can be solved with the technique of suture under the esophagus."
Xia Hua is still arrogant.
"Let's talk about it later, if you can't, let the patient go to the emperor to find me, or else I will come back again. The chance of this happening is not high, it should be able to grow up, don't worry." Zheng Rendao.
"Zheng boss, this bracket is too advanced." Gao Shaojie said that the film is covered with anti-backflow bracket.
"Well, in order to prevent the reflux of gastric juice, special treatment. Usually it is not used, it is not strange to see it." Zheng Ren smiled.
Because the patient's condition is different from that of Xia Hua's father, the guide wire goes straight down.
"To step on the line, close the door." Zheng Rendao.
Gao Shaojie noticed that Feng Xuhui did not go out, but stayed in the operating room wearing a lead coat.
This guy has a bright future! With the line in the operating room, I will not be able to leave Zheng boss, Gao Shaojie thought.
He regretted the 10,000th time, but if he came back again, he couldn’t drop the son who wanted the college entrance examination and the boss of Zheng to go to the Imperial Capital.
This is life!
Gao Shaojie was pondering while he was preparing for the bracket.
Only stepped on the line once, the film anti-backflow bracket reached the position, and Zheng boss did not compare the amount, directly open the bracket.
"The location is just right, perfect!" Su Yun stood in the position of the surgeon and touched the esophagus with pliers.
The membrane anti-reflux stent has completely blocked the lesion of the esophagus, and there is no omission. A few centimeters up and down, the overall position selection is as perfect as he said!
Gao Shaojie stunned.
Lower esophageal stent, looking at the simple, in fact, there is still a saying. The position of the upper and lower, the strength of the opening of the stent, and various details definitely determine the quality of life of the postoperative patient.
The position of Zheng’s support is just right. With Gao’s many years of clinical and surgical experience, it is the most ideal position.
Surgery can still do this! It seems that there is no brain, but Gao Shaojie knows that this is the embodiment of countless surgical experience.
Looking at the ease, in fact, Zheng boss does not know how many times he has honed.
Gao Shaojie feels in his heart.
The preoperative diagnosis is clear, the assessment is accurate, the intraoperative action is clean, and the surgical combined operation is performed. EbookFREE.me~ Convert a patient who needs a second-stage operation into a case with a high probability.
Niubi!
Gao Shaojie feels in his heart.
There is a boss with Zheng who beats with a hemostatic forceps every day. Lao Liu is already strong, and Gao Shaojie continues to repent.
"Old high, then I am down." Zheng Ren finished the bracket and turned to step down.
"Oh." Gao Shaojie quickly responded.
The lower esophageal stent itself is not a major operation, and there are not many things to do after surgery. Gao Shaojie is busy finishing the end.
"Mr. Xia, the surgical procedure is probably like this. After the operation, it is necessary to strengthen nutrition and fasten the water for 7 days." Zheng Ren did not feel relieved.
"Uh-huh." Xia Hua gradually understood the entire surgical procedure.
Except for the squeaky and dizzying operation of the assistant who is so mean and solitary, the surgery is perfect!