Dr. Xie Wanying's thinking is always one step ahead of others.
After hearing these words, everyone was worried: This operation is minimally invasive compared to major operations, but does it mean there is no risk at all?
Assistant Jiang admitted: If it were me, I would not dare to perform surgery on a patient with intestinal obstruction in such a bumpy car.
Before surgery, it is routine to do some auxiliary examinations.
Assistant Jiang introduced: There is an ultrasonic examination equipment in the car.
For colon tumors, imaging-assisted examinations such as abdominal plain film CT are definitely more effective.
Although the conditions are not available at the moment, ultrasound is not completely incapable of performing this type of abdominal examination, but it is better than nothing.
By saying this, Assistant Jiang actually expressed a hidden attitude: this examination is of no help to the doctor in performing the operation, at least that is the result for Assistant Jiang.
If we have to say that it is of some use, it may be that before the doctor performs a colonoscopy on the patient, the doctor can compare and correct the physical examination results to more accurately determine whether it is tumor obstruction and the location of the tumor, and use instruments to preliminarily check whether there is bleeding in the lower abdominal cavity. This can temporarily eliminate the concerns of Dr. Shen and most other doctors who suspected that the patient had massive intestinal bleeding, and provide evidence of a preoperative demonstration data chain for the implementation of the colonoscopy.
...
...
Assistant Jiang finally had to add one point: things that were of no use to him personally were completely different for Dr. Xie.
Dr. Xie is best at reconstructing three-dimensional images of the human body in his brain, which would be greatly enhanced if he had the data assistance provided by various inspection machines. As long as there is a machine that can give Dr. Xie some data, Dr. Xie may be able to use it to achieve soaring results.
Assistant Jiang was also one of Dr. Xie's teachers back then. Although he only taught him for one night, he knew very well what kind of person Xie was: someone who would do his best, use all means and methods to move forward.
It’s nice to think about it, but it’s hard to actually do it.
Everyone was worried about the surgical team on the car.
Look at this convoy, it has just started on the road and it has difficulty moving around even to turn a corner out of the village.
Finally they turned onto the main road, but after driving for less than a few dozen meters, they all braked, exactly repeating the problem that Dr. Shen Xifei and the others had encountered last night.
Although the colonoscope tube is soft, it is not uncommon in clinical practice to accidentally pierce the human intestine and cause intestinal perforation. These accidents are even listed in the instructions to patients before the colonoscopy.
Healthy people are subject to such risks when undergoing this examination of their intestines, and cancer patients have more fragile intestines and are more likely to experience such accidents.
Combined with the stent surgery process introduced earlier, how could a thin guide wire pass through the extremely narrow intestinal cavity that is invaded by the tumor in such a difficult operating room environment?
Assistant Jiang live-broadcasted the operation process to other doctors: "Our doctor Xie Wanying has already started the operation."
A conventional colonoscopy instrument is about 1.34 meters long and 1 centimeter in diameter.
It's one centimeter thick and almost the length of a finger joint. It's quite thick, so no wonder people say it might accidentally puncture the intestines.
To reduce the occurrence of such accidents, the first step is to reduce friction, which is the most effective and conceivable means, based on the physics knowledge we learned in compulsory education when we were students.
Lubricating the colonoscope and anus before the operation is a necessary step, and flushing with water from time to time during the overall colonoscopy operation is also a common step.
The colonoscope is passed into the patient's anus.
I don’t know if it’s because the patient is very patient and has great endurance, or if Dr. Xie’s skills are so amazing.
Assistant Jiang and other medical staff on the operating cart did not hear a single groan from the patient, let alone any miserable sounds like pig squeals or groans.
You know, as I mentioned earlier, the doctor did not use any anesthesia in this operation because there was no anesthesia.
Continue read on readnovelmtl.com
