Live Surgical Broadcast

Chapter 2655 A Knot that Can Score Full Marks

Seeing Feng Xuhui's straightforward movements, Professor Yang took out the 24mm double-chambered metal bracket he used this time, and it was Lanke's.

He knew that the small consumables dealer who followed Boss Zheng belonged to Changfeng Company. You, a Changfeng man, took out Lanke's bracket without any hassle. Is this a clear betrayal?

And...Boss Zheng seems to have never done endoscopic ultrasound-guided drainage of pancreatic pseudocyst, so why does his consumable supplier carry this kind of stent with him?

"Manager Feng, isn't it?" Professor Yang asked cautiously.

This is Boss Zheng's Ni Lin. It is said that in the cancer hospital, someone wanted to trouble Manager Feng, and Ringe went into battle shirtless, causing a lot of trouble.

He doesn't feel anything when he listens to others, and usually this Manager Feng doesn't feel any presence at all. But today...things are different, Professor Yang tried to slow down his tone, for fear of offending this person.

I opened Wushuang once, and it will take some time to recover the mana and accumulate honor points. Even when facing the equipment dealers in Boss Zheng's medical team, he should be more careful.

It sounds absurd for a professor who leads a group to please an equipment dealer.

But that depends on who is standing behind him.

"Professor Yang, what are your orders?" Feng Xuhui took out the stand and asked with a slight bow.

"How did you prepare this kind of bracket?" Professor Yang asked.

"I read all kinds of interventional surgeries written in the book, and I prepare a copy of what I can pretend as needed." Feng Xuhui said, "Who knows when it will be used."

"Can you fit this box?"

"I still have an assistant, and she has two big boxes." Feng Xuhui said with a smile, "It's more likely to be used here. If you encounter a special patient and Boss Zheng has other needs, my assistant can do it in 5 minutes." Bring the supplies."

"Uh... where's your assistant?"

"Isn't it because the consumables dealer doesn't allow you to enter the operating room? There are so many people, so try not to cause trouble to Boss Zheng." Feng Xuhui said.

I'm going... These words sound low-key. But you carry a trolley case that is half a person's height into the operating room, isn't that high-profile enough? Professor Yang sighed inwardly, and said, "It's troublesome."

"No trouble, it's all as it should be." Feng Xuhui asked politely: "Mr. Yang, you have nothing else to do."

"No, no more."

Feng Xuhui bowed slightly, and then stepped into the operating room with heavy steps.

In addition to a few consumables, he also took a little more, packed them in sterile bags, and stood in the corner of the operating room wearing a lead suit.

"Brother Yang, how did you do it? This hemp flower is twisted quite well." Su Yun said with a smile.

"Oh..." Professor Yang hesitated to speak, and then asked, "Xiao Su, what is Boss Zheng going to do?"

"How many steps does it take to close the elephant in the refrigerator?" Su Yun eased Professor Yang's nervousness with a playful smile.

"..." Professor Yang was completely indifferent to Su Yun's joke.

"Three steps, open it, put it in, and close the door. If I'm on stage, I'll use a balloon to prop it open." Su Yun said, "Then take out the stent, install another guide wire, and remove the stent. The operation is over."

Professor Yang really didn't know what to say.

If it was as simple as Su Yun said, it would be great.

The stomach wall is indeed elastic, but the elasticity of pancreatic pseudocyst is not very large. If the balloon is stretched, it is very likely to cause tearing of the cyst wall. In severe cases, blood vessel tearing may even occur, requiring emergency surgery.

"Brother Yang, you are really caring. In just a few months, you have become so proficient in the drainage of pancreatic pseudocyst guided by endoscopic ultrasound." Su Yun sat on the sofa and said with a smile.

"Well, if you are proficient, this kind of thing won't happen." Professor Yang said dejectedly.

"I told you to say that if something goes wrong in the operation, there is no problem. The technical level is one thing, and the probability is another." Su Yuncai said nicely, "There is an old saying that I listened to the school on the first day I entered the operating room. The teacher said - if there is no accident in the operation, it is because you have done too little. If you do too much, everyone is the same."

Professor Yang knew that this made sense, but when things came to an end, no one was worried.

Why is the development of new technologies slow in China? In the past, there was no money for new machines. Clinical doctors are conservative, which is another aspect.

I did a good laparotomy, who knows what complications the laparoscopic surgery has. My laparoscopic surgery was done well, but who knows what complications might arise from minimally invasive interventions.

All the mature surgical procedures, to put it bluntly, are fed by the experience accumulated from one accident after another.

Just like this, all kinds of accidents still came one after another, and one accidentally fell into the water.

"Brother Yang, have you encountered complications such as stent displacement, stent blockage, infection, and sinus formation?" Su Yun asked.

Professor Yang shook his head blankly.

"These are the most common complications." Su Yun said, "Things like the guide wire inexplicably tied a knot on the stent are too rare. Listen to me, and buy a lottery ticket at the lottery station when you go home. "

"..."

Professor Yang disapproved of Su Yun's casual way of chatting, but it was undeniable that he really felt a little more relaxed when he chatted like this.

"No kidding, there have been reports of guide wire knotting in digestive endoscopic surgery, but only in endoscopic surgery in urology and vascular surgery." Su Yundao, "If you are interested, write an article after surgery. Case reports, proper top SCI, can be regarded as a blessing in disguise."

"Xiao Su, how do you think this happened?" Professor Yang asked with a bitter face, he couldn't figure it out.

"The cavity of the stent is larger and can accommodate more guide wires. The guide wire that is too long is folded back and inserted into the end of the stent, resulting in a knot. But this flat knot is really good, and I give it full marks." Su Yun smiled. Said.

"How to prevent it in the future?" Professor Yang is most concerned about prevention besides whether the operation can be saved.

Anyway, Boss Zheng is in the surgery, and he can't help himself, so he just chats casually.

"If I look at it, if the guide wire is inserted at the right length to guide and support the stent, this complication can be avoided. Brother Yang, the best thing about you is that you didn't panic after discovering the problem, and clearly realized that it was too stretched. Pulling will not solve the problem, it will only cause damage to the stomach wall." Su Yun praised.

Is this also an advantage?

"Look at your expression, let me tell you, in this case, as long as you exert a little force, there will be a big opening. At that time, it will not work unless the abdomen is opened... The boss should be able to suture it with an endoscope, but it is not troublesome after all. Now How wonderful, it will be done in a few minutes, and the patient can be discharged home tomorrow."

Hope, Professor Yang saw the airtight lead door slowly closing, praying silently in his heart.

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