Chapter 2834 Not only Fast, but Mainly Stable (Head Butterfly Dance 1225 Plus Update)
Zheng Ren never looked up at the time, everything was under control. After the interrupted suture, the forceps are advanced to lift the incised diverticulum wall over the interrupted suture incision, followed by cap suturing.
Uh... At this time, all the people standing in the operating room were big bosses, and they were all taken aback by Boss Zheng's operation.
For patients who are highly suspected of fistula, the greater omentum should be taken to cover it, which will provide an extra layer of protection and allow the esophageal suture to grow as much as possible.
But using the diverticulum wall to cover, this damn operation has never been encountered. Generally, the diverticulum is removed, and no one thinks of this blind spot.
So there is such a method, the possibility of esophageal fistula... Gu still thinks the possibility is not small.
The surgery was done quite quickly, at 38′02″, Boss Zheng had reinforced the incised esophageal diverticulum wall with intermittent sutures during the threading process.
This is the end of the matter, it seems that the postoperative recovery still depends on fate.
"Everyone, go out first." Zheng Ren said softly before he finished sewing. At the same time, Gao Shaojie raised his hands flat on his chest, and walked back.
Seeing that Gao Shaojie was wearing a lead suit, just like Boss Zheng and Su Yun, everyone was stunned.
"To insert the jejunum nutrition tube, it should be placed under a fluoroscopy and observed with a mirror to avoid any problems." Su Yun explained.
Elder Peng didn't ask why, but turned around obediently and led everyone to the operating room.
The airtight lead door was closed, and only then did they know why all the members of Boss Zheng's medical team were wearing lead suits for surgery.
There is such an operation!
Originally, thoracoscopic surgery could be completed within 1 hour, which made everyone confused, but now Boss Zheng has to add a small operation.
Whether it is compared with laparoscopic surgery or the operation of treating diverticulum like a flying fairy outside the sky, the next jejunal feeding tube is just a small operation worth mentioning, but for operations with limited operation time, this will not be a problem. Will it be the straw that breaks the camel's back?
probably not……
There are many people in Boss Zheng's medical team, not only for surgical operations, but also for interventional operations.
Through the leaded glass, he saw two groups of people and horses performing surgery at the same time, one group was using the diverticulum wall to reinforce the interrupted suture, and the other was in the lower jejunal nutrition tube, Gu Lao sighed.
"Old Peng, what I said before doesn't count." Gu Lao said.
"There's no problem with the surgery, right?" Elder Peng looked relaxed, with a little joy in the corners of his brows and eyes.
"Well, I didn't consider that Boss Zheng would put in a jejunal nutrition tube in the end. This little guy didn't write this in." Gu Lao complained with a smile.
"Perhaps Boss Zheng thinks combined surgery is a routine operation." Mr. Peng laughed.
With the jejunal nutrition tube, it solves the problem of postoperative eating, strengthens nutrition, and promotes the healing of internal and external incisions, which undoubtedly provides an insurance for rapid postoperative recovery.
Seeing the people in Boss Zheng's medical team busy in the operating room, the airtight lead door was not opened after the jejunal nutrition tube was put in, everyone watched quietly, and no one went in to ask questions particularly curiously.
At 44′21″ after the operation started, the airtight lead door was opened, Lao He had already extubated, and the time was exactly as scheduled by Boss Zheng.
Zheng Ren tore off the surgical gown, took off the lead coat, walked out and said with a smile, "I was worried that the wall of the esophagus was a little thin, so I did a little 'excess' treatment. After the operation, I used the jejunal nutrition tube to eat for 3 days, and I was able to eat normally. gone."
"Uh..." Elder Gu looked at Zheng Ren suspiciously and asked, "Boss Zheng, if the patient is younger, can he eat directly after the operation?"
"Almost, but the old man doesn't need to take this risk, it's better to be steady. It's better to take the jejunum nutrition tube, the old man will have to work hard and starve for another two days." Zheng Ren said.
Everyone was speechless. Isn't it a risk to have surgery at such an advanced age and in such a poor condition?
Ye Qingqiu and Ringer walked into the operating room, wanting to help carry the patient.
"Ye Chu, Lin Chu, wait a moment." Zheng Ren shouted outside, "The old man will wake up from anesthesia first, and then he will have an upper gastrointestinal barium translucency."
"..."
This time everyone was stunned.
Is it okay to finish the operation properly? The operation was completed in less than an hour, which is already quite amazing. Boss Zheng, what kind of demon is he going to do!
"You can eat after you wake up completely from the anesthesia, and do a barium X-ray to see the condition of the esophagus, otherwise you will have to toss after the operation." Zheng Ren explained.
No one can say no to the requirements of the surgeon.
It is absolutely impossible for one to complete the operation so smoothly. Even if Boss Zheng puts forward such an unbelievable idea, everyone can only hold back their disapproval.
"Xiao Zheng, thank you for your hard work." Old Peng said with a smile.
"The operation is very simple, it's fine." Zheng Ren smiled, "The nutrition tube in the jejunum is just in case, the operation is no problem."
Zheng Ren emphasized.
Mr. Peng shook his head slightly, and said, "The operation was performed very steadily. Your laparoscopic operation is really high-level."
"fine."
"I think the operation is fine, you young man is more careful than me." Mr. Peng continued to laugh and tease.
"There can't be a 100% guarantee. It's better to have a checkup. Even if it's a barium scan after surgery, it's fine. Mr. Peng, you have to take care of it, and use the jejunal nutrition tube to eat for 3 days." Zheng Ren warned worriedly.
Dean Yan stood aside, a hanging heart finally let go.
Boss Zheng is indeed very stable. Not to mention the good operation, the operation was completed in 45 minutes including the anesthesia time, which already shows the problem.
The key is that he doesn't put all his hopes on the operation, even if there is a small flaw, there is a remedy. This is so reassuring that accidents can be remedied, instead of telling the patient's family that there will be no accidents.
The gap between the two... Although it seems more reassuring to tell the patient's family members that the operation was successful and that nothing will happen after the operation, who can guarantee that there will be no place that cannot be taken care of in the operation.
On the contrary, Boss Zheng's cautious attitude made Dean Yan more at ease. He had no doubt that once there was a problem, Boss Zheng would install a support or use some new technology that he didn't know to solve the problems that others seemed helpless.
It's just that this hour is really hard.
The old man woke up from anesthesia. Mr. Peng walked into the operating room and held his lover's hand. His vital signs were stable. After more than ten minutes, he was able to conduct simple questions and answers. The operation can be said to be a great success.
One hour later, an upper gastrointestinal radiography was performed with oral contrast medium. The pharyngoesophageal diverticulum was significantly smaller than before the operation, and the ridge between the diverticulum and the esophagus disappeared.
"Go back." Zheng Ren said with a smile, "I guess he will recover soon."
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Note: This is written in the paper, barium penetration was performed 1 hour after the operation. I think it may be a translation error? Or it may be a new technology. I didn't understand it, but I wrote it anyway. Please forgive me if there are mistakes.