As early as when I was in medical school, Jing Ye used grapes and toad legs to practice sewing more than 100 times, although it did not reach the point of perfection, but as one of the few students with scholarships, this confidence still needs to be had.

However, if the patient uses a manual anastomosis without knowing it, and later learns about the stapler, then it will definitely raise unnecessary doubts.

However, as everyone knows, the stapler is just a mass product of modern medicine, and in the past, patients were sutured by hand.

Although traditional manual suturing is time-consuming, the anastomosis can be finely adjusted according to the patient's esophagus, and anti-reflux anastomosis wrapping can be used to achieve excellent results that cannot be achieved with a stapler.

The reason why modern patients prefer staplers is nothing more than two things.

One:

Because of the medical reform, the previous routine of using medicine to support medicine does not work, and the price of drugs is strictly controlled and will not rise.

Doctors are also human beings, and no one will get along with interests, they can only start from other aspects, that is, to diagnose and maintain doctors.

For doctors, the disadvantage of traditional anastomosis is that it is sutured with ordinary silk threads, so it must be tired enough, and the operation time is equivalent to tripling.

Therefore, private procurement of equipment has become a large source of funds for each department, and if you want to be not tired and make money, doctors must sell products to patients, saying how good this stapler is, and how powerful it is than manual anastomosis.

Patients began to believe that the stapler is high-tech, and the price is still expensive, which shows that you get what you pay for, and spend a lot of money to treat the disease, then you must rest assured, it must be better than manual, so they choose instruments and equipment to replace manual anastomosis.

In this way, even if the product is sold, once the first batch of results are good, the doctor will form a win-win situation with the device company, and the price of the device used by patients will naturally rise, thus forming a major source of profiteering in medical devices.

Hello, I'm good, everyone, it's really good.

Two:

Undoubtedly, the advantages of staplers are that they are simple, fast and accurate.

So staplers and staplers are preferred compared to doctors with poor technique. Doctors are preferred over doctors with good skills.

However, patients generally can't tell which doctor has a high position, which doctor has a low position, and which doctor has rich experience, so there will be no such thing as choosing a doctor, they will only treat everyone equally, and feel that all doctors are not as good as high-tech equipment.

Once a confident doctor uses hand sutures, they are disliked by their peers and seen as offending their interests. Once the patient is aware, the doctor-patient relationship will begin to arise. Therefore, in order to avoid the production of doctors and patients, in order to win profits, they can only sell equipment according to the psychology of the public, killing three birds with one stone.

Hello, I'm good, everyone, it's really good.

......

Therefore, while performing the manual suturing, the doctor who was looking out of the window from afar, with a bright smile and a breeze on his face, was actually a burst of MMP in his heart.

Finally, someone couldn't help but speak.

The first doctor, eight feet tall, with a tiger's back and a bear's waist, stepped forward.

He is the vice president and chief physician of the emergency department, Shibato.

Shiba Teng held the power in his hands, the corners of his mouth pulled out a hint of banter, and his tone was full of coldness, "This young man is really ignorant, he actually used manual anastomosis when the patient was unconscious, he obviously did not respect the patient's right to freely choose equipment and equipment! He did not respect my identity! He is too selfish, I think from now on, this person will not rotate in our emergency department." ”

"Yes, he did this, how can we live? We don't earn money anymore? We don't support our families? Are we easy?"

"Remember, his name is Jing Ye, and he won't want to go to my proctology department in the future. Lu Feiyan, the deputy chief physician, snorted coldly.

"Please be quiet. Bai Qi's face was cold, and his penetrating tone was so lethal that the audience was instantly silent.

"You don't want him, I want him. At this time, the head nurse was smiling, and said that 10,000 people supported Jing Ye.

At the same time, indoors.

Jing Ye's heart is like stopping water, and his eyes are condensed.

Hemostasis and anti-adhesion materials, medical glue, silk removal thread, gauze pad, intestinal forceps, drainage tubes and other tools are all available.

The nurse next to her is on standby, waiting for Jing Ye's dispatch at any time.

In Jingye's mind, the four commonly used sewing methods quickly appeared: simple sewing method, valgus sewing method, inversion sewing method, and intradermal seaming method.

For more details, for example, simple intermittent seams are legal, continuous seam seams are legal, tension reduction seams are legal, press seams are legal, cross seams are legal, continuous seam seams are legal, and vertical mattress inversion seams are legal......

To add a few more, there are rupture sutures, circumcision sutures, debridement sutures, B-Lynch sutures, and so on.

Later, Jingye chose one of the shortest to perform, that is, the single-layer suture anastomosis method that is more suitable for rectal anal anus-sparing.

The doctors who watched from the outside were silent, although they knew that although manual suturing could achieve the desired results, the thought of making less money was as painful as cutting the flesh on their bodies.

But there is nothing they can do, after all, Jingye has already started to do it, and it is impossible to stop it, so the image and influence will not be too good, so after they chattered a few words, they didn't say anything more, but just remembered this account in the small book in their hearts.

I saw their eyes, and I already saw Jingye's hands dancing rapidly.

The whole operation is so smooth, a Johnson & Johnson brand Aixikang suture quickly made into a traction line, from one end of the intestinal mucosal surface into the needle, then from the serous surface of the needle, then out of the needle, then clamp the needle, and then stop the bleeding, outside the intestinal cavity inch by inch knot, the multiple interrupted intestinal cavity to complete suture, without the slightest gap.

After the sutures, subtract all the sutures, wash the pelvic cavity with normal saline again, and quickly cut off the diseased intestine with Kocher forceps, anastomosis the nail seat, and finally introduce the drainage tube to officially end the anastomosis.

When everyone saw this, they were just silent.

Even the nine crows were silent, and their wings did not want to flapp.

The whole anastomosis process is so smooth and free, without any flaws, I can't find anything wrong at all.

They could only sigh with sadness, although it was true that Jingye had a successful match, they felt that this was only the first step in the operation to treat the patient.

There are still two major tumors in the patient's body, this fledgling trainee will definitely make mistakes, and once he makes a mistake, then he must be reprimanded with the strictest attitude and let him get out of the house as soon as possible!

......

Jing Ye breathed a sigh of relief, although the treatment for polyposis melanoma syndrome was almost complete, and after doing some post-operative precautions, the second step began.

In the place of rectal polyps, there is also a retroperitoneal tumor, which does not come from the bottom of the rectum, and is deeper than the location of the black spot polyp, which is bound to cause heavy bleeding if the surgery is performed.

So at this time, it is necessary to take surgery with another behavior.

Although transabdominal perineal resection had been considered before, but in all aspects, malignant tumors, extremely fast growth, and the possibility of recurrence, coupled with the fact that two different surgeries in the unilateral area would cause cross-infection, so for the sake of safety, Jing Ye had no choice but to rule out transabdominal perineal combined resection, and began to think about whether there were other more suitable and more suitable surgeries for the patient to survive.

He was thinking that in addition to radiotherapy, there are also interventional surgeries and systemic treatments, and he must make a decision to remove all three tumors of the patient in the shortest possible time, so as to achieve the goal that the patient must survive today.

Soon, he opted for interventional surgery.

Interventional surgery is a professional discipline that has emerged in recent years, although it is younger than other disciplines, but in just a few years, it has become one of the three major clinical disciplines with internal medicine and surgery, which shows that interventional surgery has an irreplaceable and important position.

Through non-vascular intervention, the incision can be avoided, and the whole process is less traumatic, less risky, and the recovery is faster, which is more efficient than open surgery.

Jing Ye immediately asked the nurse to call the doctor from the interventional department, and at this time, he quickly filtered the previous case introduction in his mind, and the patient's PET test was metabolically increased, and then according to the brain metastases had developed into malignancy, it was concluded that it was a retroperitoneal tumor of the original foci.