Municipal First Hospital.

"I heard that the Third Hospital did another colorectal cancer plus terminal ileal fistula. ”

Xu Jincai, chief of the medical department, said: "The success of two units in a row shows that the technology of the three hospitals in this operation has been relatively mature, and it may be routinely carried out in the future." ”

Geng Bozhong said: "I don't think it's strange. ”

"I was present at the operation that rescued Mr. Xu, and I saw with my own eyes the technique of Zhang Gu's terminal ileostomy. ”

"That's not a coincidence, it's hard power. ”

Geng Bozhong sighed: "Although the first half of the colorectal cancer eradication surgery is also difficult, there are at least six or seven people in the city who can win it, except for me and Lao Xiang." ”

"But in the second half of the anastomosis with severe intestinal adhesions, Zhang Gu is currently the only one in the city, who can do it so perfectly. ”

Xu Jincai, the chief of the medical department, was shocked: "Zhang Gu's importance is so high, even you can't?"

Geng Bozhong said: "I have a similar level of consistency with the old Xiang of the Third Academy, and I can only be regarded as decent, and I can't be so ingenious and clever as Zhang Gu." ”

"Anastomosis is a great test of the operator's subtle thinking, and it can be said that a good design of anastomosis can give patients a longer postoperative survival time and better healing results. ”

And Zhang Gu, judging from these anastomosis surgeries, he is undoubtedly the best among them. ”

Xu Jin was stunned.

In the past, he saw that Geng Bozhong valued Zhang Gu, and only thought that Zhang Gu was an outstanding young junior with great potential and high growth.

But I never thought that the current Zhang Gu has achieved perfection in this subdivision, and no one in the city can replace it.

No wonder, the big guy Geng Bozhong repeatedly wanted to dig Zhang Gu into the first courtyard of the city.

Geng Bozhong glanced at Xu Jincai and said, "If it weren't for Zhang Gu's irreplaceability, would the city be able to approve the matching training and teaching base of the three hospitals? ”

"Zhang Gu, a talent like him, may one day in the future, he will jump to a bigger stage, before that, leave more seeds for our original city, which is the meaning of the existence of the training base. ”

......

"Completed a prophylactic terminal ileostomy, and the final score was 3.3 points according to the comprehensive evaluation of the difficulty coefficient, performance, and operation time of the operation. ”

"Rewards: 1 Proficiency Advanced Card, 1 Proficiency Intermediate Card. ”

Zhang Gu is overjoyed, and finally got another premium card!

It's 2 cards away from the master level.

But here comes the problem......

It is already rare to have a case of Du Zhongzheng, and it is difficult to say whether such a suitable patient can be met again in the future.

At this time, Zhou Dongfeng came back.

He went to the Hernia and Abdominal Wall Surgery Branch, participated in the joint consultation of difficult cases, and brought back the case data, intending to think carefully about the treatment plan.

When Zhou Dongfeng saw Zhang Gu, his heart moved.

Why don't you ask Zhang Gu, this kid has been sharp-eyed several times, and he directly saw the root knot of the difficult hernia.

"Zhang Gu, aren't you busy now? ”

Zhang Gu took it and took a look.

"Is it a lumbar hernia? This is also a difficult and complicated case?"

Zhang Gu couldn't figure it out, just this case, also need a joint consultation of the city's hernia and abdominal wall surgery branches?

Zhou Dongfeng glared at Zhang Gu: "What do you mean that this is also a difficult and complex case?"

"Let me tell you, this case of lumbar hernia hernia ring is large, and it is very difficult to repair, and in the joint consultation, hernia repair experts from major hospitals have proposed several solutions, but none of them are perfect, and there are various defects. ”

Zhang Gu: "Haven't you considered using your tension-free to mend it?"

Zhou Dongfeng said: "I have considered it, but even when carrying out tension-free repair, the free space required is large, and the use of materials for fixation is also a problem." ”

"Not only that, but we also considered the pre-sheath repair method, but after deduction, this method cannot solve the problem of subcutaneous fluid accumulation after surgery, and the recurrence rate of infection and hernia will be relatively high. ”

"The experts of the first hospital proposed the method of retromuscular extraperitoneal repair, with the help of intra-abdominal pressure, so that the mesh gold and iron muscles are deep, accelerate fusion, and strengthen the abdominal wall, but the problem is that the incisional hernia wall and the omentum intestinal tube are widely adhesed, and the mesh will be limited when placed on the inner surface of the abdominal cavity. ”

Some experts also mentioned that the complete intra-abdominal repair method is to use an anti-adhesion composite patch to cushion the abdominal cavity to repair the abdominal wall defect. However, the difficulty lies in the uneven force of the patch, which leads to movement, resulting in localized mesh bulging or detargeting. ”

Zhou Dongfeng sighed when he said this.

"Alas, in short, in the joint consultation, everyone has thought of many solutions, but there are all kinds of defects, and they have never found a surgical plan that can be perfectly solved. ”

Zhang Gu smiled dumbly.

What kind of plan are you thinking of, it's all scratching your boots, and you can't grasp the key points.

Zhang Gu blurted out: "Isn't it okay to use a self-adhesive barb-shaped patch?"

Zhou Dongfeng looked at Zhang Gu intently: "What did you say?"

Zhang Gu blinked, did I speak just now?

Zhou Dongfeng glared at Zhang Gu: "Say it quickly, do you have a solution?"

Zhang Gu saw that it was exposed, so he had to say: "Ah, there is a solution." ”

"As long as a self-adhesive patch with a barb-like structure is used, it can firmly grasp the covering tissue, and it is not easy to displace, and it does not need to be fixed with sutures, which is the most suitable for repairing lumbar hernia. ”

"Moreover, under the action of intra-abdominal pressure, the self-adhesive mesh can also adhere to the deep surface of the muscle, which is convenient for fusion, strengthens the lateral abdominal wall, and can effectively prevent recurrence. ”

Zhou Dongfeng muttered: "But, which medical device company has this kind of self-adhesive barb-like mesh you said?"

Zhang Gu secretly said in his heart, could it be that this kind of patch has not been made on the market?

The hernia repair in his mind had already been raised to an advanced level. So as soon as he saw this case, Zhang Gu naturally thought of the solution of "self-adhesive barbed patch".

But the reality is that this kind of mesh has not been made by a medical device company yet.

Zhang Gu pretended to be casual: "Ah, this kind of patch is my idea. ”

Zhou Dongfeng asked one after another: "Really, then tell me quickly, what kind of material is your mesh and is it suitable for natural absorption? Does it need to be removed after surgery? Is it a tension-free hernia repair method? What are the characteristics?"

Zhou Dongfeng eagerly wanted to solve this complex and difficult case, and wanted to give a long face to the hernia repair field of the Third Hospital.

So it became 100,000 whys at once.

He came from the bottom of his heart, and wanted to run the three courts, win glory for the three courts, and give the three presidents face.

At this time, Zhang Gu's heart also moved.

Why don't you just give it a try and get a high rating with this surgery?

The hernia repair that can make it difficult for the city's branches can be regarded as a difficult and complex case. At that time, on the operating table, the application of mesh operation is also very skillful.

Should be able to get a high rating.

By the way, I also help the eager and eager Comrade Zhou.

Zhang Gu must be in his heart, that's it!