Chapter 39 Multi-step removal of high-frequency electrocoagulation polyps

Liu Quan pulled Zhang Gu aside.

"Teacher Xiao Zhang, can you do this surgery?"

Zhang Gu: "Didn't you just do it?"

Liu Quanwei was puzzled: "Isn't this the patient's initiative to ask you to do the surgery?" ”

"The main reason is that this patient is special, you also know that Wenxin Medical Device Company and our three hospitals are a partnership, and just now the chief of the medical department also called over to ask us to try our best to meet the reasonable requirements of the patient. ”

"The point is, her polyp is lobulated, I ...... Ahem, I'm a little unsure. ”

Zhang Gu was speechless, your last sentence is the key, right?

"What about the gastroscopy? ”

Liu Quan hurriedly brought it: "This kind of lobulated polyp is very difficult to cut, what the chief of the medical department Lu means, if you are not sure, let's go and invite experts from the first hospital." ”

This time, the three hospitals were supposed to directly invite experts from the first hospital to come for consultation.

Liu Quan took the initiative to apply, saying that he would let Zhang Gu take a look first.

Last time, he cooperated with Zhang Gu on a gastroscopy project, and felt that Zhang Gu's gastroscopy skills were very deep, which led him to trust Zhang Gu very much.

"Teacher Zhang, look, this is a polyp, with a diameter of 2.1 cm, a wide and thick base, and a lobulated top. ”

Zhang Gu also looked carefully.

At this moment, a few people at the door, talking loudly, walked in.

The leader is a tall, hard-lined, suit-and-leather man, who looks like a winner in life.

The person who talked to him was Liu Wenshui, vice president in charge of administration of the Third Hospital, and Lu Wei, the head of the medical department, followed by Liu Wenshui.

As soon as a few people came in, Yuan Xiaotong beside Fang Qiong happily went over and called, "Dad!"

Fang Qiong also said with a bit of restraint: "Yuan Dong, you are here." ”

Yuan Lang nodded at the others, and finally his eyes fell on the two white coats of Zhang Gu and Liu Quan.

mainly looks at Liu Quan, no matter how fifty-year-old Liu Quan looks, he looks like the backbone here.

Vice President Liu Wenxuan boasted: "Yuan Dong, the medical level of our three hospitals has also been growing in recent years, and we have just completed a project in the field of gastroscopy that several major hospitals in the province cannot take! A few days ago, all the provincial hospitals came to negotiate, have you heard about it? So it must be right to choose to come to the third hospital to see a doctor!"

When these words were blown, Zhang Gu blushed.

Yuan Lang nodded: "I have also heard of it." ”

Liu Wenzhuan smiled, turned his head to look at Liu Quan and Zhang Gu, and showed an inquiring look.

"How's that, can the surgery be done?"

Liu Quan was a little embarrassed.

Say no, the vice dean's cowhide is blown out. Say yes, but he is not completely sure, if he doesn't do it well, then the matter will become bigger.

Zhang Gu sighed in his heart, or let me help you make up this cowhide.

Moreover, this Yuan Lang is also the chairman of Wenxin Medical Devices, much more energetic than Fang Qiong, and he is also an upper-class person in the original city, and he can be regarded as a big connection.

Zhang Gu said: "You can do it, you can do it in our gastroscopy room, and you will have to stay in place for observation for six hours after surgery." Do you have time today?"

In his mind, Zhang Gu consumed a conversion card and converted the repeated gastroscopic foreign body removal surgery into "gastroscopic high-frequency electrocoagulation polypectomy".

Consumed 3 more junior cards and rose to the intermediate municipal senior level.

Removal of ordinary polyps, primary is sufficient. But this is a lobulated polyp with a wide base that Liu Quan can't grasp, and it can only be promoted to the intermediate level.

When Liu Wenxuan heard Zhang Gu's words, he immediately gained confidence.

Yuan Lang saw Zhang Gu speak, and Liu Quan looked like he was the main one, which was a little strange.

Fang Qiong came to his side and said a few words, Yuan Lang suddenly understood, and his gaze at Zhang Gu softened a lot and gave him a little more appreciation.

Yuan Lang said: "Do it today, cut it early and rest assured, don't transform it into cancer in the future." ”

Zhang Gu nodded, and instructed Lu Dongdong next to him: "Prepare an oximeter saturation meter, an infusion package, two percent lidocaine, propofol, oxygen, and 8 milliliters of norepinephrine for one to one." ”

Lu Dongdong skillfully cooperated with Zhang Gu.

Obviously, it is a habit formed during the period of the project.

Unrelated personnel waited outside, and medical staff and patients entered the operation room.

Zhang Gu glanced at Yuan Xiaotong: "Xiaotong, your clothes are too tight, looser, so that it is convenient to go under the gastroscope." ”

Yuan Xiaotong blinked his big eyes, and his face was a little pink: "Do you still have to unbutton?"

"No, I don't. ”

Zhang Gu glanced at her waist: "Just untie the ribbon on your skirt." ”

At the age of fifteen, I knew that I was dressed up very beautifully, and my waist was very thin.

"Bend your knees. ”

Take a deep breath and get ready to get off the camera. ”

Xiaotong made a swallowing motion, imagining swallowing the gastroscope. ”

"It's normal to feel nauseous, don't swallow your saliva, just let it flow out. ”

While getting off the camera, Zhang Gu instructed the patient.

Liu Quan next to him whispered: "Teacher Xiao Zhang, have you thought about the surgical plan?"

Zhang Gu glanced at him: "It's really not easy to cut in one step, use the multi-step excision method." ”

Liu Quan nodded, and then made Zhang Gu his deputy, looking forward to watching Zhang Gu's performance.

"The gastroscope has passed through the throat, Xiaotong, your tongue is retracted, which can alleviate some nausea. If you want to vomit, spit it out, don't ninja, don't swallow. ”

Yuan Xiaotong is still quite cooperative and obedient.

Zhang Gu operated the gastroscope adjustment knob, checked little by little, and searched.

After a thorough examination, it was confirmed that there was only one antral polyp.

"Director Liu, you come to help the realm. Liu Quan hurriedly stepped forward.

Lu Dongdong doesn't even have the qualifications to be a deputy to help the realm, and at this moment he only has the opportunity to observe and learn.

Zhang Gu operated the snare device, lassoed the top of the lesion, about 1 cm in diameter polyps, and used a high-frequency mixed current to remove the polyps.

Liu Quan has been observing with a gastroscope, and is relieved at the moment: "There is no bleeding." ”

Zhang Gu changed the foreign body forceps and grabbed the excised polyps little by little.

"Doctor Lu, send it for a pathological examination. ”

This step is to rule out cancer, if it is already cancerous, it is not just a gastroscopic polypectomy.

"The first step is over, and the second step is to isolate the polyp base. ”

Zhang Gu's operation speed gradually accelerated.

Because he found that Yuan Xiaotong had been stimulated by the gastroscopy and was nauseous, his saliva was uncontrollable, and it kept flowing out, all of which were dripping down his chin, and the roving nurse next to him hurriedly came over and wiped it off gently.

Yuan Xiaotong was in pain and uncomfortable at the moment.

Girls in the flower season are all beauty-loving, and it is a time when self-esteem is very strong.

This saliva kept dripping down was really damaging to her image, she didn't have the face to look at Zhang Gu and the others, closed her eyes, and looked forward to the operation being completed soon.

Liu Quan looked at the thick polyp base, and his heart was pinched.

Then came the hardest part of the whole operation.

It is also the most bottomless for Liu Quan's heart.

"Teacher Xiao Zhang, this foundation is not easy to deal with, it is too generous. ”

"Even if it can be separated, the operable space is squeezed very narrow, and the instrument can easily touch the stomach wall, what should I do?"