"After completing a preventive ileostomy operation, 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 Beginner Card. ”

If you do the same surgery in a row, the reward will be lower.

Fortunately, you can have a premium card.

"So, I'm still missing the last premium card, and I hope this lumbar hernia repair will bring me good luck." ”

Zhang Gu and Liu Guoxiang met and got the self-adhesive barbed patch.

Liu Guoxiang gave him twenty patches at a time, of various sizes and specifications, which was convenient for Zhang Gu to deal with various situations.

......

"Teacher Zhou, I got the patch. ”

Zhou Dongfeng took it and studied it: "Is this a self-adhesive barbed patch, compared with other patches, this barb-like structure is indeed stronger and not easy to shift, not bad!"

"How did you come up with this patch?"

Zhou Dongfeng looked at Zhang Gu: "I have been working in the hernia field for so many years, and I am familiar with all kinds of patches, but I never thought that I could combine the factors of self-adhesive, polyethylene and barb. ”

Zhang Gu said with a smile: "Mr. Zhou focuses his energy on the great technique of tension-free dilation hernia repair, so naturally he has no energy to develop patches." ”

Zhou Dongfeng nodded quite seriously: "That's what I said." ”

After Zhang Gu left, Zhou Dongfeng reacted.

"Huh?"

"That's not right, how can Zhang Gu make achievements one after another, develop new patches, staplers, and various techniques?"

......

Zhang Gu: "Zhou Cheng, what's the situation of a lumbar hernia patient?"

Zhou Chenggang came back with the patient and said: "I did a full abdominal CT scan and abdominal cavity reconstruction, and the ratio of hernia contents volume to intra-abdominal volume was less than 30%, and there was no risk of abdominal compartment syndrome." ”

"Yesterday afternoon, Mr. Zhou arranged for the patient to do routine bowel preparation to prepare for this afternoon's surgery. ”

"Good. ”

Zhang Gu and Zhou Dongfeng discussed.

In this operation, he will be the main surgeon, and Zhou Dongfeng will be his deputy.

Zhou Dongfeng also wanted to see how Zhang Gu would apply the new type of mesh he developed.

Before the operation, Zhou Dongfeng found Zhang Gu and told him:

"The branch leaders have been paying attention to this difficult and complicated patient, and I reported the operation time, and when the time comes, the branch leaders, as well as some branch members, will come to observe, and then you don't have pressure. ”

"Got it. ”

Zhang Gu didn't care.

is often observed by others for surgery, Zhang Gu is already a little accustomed to it, and there is no tension at the beginning.

Now, if there were no other doctors watching him in the glass observation room, Zhang Gu would be a little unaccustomed to it!

It was afternoon.

About 15 leaders of the "Hernia and Abdominal Wall Surgery" branch and important members observed the group, and the group arrived at the three hospitals.

Seeing this situation, Xiang Jianhua hurriedly came forward to greet him, and after a while, Vice President Liu Wenzhuan also rushed to meet with the leaders of the branch and gave the branch enough attention.

It's time for surgery.

All the members of the observation group entered the glass observation room and discussed in a low voice.

"I don't know how the three hospitals will treat patients. ”

"There is a check to Jianhua, which should be a more reliable operation. ”

"The recent performance of the Third Hospital is indeed a bit eye-catching, first Zhou Dongfeng came up with tension-free hernia repair, and now he has to solve this difficult and complex hernia. It seems that the Third Hospital has capable people in the field of hernia. ”

The members of these chapters are basically composed of doctors in the hernia field of various hospitals.

Among them, a doctor from a hospital suddenly looked at the three surgeons who had entered.

I saw Zhou Dongfeng, Zhang Gu, and Zhou Cheng coming in, but they were wearing surgical gowns and masks, and they were a little uncertain for a while.

The doctor in the first hospital blurted out: "Didn't Zhang Gu do anastomosis and fundoplication? Why did he come to do hernia repair again?"

"Looking at the contours of the body shape and face, it should be Zhang Gu, right?"

After being reminded by the doctors of the first hospital, a small half of the people who have participated in the anastomosis training and teaching base have also recognized it.

"It should be him, I've taken several of his matching classes!"

Many people speculated in their hearts: "Could it be that the repair of this complex lumbar hernia also requires anastomosis technology?" That's why Zhang Gu was also called?"

This reason makes sense.

A patient under general anesthesia, lying on the operating table.

At this time, everyone saw that Zhang Gu took the lead on the operating table.

And Zhou Dongfeng, who should be the main knife of hernia repair, took the initiative to stand in the position of deputy. As for the last Zhou Cheng, who everyone didn't know very well, he obviously looked like a little brother, standing next to him obediently, ready to do some chores.

"What's going on, how did Zhang Gu stand in the main knife position?"

"Shouldn't you let Zhang Gu be the main knife?"

After all, even the concept of tension-free hernia repair was put forward by Zhou Dongfeng. ”

Just when everyone was wondering.

Zhang Gu has already started surgery.

He cut through the skin and subcutaneous tissue layer by layer, revealing the fascia of the abdominal wall. The hernia sac is then freed, and the preperitoneal space is free along the posterior sheath of the external oblique muscle......

Among the people who watched, many people were stunned.

"He is so skilled in repairing hernias?"

"This is Zhou Dongfeng's pre-work for repairing hernias without tension, right? Could it be that Zhang Gu will also repair hernias without tension?"

At this moment, one person in the crowd suddenly remembered something: "Everyone, should you have forgotten? Zhang Gu's name is hanging on the second author of Zhou Dongfeng's tensionless hernia repair article!"

Some people suddenly remembered, while others said that they had not paid much attention to the second author before.

But at this moment, everyone has understood that Zhang Gu, a master of anastomosis, may also have a certain level in the field of hernia.

But even so, it is obvious that Zhou Dongfeng, a veteran in the hernia field, is more suitable to stand in the main knife position, right?

Could it be that Zhang Gu surpassed Zhou Dongfeng in a certain detail?

At this time, Zhang Gu had already cleaned the hernia sac within five centimeters, and surrounded it around, including the lateral border of the rectus abdominis muscle and the psoas major muscle. and appropriately cut and retain the hernia sac to keep the peritoneum intact.

Immediately afterwards, Zhang Gu took out a patch that no one had ever seen.

He places the adhesive hook side up, closes the defect, places it so that there is no tension and no curl, and the patch maintains a certain tension to avoid local bulge. After that, the mesh is pressurized and bandaged so that the mesh and the tissue are in close contact with each other.

"What kind of patch is it, do you see it?"

"How does it look like a patch with sticky and barb-like structures, have you ever seen it?"

Many people shook their heads, some had seen similar ones, but they had never seen this one.

Several branch leaders glanced at each other.

Tell them directly that the patch is the point.

And the idea of this hernia repair is not exactly the same as the tension-free hernia repair shown by Zhou Dongfeng before.

Obviously specially adjusted for this patch.

"When the surgery is done, be sure to ask what is going on. ”

At this moment, these people have countless questions in their hearts and want to ask for answers.