Zhang Gu said: "It is not difficult to achieve, this kind of fine stitching is more of a change in thinking, and it does not improve the difficulty in practice." ”

When Xiang Jianhua heard this, he felt safe in his heart.

The surgical methods and operation techniques developed by Zhang Gu several times before are all very difficult to operate. It was not until the stapler was developed that the anastomosis was made less difficult.

After that, it has the feasibility of promotion and has a training base.

This parachute continuous suture, as long as it does not increase the difficulty of operation, and can increase the advantage of anastomotic suture, it has promotion value!

Xiang Jianhua took the information and looked at it carefully for a long time.

Finally, he slapped the table: "Let's go, I'll go with you to the hepatobiliary and pancreatic surgery department and practice." ”

Practice makes sense.

Xiang Jianhua is also itching, how many advantages can this new anastomosis suture method have?

The two went straight to the hepatobiliary and pancreatic surgery.

......

Yao Yusen was leaving the office when he saw Zhang Gu rushing over with Xiang Jianhua.

Thinking about it again, Zhang Gu quietly squatted in their department and operating room for two days......

Yao Yusen's heart twitched, could it be that Zhang Gu secretly discovered some big problem and reported it to the big leader, and now he is here to reprimand?

Without waiting for Yao Yusen to think too much, Xiang Jianhua said, "Xiao Yao, when will there be biliary-intestinal anastomosis surgery?"

Yao Jianhua was stunned for a moment, and reacted, it seems that he is not here to find trouble?

He subconsciously replied: "There is one now, calculate the time, it should be almost finished." ”

Xiang Jianhua glanced at Zhang Gu: "It's just right." ”

The two called Yao Yusen and came to the operating room on the sixth floor.

Along the way, Xiang Jianhua was chatting with Zhang Gu about the parachute suture.

Yao Yusen also gradually came back to his senses, and his heart gradually became excited!

New anastomosis sutures!

According to Director Xiang and Dr. Zhang Gu, it seems that this kind of suture anastomosis can solve many problems and has great advantages over the existing suture anastomosis methods.

It's great!

Yao Yusen, as the director of the Department of Hepatobiliary Surgery, saw that the Department of Hepatobiliary Surgery had never developed, and even fell to the present, occupying only half of the floor, and shrinking more and more, he was also very anxious.

He is extremely eager to hope that hepatobiliary surgery can move forward, develop and progress.

It's good to be able to take a step forward.

The three of them came to the operating room.

At this moment, on the operating table, the stone removal part of the biliary stone surgery has just ended.

I am about to suture the anastomosis part.

Yao Yusen, the section director, went up to call a stop, and the deputy director and several deputies who were the chief surgeon all looked at him in surprise.

"Director Xiang and Dr. Zhang Gu are going to take over the operation, you are watching from the side, study hard!"

The members of the surgical team walked off the operating table a little inexplicably.

This is all the anastomosis at the end, and the operation went smoothly without any accidents. Why is it going to be taken over?

Could it be that Director Xiang has any new surgical experience?

Xiang Jianhua and Zhang Gu changed into surgical gowns and walked onto the operating table. Zhang Gu is the main knife, and Xiang Jianhua is the deputy.

Seeing this scene, the surgical team was a little confused.

Even Director Xiang has been reduced to being a deputy?

Xiang Jianhua said: "Zhang Gu, what do you say, I will fully cooperate with you." ”

Hearing this, Yao Yusen and the others were even more complicated, and it was something they couldn't think of to get Xiang Jianhua to cooperate.

They looked at Zhang Gu more curiously, what kind of technique did Zhang Gu want to do?

"Give me 5-0 absorbable stitches. ”

Hand it to Jianhua.

Zhang Gu adopts a double thread head, starting from the left side of the anastomosis, and continuously sutures the posterior wall, with a bile margin of two millimeters, a intestinal margin of three millimeters, and a needle distance of three millimeters, always maintaining a distance of five to ten centimeters between the jejunum and the broken end of the bile duct.

"Director Xiang, help me use the nerve hook to tighten the sutures. ”

Xiang Jianhua did so, his eyes kept staring at Zhang Gu's movements.

He wants to see what the difference between Zhang Gu's parachute-style continuous suture and ordinary continuous suture is.

I saw Zhang Gu suture the front wall with a needle and thread on the right side, until the two lines converged and knotted, layer by layer, like a parachute.

Seeing this, Xiang Jianhua saw some clues.

Ordinary continuous suture is a knot with one stitch on the left and right sides, and then continuous full-thickness suture from left to right.

Zhang Gu's parachute-style continuous suture is characterized by not tightening the sutures, the front wall and the back wall are more continuous, and in the whole process, not a knot is tied. The sutures are not tightened until the final stitches are completed.

He immediately saw the benefits of doing so.

First, the reduction of knots means that there are fewer needles, which ensures less surgical trauma and reduces the chance of postoperative bile leakage.

Second, if the sutures are not tightened, there is enough room for operation in the suture work, so that the whole operation is not only not more difficult, but also simplified and more comfortable!

This almost brings about a series of reactions, with precise operation and operation space, it is possible to do without placing a T tube after surgery, and there is no need to worry about the problem of bile outflow.

looked at Jianhua and sighed in his heart.

"This kind of suture has changed my thinking from the source, and I didn't expect that every step in the future can benefit, become easier, simpler, and more beneficial to patients. ”

Why didn't anyone come up with such a great stitching method earlier?

Yao Yusen and the surgical team under the operating table also saw straight eyes.

This kind of obviously better suture anastomosis idea is not difficult to look at!

Why can't anyone think of it?

At this time, Zhang Gu finished the last stitch, tightened the stitches, and made the end.

Waited for the operating table.

Zhang Gu said: "How long will it take me?"

Yao Yusen looked at the watch next to him and was shocked: "It only took 11 minutes!"

Zhang Gu smiled: "Yes, the average time for ordinary continuous sutures is 16 minutes, and the intermittent sutures take longer. And this kind of parachute-style continuous suturing should take about 10 minutes on average, and this is the first time I am not proficient, so I lost some time. ”

Everyone took a deep breath, shocked in their hearts.

It's so important!

On the operating table, a shorter time to complete the procedure means less wound exposure and greater safety.

Just by improving the efficiency of surgery and simplifying the operation of surgery, Zhang Gu's new suture anastomosis method is worthy of recognition!

Zhang Gu continued: "The biggest feature of this suture method is that it can evenly and gently disperse the tension, especially for patients with edema and fragile bile duct wall, which is very troublesome for us to deal with. And with this suture anastomosis, you can easily cope with it. ”

Yao Yusen and the surgical team standing next to him all agreed very much.

In their daily work, they are most afraid of encountering a patient. It is the fragile texture of the bile ducts.

Often sutured and sutured, perhaps because of an extra knot, the sutures are accidentally tightened too tightly, which causes bile duct damage, or even rupture and damage, resulting in intraoperative accidents and bleeding.

And this new suture method simply solves this problem directly from the root!

Xiang Jianhua pondered for a moment and finally made a decision.

"Xiao Yao, your hepatobiliary surgery department will do a centralized training and study in the near future. ”

"Focus on training and learning parachute continuous suture and ordinary continuous suture, and in the future, Corey will clarify and standardize the suture anastomosis method, and strive to make this new anastomosis suture legal as soon as possible, and popularize and popularize it in your science. ”

Yao Yusen nodded again and again!

He had been desperate for some development in hepatobiliary surgery.

This is a great opportunity.

After discussing a few words with the deputy director next to him, he opened his mouth to apply:

"Director Xiang, can we ask Mr. Zhang Gu to teach us a lesson?"

Xiang Jianhua glanced at Zhang Gu, he didn't have any opinions, as long as he could improve the level of suture anastomosis in hepatobiliary surgery as a whole.

Zhang Gu: "I'm not suitable. I'm a general surgeon, or Director Yao, it's better for you to teach in person. Moreover, this kind of continuous parachute suture is just a relatively new idea, and the specific operation is not difficult. ”

Yao Yusen said with a smile: "No, no, your Dr. Zhang Gu is an expert in the field of anastomosis, and your anastomosis thinking is obviously a level higher than ours." Your teaching has not only brought us a new way of anastomosis suture. ”

"It also conveys a high-level matching idea to us!"

Xiang Jianhua silently gave Yao Yusen a thumbs up.

I didn't find that you Xiaoyao was so good at speaking and eloquent.

However, Xiao Yao really got to the point. Zhang Gu does have a better anastomosis idea, otherwise, why can he alone come up with a new suture anastomosis idea, but others can't?

I still have the goods in my head.

Yao Yusen requested: "Doctor Zhang Gu, in your class, tell us about your surgery to preserve the spleen and remove the pancreas, although our department does not carry out this operation, but it is all knowledge in the field of hepatobiliary and pancreas, it is always beneficial to listen to it, it can open up the thinking of our department, increase knowledge, and be beneficial and harmless." ”

Xiang Jianhua also nodded in agreement.

Zhang Gu had no choice but to agree, mainly because of Yao Yusen's expert, which was too good.

Zhang Gu said: "Okay then! I'll go back and make a PPT, Director Yao, you can arrange the time." ”

"Good!" Yao Yusen was happy.

......

Returning to the Department of General Surgery, Zhang Gu checked his mind.

"Doing such a small suture, I guess the score is not high. ”

Sure enough, because the operation itself was small, Zhang Gu only did the suture anastomosis part, and the score was less than 2 points, and even the reward was not issued, and it was accumulated and distributed to the next one.

Zhang Gu didn't care, he just wanted to pave the way for the next marginal disciplines this time.

Seeing Xiang Jianhua and Yao Yusen attach so much importance to it.

Zhang Gu's goal has been achieved.

Find Yao Na and Shen Wenting.

I asked about the progress of the two teams.

Yao Na has preliminarily selected three cases of gastric cancer and obesity and diabetes type 2 patients, and intends to screen the most suitable case from these three cases.

Shen Wenting and others have a similar grasp of the operation of gastric transfer.

According to the report of the two, Zhang Gu put forward some guiding opinions to the two to carry out the integration of the two surgeries into one.

After that, send the two away.

Zhang Gu wrote a teaching PPT on the computer himself.

"I'm going to have another addiction to being a teacher. ”