There is abdominal wall edema.

Most of the time it's just a misdiagnosis and didn't run!

Because of this, coupled with the dilation of the small intestine, it is easy to be misdiagnosed as small bowel obstruction when taking an X-ray.

Zhou Dongfeng was afraid for a while.

Fortunately, after listening to Zhang Gu's words, he did laparotomy in time.

Now to find out the cause, as long as it can be remedied in time, it should not be too late to do a good job of obturator hernia repair.

Dig further down.

Soon, Zhou Dongfeng found a five-millimeter-square breach in the ileum about 30 centimeters away from the blind part. A large amount of small intestinal fluid is coming out of the opening, forming a yellowish pus cavity, which is the cause of edema and dilation of the small intestine.

Find the root of the problem!

It is indeed an obturator hernia.

Zhou Dongfeng was completely relieved.

At the same time, he also glanced at Zhang Gu next to the operating table.

Your ability to analyze hernia pathology is too strong! I wonder if you are a clairvoyant eye, and you can directly see such a deep obturator hernia.

Zhou Dongfeng remembered the last case of pediatric inguinal incarceration hernia, which was also seen by Zhang Gu at a glance.

What does this mean?

It shows that Zhang Gu, this kid, is not only talented in anastomosis. In hernia repair, it also has an unparalleled ability to diagnose and discern!

These eyes are the same as fiery eyes.

Or, after discussing with the director, let Zhang Gu not only cultivate in the direction of anastomosis and fundoplication in the future, but also cultivate and cultivate in the field of hernia?

In the field of hernia repair, there is no shortage of experienced surgeons, but there is a shortage of doctors with accurate vision and strong diagnostic and discriminatory ability.

Of course, this is all for later, and we will talk about it after the surgery.

Zhou Dongfeng first focused on the operation in front of him.

Most of the difficulties in obturator hernia repair lie in the preoperative diagnosis and identification.

As for it, it's not that hard to do.

Especially for the experienced Zhou Dongfeng, this is not a major operation.

Zhou Dongfeng beckoned, called Zhou Cheng up, and made him his deputy.

It didn't take long for the two of them to finish the obturator hernia repair.

Waited for the operating table.

Zhou Dongfeng looked around: "Where is Zhang Gu?"

He had so many thoughts just now, and he wanted to talk to Zhang Gu to see what his future plans were.

The little nurse next to her hurriedly said, "Dr. Zhang went back to the office and said that he was going to help you improve the comparison data." ”

Zhou Dongfeng's heart warmed.

Look at our students, they can give back to the teacher.

Outstanding!

Heartwarming!

He glanced at Zhou Cheng next to him again.

Well, with more belts, in the future, you should be able to grow up and become an excellent doctor like Zhang Gu!

Maybe...... Can you?

......

Zhang Gu wrote on the computer a comparison of the two hernia repair procedures.

The previous content was written when his "hernia repair" ability was at the intermediate level.

Now that I have an advanced level, I have to revise and rewrite a lot of parts when I write again. In addition, Zhang Gu has added a lot of content.

At this time, Zhou Dongfeng and Zhou Cheng, who came down from the operating table, also came in.

"Teacher Zhou, I'm looking for you. ”

The printer in front of Zhang Gu just printed out the last sheet of A4 paper, which was bound into a stack of about 30 pages of comparative data.

"I have sorted out the comparative data, which are all summarized and summarized from the case cases, various literatures, and the tension-free hernia repair we did before. ”

Zhou Dongfeng originally had something to say to Zhang Gu.

As a result, as soon as he entered the door, he saw Zhang Gu giving him such a big gift, and those words were suddenly forgotten.

"You're tidying up too fast, aren't you?"

Zhou Dongfeng regarded it as a treasure, took this information, and carefully flipped through a few pages.

It's a pleasure to watch, and it's fascinating.

Zhou Cheng next to him was also itchy and wanted to see that information.

According to Zhang Gu's successive outstanding performances in the hernia field in the past two days, that information is likely to have a very high gold content.

This is too tempting for Zhou Cheng, who is determined to take the route in the hernia field.

Finally, Zhou Dongfeng read it, and he couldn't get enough of it, so he showed it to Zhou Cheng.

Zhou Cheng was overjoyed.

As soon as my eyes fell on this information, I couldn't take my eyes off it.

Zhang Gu and Zhou Dongfeng started a further discussion on the side.

"Mr. Zhou, the advantage of your tension-free hernia repair is that it can reduce the hernia recurrence rate, and the surgical damage is smaller than that of traditional hernia repair, and it also broadens the indications for surgery. ”

"The advantage of laparoscopic hernia repair is that it is minimally invasive, and it can even be repaired at the same time as the examination, which saves time and effort. For patients who have undergone traditional hernia repair and recurrence, there is also the need to avoid 2 approaches, which is less painful and has a faster recovery. ”

"It can be said that both types of surgery have their own advantages, and neither can replace the other. ”

Zhou Dongfeng was thoughtful.

There was a flash of disappointment in his eyes.

He thought that the tension-free hernia repair that he had conceived, perfected, and developed for several years would be very good.

It can get rid of similar hernia repairs.

As a result, it was repaired by laparoscopic hernia in the new era, smoothing out the gap.

This achievement, which has taken many years, is not as big as he imagined.

"Then this is a comparison and a tie conclusion?"

Zhang Gu said: "There is one more point that has not been taken into account. ”

"In terms of the cost of the operation, your tension-free hernia repair is much lower than laparoscopic hernia repair, or even half of it. It also requires a general anesthetic and has a higher recurrence rate than your tension-free form. ”

"This is still a huge attraction for many patients who don't want to have a general anesthetic, don't want to spend so much money, and are looking for a low recurrence rate. ”

"All in all......"

"Mr. Zhou, the results of your years of intensive research are still very worthy of recognition! When they are published, they will definitely trigger a wider range of discussions and comparisons. ”

"Your tension-free hernia repair will definitely be popularized on a large scale!"

Zhou Dongfeng was a little relieved.

"Okay, then I'll collect some more surgical data, make a content support, and then release the results. ”

Wait for Zhang Gu to leave.

Zhou Dongfeng always felt that he seemed to have something to say and forgot to say.

Zhang Gu's mouth just now, like the roar of a machine gun, kept talking.

From the moment he entered the door, he bombarded like a mad bombardment, so that he never stopped for a moment.

He was misguided.

What did you just want to say?

......

In the following days, Zhou Dongfeng personally did several laparoscopic hernia repairs, as well as tension-free hernia repairs, and applied the data to the article.

In addition, some of the data collected on surgical examples were collected.

After filling in the data content, combined with the comparative information written by Zhang Gu for him, Zhou Dongfeng wrote a discussion article.

It was published on the forum of the Medical Association and the official website of the hospital. At the same time, he submitted to a professional medical journal.

"It's all sent out, just waiting for the results. ”

Zhou Dongfeng was a little apprehensive, as if he was waiting for the college entrance examination results to be announced.

Condensed the results of his years of research, I don't know what kind of reaction his colleagues in the medical field will give.

Even the well-informed Zhou Dongfeng is a little nervous and looking forward to it at the moment.

At this time, Zhang Gu came.

"Teacher Zhou, has the article been sent?"

"It's done. ”

Zhou Dongfeng pointed to the computer screen and said, "Your name is also on it." ”

Zhou Cheng also said beautifully beside him: "I also have a name." ”

Although Zhou Cheng's name was at the end, it also made him extremely happy. After all, this article is all the credit of the two bigwigs.

Zhang Gu smiled and said, "Then, Mr. Zhou, may I ask you something?"