Chapter 20 Connecting with Medical Journals
Next to the operating table.
Deputy Donnie Yen and Liu Quan, deputy director of the Department of Gastroenterology, glanced at each other, this little Doctor Zhang, the operation is really strong!
The movements are skillful, and they look a little bit like Jianhua's shadow.
Several young doctors in the observation room were even more shocked and speechless.
This operation technique is very strong! Just talking about anastomosis, it looks a little stronger than Director Xiang.
No wonder Director Xiang would take the initiative to give him the position of chief knife.
Those few who looked at Zhang Gu were a little familiar, and they didn't dare to admit it in their hearts! They became more and more sure that this was definitely a strong foreign aid that the director had invited from other places!
on the operating table.
"4-0 stitches. ”
Zhang Gu was placed with a straight cutting stapler to anastomoses the side of the esophagus to the gastric stump. The esophagus and anterior gastric wall are sutured in layers, with 4-0 sutures continuously suturing the mucosa of the esophagus and anterior gastric wall, and then intermittently suturing the serous muscle layer of the esophagus and anterior gastric wall with silk sutures.
Since I had done a rehearsal of the operation, the cooperation of the instrument nurse was also in place.
This surgery is so comfortable!
For the first time, Zhang Gu felt Xiang Jianhua's comfort.
Finally, Zhang Gu sutured 3 stitches in the anterior wall of the stomach and the entrance to the thoracic cage to separate the incisions in the chest cavity and neck.
"Dr. Zhen, place a drainage tube and drain the negative pressure ball. ”
Donnie Yen immediately complied.
It feels like a deputy, and it's refreshing.
Zhang Gu also couldn't wait to train his deputy and surgical team.
The deputy's candidate.
Well, Yao Na did a good job......
Forget it, just think about it, Yao Na is the deputy director, how can she be my deputy.
At this point, the anastomosis part of the operation is completely completed.
The finishing touches will be handed over to Donnie Yen and others.
Xiang Jianhua was also full of smiles: "Everyone has worked hard, and the operation was very successful! This time, our team of thirteen people cooperated very well, and everyone has credit!"
Everyone smiled from the bottom of their hearts. Xiang Jianhua can employ people and speak. Not only employ people, but also promote people. So everyone is willing to follow Xiang Jianhua.
Taking off his gloves and masks, Zhang Guhe and Xiang Jianhua walked outside with a smile.
"The anastomosis part of this operation, Dr. Xiao Zhang did a very good job. ”
Zhang Gu said modestly: "I just have some ideas about the anastomosis, and there are still many places to learn from the director." ”
Zhang Gu is not fake modesty, Xiang Jianhua's comprehensive quality is too high, and today's teamwork alone taught him a good lesson.
This is the knowledge that cannot be brought by the surgical skill card, but it is the quality that an excellent surgeon needs, and Zhang Gu needs to study hard.
"Huh?"
The young people who were observing were stunned when they saw Zhang Gu who took off his mask!
"It's not ...... Isn't this Dr. Zhang Gu?"
"It must be him, I just read the announcement of our third hospital, and there is a photo of him on it!"
"No wonder it feels a little familiar, I can't believe it. ”
"Oh my God, was he the one who did the anastomosis just now?"
"Those who can turn positive are really not simple characters. ”
In the eyes of the young people, Zhang Gu left as if he were a famous doctor.
……
After the operation, Zhang Gu checked his mind.
"After completing a gastric anterior anastomosis, the final score was 2.9 points according to the comprehensive evaluation of the difficulty coefficient, performance, and operation time of the operation. ”
Zhang Gu smiled: "There is progress again, not bad!"
"Rewards: 1 proficiency intermediate card, 1 random card. ”
This reward is okay!
In order to do this operation, Zhang Gu consumed an intermediate card, and this is back.
The most important thing is that Zhang Gu also gained surgical skills, experience in the main surgery, a sense of teamwork, and Xiang Jianhua's attention, and even collected surgical data, which can be published.
It's bloody.
Click on the random card, and as expected, a minimum proficiency beginner card is opened.
These two proficiency improvement cards, Zhang Gu plans to put them away for the time being.
He felt that he was becoming more and more sensible, anyway, there were too many surgical skills that needed to be improved, so it was better to use which one to improve which one, and save it when it was urgent.
Then, Zhang Gu integrated the data collected during the operation.
After spending an afternoon, Zhang Gu combined the data of the two surgeries and wrote an article.
"Compared with Director Ma's article, I feel like a running account. ”
Zhang Gu has to admit that he still lacks a lot in writing articles. If it weren't for the foundation of the previous article, he probably wouldn't even be able to build the framework of the literature.
"Go to Director Ma to polish me and check it. ”
Zhang Gu found Ma Chenglin, and Ma Chenglin did not shirk it, and it took one night to send the revised article back.
Zhang Gu looked at it, and it was much more pleasing to the eye, and it was tall and tall at first glance, like a finished product published in a professional medical journal.
After Zhang Gu finally verified that it was correct, he sent the article to the mailbox of Qiu Deputy Editor-in-Chief of the Provincial "Contemporary Practical Medicine".
With the article "A Brief Discussion on Improving the Fixed Gastric Tube" posted last time, Zhang Gu can be regarded as a stepping stone to the provincial magazine, and with the mailbox and mobile phone number of the editor-in-chief Qiu, he can directly connect with the magazine.
……
Provincial capital of Shanxi Province, Contemporary Practical Medicine Magazine.
Editor-in-Chief Qiu heard the mailbox ring and glanced at it casually.
"Hmm, is that the doctor who published "Fixed Gastric Tube" last time?"
"Could it be that there are any new insights in the area of gastric tubes?"
Editor-in-Chief Qiu's eyes lit up slightly. Last time, he was also commended by the editor-in-chief for that article.
Although that article is only a postoperative rehabilitation method and does not involve intraoperative techniques, it has received a great positive response!
Many medical staff who read the article said that it reduced the workload of their daily work and also reduced the pain of patients. I hope that the magazine can produce more articles like this that are really practical.
"I hope that this time, he can surprise me again, it must be practical, not flashy articles. ”
With anticipation, Editor-in-Chief Qiu clicked on the article.
Title: "Reflections on Modified Gastric Anastomosis".
This time there is only one author, Zhang Gu.
"Modified gastric anastomosis?" is a more practical title at first glance.
Editor-in-Chief Qiu looked at it carefully, and when he saw the advantages of this improved method, his eyes suddenly lit up.
"Modified gastric anastomosis can preserve the normal physiological functions of the residual stomach, duodenum and esophagus to the greatest extent, help the release of gastrointestinal hormones, and also help reduce the occurrence of food reflux and anastomotic leakage, and affect the overall nutritional status of patients after surgery. ”
"Distal gastric anastomosis, in particular, can simplify the surgical operation, reduce intraoperative blood loss, and reduce postoperative complications. ”
Editor-in-chief Qiu carefully reviewed and compared the surgical data mentioned by Zhang Gu in the article.
"His two surgeries are indeed significantly improved over traditional anastomosis. ”
"Although there is little support for surgical data, it is enough as a discussion and thinking article. ”
"The point is that this new kiss is a new way to provide a new way of anastomosis, which is enough to cause enough repercussions. ”
Editor-in-Chief Qiu became more and more excited: "This is definitely a practical article, this Dr. Zhang Gu is really my nobleman!"