Chapter 326: New Situation
The surgical protocol is simple and easy. After the laparoscope enters the body, it goes straight to the outside of the stomach to help loosen the foreign body at the corresponding part of the foreign body, and then removes it with the gastroscope.
This procedure requires a general anesthetic. However, the patient has chronic cor pulmonale, which is a contraindication to general anesthesia, not to mention the elderly in their eighties.
So that's where Tao Le comes in for the whole operation: a needle anesthesia instead of a general anesthesia.
She breathed a sigh of relief. Although she can't use gold fingers, she has been specially trained in various endoscopic foreign body removal surgeries, and she is also very skilled in acupuncture anesthesia related to them.
As they spoke, both of them had already entered the operating room, brushed their hands and changed into surgical gowns.
The two inpatient directors of digestive endoscopy and gastrointestinal surgery, Mr. Shao and Mr. Zhang, had already arrived, and when they saw Tao Le coming in, they greeted her warmly.
To be honest, they have long been very curious about the legendary acupuncture anesthesia.
Everything is ready and the surgery is about to begin. At this time, the head nurse suddenly received a phone call.
It was a long-distance call from the patient's son, and the other party told a new story in an eager tone.
The patient has some degree of coagulation dysfunction and is not suitable for open surgery.
The head nurse relayed the situation to everyone, and all the doctors on the stage were a little confused, and they all looked at the patient.
The old lady was awake at this time, and a pair of small brown eyes blinked a few times, and said as if awakened from a dream: "Oh yes, there is indeed such a thing. It's been so long that I've forgotten that there is still this problem. ”
Now is not the time to pursue an incomplete history.
This is originally an emergency small laparoscopic operation, and it does not have to be like a major operation, and a comprehensive coagulation function screening must be carried out in advance, so several doctors are a little worried at this time.
"The planned surgery plan still has to be changed." Mr. Zhang of the Department of Gastrointestinal Surgery sighed: "Why don't you invite senior doctors from various departments to come over for consultation?" ”
Xu Shou, the attending doctor of the emergency department, looked at Tao Le and suddenly remembered one thing he had heard from Dr. Geng in the department last time.
"Xiao Tao, I heard, you will also control your pulse to stop bleeding? Why don't we do the surgery, and you will show us your hand? ”
"I don't approve. It's too risky. Mr. Shao of the digestive endoscopy immediately waved his hand: "Not to mention the effect of intraoperative pulse control and hemostasis, the difficulty of postoperative hemostasis and recovery is a big problem." ”
"In that case, we can only do it according to Mr. Zhang's opinion." Xu Shoudao.
The old lady had been frowning urgently since just now, thinking that it was because of the severe pain in her abdomen.
At this moment, she simply held her hands on her stomach and moaned out of her mouth.
Such a painful method, isn't it going to be perforated?
Everyone is an experienced clinician, and this vision is still there.
But if you notify the senior physician now and let everyone come for a consultation, it will take more than an hour, and the patient will not be able to wait.
"In this case, we can't wait. We are still proceeding with the previous surgical plan, let's talk about the operation to stop the bleeding. Mr. Shao suggested.
Xu Shou and Mr. Zhang both nodded. There is no way, if there is a gastric perforation, then you will have to have an open surgery anyway, and the problem at that time is much more serious than now.
"Xiao Tao, please do acupuncture anesthesia for the patient." Xu Shou said.
The results of the patient's previous gastroscopy were on the big screen, and Tao Le swept it at a glance and already knew the situation well.
Hearing Xu Shou's words, she immediately responded and stood in front of the patient's left side.
Lorenie was nervous. It is a very disturbing thing to fall ill in a foreign country, especially in a country where the level of medicine is relatively backward compared to one's own country.
But what was even more exciting than this was that the other party used an anesthetic method that she couldn't understand.
She has a lot of Chinese friends, so she doesn't know anything about acupuncture like some foreigners.
But even her Chinese friends have not heard of acupuncture anesthesia.
But they all knew about Zhou Jishen and had deep trust in his disciples.
It is for this reason that she signed and lay here.
No matter how bad the upper abdominal pain is, the doctor in front of her can't see clearly while wearing a mask, but from those eyes, she can feel that she is very young.
Being young is a capital to be proud of. But for doctors, that's a minus.
The young female doctor stood in front of her and said in a soft voice, "Don't worry. Get some sleep and everything will be fine. ”
If you don't worry, how can you not worry? Lorennie's eyes widened, and she stared at the female doctor's hand.
She barely felt anything but a few strokes of that hand. And then nothing is known.
"Let her sleep first." Tao Le said: "Acupuncture anesthesia is mainly based on local anesthesia, so it should be supplemented by acupuncture to help sleep. ”
She was able to administer the needle very quickly, but in just three minutes, the anesthesia was complete.
Mr. Zhang of the Department of Gastrointestinal Surgery picked up the scalpel and was eager to try, but was stopped by Tao Le.
"Wait, I have an idea." She said. "Otherwise, Mr. Zhang, you will postpone the operation. I'd like to try endoscopic retrieval again. ”
Mr. Shao of the digestive endoscopy frowned: "We have already tried it just now." Most of the dentures are embedded in them, and the surrounding edema is so bad that it doesn't work at all. ”
He was a little dissatisfied in his heart. Is this Xiao Tao questioning his level of endoscopic retrieval?
Oh, he's tried so many times that it doesn't work, and she can do it when she comes?
If it weren't for the urgency of the patient's situation, he really wanted her to hit the south wall and try it to see if anyone could do it if anyone could do it!
Tao Le can actually do it. She has taken all kinds of strange things in the collection of endoscopes, just this kind of dentures. The difficulty is also medium.
But at the moment, she really didn't mean to slap Mr. Shao in the face.
If you want to succeed in achieving your own goals without arousing the disgust of others, this is a university question, and Tao Le is still practicing.
"The patient has a coagulation disorder, and with her age, even if it is minimally invasive, the damage to her is great, and it is even more difficult for the operator to recover." Tao Le quickly explained:
"In fact, in this operation, the laparoscope mainly plays the role of helping outside the stomach to help loosen the foreign body."
"But what if you don't use laparoscopy?"
Tao Le's eyes were full of confidence: "Acupuncture can be used to promote the peristalsis of the antrum, although it is not as direct as laparoscopy, but it can always have half the effect." ”
Hearing this, the other three doctors all understood.
"Then let's give it a try." Mr. Shao's little dissatisfaction just now disappeared immediately.
He began to get out of the gastroscope and said, "Xiao Tao, show us a good show, you are a famous acupuncture!" ”
The effect is really good. The antrum accelerated peristalsis, and the dentures really moved, and they were quickly put out by Mr. Shao.
This action was steady, accurate and ruthless, and played the highest level since he started his career, and was unanimously praised by the doctors present.
"Teacher Shao, you are really amazing!" Tao Le's eyes were shining, and he praised sincerely.
This is a compliment from Zhou Guoshou's disciples. Mr. Shao's mood is also very good.
At this time, he had already thrown away the little dissatisfaction he had with Tao Le before.
Tao Le is worthy of being a famous disciple. The level of acupuncture is high, the brain is smart, and he is very modest.
This little girl can handle it!
After the foreign body is removed, the broken stomach wall is repaired with sutures.
The bottom of the patient's antrum was significantly thickened due to edema, and blood came out immediately after the denture was removed, and the visual depth was about 3 mm, and only a thin layer was needed to perforate.
"Xiao Tao." Mr. Shao's expression became solemn: "I have seen your stitching, which is the level of a master." But have you ever done this suturing of the stomach wall? ”
Tao Le's eyes immediately lit up: "I've done it, let me come!" ”
(End of chapter)