Titanium clamp suture is the most common and simplest endoscopic suture technique.

For patients in front of the patient, the wound caused by the insertion of the denture is only 1.5 cm wide, and the wound is not large, so this method of closure is very suitable.

The reason why Mr. Shao is willing to let Tao Le do it is naturally because he has confidence in Tao Le.

Her hands are very stable, so whether it is acupuncture or suturing, she can do it brilliantly, and it is not difficult to operate titanium clips to close the wound under endoscopy.

However, the titanium clip is loaded into the titanium clip releaser, and then sent along the cannula into the wound in the stomach for closure.

Once the closure is complete, the titanium clip remains in the body. It is small in size and has good compatibility with the body, and after about ten days and half a month of wound healing, it will be excreted from the body on its own, and there is no need to take it out again.

Mr. Shao has already thought about it, even if Tao Le is not familiar with the operation, but with himself staring at the side and personally guiding, there must be no problem.

For talented young people, it is important to create opportunities for practice at all times to increase their clinical experience.

Mr. Shao's face was full of the holy brilliance of being a teacher, and his gaze at Tao Le became softer.

Therefore, when Tao Le refused the titanium clip releaser and asked the instrument nurse for a flexible needle holder through the endoscopic orifice and an absorbable barbed suture, both Mr. Shao, Mr. Zhang and Xu Shou were very surprised.

"Xiao Tao, are you going to do EHS?" Mr. Shao asked hesitantly.

The operating room of their digestive endoscopy department is really equipped with this kind of needle and thread, but no one has ever used it since they purchased it.

Because EHS surgery, that is, endoscopic manual suture, is the latest and most difficult technology for endoscopic suture in the world.

Compared with the traditional titanium suture method, the advantages of this technique are obvious, the suture is tight, and the gastric mucosa itself will not crack due to the slippery nature of the gastric mucosa, which can minimize the problem of postoperative bleeding.

It is not only suitable for small wounds in patients in front of the patient, but also for large invasive surgeries such as gastric mucosal dissection.

The only drawback is that the requirements for the surgeon are extremely high.

Performing continuous linear sutures under the endoscope is not as simple as suturing directly with a hand-held needle, and an untrained person cannot even suture a single stitch.

Even an experienced endoscopist can get eight or nine stitches in an hour.

As an internationally leading new technology, it has been widely promoted and applied in Beijing and Haishi, but in third-tier cities such as Yunshi. It's just being put on the agenda.

To be precise, learning to master EHS technology is the main direction of the Department of Gastroenterology of the First Hospital next year.

So Mr. Shao's shock is completely understandable - even if Xiao Tao is a disciple of Zhou Guoshou, but it is also traditional Chinese medicine, how can he master such cutting-edge Western medicine suturing technology?

"Yes." Tao Le nodded and said: "The patient is old and has blood clotting disorders, once the titanium clip falls off halfway, it will cause stomach bleeding and even perforation, which is too dangerous." ”

"With EHS, you don't have to worry about these problems at all."

"Well, the benefits of EHS, we all know it." Mr. Shao asked: "It's just that this operation is very difficult, don't be reluctant!" ”

Tao Le showed a faint smile on his face.

It's true that EHS is really difficult to operate, but that's all in the past.

Once endless patients, once masks and poisonous tongues, once concentrated, once selfless and unmanned.

The instrument nurse has figured out what she wants.

Tao Le took it and used the needle holder to clamp the sutures near the end of the needle, so that the sutures could swing freely as they passed through the cannula into the stomach.

It was such an action that made Mr. Shao's eyes shine.

He has seen the EHS operation video and explanation, although he has not done it himself, but he has a vision.

This little Tao, ah no, is Dr. Tao, he really understands, not that he doesn't know how to pretend to understand.

Once Tao Le is in a working state, he immediately forgets everything around him.

She didn't notice that the head nurse received another phone call, which was from Dean Lin himself.

"Ms. Lorenne's surgery hasn't started yet, has it?" He asked.

"It's already started - fifteen minutes." The head nurse replied truthfully.

Three minutes of anesthesia, two minutes of acupuncture to stimulate the antrum, three minutes of endoscopic retrieval, six minutes to find a stapler and unpack. Tao Le got started in less than a minute.

"What?" Dean Lin's voice was raised for a while, which was rare in his career as a dean: "Didn't the family call you and inform the lady that she had a blood clotting disorder?" ”

"That's true. But at that time, the patient had severe pain in the upper abdomen, and several doctors judged that the perforation might be imminent, so ."

Dean Lin immediately understood: "So I had to operate immediately, alas"

"Dean, don't worry, you didn't go under the knife." The head nurse explained: "It was taken out by Mr. Shao under the endoscope. ”

"Oh? Xiao Shao is good! Dean Lin praised: "He got off the gastroscopy again, did he succeed?" Good, good, good! ”

"Not exactly." The head nurse explained seriously: "It's Dr. Tao." ”

"Tao Le?" Dean Lin just checked the notice of this operation: "I know, Xiao Tao went to the rescue and became an anesthesiologist." ”

"Dr. Tao didn't just do anesthesia. She proposed to use acupuncture to stimulate the stomach and increase peristalsis in order to loosen the foreign body."

"I see." Dean Lin praised: "This plan is similar to the previous two-mirror combination, but it does not need to be operated, and it is simple and easy. ”

"That's right." Dean Lin's tone changed: "The foreign body has just been taken out, and it hasn't started to be sutured yet, right?" ”

"It's already been stitched." The head nurse looked ahead, and Tao Le's operation was clearly presented on the big screen:

After the needle holder is inserted into the stomach, the needle is inserted from the side of the wound, the needle is withdrawn, the needle is withdrawn, the loop at the end of the suture is tightened, and then sutured in a linear fashion in a continuous manner, about 3 mm apart.

This process was smooth and smooth, and the people present were pleasing to the eye.

"What!" Dean Lin's voice was raised two degrees higher than before.

"Wait a minute, let them wait a minute!" He exclaimed:

"The patient has an extremely rare titanium allergy that cannot be used with conventional titanium metal seams."

"Let them spray the hemostatic agent first, and don't do anything else yet. The experts from Haishi have already set out and can come over in three hours to do EHS sutures"

"Dean, don't worry." When the head nurse heard that she was going to stop now, her heart hung in the air.

But when she heard it, she put her heart back again, and her voice became orderly.

"Not stitched with titanium clips." She said: "Dr. Tao is doing EHS sutures. ”

She glanced at the big screen again, where Tao Le was cutting the remaining sutures with scissor pliers, holding the sutures with a needle holder, and taking out the needle through the cannula and throwing it into the stainless steel tray.

“…… It's done now. The head nurse added.

"Xiao Tao, she still does EHS?" Dean Lin was extremely surprised: "And how can it be so fast?" ”

He seemed to communicate with someone on the other end of the phone, and asked, "How long is the wound, and how many stitches did Xiao Tao have?" ”

"One and a half centimeters, six stitches."

"It can't be!" Dean Lin said at the same time as the voice who didn't know who it was.

It's the last day of the month, ask for a monthly pass! This month, Xiaohai still owes you a chapter to add, maybe two chapters...... These two days will be served as soon as possible, please ignore the past suspicions, continue to support Xiaohai!

(End of chapter)