The arrival of several directors surprised Chen Qi.

He didn't think that endoscopic hemostasis of gastric bleeding was such a complicated operation. For Chen Qi, it was too simple. It was really no different from getting an injection in the butt.

But he still ignored the era and hospital he was in now.

For Vietnam-China, a small third- and fourth-tier city in 1988, endoscopic hemostasis was unheard of.

Even using an endoscope to remove fish bones can attract so many internal medicine directors to come and watch, and it can cause an internal sensation. This is something Chen Qi could not have imagined.

Through this incident, we can see several problems in domestic medical care in this era.

On the one hand, doctors, especially young doctors, are very eager for new knowledge and new technologies. They want to learn and are willing to learn.

On the other hand, due to various reasons in the 1980s, there was too little communication and exchange between China and abroad.

The few exchanges we had were with Sulian, several Eastern European countries, African Black Uncles, and the so-called Pakistan, Cambodia and other countries.

What advanced medical technologies do these countries have that can be used for communication and exchange between the two parties?

After all, we are too far away from the mainstream world.

In the 1980s, in Vietnam, even in Haidong Province, you could not subscribe to a foreign medical journal. Only international experts like Professor Chen Qi and Wu Mengchao would receive relevant top medical journals on a regular basis.

Journal.

But there are also some visionary, knowledgeable and ideal doctors who are still diligently pursuing new knowledge.

Many doctors have a rare opportunity to go abroad. When they go abroad, they use the limited foreign exchange subsidies they have to buy expired medical journals instead of buying their own personal items.

Because expired magazines are cheap, and they are treated as waste abroad. With a little money, you can buy a lot of them, and then bring them back to China for everyone to learn and refer to.

Of course, it is a pity that more medical talents have chosen to stay there and become abc.

Therefore, except for a few top experts in China, the vast majority of doctors in China do not know about advanced technologies, equipment, and concepts abroad and have no way to know about them.

For non-war crimes, doctors are helpless.

The simplest example is that the equipment that Chen Qi brought back from Mayo, which they had eliminated, has actually reached the most advanced level in China.

For example, people have never heard of some endoscopes used in gastroenterology departments. They only think of them as the most advanced gastroscopes, but they don't know that "gastroscopes" can also be used for surgery.

By saying this, I am not saying that Chen Qi is a walking 500,000 people, but that he is deliberately belittling China and exalting foreign countries.

Only when you know your shame will you be brave and have the courage to face your own shortcomings. Only then will you be able to work hard and catch up and surpass. The same is true for medicine.

How can we make progress if we don’t acknowledge the gap?

Unfortunately, facts have proven in the following decades that some people in China do not realize where this gap lies and how it can be narrowed.

As a result, the gap between domestic medical equipment and foreign countries has widened, until it was impossible to catch up. Top-level medical equipment and medical chips were still in the hands of Western countries, and they had to pay exorbitant prices to purchase them.

Of course, this is a later story.

Chen Qi laughed after hearing Director Zhu's concerns:

"Teacher Zhu, don't worry. I am a surgeon. I have no chance of changing my profession to become a physician for the time being, so it is impossible for our surgery department to be eliminated. On the contrary, surgery has made great achievements, and the golden age has not yet arrived."

Zhu Huoyan did not doubt Chen Qi's words at all, but his concerns were not eliminated.

"But Chen Qi, I heard others say that you said that in the future surgical operations will be minimally invasive. How do we understand this minimally invasive approach? Does it mean that the operation can be completed just like a gastroscopy? Anyway, I just imagined it.

Not coming out."

Comrade Lao Guo also pouted beside him:

"I think this kid is talking nonsense. How do you insert the tube into my brain surgery? Where? Not all surgeries are like gastroenterology, where the gastrointestinal tract can be directly accessed through the endoscope."

While Chen Qi was making preoperative preparations and selecting the endoscopic tube he would use later, he thought to himself: There is an encephaloscope, and it is also a type of minimally invasive surgery.

But he didn’t dare to say this, as he would easily get beaten:

"Guo Shuji, Teacher Zhu, it's not just endoscopic surgery as you think. Minimally invasive surgery is not non-invasive. It still requires making several holes in specific parts of the human body. For example, for a simple cholecystitis, now we need to do a laparotomy.

Right?

Minimally invasive surgeries in the future will not require an incision in the abdomen, but will only require a few small holes of about 1 centimeter in several locations in the abdomen. Then I will insert several tubes, which have cameras at the top just like a gastroscope.

, allows me to clearly see the internal organs in the abdomen.

In addition, I have two tubes inserted here, which actually replace my hands. For example, separation of tissues, removal of diseased organs, suturing and ligation, etc. can all be completed through the two tubes.

If you think about it, laparotomy can cause quite a lot of damage to patients, especially older patients. But if you just make a few holes and make small incisions, the damage will be less and the recovery will be faster. This may be the future of surgery.

Mainstream trends in surgery."

Chen Qi is talking about "laparoscopic surgery",

For example, rigid hysteroscopy, laparoscopy, cystoscopy, arthroscopy, ventriculoscopy, thoracoscopy, colposcopy, etc., not just flexible gastroscopy, bronchoscopy, laryngoscopy, and enteroscopy.

As soon as these words came out, Old Man Guo and Director Zhu were both thinking.

Yi Zewen and other young doctors are already simulating how to perform surgery with two tubes? It is impossible to understand this kind of thing if you have never really tried it.

The doctor is giving a seminar here, and Bai Xue's parents are a little impatient over there:

"I said doctor, can you hurry up? My daughter is waiting."

"Oh," Chen Qi then remembered that there was a patient lying next to him, who was looking at him with resentment.

"I'm sorry, I'm sorry, these are all the bookkeepers and directors of our hospital. We forgot about business while we were chatting. Okay, I'll do the surgery right away."

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It was Lan Lijuan and Head Nurse Shou who assisted in person, while Comrade Lao Guo, Director Zhu and others gathered in front of the monitor, watching Chen Qi slowly lower the gastroscope tube.

There is no problem with the esophagus.

There is no problem with the stomach either.

Chen Qi skillfully operated the gastroscope all the way down through the pylorus to the duodenum.

Because this was an emergency gastroscopy, there was no fasting before the operation, so there were a lot of secretions and food residues in the intestinal cavity, but the sharp-eyed Lan Lijuan had already noticed the abnormality immediately.

She didn't say anything, she just tapped the screen with her finger.

Chen Qi understood instantly and started to rinse with physiological saline. The onlookers unconsciously stretched their heads forward to take a closer look.

Sure enough, with the flushing of physiological saline, bright red blood streaks can be clearly seen flowing in the flushing fluid.

The bleeding point was found.

Nurse Shou happily comforted Bai Xue in her ear:

"Comrade Bai Xue, we have found the real cause of your illness. It is indeed gastrointestinal bleeding. You are not epileptic. You are really unjust."

As a lesbian, it is easier to get angry and sympathize with Bai Xue's experience, so the female doctors and nurses next to her were a little excited.

Bai Xue's tears suddenly flowed down. When Bai Xue's parents heard this outside the treatment room, they hugged each other and cried again.

Director Zhu didn't know there was such a gossip. He was more focused on the surgery, so he started asking questions from a professional perspective:

"Chen Qi, I found the bleeding point. How should I treat it with the endoscopic surgery you mentioned?"

In traditional surgery, you should go to the operating room at this time, cut open the stomach to find the bleeding point on the gastrointestinal tract, and then perform ligation to stop the bleeding.

If it is ulcer bleeding or the bleeding site is not ideal, part of the stomach or intestines will be removed, making this operation more and more complicated.

As long as it's an open surgery, it's usually Level 2 or Level 3. Not only does the patient suffer, but the medical expenses are also beyond the reach of ordinary families.

Chen Qi studied the screen, confirmed the bleeding point, and smiled.

Then he picked out a special small tube from the endoscope box and inserted it through the endoscope hole until it reached the stomach.

At this time, everyone saw on the screen that a blunt tip appeared on the top of the gastroscope.

Chen Qi looked at the screen again, rinsed the bleeding point repeatedly, and then decisively pointed the blunt end at the bleeding point, pushing it once to relax; pushing it twice to relax; pushing it three times to relax.

The directors and directors next to him looked at each other in a daze, wondering what Chen Qi was doing, but no one said anything for fear of missing any details.

】

After Chen Qi pushed it three times, he rinsed the wound again with saline. By this time, miraculously, no fresh blood flowed out of the bleeding point.

"No, it's okay, the bleeding has stopped."

duang~~~

The doctors who were watching were all shocked. They just aimed at the exit point and pushed it a few times to stop the bleeding? Was the operation a success?

Director Zhu even looked at his watch. The whole process took less than 10 minutes from the time of gastroscopy, right?

Lao Guo couldn't bear it anymore and asked in surprise:

"I finally figured it out. There is something wrong with the tube you inserted from behind. If nothing else happens, it should be using the same principle as an electric knife to stop bleeding with electrocautery, right?"

Chen Qi gave a thumbs up:

"As expected, Ginger is old and hot, and Comrade Guo is indeed an expert at it. This is called photocoagulation and hemostasis. The principle is to use photocoagulation to coagulate the protein in the local tissue after exposure, allowing thrombosis to form in small blood vessels.

If you look at the bleeding point just now, it is obvious that a small artery in the stomach is broken, so it is most convenient to use photocoagulation to stop the bleeding. If it is a superficial small bleeding, you can also spray norepinephrine on the lesion to stop the bleeding.

goal.

In addition, if it is esophageal and gastric variceal bleeding, you can inject sclerosing agent to stop bleeding, such as 1% ethoxysclerosing alcohol. In addition, there are argon gas to stop bleeding, hemostatic clips to stop bleeding, variceal ligation to stop bleeding, etc.
To be continued...