Chapter 591 I need a hole in my stomach(1/2)
Chen Qi first found a triangular head and inserted it into the endoscope tube until the triangular head appeared on the display, which meant that the thing was already in the esophagus.
Just when Zhang Weizhong and Lan Lijuan thought he was going to open the triangular head, turn it into a triangular claw, and forcefully take out the battery, Chen Qi was caught by surprise.
I saw him push the handle and operating lever hard, and use the top of the triangular head to stab the battery directly toward the stomach.
At this time, the button battery was already connected to the surrounding tissue, and Chen Qi had to push hard.
Zhang Weizhong is a little confused:
"Dean Chen, if you push the battery to the stomach like this, you will not bring all the heavy metal electrolyte to the stomach. It may cause perforation of the stomach. This is not worth the gain."
Lan Lijuan also nodded and said:
"Yes, the adhesion is so severe that even if the battery falls off, it will cause bleeding from the wound, which is equally dangerous."
The 15 master's students not far away are also looking at me and me at you. Can't you guess why your professor wants to operate the battery in the opposite direction?
Chen Qi explained while supporting:
"To complete today's surgery, I have to build a channel in the esophagus to allow the endoscope to reach the stomach smoothly. But as you can see, now inside the esophagus, the battery and the tissue around the esophagus are stuck together, basically blocking it.
, where is the passage?
Even if I make a tunnel, you see, the entire upper part of the esophagus has been corroded by heavy metal chemicals, and there is no way to make a tunnel, so this road is also impassable, so the only way out is the battery.
There will definitely be bleeding if the battery is forcibly separated, but I have a way to stop the bleeding. And if the battery falls into the stomach, I also have another way to quickly remove it without causing harm to the stomach. But the channel vacated after the battery is separated,
Then I can proceed to the next step of surgery.”
This is like a traffic accident on a road that is completely blocked. What Chen Qi did was to use violent methods to directly push a car in the middle out of the way and forcefully make way for rescue workers to pass.
Chen Qi pushed it hard again, and the battery came loose and fell straight down.
It worked.
To everyone's surprise, the wound caused massive bleeding as expected.
With quick hands, Chen Qi quickly sprayed the prepared hemostatic agents such as Octreotide Injection, Recombinant Human Growth Hormone, Snake Venom Hemocoagulase Injection, etc. on the wound.
Taking advantage of the short period of time to stop the bleeding, he quickly pulled out the triangular head, replaced it with an electric scalpel head, and began to use physical methods to stop the bleeding until the wound stopped bleeding.
Before Chen Qi felt anything, the people watching behind his back broke into cold sweats.
The most feared thing about surgery is heavy bleeding. If the heavy bleeding cannot be stopped, it will be difficult to predict the outcome. Otherwise, why would so many patients die on the operating table?
Zhang Weizhong swallowed his saliva and admired Chen Qi's skills and courage.
"Dean Chen, the passage is open, what should we do next?"
"What to do next? Of course, repair the esophageal perforation."
"However, wounds burned by chemical substances cannot be sewn with needles. How to repair this perforation?"
Chen Qi chuckled, took out a small titanium clip from a small box, installed it on the electron microscope tube, and sent it to the place where the upper end of the esophagus was perforated.
Everyone is staring at the screen, wanting to see what the chief surgeon wants to do?
I saw the titanium clip aiming at the perforated part, spreading its four claws, like a spider, and clamped all the tissue around the esophageal lesion at once. Chen Qi pressed it with the operating handle, and the titanium clip clamped the perforated part like this.
tight.
In the end, the titanium clip was left there. Chen Qi exited the endoscope tube and started looking for the next medical device.
Everyone blinks, is that okay?
Still curious, baby Zhang Weizhong was the first to ask: "Dean Chen, is it okay to clamp it like this?"
Chen Qi answered casually while looking for the equipment he wanted:
"Okay, just let the clip tighten. After a while, the clip will automatically fall off, pass through the gastrointestinal tract and finally be expelled from the body. All that's left is to let the human tissue slowly repair the puncture wound."
It's that simple.
It's like someone making a cut on their arm. The usual treatment is to sew it up with a needle and thread.
But later a "band-aid" was invented. Just align the surgical wound and stick it firmly, and the rest is for the wound to heal on its own.
This saves the trouble of stitches and the pain of the patient, and there is no need to remove the stitches, so the effect is certain.
The same principle applies to Chen Qi's titanium clip. Just clip it and it's OK.
Everyone in the operating room almost fainted, and at the same time there was a sense of surprise in their hearts. It turns out that endoscopic surgery can be done like this? It is simply too advanced, and it saves time, effort and money.
Well, it's not necessarily about saving money. The cost of a titanium clip is probably more expensive than sewing it with needle and thread.
Regardless of what others were doing, Chen Qi quickly fixed a small circular barrel with a hollow center in the middle with an endoscope, and then sent it into the gastroscope tube.
Jin Meng couldn't help but ask at this time:
"Teacher Chen, what are you doing?"
"Oh, this is temporarily installed at the original battery site. You can see that the tissue in the area corroded by the heavy metal chemical liquid is already very fragile. I will also perform endoscopic surgery on the stomach later. It is very easy for the tube to go in and out.
Open this wound.
Now that I have finally stopped the bleeding, I must not cause heavy bleeding due to friction. The operation will be troublesome, so I fixed this small barrel here, and then the gastroscope went in and out through this channel to avoid causing damage to the tissue around the esophagus.
harm."
Oh~~~~
The newbies nodded repeatedly and lowered their heads to write down this clinical experience in their notebooks.
The masters couldn't understand it, but Lan Lijuan and Zhang Weizhong understood it. They had never seen this set of endoscopes and supporting accessories, and they didn't know where Chen Qi got them.
This chapter is not over yet, please click on the next page to continue reading! But one of them is Chen Qi's wife, and the other is Chen Qi's confidant. They know that some things must be kept secret, so they didn't ask any more questions.
Chen Qi breathed a sigh of relief after the esophageal passage was established, and the next operation was easy to perform.
He first put the foreign object in the mesh bag into his stomach, then put the harmful battery and the unlucky coin into the mesh bag, and then quickly took it out of the body through the mouth.
At this point, the operation is already half successful.
At Chen Qi's signal, the head nurse ran outside the operating room.
Outside the door, Chief Abdullah and his wife, as well as leaders of relevant Chinese departments, were all waiting anxiously. The Arab foreign guests even spread carpets and started praying directly on the spot.
After the head nurse came out, everyone gathered around. The chief and the chief's wife held their hands tightly together, thinking that there was an accident during the operation.
"I have good news for you. Dean Chen has successfully taken out the battery and coins."
After saying that, the head nurse directly handed a sterile plate to everyone. On the bottom of the white plate, you could see a commemorative coin and a broken button coin.
As soon as the battery was taken out, everyone jumped up excitedly, and the chief and his wife hugged each other tightly in excitement.
"Great, great, the operation was successful."
Upon hearing this, the head nurse knew that everyone had misunderstood, and quickly explained:
"Dean Chen said that the operation is only half the success. I am afraid that you will be in a hurry before letting me inform you. Later, he will make a channel in the stomach and abdomen so that external nutrients can be directly transported to the stomach to maintain nutrition. This
Surgery is still very troublesome."
There was silence.
What the head nurse said was the main reason why Japanese doctors were unwilling to operate on the little prince.
Either open the stomach, but the mortality rate is "as high as" 3%; or watch the little prince starve to death, not knowing how many days the infusion can last.
Now when he heard that Chinese doctors were going to make holes in his stomach and abdomen, Chief Abdullah suddenly became anxious:
"Why do you need to open your stomach again? Isn't such a big wound? Isn't it too dangerous?"
Faced with the chief's question, the head nurse had no way to answer, so she had to go back to the operating room and invite Chen Qi out to answer.
Chen Qi felt unhappy.
I thought to myself that this chief had so many things going on, and he was so anxious to call for help that he wanted to jump out of the plane before it even stopped.
Now it’s time for the operation, but I’m not willing to take any risks. I want the operation to be successful, but I can’t bear the risk, and I can’t have a big wound. This is a typical “need… and… and…”
Is it possible for their family to take advantage of all this good thing?
Unhappy, Chen Qi decided to make his condition more serious so as not to scare the bearded chief to death.
At the door of the operating room, Chen Qi heard the chief chattering about a lot of requirements. He could only nod his head repeatedly, and then said in embarrassment:
"Mr. Chief, I understand your request, and I also understand your care and love for the little prince, which is deeply touching."
The young chief felt very comfortable after hearing this, and his affection for Chen Qi increased a bit.
"But Mr. Chief, if I do what you ask for, then I will have to change the surgical strategy and adopt a completely new treatment plan. Then the cost of the surgery and the surgical instruments used will be very expensive."
Chen Qi went crazy for money in order to build a new endoscopy center.
Who would have thought that as soon as he finished speaking, the chief showed a contemptuous expression, and a chief's attendant next to him quickly said on his master's behalf:
"Dr. Chen, you only need to consider the effect of the operation. As for the cost of the operation, we have no problem at all. Even if it is a golden mountain, our great chief will not blink an eye."
Chen Qi showed a surprised expression.
The chief and the chief's wife looked arrogant, and they liked to look at other people's expressions of uneducated country bumpkins.
Money? Oil countries are still short of money? People are so poor that all they have left is money. The toilets are all made of gold, okay?
To be continued...