anovelconsole Chapter 121 Tanglou Rescue!The first ERAT of No. 1 hospital in the city
Chapter 121 Tanglou Rescue!The first ERAT of No. 1 hospital in the city
Chapter 121 Tanglou Rescue!The first ERAT of the First Hospital of the city
Chai Shanshan directly sent a WeChat message to Tanglou: "Dr. Tang, a friend of mine suffered from acute appendicitis. I recommend you to her. She is already on her way to the First Hospital of the City."
"Super big beauty Jiang Shu~ what a grimace."
After reading Tanglou, I also had some thoughts of being a surgeon. After all, endoscopic retrograde appendicitis treatment (ERAT) patients are not often encountered. One is that ordinary people do not have high demand for non-invasive surgery. In addition, this This surgery is indeed expensive and is not a conventional surgery.
After seeing this information, Tanglou was already itching. After saying goodbye to Cheng Sisi, he quickly returned to the general surgery department.
Tanglou quickly learned about Jiang Shu from the nurse. After all, it was impossible for a star of this level not to attract attention when he arrived at the department, so he quickly rushed to the clinic.
It happened that Director Shen was discussing the treatment plan with Jiang Shu and the others.
"Tanglou."
Shen Bingbing was a little surprised to see Tang Lou.
Hearing Tang Lou's name, Jiang Shu also swiped to look over, naturally very surprised, stunned for a second: "It's you!"
The agent also did not expect to see Tang Lou, a young doctor again: "Who is Director Shen?"
Shen Bingbing also didn't expect that Tang Lou would actually meet Jiang Shu: "This is Tang Lou from our department. He is young and promising. He has considerable experience in appendicitis surgery."
"Chai Shanshan just told me that you performed a specially designed suspended airless laparoscopic surgery on his grandfather before. Didn't you tell me at Yuehe before that there is a way to perform the surgery on me without affecting tomorrow?" Job the day after tomorrow?”
Combined with what Chai Shanshan told her, Jiang Shu asked eagerly.
Hearing that Jiang Shu skipped her and asked Tang Lou directly in front of Director Shen, the manager was naturally a little confused, and immediately took over: "Director Shen, there is really such a thing that Tang Lou said will not affect the work tomorrow or the day after tomorrow. Appendicitis surgery?"
After all, Shen Bingbing said before that the best way is to use umbilicus laparoscopic surgery, but this kind of surgery also takes three or four days.
Managers don't believe Tang Lou's technique, which can be cured on the same day.
Shen Bingbing was a little surprised by Tang Lou's treatment plan for Jiang Shu. With her experience, she naturally understood what Tang Lou was talking about.
It's just that there is no precedent for this kind of plan in the First Hospital of Hecheng City, right?
To be honest, she is not very sure, and naturally she will not easily propose such a risky plan.
However, she did not deny it, and said slowly: "The treatment plan Tang Lou said does exist."
"Really? That's great, just do this."
Jiang Shu and his agent spoke in unison, excited.
"However, this plan has not been carried out in our hospital. It is very difficult and there are uncertainties in the operation."
Shen Bingbing explained that she naturally didn't want to use this technique unless it was absolutely necessary.
"This is what I want. There is a risk, and I am willing to take it."
Jiang Shu gritted his teeth and looked at Shen Bingbing with determination.
"The work tomorrow and the day after tomorrow is too important for Jiang Shu. Director Shen, you can help us carry out this operation. With your senior qualifications and understanding of appendicitis surgery, it must be easy to catch."
The manager also saw hope, so naturally he would not compromise easily. He naturally ignored Tang Lou who first proposed this plan.
After all, in his eyes, there is no need to think about which side to choose between an experienced chief physician in his forties and a kid under 30 years old.
Jiang Shu also looked at Shen Bingbing pleadingly. As for the existence of Tanglou, he had long ignored it.
"Director Shen, just use this spell for me."
"Endoscopic Retrograde Appendicitis Treatment (ERAT) is indeed the first in China in the field of appendicitis. It was first proposed by Professor Liu Bingrong from the Second Hospital of Harbin Medical University, but when it comes to its principle, it is not unfamiliar. It It was extracted from endoscopic retrograde cholangiopancreatography (ERCP).
Although he didn't understand what Director Shen was talking about, Jiang Shu and his manager were already extremely convinced by the ease with which he told the past and present of the operation.
"To be honest, I have been practicing ERCP for almost seven years, and I have more than 1000 cases. So far, I have experienced every complication mentioned in the book, so I understand the core principles of this type of operation. On the chest. However, the specific operation of endoscopic retrograde appendicitis treatment for ERAT is still different. For the first time, I was worried that there might be complications after operation. Dare to say mastery. After all, the kind of geniuses who can do things smoothly the first time are rare."
Speaking of this, Shen Bingbing suddenly paused, and glanced at Tang Lou who was standing aside, isn't it the kind of person who can do it for the first time?
Shen Bingbing smiled bitterly, and continued: "It is not impossible to perform endoscopic retrograde appendicitis treatment for ERAT, but if the operation is unsuccessful, it will still be switched to surgery. You must be mentally prepared for this."
As the deputy chief physician, Shen Bingbing naturally has her own pride. After all, Tang Lou has just performed a perfect suspension gasless laparoscopic surgery. She still has a certain degree of confidence in trying ERAT, which has the same origin as ERCP.
"Great."
Jiang Shu listened to Shen Bingbing's agreement, endured the pain, clenched his fists and shouted.
"However, before that, the physical examination and filming that should be done are still needed. If the confirmation is correct, the operation will be performed immediately."
Shen Bingbing finally came to a conclusion.
The agent immediately took Jiang Shu for corresponding inspections.
Only Shen Bingbing and Tang Lou were left in the consulting room.
"Tanglou, originally I wanted Dr. Qing to perform this surgery, but today he has a major surgery and he is unable to move away. You talked to Jiang Shu about ERAT before. Do you know anything about this surgery?"
Although Shen Bingbing agreed to Jiang Shu's own operation, she had a new idea when she saw Tang Lou.
"It's very familiar. I've watched Professor Liu Bingrong's surgery video many times before. In fact, I came here before and wanted to participate in this surgery."
Tang Lou didn't hide it either.
"Is that so."
Shen Bingbing pondered for a while: "If I leave it to you to be the chief surgeon, how sure are you?"
Tanglou blurted out without thinking: "It's the same as the previous suspension gasless laparoscopic appendectomy. Although it is the first time, I am confident that I can do it."
Looking at Tang Lou's handsome and serious face, and thinking of the scene in the operating room last time, Shen Bingbing's heart was slightly shocked, this kind of sharp-edged self-confidence.
Even at his age, he still can't escape the fear of being dominated by a bully!
"Tang Lou, I will be the surgeon in a while, and you will be my assistant. During the operation, I mean in case, if I can't do it, you will take over."
Compared to switching to surgery halfway through the operation, Shen Bingbing would rather take a gamble and trust Tang Lou.
After all, it was about the patient's health, and the reputation of the city's first hospital, compared to her own face, was naturally put at the end.
Of course, she is still confident that she can handle it, and Tang Lou's taking over is just a plan B.
"it is good."
Tanglou agreed.
Soon Jiang Shu completed various inspections and confirmed that the appendicitis had no perforation or gangrene, which met the criteria for endoscopic retrograde appendicitis treatment for ERAT.
Twenty minutes later, in the operating room, Shen Bingbing and Tang Lou were all ready.
Shen Bingbing was the main knife, and Tang Lou was the first assistant.
The operation of ERAT does not require surgery, and the appendix cannulation is performed directly through the endoscope.
The normal opening of the appendix is covered by the Gerlach's flap, so the transparent cap of the endoscope must be used to push away the Gerlach's flap before the appendix cannulation can be performed.
This kind of operation requires blind operation. It is just a simple push, but it is as simple as getting up in the middle of the night and touching the light switch by the bedside.
But because it was the first time, Shen Bingbing felt like a needle dropped in the muddy water.
After trying for a full 3 minutes, I still couldn't find the entrance, and the sweat was lying down directly from my forehead. Although I tried my best to control my mentality, I still had no clue.
Not everyone can complete the new operation without the guidance of a mature doctor.
ERCP surgery involves the pancreaticobiliary duct, and its anatomical structure is naturally different from that of the appendix.
Shen Bingbing was a little embarrassed, and looked at Tang Lou for help. Of course, she hoped that Tang Lou could do it, but she didn't want Tang Lou to really do it.
[Ding, new mission: Temporary rescue.Help colleagues complete Hecheng No. 2 Hospital, the first endoscopic retrograde appendicitis treatment ERAT, completion reward: [-] gold coins, card library refresh once]
(End of this chapter)