Chapter 1405
Chapter 1405: Textbook perfect
Translator: 549690339
The preoperative case analysis was over, and the field of view changed. Ten minutes later, the live broadcast of the surgery began.
“Boss Zheng will be the one performing the surgery?” Lei Yinghua asked.
“Yes.”
“What surgical method are you preparing to use?”
Peng Jia was stunned.
Surgical method ... He did not know. It had been less than three hours since he received the news, and the people in the capital were so busy that they didn’t have time to pay attention to him.
Lei Yinghua did not say anything and only shook her head slightly.
It seemed that this was the problem with the apricot garden. The surgeon did not even know what kind of technique he was going to use.
This was definitely not what a medical professional website should be like.
But was the surgery an emergency surgery?
That was impossible. If it was really an emergency surgery, the PowerPoint would not be so beautiful that he could not even find any fault with it.
It was better to just watch the surgery. With the habits of the surgeon, it was very likely that they would use a surgical method.
Just as he was thinking, Lei Yinghua saw that something was wrong with the scene.
This is ... A endoscope? [An electrical discharge from the electrical discharge system?!]
It really was the technology of an electrical discharge!
The use of the skill “pestle” was also known as “endoscopies.” It referred to a minimally invasive technique that completely removed the diseased mucous membrane from its submucous layer.
At the end of the 1990s, it was first invented and used in clinical practice in Japan. The main purpose of this surgical method was to diagnose and treat early gastrointestinal tumors, and it had the advantage of completely removing a certain area of shallow lesions in one go.
However, the technical requirements were high and the difficulty was high.
Lei Yinghua repeatedly summed up her experience and finally decided that using ESD technology to treat MW syndrome was the best method.
However, the problem was that there were so many polyps in the patient’s colon, and some of them were very big. During the separation process, a small mistake could cause intestinal perforation.
Lei Yinghua had also seen the patient’s x – ray during the preoperative case discussion.
There were at least a few dozen large polyps.
Do I have to get rid of all these polyps at once? It should be done in two or three times.
If he were to perform the surgery himself, he would choose this method.
The patient’s injury was small, so there would not be too much risk. As for the speed, it didn’t matter.
However, if it was a live broadcast of a surgery, it would not be good to keep half of the surgery.
The clairvoyant looked directly at the view of the endoscope’s screen. The endoscope had already been inserted and was being operated.
Lei Yinghua held his breath and watched carefully.
The first polyp was located six centimeters from the rectum to the anus. It was about 1cm in diameter and its surface was not smooth.
Experienced doctors could tell with a glance that there was a high probability that the polyp was in a pre – pathological stage. In other words, it had not turned into a malignant tumor yet. However, if it was not removed, there would be fundamental changes in a few months.
The spray tube sprayed out a dye that seemed to be 0.5% of the blue solution. Lei Yinghua did not like to use Jia LAN, and she usually used 0.4% Indigo Rouge.
However, this was decided based on personal preferences, and no one was right or wrong.
The blue was sprayed very evenly. The surgeon’s assistant was especially good, and Lei Yinghua was a little envious.
It looked like a small operation, but for a sorcerer, this was the first difficulty.
The dyeing agent was sprayed to clearly show the size and range of the disease.
Uneven spraying would increase the difficulty of the surgery.
The team of spellcasters was very strong, and the assistant’s operation was almost perfect. Lei Yinghua already had her own judgment from the simple little detail at the beginning.
The shot of the blue – green liquid did not seem to have completely fallen when the surgeon began to inject it submucous.
Without repeating it a few times, the surgeon would inject it in one shot, and the part of the cyst that needed to be separated would swell up so that there would be enough vision when separating the mucous membrane layer and the intrinsic muscle layer.
There were hemostatic components in the injection, which could ensure that some small capillaries would rupture and there would not be too much blood.
After the mucous membrane injection was completed, an electrocoagulation mark was made, and an endoscope – operated incision began at the edge of the lesion, 5 mm away.
Wasn’t this too fast? what was the use of just increasing hand speed? Lei Yinghua was a little disdainful.
It was just that wanting to perform the surgery quickly was just playing to the gallery.
In the beginning, only doctors from the laparoscope room and the Department of digestive medicine did endoscopies in the country.
Since he was not a surgeon, the process of learning was very long.
After all, they had no access to the anatomy of the intestine, and some of the minute details were difficult to handle.
In the beginning, and even now, surgeons were still used to solving problems with incisions.
However, with the trend of creating minor injuries in surgery, surgeons were gradually starting to perform an Esper.
Lei Yinghua was one of them, and he was one of the best. He had a deep understanding of the surgery, and he even had his own unique opinion.
The surgeon was a young challenger, but it was useless to perform the surgery quickly.
Bleeding was the worst thing that happened during endoscopic surgery. Once a blood vessel ruptured, it would take a long time to deal with the bleeding.
The patient’s injury was also extremely great.
This was something that young people did not understand. Lei Yinghua looked on calmly.
Sure enough, according to Department Director Lei’s plan, the surgery speed suddenly slowed down after the incision. Not only did he slow down, but his technique was also a little clumsy.
Lei Yinghua laughed. The surgeon was still unfamiliar and had not done as much as he did.
The mucous layer of the colon was relatively thin, so the electrocoagulation power could not be too high to avoid damaging the muscular layer. The Sorcerer’s choice was correct. His electrocoagulation power was just right, and Lei Yinghua was not surprised.
If he could not grasp such a small detail, how would he dare to do a live broadcast of the surgery? That would be a joke.
After the incision was made, an endotherm knife was used to cut the mucous membrane at the marked point.
Lei Yinghua held her breath, and the successful incision of the surrounding mucous membrane was the key to the success of the emergency treatment.
The endoscope – operated incision smoothly cut open the mucous membrane around the polyp. The surgeon entered the subcutaneous layer of the mucous membrane through the pre – cut incision, and then made a circular incision along the outer side of the blue light mark.
He was very skilled, and he did not look like a newbie who had just explored the field of surgery.
This sense of familiarity was ... Completely different from his previous judgment of spellcasters. What was going on? Could it be that he had added some useless operations to show off his skills?
Well, it was possible. Young people always had the heart to show off.
However, when he looked at the process of the surgery, Lei Yingjie even had the illusion that the surgeon had performed at least eight hundred cases of an * SS surgery before he could have such a skilled feeling.
Had anyone in the country performed so many cases of electrorepair?
No, there was no need to recall this. Lei Yingjie was certain. Because he thought about it and realized that he couldn’t do it.
After cutting it open, the separator sent it in.
Blunt separation was the most important point.
Many laparoscopy doctors and doctors from the Department of digestive medicine could not do this well, but the General Surgery Department doctors were much better.
After all, there were many cases of surgical cutting and separating the intestines, and surgeons were very familiar with the intestines.
The separation speed of the separator was not fast, but it was not slow either. Layer by layer, it was like a butcher dismembering an ox. Every layer of the anatomical structure was very clear. He avoided some small blood vessels and used electric burn and electric coagulation to stop the bleeding at any time.
After the 1 ′ 22 “, a polyp was cut off.
This speed ... Lei Yinghua nodded slightly. If a surgeon dared to do a live broadcast of a surgery, he must have some skills.
The entire process of using an endoscope to remove the outermost layer of the colon respiratory tract was as classic as a textbook.
Although there was no textbook on how to perform an ESD surgery, Lei Yinghua imagined that the operation he had just seen was perfect. If he had to find fault with it, he could only say that he was slightly slower in the later stages and that there were some ineffective operations.
Young people, in order to show off their skills, had added those operations out of thin air. At his age, he couldn ‘t.
“Department Director Lei, what do you think of boss Zheng’s surgery?” Peng Jia asked nervously.