Chapter 866 Dirty Work (Part 1)
Colon tumor, need a stent? Hearing what Professor Yang said, Zheng Ren was taken aback for a moment, then smiled wryly.
But this matter seems to have nothing to do with Professor Yang, he is in the Department of Hepatobiliary Surgery, and colon tumors are in the Department of General Surgery.
Seeing Zheng Ren's wry smile and puzzled expression, Professor Yang sighed, and said, "They all went to the front line, and the family left a professor leading the team. Our general surgery department is a major department, and we go there more. After several operations, I was tired and sick, so I took a day off.
Didn't he go to the interventional department for a consultation early in the morning to see if the stent was removed? Zhao Wenhua said bluntly that they don't have anyone, and the operation can't be done! "
As he spoke, Professor Yang opened his mouth and cursed.
"Old Feng asked me to see what's going on. Zhao Wenhua, a coward, evaded for a while, said that the operation volume was large, and said that the tumor was blocked, and he couldn't do it. I was so angry." Professor Yang's hair was pissed off. They all exploded.
Zheng Ren listened quietly, probably already knowing what was going on.
For colon tumors, preoperative enema, intestinal cleansing, tumor resection, and remaining intestinal anastomosis are common surgical conditions.
Some patients were discovered later and came to the hospital for treatment because of intestinal obstruction.
Before interventional surgery, these patients had no way to prepare their intestines, so they could only leave a stoma in the abdominal wall, wait a few months, and then do a second-stage anastomosis.
After all, intestinal preparation cannot be done, above the obstruction site, full of stool, countless bacteria. Even if it is barely anastomotic, due to severe infection, the anastomosis cannot grow.
After interventional surgery, if there is a local gap in the obstructed part and the guide wire can pass through, the stent can be removed. The stent fights against the strength of the tumor and opens up the intestines.
In this way, intestinal preparation can be done, and fistula can be avoided in the operation, and one-stage anastomosis can be performed.
Whether it is from the perspective of avoiding tumor metastasis or improving the quality of life of patients, interventional intestinal stenting is a surgical procedure that is particularly beneficial to patients.
After many years of running-in between clinical departments, the General Surgery Department has gradually become accustomed to the preoperative stenting mode of the Interventional Department for this kind of patients.
but,
there is a question.
this operation,
Very dirty.
When the stent goes in, once the obstruction is opened, the huge abdominal pressure will cause the stool to spray out directly——.
Not to mention the surgeon and assistant, they must be full of shit.
The smell in the entire operating room will also become the same as that of a septic tank.
This is a kind of surgery that patients and the general surgery department want to do, but the interventional department will not do it if it can.
For such an operation, the income does not increase, but the work is countless times more. Especially the smell of stool...
It can make people sick.
Zheng Ren used to be a general surgeon, so he naturally knew the way.
No matter how early, because there is no interventional department in Haicheng No. 1 Hospital, patients who encounter this kind of patients have to undergo ostomy surgery and wait for the second-stage anastomosis.
Zheng Ren also knew why Zhao Wenhua didn't want to do it.
The operation is not difficult, but after being sprayed with feces, the smell is still around for a few days, which is not a good feeling.
He hesitated.
I really have to hesitate. He had undergone a similar operation in general surgery, but that was at least a year ago. Speaking of it now, Zheng Ren can still vaguely smell that smell.
"Brother Yang, why don't I do it?" Zheng Ren said.
"..." How could Professor Yang not have considered Zheng Ren before. But Zheng Ren's group is doing TIPS surgery research, and the usual 912 consultations and the like have nothing to do with him.
It is possible to cooperate with TIPS surgery. But it's not appropriate to find someone to do this kind of dirty work.
"Let me do it. When will the patient be on stage?" After the psychological defense line opened up, Zheng Ren no longer held back.
It doesn't smell like stool...that's still very important. However, under the premise of having medical means, and under the premise of being able to do it yourself, you can't just watch the patient do the second phase anastomosis.
As Zheng Ren said, he was already thinking about how to apologize to the head nurse and nurses who intervened in the operating room.
Otherwise, I can clean up the mess by myself, but when I think about it, I get a splitting headache.
This kind of excrement work is fundamentally different from excrement in general surgery.
The general surgery department says to remove feces, but in this case, it must be cut first, sucked by the suction device, and then opened to get out the remaining feces. If it is too dry, you can also cover the intestinal tract with sterile plastic, and push out the stool bit by bit.
And the surgery that is about to be done will be sprayed all over...
Zheng Ren almost didn't cry.
To be honest, I really don't blame Zhao Wenhua for not doing it. This operation is simply too fucking dirty.
Gathering up his courage, Zheng Ren put aside distracting thoughts and told himself vigorously in his heart that this was all work.
Professor Yang was stunned for a while, then patted Zheng Ren on the shoulder.
"Boss Zheng, I will trouble you then."
"Brother Yang, don't you, I'm so scared." Zheng Ren smiled and said, "I'll ask if there's any stage. If there is, I'll call you. Is that available at any time?"
In fact, these words are a bit redundant.
It's not an aseptic surgery, and patients can't eat or drink yet, so they can go there at any time.
"Yes." Professor Yang hesitated, this is not the job of Boss Zheng. But...he hesitated for a moment, then patted Zheng Ren's shoulder heavily.
"I won't be polite to you anymore. I'll wait for your letter when I go back." Professor Yang left directly, somewhat in a hurry.
If another professor leading the group were here, Professor Yang would not be like this. Boss Zheng was recruited by Director Kong to work on the Nobel Prize project team, and the surgery in the interventional department really has nothing to do with him.
And if I want to let Boss Zheng do such an operation, I don't want to go too far.
Forget it, I don't want to think about it, I will help Boss Zheng more in other places in the future, that's all.
Thinking in his heart, Professor Yang trotted all the way out of Zheng Ren's sight. He felt that Zheng Ren was like a piece of iron behind him, walking slowly would hurt him.
Zheng Ren sighed, instead of calling, he went directly to the interventional operating room. He was a bit forced, he was not director Kong, if he wanted to do such a dirty operation, he had to come to the operating room to pretend to be his grandson.
Constantly bowing and apologizing to the head nurse of the operating room, Zheng Ren promised to tidy up the operating room by himself. The head nurse in the operating room looked a little ugly, but she didn't refuse. She just gave Zheng Ren a vicious look and asked him to send the patient.
After solving a problem, Zheng Ren immediately called Professor Yang and asked the general practitioner to send the patient up.
Zheng Ren didn't have to worry about pre-operative explanations and the like. If the general foreigner can't even handle such a little thing, he still needs to do a wool operation.
Zheng Ren didn't call Professor Su Yunhe either, he should do this kind of thing himself. But he still has a question, what to do with Xiao Yiren.
Thinking of Xie Yiren, Zheng Ren's head turned into two big ones.
Forget it, let's bite the bullet.
Zheng Ren never thought about things he couldn't figure out, so he just left it like this, kicked out Xiao Yiren, and cleaned up the mess by himself.
Changing clothes, Zheng Ren seized the time to smoke a cigarette, trying to remember the smell of tobacco, not thinking about the operation for a while.