In the corner of the operating room, Yu Erbao, Zheng Yiyu, Zhou Menghan and other three people stood on the other side, whispering non-stop. Naturally, they were discussing why their perverted teacher was so perverted!
Ren Junqi sat alone in a corner, listening to them talking or cursing Lin Hao, and from time to time he secretly sent 1086 likes!
When it came to the heart-wrenching place, all four of them couldn't help but look back at the operating table. This sight shocked them all!
I don't know when, Lin Hao had already anesthetized Li Chunrui and was about to start the operation on her!
The three of them hurriedly approached and saw Lin Hao using a retainer to open Li Chunrui's mouth and adjusting the angle!
After fixing it, he first used a standard gastroscope to slowly follow Li Chunrui's mouth and pass through the throat, esophagus, and stomach cavity.
After seeing the gastric cavity on the monitor, Lin Hao carefully distinguished it and determined where it was the cardia, gastric antrum, lesser curvature, gastric body, greater curvature, angular notch, pyloric canal, pylorus, and posterior duodenum.
After operating the Notes device, the Notes special catheter was passed along the gastroscope again!
Lin Hao undoubtedly had resentment towards his three students, but when he saw them all watching his surgery attentively, he could no longer harden his heart. He slowly explained to them: "At this point, all I can say is
All the preoperative preparations have been done, and now the actual operation begins. Please pay attention, I will perforate the stomach wall and abdominal cavity in a while!"
This operation is not a direct operation, but is performed through the natural orifice of the patient's body. There is no direct contact between the doctor and the patient, so there is no bloody scene! Yu Erbao became more courageous because of this. While looking at the monitor, he asked
Said: "Isn't gastric perforation very painful?"
Lin Hao was defeated by this idiot and said without love: "This gastric perforation is not that gastric perforation, and didn't you see it? The patient has been anesthetized, how can it hurt?"
Yu Erbao nodded nonchalantly, indicating that he had learned a lesson!
Zheng Yiyu then asked: "Teacher, what are the prerequisites for doing this kind of surgery?"
After Lin Hao thought for a while, he summed it up seriously, "The premise is that you must understand the notes surgical equipment. Not only do you need to know all its functions, but you also need to know how to operate it, and you must be proficient in it so that you can learn and use it flexibly."
Ren Junqi couldn't help but ask: "What should we pay special attention to?"
"Two points!" Lin Hao raised two fingers: "First, this is not a direct operation. The surgical site cannot be seen directly with the naked eye. You can only see the situation inside through the monitor! But after passing through the monitor, the image is intuitive to the naked eye.
What you see will be magnified or reduced. All current endoscopes cannot provide good three-dimensional vision! Second, the surgical instruments are not hand-held, but controlled by electronic handles. There is no feel at all in the operation.
You must be extremely careful when doing so!”
"Lin Da!" Yu Erbao felt a little bored after hearing this. He pointed to a button on the handle held by Lin Hao and asked: "What does this button do?"
If he just pointed at the button and asked, it wouldn't be a big deal, but when he asked, he pressed the button shamelessly!
"Hey!" Lin Hao hurriedly dodged when he saw this, and shouted angrily: "Er Bao, what are you doing?"
However, being caught off guard, Lin Hao was still a step slower and the button had already been pressed.
As the button was pressed, a special endoscopic knife was extended from the head of the catheter deep into the stomach cavity, and it was cut vertically from the inside to the outside of the stomach wall, penetrating the stomach!
Yu Erbao also saw the situation inside through the monitor, realized that he had got into trouble, and hurriedly tried to get the button up again.
How dare Lin Hao let him touch him again? He kicked him to the wall and then hurriedly performed remedial operations!
Fortunately, Lin Hao not only had first-class reactions and was familiar with the machine, but his operation was also not so superb. With his timely remediation, the situation was finally under control!
However, this process is full of dangers. If Lin Hao's movements were any slower, the special endoscopic knife that had passed through the stomach wall and abdominal cavity would definitely damage the adjacent organs!
If the organ is only slightly damaged, Lin Hao can barely use notes equipment to resuscitate it again, but it is also limited, because the existing notes equipment is very simple and cannot perform overly complicated operations! Therefore, once a complex operation occurs, it can be rescued.
If it is fatally injured, the trouble will be big.
If it was an ordinary patient, there might be a way to remedy the situation. General anesthesia and emergency laparotomy for rescue. But Li Chunrui’s situation is very special and she cannot afford laparotomy, so if it falls on her, even if she has magical powers like Lin Hao, I’m afraid
I could only watch her die on the operating table.
Thinking of these terrible results, cold sweat broke out on Lin Hao's back, and raging anger surged out, and he cursed Yu Erbao, who was standing in the corner with his head pulled back: "Asshole, do you know that you were almost killed?"
Got her?"
Yu Erbao also knew that he had almost caused a huge disaster, so he still dared to answer and lowered his head even lower.
Seeing his appearance, Lin Hao hated iron even more. He really wanted to put down what he was doing and beat him up first, but the surgery was the most important thing at the moment, so he just said in a deep voice: "Do this
Surgery, and the most important thing is, if you are not familiar with the notes equipment and don’t know how to operate it, don’t move your hands while you are watching, otherwise you will endanger others and yourself!”
Ren Junqi and the others looked at each other in confusion, but no one said a word, because just now, they also wanted to ask what the functions of those buttons were and how to use them!
Not hearing their response, Lin Hao even shouted angrily: "Did you hear that?"
Several people were startled and nodded quickly, even Zhou Menghan, who was used to being arrogant, was no exception. Lin Hao at this moment was really terrifying. He was no longer the least popular male protagonist, but must be said to be the most terrifying villain.
!!
Lin Hao took a few deep breaths, calmed down, and then continued the operation.
The stomach is undoubtedly a thick-walled organ with strong contractility. Although the current situation is that it has been accidentally punctured by Yu Erbao, it has not hurt other organs, and the hole does not count.
It was extremely large, so Lin Hao decided to perform surgery along this opening.
Through the incision, he used an inflatable balloon to expand the channel and used it as an operating hole to insert relevant instruments into the abdominal cavity!
After laparoscopically injecting CO2 to establish artificial pneumoperitoneum, we saw the huge bile duct cyst in Li Chunrui’s body!
He used the endoscopic biliary guide wire, needle knife, sphincterotomy knife and metal clips, biopsy forceps, special knife and other instruments to remove the cyst!
This is an operation that looks extremely simple, but is actually very difficult because the instruments are very limited and can only be operated within an endoscope. Currently, flexible endoscopes such as gastroscopes cannot provide the required torque during the operation, which brings trouble to the operation.
It is extremely difficult, has no feel, and is not intuitive enough. If you are not careful, you may overdo it and cause irreversible damage. Therefore, even experienced Lin Hao did not dare to lift it up and carefully cut it off bit by bit!
It took half an hour for Lin Hao to finally cut out the cyst. But if it was a laparotomy and using hand-held instruments, with his skills, it would only take a few minutes at most!
The cyst was so large that it was obviously impossible to get out through the small operating opening. Lin Hao could only cut it into sections until it reached a size that could be expanded through the stomach. Then he passed the sectioned cyst through the abdominal cavity and into the stomach.
, then to the esophagus, and then pinch it out piece by piece from the mouth!
After all the cysts were removed, the operation was not over. Lin Hao performed an anastomosis between the hilar bile duct and the duodenum!
When the operation reaches this point, it seems to others that it is undoubtedly complete, but in fact it is not. The endoscope is still in Li Chunrui's body. When it was withdrawn, there were still incisions on the stomach wall, which had to be repaired.
Even if it is repaired, postoperative complications may occur, such as gastric fistula, intestinal fistula, abdominal infection, etc.
After Lin Hao explained these possible complications to several of his students, including Ren Junqi, he asked: "How do you think the gastric wall incision should be repaired so that leakage does not occur?"
The three students couldn't answer. Ren Junqi, who was rich in theory, thought for a while and said: "Titanium clip!"
"Yes, the titanium clips used in digestive endoscopy can solve simple small incisions to a certain extent, but they are not enough for complex closures!" Lin Hao said, pointing to something on the notes: "This
It’s called OTSC, and it’s a metal closure device with similar mechanical principles to titanium clips. It can close more complex incisions more firmly! But I don’t think it’s the most advanced yet!”
Ren Junqi asked: "Is there anything more advanced?"
Lin Hao said: "There are two things!"
Zheng Yiyu hurriedly asked: "What two?"
Lin Hao said: "One is laser welding, which uses the high energy of the laser to fuse the tissues to be connected together to achieve the suturing effect. The maximum pressure of this method is almost twice that of manual suturing, and the acidic environment has no effect on it.
, the histological examination of the suture showed only slight damage, indicating that the suturing method is absolutely reliable. However, this method is still under research and experimentation."
It has not been applied to clinical practice, so what are you talking about? Several students couldn't help but sneered in their hearts.
Ren Junqi asked: "Is there another one?"
"Biological glue adhesive!" Lin Hao said slowly: "The principle of this glue is like the bonding of glue. It binds the tissues on both sides of the incision together to meet the requirements of suturing. Histological examination showed that the incision area showed normal mucosa.
There are no inflammatory cells and the bio-glue has been absorbed, indicating that the bio-glue technology is safe and effective. This method..."
Ren Junqi said: "It's still under research and experiment!"
"No!" Lin Hao stretched out a finger and shook it, "This method can be used immediately!"
Everyone opened their eyes wide, "Nani?"
Lin Hao pointed to the small bottle of medicine he brought back from Guangxing Pharmaceutical and said: "This is the biological glue I developed myself!"
Everyone opened their eyes wider, looking at the transparent potion without any label in disbelief, and then stretched their necks, ready to see the efficacy of Lin Hao's magical adhesive!
However, Lin Hao did not use it immediately, but asked slowly: "In addition to the problem of incision closure, there is another problem, which is postoperative complications such as abdominal infection. What do you think can be used more effectively to avoid this problem?
.”
Zheng Yiyu said: "Antibiotics!"
Ren Junqi said: "Saline solution!"
Zhou Menghan said: "Iodophor!"
"What you are saying is wrong!" Lin Hao shook his head and slowly explained: "The effect of antibiotics is indeed good, but don't forget that she is allergic and cannot use antibiotics or anesthesia. Although physiological saline is relatively safe,
, but the effect is relatively small. Sulfonate can be used, but it will cause great damage to the gastrointestinal tract!"
Ren Junqi asked: "Then what do you think should be used?"
Lin Hao pointed at the other large bottles of potions he brought back from Hard Bone Star Pharmaceuticals, "My own Chinese patent medicine, it has antibacterial and anti-inflammatory effects, and is mild in nature. Not only does it have no adverse reactions, it also has no side effects!"
After talking about all this, Lin Hao felt that they should have an intuitive understanding of notes. As long as they knew this, then his purpose of bringing them to this surgery would be considered achieved, so he started to finish it!
He first performed anti-abdominal flushing of the abdominal cavity with antibacterial and anti-inflammatory Chinese patent medicines, then used biological adhesive to close the gastric wall incision, and finally removed all the instruments from Li Chunrui's body...
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