Chapter 247 is also very important.

Author: Jiangbianyu Weng

Chapter 247 is also very important.

"Thank you, thank you!"

Zhou Can's face showed a flattery expression, but she didn't feel much in her heart.

Because the chief physician gave him an assistant, this is not the first time.

He has been used to it.

I saw that he first disinfected the abdomen of the patient, and then painted the knife position of the window.

You only need to open two small wounds for endoscopic surgery.

The whole abdomen opening process is completed by him alone.

Internal medicine doctors, especially the chief physicians, actually have a certain surgical ability. But it must not be compared with the chief physician of the surgeon.

To open a small window on the abdominal cavity, in their opinion, it is already a high -risk and difficult operation.

Zhou Chan completed it easily.

The exposed surgical strength is enough to marvel at Director Shang and Director Shi. The operation of Zhou Can in the hearts of the two is much more assured.

At least there is no need to worry about it as before.

After opening the window, set up an endoscopic arm rod. With the visual function of the endoscopy, Zhou Can carefully started performing surgery.

First of all, set off the fistula and cut it with a certain degree.

Because after the fistula is formed, it has formed healing layer, and it is useless to suture directly.

This is one of the reasons why the fistula is difficult to repair.

For example, the duct fistula of the breast, many surgeons do not perform this surgery. Always lead to recurrence of patients.

Zhou Can's debridement is currently level 4, and there is a certain distance from level 5.

Mainly in most cases, debridement is ordinary debridement, and only 1 point of experience can be earned at a time.

The speed of upgrade naturally becomes slow.

With the help of endoscopic surgery, this type of operation is still completed for the first time.

According to his experience, there should be a reward of the experience value to him.

As for whether it is 10 points or 100 points, it is hard to say for the time being, only to know it.

Under Zhou Can's careful operation, the fistula finally completed the debridement successfully.

【Qingchuang Experience +1.】

[You first completed the highly difficult endoscopic fistula.

Successful gains of 100 points of Qingchuang Experience Value Reward, Zhou Chan was happy.

Payment is completely proportional to the harvest. This is the best return he expected.

After the debridement is completed, after the effusion at the wound, the tissue residue is removed, he carefully checked the fistula again, and confirmed that there was no problem, and then he began to suture.

"Wow, so strong sewing level."

Director Shang's eyes were instantly gathered, which was the first time he saw Zhou Can's suture ability.

To be honest, with the sewing level of Zhou Can's deputy director, it is extremely amazing in any department in the Department of Internal Medicine.

In less than 20 minutes, Zhou Can successfully completed the stitching of the fistula.

"Director Shang, can you see it?"

"It's perfect! Good boy, it turns out that your surgical ability is so strong, and it hurts me at the beginning.

Director Shang was completely like picking up the super baby, and his eyebrows laughed.

There are really a lot of intervention surgery that need to be performed.

Especially in the Department of Gastroenterology, various intestinal polyps, and tumor resection, interventional surgery needs to be performed.

But internal medicine is very lacking in powerful surgical talents.

Including their chief physicians, the level of surgery is the same.

It can be competent to deal with some conventional surgical problems.

However, when encountering some emergencies, or the difficulty of surgery is extremely high, internal medicine often requires surgeons to help.

Director Shang now finds that Zhou Can ’s surgical strength is so strong, and he is thinking in his heart. In the future, he encounters some tricky surgical problems. Maybe you do n’t need to ask someone to solve it.

Ask for people to swallow a three -foot sword, ask doctors in other departments to jointly surgery, and often receive some idleness.

The rules of their own departments, naturally they are just calling.

The more he looked at Zhou Can, the more he felt pleasing to the eye, and his heart was particularly happy.

Zhou Chan was reluctant to clean up the fistula, and then adjusted the drainage tube to some time, so that the endoscope was removed and the two small wounds of the patient's abdomen were closed.

As for the drainage tube, only when the patient recovered after surgery, and no more ascites and thoracic effusion occurred, this can be removed.

"Dr. Zhou, I just adjusted the original drainage tube. Is there any deep meaning?"

Luo Jingyi watched Zhou Can's surgical operation, and was shocked as heaven.

She has only learned that the stronger Dr. Zhou, who has the stronger diagnosis, has the ability to surgical with great wicked surgical ability.

So genius is really amazing.

When she looked at Zhou Can, there were countless little stars shining in her eyes.

For the other two graduate students, Xie Lin and Qiu Chengyu also admired Zhou Can.

They have not even learned the four major punctures now. Looking at Zhou Can, they can already open their abdomen alone, and can independently complete the difficult endoscopic mission. People are more angry than people. They are really angry.

Why is the gap so big?

"The position set before the drainage tube should be a problem. I even suspect that after the patient's first surgery was removed, the formation of the esophageal fistula was not related to this drainage tube."

Zhou Chan's surgical experience is rich.

During the operation, he found that the drainage tube was not done well.

"When I had an endoscopic surgery just now, I deliberately checked the position of the drainage tube. When the previous doctor was set, the drainage point was set too high. If the patient could stand for a long time, it may not have a large impact.

Crime resting, which causes some thoracic effusion to be discharged. The effusion is immersed in the anastomosis of the esophagus and the empty intestine, which eventually causes pus in the wound infection and cannot heal well. Eventually, the esophageal downs fistula is formed. "

Zhou Can talked about his point of view.

When dealing with drainage pipes, Director Shang didn't say anything, but showed a praise.

It shows that his operation is completely fine.

"That's it, I understand!"

Luo Jingyi nodded.

"Zhou Can had just explained this problem, and it was also a mistake that many novices of surgery made. I guess this drainage tube should not be done by the main knife. It is likely that after the surgery was completed, the remaining work was thrown to the men's men.

Doctor. It happened to be a drainage tube buried by novice with no actual combat experience. In the end, it caused a tragedy. "

Director Shang seized three graduate students under the opportunity to educate.

The three nodded again and again, saying that they would keep in mind.

The surgical part of the main knife is done well. There are not a few medical cases that have problems with the problem of sweeping the tail.

Some doctors are very busy. After finishing the key part of the surgery, they throw it to the doctors of his men to get it. He himself leaves the operating room directly, or does the next operation, or other things.

When the final finishing work is completed, there is a lack of supervision, and some problems are prone to occur.

"Well, this surgery has achieved real completeness. If the patient's consolidation mouth fistula no longer occurs, the patient will re -become a normal person. The problem that plagues for more than half a year will be gone.

In the room, you can send it back to the ward to take care of it after no problem.

Director Shang told me.

Patients with 73 beds are lucky, otherwise they have just finished major surgery, and their vitality is seriously injured, and she has a wound in her body. It is very easy to die.

"I will be extra careful."

Zhou Can stated on the spot.

The patient is responsible for him, and he will definitely do postoperative management.

"Director Shang, the wife of the patient who was infected with a brain infected was asked when I could surgery not long ago, how do you see how to reply to them?"

"I will return to the office and call to find a doctor outside God. If your family is, you say you will arrange it as soon as possible."

Director Shang wanted to ask for others, and he didn't dare to say exact time.

"There is also a 77 -bed gastric cancer patient. The family members have rushed to the hospital. In the morning, I asked my family and patients to talk a few words. They agreed to the operation.

These patients in charge must be reported to the director of the fashion.
To be continued...