Doctor Song, are you married?

Chapter 127 127. About the incision, talk about your thoughts

Director Liu stopped holding the scalpel. He looked up at Song Qi, and found that the boy was staring at him with a strange look.

If he didn't feel wrong, there should be doubts and provocations in this vision!
It made him uncomfortable, very uncomfortable.

In the anorectal department of the People's Hospital, he is the authority, no one can question his operation plan, let alone stop his scalpel on the operating table!

Director Liu has a catchphrase: No one knows more about anorectal than I do!
And here, it is just a small district-level hospital, Song Qi, he is just a small doctor, if not for some special reasons, he is not even qualified to appear on the operating table where he is the chief surgeon. What can guide their own surgery?

"Song Qi, what are you doing?"

Seeing that the situation was not good, Shan Weihao hurriedly spoke up.

"No, director, this patient is going to undergo anus-preserving surgery. If the incision is here, it will lead to complications such as obvious anal swelling, fecal incontinence, difficulty in defecation, and severe pain. Not only will the quality of life not be improved. , On the contrary, it makes the patient feel miserable, and life is worse than death." Song Qi said eagerly.

Director Liu smiled coldly, "Then according to what you said, leave an extra centimeter? Then the cut will not be clean, and the recurrence will occur within a few months. What's the point of this operation?"

"There is no need to leave an extra centimeter, as long as 0.5 centimeters are enough. In this way, the complete structure of the internal and external sphincters of the anus, 1 cm of mucous membrane on the dental line and the blood vessels and nerves that innervate them can be preserved, and the tumor can be completely removed." Song Qi honestly talking.

This is the prompt given to him by the system.

It is also a crucial step to ensure the success of Wang Xiaoai's operation.

"Ha! Old Dan, did you hear that? This kid actually came to guide me in surgery? I would like to ask, what's your name? What title? What level? How many operations have you done?" Director Liu asked disdainfully .

The operating table is a serious place, not a place to argue about status, but since Director Liu asked this question, Song Qi had no choice but to answer honestly: "Director Liu, my name is Song Qi, and I don't have a professional title. There is no grade, and there are not many operations performed in the anorectal department.”

After listening to Song Qi's answer, Director Liu laughed loudly, "Is there no one in the anorectal department of traditional Chinese and Western medicine in your district? Why do you have no professional title and no level of stunned young man to set up the station for me?" Director Liu looked up Xiang Shan Weihao.

Shan Weihao smiled embarrassingly: "Now is not the time to talk about this, but what he said is not completely unreasonable. This operation is more complicated, so you, an expert, are invited here. Rectal preservation is the patient's first need. , so less cutting is also to better preserve the function, of course, it is also very important to completely remove tumor cells.”

Shan Weihao knew that neither of them could afford to offend, so he simply became a peacemaker.

As soon as Director Liu heard this, he understood that Lao Shan was favoring this brat, but he has a temper. Since you questioned me, I quit.

Thinking of this, Director Liu directly dropped the scalpel, "Old Dan, I don't do all kinds of surgeries. Since you guys don't like me, don't ask me to come next time!"

After speaking, he took off his surgical gown and walked out of the operating room.

Song Qi was stunned. This was the first time he saw a director who gave up halfway through the operation!

The instrument nurse was also stunned, this was the second scalpel he threw, and if he threw it again, it would be gone.

"The directors of big hospitals all have a bad temper." The anesthesiologist was well-informed and smiled at everyone.

Shan Weihao coughed, the element of protest was very obvious, I am also from a big hospital, am I angry?
The anesthesiologist knew that he had said something wrong, so he stopped talking and just stared at the various indicators on the monitor.

This look.He couldn't laugh anymore, because the time for the patient's anesthesia was approaching, and if he didn't hurry up for the operation, he would have to undergo a second anesthesia.

"Then what, which one of you will pick it up, or the patient will wake up!"

Shan Weihao shook his head helplessly.

Originally thought that Song Qi had lost his face, but now it seems that Director Liu has really lost his face, not only his face, but also the face of the entire People's Hospital.

A big director threw a scalpel because he was angry with the little doctor during the operation. If it got out, he would feel ashamed!

"Forget it, let me do it." Shan Weihao walked to the position of the chief surgeon.

However, where should the location of this incision be chosen?This is a problem.

Shan Weihao has undergone radical resection of colorectal cancer, but in his era, he followed the oldest diagnosis and treatment standards. In Wang Xiaoai's case, if the operation was performed ten years ago, there would be absolutely no room for negotiation. .

So he can actually understand Director Liu's incision position.

It can not only preserve the anus formally, but also resect the tumor to the maximum extent.

For doctors of their age, the criterion for the success of a radical operation for colorectal cancer must be complete resection and no spread in a short period of time.Rather than being able to keep the anus.

But Wang Xiaoai's situation is quite special.

Her greatest need is anal protection.

Of course, as a doctor, you can't ignore the patient's life just because the patient's demand is to protect the anus.

"Xiao Song, tell me what you think about the incision."

After some consideration, Director Shan decisively threw out his trump card.

This is the best thing about being a director. You can ask questions anytime and anywhere. First, you can show your status in the world. Second, if you don’t know much about cutting-edge medical technology, you can also take the opportunity to learn under the guise of asking questions.

Of course Director Shan believed in Song Qi's theoretical basis.Asked several times, the accuracy rate reached 100%!
"Director Shan, I have read a lot of medical literature recently and found that PPS surgery (precise anus-sparing surgery for low rectal cancer) has been carried out in many top hospitals. Suturing, placing drainage tubes and other steps can preserve the effective rectum to the maximum extent and avoid anastomotic stenosis."

"I know that you don't do things that you are not sure about. Since you have done your homework, just follow what you said. What is that threaded anal dilator? Why didn't I hear it when I was doing surgery before? "

The equipment nurse then pursed her lips and smiled: "Doctor Song, it turns out that you asked me to prepare this equipment, which is of great use!"

The day before the operation, Song Qi called the operating room and asked them to prepare the threaded anal expander in advance.

"Then why don't you show me how to use it?" Shan Weihao said, turning sideways habitually.

Song Qi also habitually stepped forward, and under the guidance of the system, took the threaded anal expander for intra-abdominal mobilization, precise transanal resection, transanal suture, and placement of drainage tubes
The surgery is over!

The equipment nurses, itinerant nurses, and anesthesiologists were all stunned. How could this operation be done?

"Then what, what happened in the operating room today is not allowed to spread." When the operation was over, Shan Weihao said sternly to several people.

It's embarrassing to spread the story of Director Liu. It's not good to spread the news about him. It's fine if you don't know how to use the new equipment. Let the little doctor demonstrate it and the operation is done. If it spreads.
Several people nodded quickly.A look we all know.

(End of this chapter)