Chapter 1545: with translation of chapter title

"Looks simple operation, could do a thousand times fine. But if careless, maybe once or twice fine, but eventually something will go wrong." Zheng Renye sighed.

"That's the point." Director Luo firmly patted Zheng Ren's shoulder and said.

"I've been doing gastrointestinal endoscopy for fifteen years, always cautious, as if walking on thin ice. But I still encountered many problems that I couldn't solve." Director Luo watched that doctor's operation and said.

"Pear-shaped fossa severely damaged, esophageal perforation, cardia mucosa torn. Tell the patient it's a complication? If the operation were gentler, could it be avoided?" Director Luo said, shaking his head.

"I've taught many people to do gastrointestinal endoscopy; most feel it's very simple, saying they can do it with eyes closed. I don't agree with that. Every examination must be done carefully; even giving it my all feels insufficient, let alone doing it with eyes closed."

Zheng Ren nodded, thinking Director Luo's words were correct.

"Pediatrics... do they know how complex children's diseases are?" Director Luo said contemptuously.

"I used to work at Haicheng Shi Yiyuan, where they had just started painless gastrointestinal endoscopy. It was just when this procedure was being introduced; the doctors lacked experience, and there was a case where the colon splenic flexure bowel was punctured." Zheng Ren said.

"Under the patient's basic anesthesia state, the surgeon at that bend lacks skill and only uses brute force." Director Luo said firmly.

Zheng Ren nodded.

Skill, who isn't developed bit by bit through exploration and accumulation?

Born with it? Even someone like Su Yun needs to see it once to learn.

Zheng Ren thought to himself.

"So saying, Zheng Lao Ban, your Surgery Livestream Room is truly merit boundless." Director Luo said sincerely: "Many experiential accumulations, you have already completed, and selflessly imparted to other doctors."

"You flatter me." Zheng Ren smiled modestly and said: "It's just a coincidence; someone happened to ask me to do it."

"What flattery, what I said is still far from enough." Director Luo glared, then realized his emotions were slightly excited, and immediately smiled gently.

These days studying Endoscopic Submucosal Dissection, studying too obsessively, my fondness for Zheng Lao Ban unknowingly increased greatly.

"Many situations come from exploration." Zheng Ren said: "Just like the patient with hyperemesis gravidarum we encountered today; we don't know when the postoperative jejunal feeding tube will get blocked, so we're still anxious."

"After all, patients receiving jejunal feeding tubes are mostly late-stage cancer patients, aiming to improve the quality of survival period. But this patient in front of us is different; after giving birth, she is perfectly fine."

"Hmm, so need to be more careful. Shou Bing, I still need to think it over." Zheng Ren considered several different surgical approaches, preparing for after the patient's family consents to the Shou Bing, he will immediately go to the System Operating Room to try it out.

"Just caught you." Director Luo saw the colonoscope examination finished, then grabbed Zheng Ren's arm and said with a smile: "The Endoscopic Submucosal Dissection you did a few days ago, you really need to explain it to me well."

Zheng Ren didn't expect things to turn out like this; he just came to look at the equipment, then to figure out exactly what method to use.

If I could communicate a couple of sentences with the gastrointestinal endoscopy doctor, that would be best.

But looking at the current situation, Director Luo is probably preparing to personally give me a setup for a gastroscope.

This... I'm a bit overwhelmed by the favor.

Zheng Ren had no choice; he went with Director Luo to the demonstration room and began explaining his Endoscopic Submucosal Dissection from today.

……

……

At the same time, in the Big External Operating Room, a professor of Gastroenterology Surgery panicked.

Shou Bing is very simple; the preoperative diagnosis was acute appendicitis.

Single-port laparoscopic appendectomy is already a mature technique. But after he entered the abdominal cavity, his hands and feet went numb.

At the right lower quadrant tenderness point, the bowel is smooth, with no trace of the appendix.

Using the laparoscopic equipment, he searched for ten minutes, still no sign of the appendix.

No choice, convert the laparoscopic Shou Bing to open surgery, directly inspect and mobilize the bowel, we must find the appendix.

The appendectomy Shou Bing under the worst conditions is a barefoot doctor making house calls, performing local anesthesia appendectomy Shou Bing on the kang bed or bed at home.

Even this, the Shou Bing can be done.

Moreover, under normal circumstances, interns who are usually diligent, do more work, and receive approval from their supervising teachers. Near graduation, they will often be allowed to personally perform one or two appendectomies.

This is the highest, supreme honor during the internship. Returning to school, they can brag to classmates about graduating.

But the appendectomy Shou Bing has also stumped many top-level surgeons.

After opening, the appendix that should have "popped" out instantly upon opening the peritoneum disappeared; even after mobilizing the bowel for two hours, it was still not found.

Whatever ectopic appendix is trivial; a retroperitoneal appendix or similar is truly what gives people a headache.

But these are nothing compared to a "missing" appendix.

After mobilizing the bowel for one hour, still couldn't locate the appendix; that team-leading professor had no choice but to call someone for help.

A single arrow piercing the clouds, ten thousand troops come to meet.

If I can't do it myself, then find someone of higher skill to come take a look.

But unfortunately, Director Wei has a complex intestinal adhesion and obstruction Shou Bing that he can't temporarily perform.

Feng Jianguo came up to help.

The two team-leading professors searched for another hour, still couldn't find the appendix.

Is it lost? Or did it evaporate into thin air?

Impossible.

The incision was extended again and again, twisted and turned.

Losing face or not, we can't worry about it anymore. Laypeople don't understand, saying the Shou Bing was done poorly, that's also unavoidable.

Insiders understand, if we really encounter such a case of a lost appendix…

Everyone will get sweaty palms.

The two of them sweated profusely.

Outside the sterile cap, they wrapped two layers of sterile gauze to prevent sweat from falling into the operative field.

Thus, the two of them occasionally turned back, letting the circulating nurse or anesthesiologist help wipe sweat.

One appendectomy, if truly can't locate the position, how the Shou Bing is opened and finally closed… that would be a big deal.

What about the patient? Constant pain? Until the appendix, whose location is unknown, finally perforates?

Or go to another hospital?

Later, being laughed at by others will be a minor concern.

If we can't find it here, does going to another hospital guarantee we'll find it?

Feng Jianguo doesn't believe in that superstition.

If we can't find it, neither can anyone else.

If we really can't find it, we'll have to use a high dose of antibiotics and hope it reduces the inflammation.

Afterward, the patient is likely to develop a widespread abdominal infection, then within one to two days develop irritant peritonitis, ultimately leading to septic shock and death.

Just thinking about that possibility made the two team-leading professors sweat even more.

The dark green sterile gown was soaked through, and the back looked as if ink had been splashed on it.

56 minutes later, Director Wei arrived.

"What's the situation?"