Chapter 1554: and translation of chapter title

1506 How to dispel worries? Only surgery.

Moreover, after hearing about intra‑luminal appendicitis, Liu Zewei also became more interested.

Although I'm not a surgeon, I still pick up some knowledge when drinking and eating while listening to people brag.

That kind of out‑of‑this‑world appendectomy, Zheng Lao Ban actually managed to save the patient.

"I palpated the area; there was no mass in the cecum, but after checking everything, I called Director Luo to come up and do a colonoscopic exam."

"……" Liu Zewei froze for a moment.

"Zheng Lao Ban, you're cheating."

"Just go in and remove the appendix with a single cut—that's truly impressive, you …"

But Zheng Lao Ban's approach seems to be a lasting solution.

Next time we can't locate the appendix, we'll push the colonoscope forward to see if it's an intra‑luminal appendix.

This maneuver isn't flashy or cool, but it's very practical.

"Boring." Su Yun snapped, "You already knew the answer, didn't you?"

"About right." Zheng Ren laughed, "I've thought it through; if it really doesn't work and the endoscope can't see, we'll just use gastrointestinal imaging—there are plenty of options."

Where did you find it later?

Around 12 cm above the cecum, Director Wei almost felt it. I think I felt it, but I'm not certain, and even making an incision would be done very cautiously.

"What a pity. Next time, remember to bring the whole medical team." Su Yun added, "No matter where I am, I'll be there within ten minutes."

"Don't talk nonsense—are you really planning to fly back through the streets with your underwear on the outside?"

If we could see an intra‑luminal appendix, that would also be an option.

They joked as they went to the colonoscopy room, changed clothes, and the three of them entered.

"Zheng Lao Ban, what's going on today? I heard it's severe vomiting in pregnancy?" Liu Zewei asked.

"Yeah, the vomiting is too severe; the pregnant woman refuses to have an abortion, so we can only try this approach." Zheng Ren said: "It's quite troublesome—I won't go into the surgical details, but post‑operatively the jejunal feeding tube gets blocked, we have to replace it, and every day we drip nutrition through the jejunal feeding tube. We also have to monitor various things regularly; it's really a hassle."

But after all, there is a way.

"Yeah, it's just experimental. Not many such surgeries have been done worldwide, but there are some successful cases." Zheng Ren said.

Is that right? Liu Zewei mentally outlined the procedure Zheng Ren wanted to perform; although it isn't difficult, just having this idea is already commendable.

Sometimes, a wild idea eventually becomes a common clinical procedure, saving countless lives.

The patient has been brought in, Director Du of Obstetrics came along, and Director Luo is also here.

The directors of 912 are still very attentive to a relatively new procedure, and want to see it themselves.

Zheng Ren suddenly realized that he had not reported this new procedure to Director Kong, wondering if he would be angry.

Sigh.

Performing surgery is difficult,

Performing high-difficulty surgery is difficult,

Performing a high-difficulty surgery that no one else has done is even more difficult.

I encountered a case of intracavitary appendicitis today, didn't call anyone else, and have already been severely warned by Xiao Yi Ren.

Although he wasn't holding a rolling pin or pulling his own ears, Zheng Ren could feel that killing intent.

This is courting death, Zheng Ren knows.

Next time, I will definitely call to notify everyone.

Bringing the whole medical team to save the platform, would it be too conspicuous, provoke jealousy? Zheng Ren feels somewhat worried.

Imagine Director Wei wants me alone to save the platform; as soon as I enter, seven or eight people. Regardless of whether they are surgeons, assistants, instrument nurses, or even anesthetists, all would be driven out……

Too damn arrogant.

Even if it's arrogant, if you can't perform the surgery, do you still have justification?

Forget it, don't think about these worrisome things; let's just do the surgery first.

"Zheng Lao Ban, your preoperative instructions are too meticulous." Director Du said with a wry smile: "When I explained to the patient's family, I even frightened myself."

"Many are especially rare complications, there's nothing we can do." Zheng Ren said: "To avoid later disputes, doing this is still appropriate."

"You do it, I'll watch and learn." Director Du said with a smile: "I have considered giving the patient a nasoenteric feeding tube via the esophagus; what procedure are you preparing to choose?"

"The one you mentioned has small trauma, but the tube passes through the oropharynx, causing great stimulation to the patient. For patients with severe pregnancy-induced vomiting, the exact pathogenesis is still unclear, but placing a tube via the oropharynx is inappropriate."

Zheng Ren began to earnestly explain why he chose the procedure, and his previous worries vanished.

How to dispel worries? Only surgery.

"The remaining options are two. The first is the domestic procedure for percutaneous gastric puncture to place a feeding tube in ALS patients; the second is enteric puncture from inside out to place a feeding tube."

"Each has its own advantages. The first advantage is that intraoperative adverse reactions are relatively small, and bleeding etc. can be avoided as much as possible. However, the disadvantage is that pregnant women may react to the jejunal feeding tube passing through the pylorus, which is quite troublesome."

"The advantage of the second is that there is no pyloric stimulation. However, the tube goes directly into the jejunum, and the puncture from inside out cannot be done under CT guidance; I worry the surgery may encounter problems. Furthermore, postoperative infection and other series of troubles may occur."

Director Du didn't expect that for this so-called 'simple' procedure, Zheng Ren could list points one through five.

"Which procedure are you preparing to choose?"

Zheng Ren smiled faintly, said nothing, and went to Shujian.

The gastroscope is ready, Director Luo is preparing to operate personally.

Zheng Ren came before the patient, pretended to examine, directly entered System Space, and selected to purchase Surgical Training Time.

……

"I want to choose percutaneous endoscopic gastric puncture, with gastroscope guiding the jejunal feeding tube through the pylorus into the jejunum." Zheng Ren finally made the decision.

Disinfection, laying sterile drapes, surgery begins.

This surgery is rather special, considered a two-surgeon procedure.

One surgeon is Zheng Ren, the other is Director Luo.

Su Yun, the scrub nurse who had gone on stage, was merely considered an assistant for guiding the thread and was completely ignored.

The gastroscope gently entered the pregnant woman's stomach; with local anesthesia, there were side effects, but they were somewhat milder.

Before the surgery, Director Du personally spoke with the pregnant woman; this should be the only chance to save the baby.

Although it was very uncomfortable, the pregnant woman tearily endured it, trying not to cause any trouble for the surgery.

The balloon inflated, pushing up the stomach.

The pregnant woman began to have violent vomiting motions, although she couldn't vomit anything.

This is a nerve reflex; it cannot be endured just by wanting to.

Zheng Renye did not wait for the pregnant woman to stop vomiting and struggling; he directly performed the puncture, under gastroscopic vision, opening the abdominal and gastric wall umbrella of the puncture kit and fixing the puncture needle.

"Director Luo, release the gas." After this step was completed, Zheng Ren finally breathed a sigh of relief.

All that remained was to feed the jejunal tube inside.

Director Luo nodded, but his hand was seized by a pale hand drenched in cold sweat.