The Surgeon’s Studio Chapter 2696 Post-operative anastomosed fistules

Chapter 2696 Post-operative anastomosed fistules

“Oh.” Zheng Ren responded, but he did not seem to be interested. However, there was no need to go up and take a look at the anastomosed fistules. If 912 hospital could not even solve such a problem, it would not be the top tertiary Grade A hospital in the country.
Lin Ge said,”I’ll go up then, boss Zheng.”
With that, he turned around and left.
As he walked, Lin GE’s mind was filled with the image of boss Zheng weaving the red rope. This person was really interesting. Every time she went for a surgery, she seemed to be able to see him looking at the scans again and again with his arms crossed.
Not to mention anything else, just his seriousness was admirable.
Moreover, he won a Nobel Prize, and it seemed like he wasn’t ready to take a break. He was full of energy and was ready to work in clinical medicine for the rest of his life.
She really couldn’t understand him, but this was good too, it was beneficial to her. He had already reached the Science and Education Department, and the position of Deputy Director was waving at him in a few years.
Thinking of this, Lin Ge was happy. The confusion in her heart caused by the inexplicable wrong surgery gradually faded away, and she walked briskly to the Thoracic Surgery Department.
Lin Ge didn’t think there was anything special about this thoracic surgery consultation. It was like how lower-level hospitals would transfer their patients to Room 912 for further treatment almost every day. He didn’t know what the Thoracic Surgery Department was thinking. They actually wanted the hospital administration Department to come and participate in the consultation.
However, he didn’t want to spend too much time thinking about this. He wanted to think more about boss Zheng’s needs and how he could benefit from it.
The consultation was scheduled for 3 pm. It was Lin GE’s habit to be a few minutes early. He had left the medical investigation Committee for a while for this consultation.
When he entered the doctor’s office, Lin Ge saw that Feng Jianguo and Department Director Luo were both there.
Eh? How could there be so many people? Lin Ge was a little surprised. The staff at the hospital saw Lin Ge enter and immediately gave him a seat.
“Director Luo, why are you here?” Lin Ge asked in surprise.
“Hehe.” “I’m not here for a consultation. I’m just here to watch the fun,”Department Director Luo said with a smile.
Lin Ge sat up straight. He felt that something was not right. The Department of Thoracic Surgery and the Department of digestive medicine seemed to only intersect in the esophagus and the cardiac region. Feng Jianguo was also there, and a female doctor with her head lowered was sitting next to him.
It was Quan xiaocao. Lin Ge smiled and asked in a low voice,”there’s no one in the Department. Director ye went to deal with a medical dispute and everyone is busy. I heard the news and rushed back from the medical investigation Committee, so I don’t know the situation yet.”
“There’s a patient with lower esophageal spine, stomach bottom, and stomach body cancer. After neo-supplementary chemotherapy for stomach cancer, he underwent radical total gastrectomy + Raux en Y anastomosis of esophagus-sterojejunostomy. After the surgery, the patient has been running a fever. I thought that there might be an anastomosed fistulation, so I’m here now. ” Director Luo said.
If it was a little forced, it would have had something to do with digesting Internal Medicine, but this was too much.
Lin Ge still didn’t understand the problem, but he didn’t ask. He continued to listen.
“The thoracic Department has been doing chest flushing and drainage, and they are thinking about the second stage of surgery. Later on, old Feng’s student said that he could perform endoscopies. Young Fang asked me, so I came to take a look out of curiosity. “
Endoscopies? Department Director Wei’s gastrointestinal surgery department had recently applied for some research projects, and one of them was about endoscopies. Now that Lin Ge was in charge of science and education, he knew about this.
However, a research project was just a project. It would take some time for it to be implemented, and Lin Ge did not believe that it could be used in clinical practice in the blink of an eye.
“What do you think, director Luo?”
“Director Lin, I just took a look at the patient’s condition. It’s not good.” Department Director Luo said,”the CT showed that there was effusion and empyesis on the left side. Under the guidance of the CT, left pleura puncture and drainage + left underdiaphragm puncture and drainage technique, about 10ml of light blue phlegm-like liquid was extracted from the left pleulas empyesis, and about 20ml of yellow-green liquid was extracted from the left underdiaphragm.”
“Light blue? Yellow-green?” Lin GE’s eyebrows furrowed.
This infection was too severe.
The color meant that there was a bacterial infection. Yellow and green were more common, and light blue was rare. What bacteria were light blue in color? After thinking for a long time, Lin Ge still couldn’t understand.
“I did a colonoscopy this morning …” Director Luo said,”at first, I thought it was too risky, so I rejected it. After that, old man Gu came to find me, and I had no choice but to do it. “
“The gastroscopy showed that there was a esophageal and jejunostomy 38 cm away from the incisor. There was a fistburst on the left front wall of the anastomosis, and a nail was on the edge. The diameter was about 0.8 cm.”
“What should we do in this situation?” Asked Lin Ge.
“If it were in the past, we could only strengthen the nutrition, try to avoid infection, and let the patient’s esophagus foul heal as soon as possible. As for whether it would grow or not, it would still depend on one’s luck. As you know, the biggest problem in the surgery for gastrointestinal cancer is the fistules. “
Lin Ge nodded.
“We can put down a stent now to avoid gastric reflux. It’s just that the length of the stent placed under light is also a problem. Professor Feng’s student said that endoscopic treatment can be used. ” Department Director Luo mentioned Quan xiaocao again.
‘This is getting interesting. The gastrointestinal surgery department is trying to take over some of the business scope that the gastrointestinal surgery department has taken away,’ Lin Ge thought.
No wonder director Luo took the initiative to come and see the situation.
Lin Ge knew exactly what these Chiefs were thinking. As long as the treatment was not delayed, he would not care who was in charge of the specific business.
It had nothing to do with him. Anyway, it was all meat in the big pot of 912. He could do whatever he wanted, as long as he didn’t cause trouble for his father.
However, this time, Quan xiaocao was involved. Lin Ge knew that Quan xiaocao had published a few SCI articles in the past six months, all of which had Su Yun’s credit. However, Su Yun did not leave her name.
He smiled slightly and decided to only watch and talk less.
Fang Lin entered the room drenched in sweat. When he saw that Lin Ge had already arrived, he moved closer to Lin Ge and greeted him in a solemn manner. He couldn’t be cheeky with the people from the hospital administration Department, especially when there was serious business.
The patient was professor Lu ‘S. Fang Lin was only a strong man who was summoned to do some work. He hid in a corner after being called out to and waited for the consultation to begin.
Professor Lu’s doctor began to explain the patient’s condition. It was no different from what director Luo said, but more detailed.
“That’s the patient’s condition. ” Professor Lu said,”after ten days of chest drainage and rinsing with a closed catheter, the esophageal fistulation did not improve at all. I think the next stent is better for the treatment, and the rest can slowly heal after the patient goes home. “
“It’s very difficult to get the stent in place, right? why didn’t the people from the Department of interventional services come?” Lin Ge asked.
“They invited Department Director Kong for a consultation. They said that there’s an emergency surgery over there. Department Director Kong is on the stage now.” Professor Lu said,”I’ve discussed it with old Gu. The best way is to take a certain risk and perform a stent.” In fact, there’s a high possibility that there will be problems during the stent surgery less than a month after the surgery. “
He made a helpless expression as he spoke.