The surgical plan is simple and easy to implement. After the laparoscope enters the body, it goes straight to the outside of the stomach, helps loosen the foreign body at the site where the foreign body is stuck, and then uses the gastroscope to take it out.
This surgery requires general anesthesia. However, the patient has chronic pulmonary heart disease, which is a contraindication for general anesthesia, let alone an elderly person in his eighties.
So this is where Tao Le is needed in the whole operation: using acupuncture anesthesia instead of general anesthesia.
She breathed a sigh of relief. Although she cannot use gold fingers, she has received special training in various endoscopic foreign body removal procedures, and she is also very skilled in the related acupuncture anesthesia.
While they were talking, both of them had already entered the operating room, brushed their hands and put on surgical gowns.
The two chief residents of digestive endoscopy and gastrointestinal surgery, Mr. Shao and Mr. Zhang, had arrived early. When Tao Le came in, they both greeted her warmly.
To be honest, they have long been extremely curious about the legendary and magical acupuncture anesthesia.
Everything is ready and the operation is about to begin. At this time, the head nurse suddenly received a call.
It was a cross-country long-distance call from the patient's son. The other party told a new situation in an urgent tone.
The patient has a certain degree of coagulation dysfunction and is not suitable for surgery.
The head nurse relayed this situation to everyone. All the doctors on the stage were a little confused and all looked at the patient.
The old lady was awake at this time. She blinked her little brown eyes a few times and said as if she had just woken up from a dream: "Oh yes, this is indeed the case. It has been so long that I have forgotten that this problem exists. ”
This is simply not the time to pursue an incomplete medical history.
This was originally an emergency small laparoscopic surgery. It did not require a comprehensive coagulation function screening in advance like a major surgery, so the doctors were a little worried at the moment.
"The arranged surgical plan still needs to be changed." Mr. Zhang from the gastrointestinal surgery department sighed: "How about inviting senior doctors from various departments to come for consultation?"
Xu Shou, the attending physician in the emergency department, looked at Tao Le and suddenly remembered something he heard from Dr. Geng in the department last time.
"Xiao Tao, I heard that you can control the pulse and stop bleeding? How about we do the surgery and you show us your skills?"
"I don't agree. It's too risky." Mr. Shao, the manager of digestive endoscopy, immediately waved his hand: "Not to mention the effect of pulse control and hemostasis during the operation, the difficulty in stopping the bleeding and recovery after the operation is a big problem."
"In that case, we can only do it according to Mr. Zhang's opinion." Xu Shou said.
The old lady had been frowning anxiously since just now. It seemed that she was suffering from severe pain in her abdomen.
At this moment, she simply held her belly with her hands and moaned.
It's such a painful method, could it be a piercing?
Everyone is an experienced clinician, so they still have this bit of discernment.
But if we notify the superior doctor now and ask everyone to rush over for consultation, it will take more than an hour at least, and the patient will no longer be able to wait.
"In this case, we can't wait any longer. We will continue with the previous surgery plan and let's talk about the surgery to stop the bleeding." Mr. Shao suggested.
Xu Shou and Mr. Zhang both nodded. There was no way, if gastric perforation really occurred, laparotomy would have to be done anyway, and the problem at that time was much more serious than it is now.
"Xiao Tao, please provide acupuncture anesthesia for the patient." Xu Shou said.
The patient's previous gastroscopy results were displayed on the big screen. Tao Le glanced at them and already understood the situation well.
After hearing Xu Shou's words, she immediately responded and stood in front of the patient's left side.
Lorene was nervous. Getting sick in a foreign country, especially a country with a relatively backward medical level compared to your own country, is a very disturbing thing.
But what was more exciting than that was that the other party used an anesthesia method that she couldn't understand.
She has many Chinese friends, so she doesn’t know anything about acupuncture like some foreigners.
But even among her Chinese friends, none of them had heard of acupuncture anesthesia.
But they all knew about Zhou Jishen and had deep trust in his disciples.
It was for this reason that she signed and lay here.
No matter how severe her upper abdominal pain was, the doctor in front of her was wearing a mask and could not see clearly, but from those eyes, she could feel that she was very young.
Youth is something to be proud of. But for doctors, that is a minus point.
The young female doctor stood in front of her and said softly: "Don't worry. Just sleep and everything will be fine."
If you don’t worry, how could you not worry? Lorene's eyes widened and she stared closely at the female doctor's hand.
The hand only waved a few times, and she felt almost nothing. Then she knew nothing.
"Let her sleep first." Tao Le said: "Acupuncture anesthesia is mainly local anesthesia, so it must be supplemented by acupuncture to assist sleep."
She injected the needle very quickly, and the anesthesia was completed in just three minutes.
Mr. Zhang from the gastrointestinal surgery department picked up the scalpel and was eager to try it, but was stopped by Tao Le.
"Wait a minute, I have an idea," she said. "If not, Mr. Zhang, please postpone the operation. I would like to try endoscopic retrieval again."
Mr. Shao, who was doing the gastrointestinal endoscopy, frowned: "We have tried it just now. Most of the dentures are embedded in, and there is severe edema around them. It doesn't work at all."
He was a little dissatisfied deep down. Is this Xiao Tao questioning his ability in endoscopic retrieval?
Oh, he tried so many times but it didn't work, so she came and it worked?
If the patient's condition wasn't urgent, he would have wanted her to give it a try and see if anyone could do the endoscopic retrieval!
Tao Le is actually really capable. She had taken out all kinds of weird things in the collection of endoscopic objects, but this kind of dentures were only of medium difficulty.
But right now she really has no intention of slapping Mr. Shao in the face.
Wanting to successfully achieve one's goals without causing resentment to others is a university question, and Tao Le is still practicing it.
"The patient has a coagulation disorder and is old. Even a minimally invasive surgery will cause great damage to her, making her recovery even more difficult." Tao Le explained quickly:
"In fact, in this operation, the laparoscope mainly plays a role of assisting outside the stomach to help loosen foreign bodies."
"But what if laparoscopy can also play a supporting role?"
Tao Le's eyes were full of confidence: "Acupuncture can be used to promote the peristalsis of the gastric antrum. Although it is not as direct as laparoscopy, it can still have half the effect."
After hearing this, the other three doctors all understood.
"Then let's give it a try." Mr. Shao's little dissatisfaction just now disappeared immediately.
As he started to perform the gastroscopy, he said: "Xiao Tao, show us your famous acupuncture skills!"
The effect is really good. The peristalsis of the gastric antrum accelerated, and the dentures actually moved, and Mr. Shao quickly pulled them out with quick eyes and hands.
This movement was steady, accurate and ruthless, which brought him to the highest level in his career and won unanimous praise from the doctors present.
"Teacher Shao, you are so awesome!" Tao Le praised sincerely, his eyes shining brightly.
This is praise from Zhou Guoshou's disciples. Mr. Shao was also in a very good mood.
At this moment, he had long forgotten the little dissatisfaction he had with Tao Le.
Tao Le is worthy of being a disciple of a famous master. He has a high level of acupuncture, a smart mind, and is extremely humble.
This little girl can handle it!
After the foreign body is removed, the damaged stomach wall must be sutured and repaired.
The bottom of the patient's gastric antrum was obviously thickened due to edema, and he started to bleed immediately after the dentures were taken out. The visual inspection showed that the depth was about 3 mm, and there was only a thin layer left before perforation.
"Xiao Tao." Mr. Shao's expression became solemn: "I have seen your suturing, it is a master level. But have you done any suturing of the gastric wall?"
Tao Le's eyes lit up immediately: "I've done it before, let me do it!"
(End of chapter)
