Chapter 785: Surpassing Concorde
Xu Qiu explained calmly:
"If the colon is removed too much, the patient's diarrhea rate is very high, and intestinal obstruction is very likely to occur, and the nutritional status in the future will be far lower than expected..."
These are sequelae that Dai Kai cannot bear.
If you want to really save the patient and let him have a better quality of life and a longer survival period, you can only transfer the difficulty of the operation to the surgeon.
Either the doctor carries the burden forward, or the patient endures the consequences of not paying attention to details...
Obviously, Xu Qiu chose the former.
He continued:
"In addition, the retained part of the gastrointestinal tract can ensure the body's absorption of water after surgery and provide a considerable degree of salt retention function.
"The most common stubborn diarrhea in digestive tract reconstruction surgery can also be avoided to the maximum extent.
"The most important thing is the nutritional metabolic function...The terminal ileum plays an absorption and metabolic function, and the patient can resume eating in the fastest time and get out of danger as soon as possible."
Eating is often an indicator for judging a major operation.
Being able to eat often means that the gastrointestinal function has been restored and various body indicators have returned to normal.
To achieve this, Xu Qiu's detailed treatment of digestive tract reconstruction is crucial.
"So that's how it is..." Everyone present nodded in succession.
Everyone's heart was in turmoil.
Is Xu Qiu so demanding about every tiny step of the operation... He is simply a detail maniac.
At this moment, they finally felt Xu Qiu's surgical ability and understood why Xu Qiu's patients often have a prognosis far beyond that of other doctors.
The results of conventional total resection of the digestive tract and partial resection with attention to details and higher difficulty like Xu Qiu are the same, but one month later, one year later, the difference is obvious!
Being able to polish every link to the extreme and work hard in places that patients and their families can't see is a true surgical master!
Thinking of this, everyone felt a sense of respect in their hearts, and their eyes looking at Xu Qiu were gradually filled with awe.
This time it was not because of Xu Qiu's status as an academician.
But it was the scalpel in his hand and a benevolent doctor's heart!
…
“By the way, after the entire pelvis is removed, the patient will be mentally assessed first, and then the truth about the removal of the lower body will be determined according to the situation.”
The operation continued, and Xu Qiu continued to remove various muscles and structures connected to the pelvis, while reminding.
“Why is this?” The director of Tiantan Orthopedics was stunned.
Xu Qiu said: “The operation can save his life, but postoperative phantom pain cannot be avoided, or it will definitely occur.”
Phantom pain, that is, phantom limb sensation, often manifests as intermittent or continuous colic, tingling, tenderness, etc. in the amputated limbs. Patients who have had partial limb removal may even have phantom pain for several years, which is so severe that they cannot fall asleep.
For people with fragile spirits, in order to avoid a greater blow, doctors and family members often use reasons such as “plaster fixation of both lower limbs” to prevaricate and prevent them from collapsing after learning the truth.
But doing so also has a price: patients will not be able to accept this reality for a long time, and may even suffer from phantom limb pain for life.
If the patient still has legs, and the pain is real in the legs, medical treatment can still work, but if it is phantom limb pain, this kind of pain that exists all the time cannot be relieved even by painkillers, and it is highly likely that various psychotherapy methods such as hypnosis will not work, and the patient is likely to suffer lifelong mental torture.
Considering the patient's tolerance and then deciding whether to tell the patient is the best solution.
"I understand!" The director of Tiantan Orthopedics nodded quickly.
He couldn't help but let out a breath.
The operation was done well, and the patient's postoperative care and mental health were considered as if they were in a strategic plan. If Xu Qiu was not in front of him, he would even doubt whether there is such a comprehensive doctor in the world...
...
Crack--
The last few ligaments connecting the ilium and sacrum were cut off by Xu Qiu.
Ta-ta!
The pelvis lost traction and immediately sank slightly, completely entering a free state.
Xu Qiu glanced at his assistants, and several people rotated the pelvis outward together, pulling it out from the inner edge, followed by an inward rotation, and the pubic symphysis was also pulled out from under the iliopsoas muscle.
"The dead space of the wound is too large...negative pressure suction tube."
After the pelvis was removed, the operation was finally coming to an end.
While the assistant placed the suction tube, Xu Qiu also started the next operation.
He held the needle holder and sutured the distal and proximal muscle stumps in the wound layer by layer.
The levator ani and piriformis muscles were connected together, and the muscles of the genitals were sutured with the adductor muscles...
The abdominal muscles in the inguinal ligament area were anastomosed with the sartorius muscle and rectus femoris to prevent the formation of abdominal wall hernia.
"And the muscles on the outside of the abdominal muscles..."
The latissimus dorsi, quadratus lumborum, and sacrospinal muscles were sutured with the remaining gluteus medius, gluteus minimus, and tensor fasciae latae.
...
In the fifth hour of the operation, the final pelvic ring reconstruction finally came to an end.
Until the last screw was fixed on the acetabulum, everyone finally exhaled the breath they had held.
"It's done..."
Everyone stared at the surgical area, their eyes constantly switching between the patient's removed pelvis and Xu Qiu's face, with shocked expressions.
"Incredible..."
"Dr. Xu actually completed the operation!"
"The patient survived!"
After a brief discussion, cheers broke out in the operating room.
Even though most of the people present were experts in the industry, or even famous doctors, they could not hide their excitement at this moment.
Watching such an operation up close was a spiritual feast for them.
"Send to the surgical intensive care unit after the operation, actively fight inflammation, protect the liver, protect the kidneys, and provide nutritional support..."
In the corridor of the operating room, Xu Qiu explained the nursing measures in detail.
Neither Tiantan nor Union Hospital had much experience in this regard.
Several directors of Tiantan Hospital looked at each other, and they all hesitated to speak.
The operation was done, and now the baton returned to the nursing department of Tiantan Hospital...The key is that they are not sure, and can only take care of it according to the conventional large-scale orthopedic surgery!
At this time, Xu Qiu suddenly stopped.
He looked at the people in Tiantan Hospital who were in a dilemma, and said slowly: "I will leave Tiandu in three days. In the next few days, I will give an academic lecture to the orthopedics and nursing departments of Tiantan Hospital to share some treatment and nursing experience of total pelvic resection surgery."
The directors of Tiantan Hospital were ecstatic.
"Thank you, Dr. Xu!"
"Academician Xu considers the patients and has noble medical ethics!"
Several directors were so happy that they couldn't stop smiling... Now there is no need to worry about inadequate nursing.
The director of the emergency department of Union Hospital almost blushed and said: "Academician Xu, can our Union Hospital attend the meeting?"
In terms of experience, Union Hospital has only done one case, and the clinical guidelines are not perfect, obviously not as mature as Xu Qiu's summary.
Xu Qiu nodded: "Okay."
The directors of Tiantan Hospital immediately regretted it a little.
This is an opportunity to catch up with Union Hospital... If I had known, I would not let the doctors of Union Hospital come!
