Chapter 4565: 【654】God assists
The patient will be much more comfortable if the doctor is skilled.
This shows that comfort technology is by no means simply achievable.
Assistant Jiang’s live broadcast was interrupted, and a pair of eyeballs were attached to the screen to watch the operation progress. There was no other way. If he was asked to look back at Chief Xie's hand movements, he wouldn't be able to figure out the reason. It would be more reliable to look at the display on the machine screen.
Dr. Cao Zhao, who was waiting opposite, couldn't bear it anymore and told Assistant Jiang honestly: You don't need to study it carefully, you can't figure it out. Tell us what you can see and let our brains think better instead of yours.
Assistant Jiang: After all, I am known as a specialist.
General surgeons do not perform colonoscopy during their daily work, but this does not mean that they cannot understand colonoscopy if they do not touch colonoscopy at all.
The reason why I said I “cannot understand” Dr.
I understand what Dr. Xie is doing in this operation, but I don’t understand how Dr. Xie can achieve such perfect and miraculous results.
To be more specific, the main part of the colonoscopy is the colon. The colon is one to two meters long. According to the length of the colonoscope we talked about earlier, the two are not equal in length, so it should be difficult to reach the innermost part. inspection site.
This is the first problem. The second problem is that colonoscopy and gastroscopy are different. Many doctors are very good at doing gastroscopy and think that the two inspection tools are almost the same. If they want to use gastroscopy to directly replace the colonoscope, they will immediately run into trouble.
The human intestines and stomach are two different organs after all, with completely different shapes, functions and even locations. The textbooks talk a lot about this, but none of it is as good as the real-life medical operations that can give people a head-on blow.
To sum it up in one sentence, if you take the colonoscope as a gastroscope, it will easily enter the intestine and quickly form a ball called a loop, making it impossible to advance or retreat.
Who knows that the patient's intestines are alive, and their anatomical shape is very similar to a movable spiral tube. After the colonoscope enters the intestines softly, the intestines feel that the colonoscope makes an action similar to pushing stool on weekdays. This kind of spontaneous "resistance" of the human body "Exercise" can easily cause the colonoscopy operator to lose control of the colonoscope and become confused.
How come you don’t know how to do a gastroscopy? A gastroscope is not like an intestinal tube that twists and turns. The almost linear structure does not give the flexible scope the chance to twist after entering. It would not be wrong to say that the operations of gastroscopy and enteroscopy are completely different and have no similarities at all. As mentioned before, the basic operations of this type of examination surgery are similar.
Like gastroscopy and colonoscopy, they need to be inflated to expand the folds, so air volume control is one of the technical know-hows.
How the operator can grasp the essence of the differences between small differences must ultimately come back to the basics of anatomy. Inflating during colonoscopy will cause intestinal spasm and accelerated intestinal peristalsis. In addition, a small number of people's intestines are very sensitive to inflation. Controlling the timing of inflation is different from gastroscopy.
Assistant Jiang said a lot, meaning that I can’t be a specialist who doesn’t know anything. I can tell that what Dr. The axis-maintaining retraction method in the introductory technique of the divine operation recommended by colonoscopy.
It is a method invented by clinical predecessors in order to allow the operator to freely control the inspection movements of the colonoscope in the intestinal lumen: after the colonoscope enters the intestinal tube, it remains consistent with the axis of intestinal movement, and the intestinal tube is automatically inserted into the intestine. The scope body can shorten the intestinal tube to reach the deepest examination site, thereby perfectly solving the one or two problems raised above.
As for when to turn left and when to turn right, and when to press the folds of the inner wall of the intestine to hook and shrink the tube, these are the hands-on experience of practical doctors. What they say is one thing and what they do is another.
Assistant Jiang expressed his profound meaning again: You won’t understand even if I tell you, just follow me and marvel.
With that said, Assistant Jiang looked at the screen again and murmured. Seeing in front of him, Chief Xie suddenly made a magical operation to pull down the mirror and shrink it successfully.
This operation may not be considered a divine exercise in normal times, but now it must be called a divine exercise because the timing is just right: the surgical cart is starting up and there is a lot of momentum.
It can only be said that surgeon Xie may have used the surgical cart as his "surgical assistance tool", otherwise it cannot be explained.
Really?
