What? Teacher Tan didn’t criticize and nodded directly.
The people who heard it behind were almost confused.
Teacher Tan and classmate thanked the teacher and student, and they continued to exchange academic issues between them without any distractions.
"Let me ask you, do you think there is a remedy for this approach?" Teacher Tan is a big boss. If you want to take the exam, the students will get the key points in the exam. Although the surgical approach is her strong point, it can never be guaranteed to be 100%.
Accuracy, accidents often happen during surgery. For example, the one just completed
An accident occurred during neurosurgery. The surgical approach could not fully cover the problem and urgent remedial measures were needed.
After sorting out her thoughts, Xie Wanying replied to the teacher: "The biggest problem with this operation is that the angle of the uterine suspension is not correct." The most important point for radical cure of rectal cancer is to remove the entire mesorectum. How to perform the operation
It is very important to free the entire mesentery and cut it. There are several joint points. All of these have been seen in previous surgical cases.
Said.
What I want to talk about here today is that if you want to do a good job in separating these joint points, you must at least ensure that the surgical field is clear.
There are two important things to do when clearing the surgical field during surgery. One is not to cause bleeding. If bleeding occurs, the bleeding must be stopped in time to clear the surgical field, and it is necessary to understand how the bleeding occurs.
This live broadcast of the surgery actually had scenes of bleeding.
Intraoperative bleeding is mostly related to surgical instruments accidentally touching human tissue that should not be touched. How the accidental touch occurs has a lot to do with the surgical approach.
Another important reason that causes unclear surgical fields is obstacles.
Avoiding obstacles during surgery is 100% a matter of surgical approach thinking and technology, and is related to the choice of surgical approach.
If there are obstacles that make the surgical field unclear, the first situation of accidental bleeding may occur.
After comprehensive analysis, Xie’s sharp criticism at the beginning was indeed correct: there was a problem with the surgical approach. In her detailed analysis in the next step, she mentioned that because the initial entry point was deviated, the assistant wanted to help the surgeon.
The uterus is suspended. As a result, the uterus is suspended at an angle that continues to cover the surgeon's surgical field, causing the surgery to
Difficult progress. Problems like this during surgery can be big or small. If such problems cannot be solved in time during the operation, the worst result is that the complete resection cannot be performed. The doctor will be afraid that the operation will take too long and the patient will have problems on the operating table.
, will choose
Choosing to end the operation in a hurry will eventually cause postoperative regret for both the patient and the doctor.
Classmate Xie’s three-dimensional eyes are quite “poisonous”.
In the live broadcast of the surgery, neither the surgeon nor the assistant was aware of the problem happening in front of them, so a lot of people in the back row said that medical students don't know how to respect their seniors.
After Teacher Tan induced Xie to say what she said, the people in the back row became dumbfounded: What should I do? Listening to what she said, and then looking at the surgery pictures, I realized that what she said seemed to be right.
The doctor who was in charge of hosting the speech on the podium was a little panicked and immediately called the operating room to check the status of the operation.
"Yes, yes, there was some bleeding before." The doctor in the operating room had no choice but to admit.
The surgery was broadcast live, so it was clear to everyone what happened and he could not deny it.
It is related to the face and reputation of the hospital. The surgeon added: "The bleeding stopped immediately. This is very common during surgery. There is no need to worry." The host was worried and asked: "Do you think the uterus is suspended in the operating room?"
