After raising a cat, the goddess doctor became popular in the interstellar

Chapter 329 EHS Sutures

Titanium clip suture is the most common and simplest endoscopic suture technique.

For the patient in front of me, the wound caused by the insertion of the dentures is only [-] cm wide, and the wound is not large, so this kind of closure method is very suitable.

The reason why Mr. Shao is willing to let Tao Le do it is naturally because he has confidence in Tao Le.

Her hands are very stable, so whether it is acupuncture or suture, she can do a good job. It is not difficult to operate titanium clips to close the wound under the endoscope.

But it is to put the titanium clip into the titanium clip releaser, and then send it to the wound in the stomach along the cannula for closure.

The titanium clip remains in the body after closure is complete.It is small in size and has good compatibility with the body. After about ten days and a half months, the wound will heal, and it will be excreted from the body on its own, and there is no need to take it out again.

Mr. Shao has already figured it out, even if Tao Le is not familiar with the operation, but with himself watching and guiding himself, there must be no problem.

For outstanding young people, opportunities for practice should be created all the time to increase their clinical experience.

Mr. Shao's face was full of the holy radiance of being a teacher, and his eyes looking at Tao Le became softer.

So when Tao Le rejected the titanium clip releaser and asked the equipment nurse for a flexible needle holder through the endoscopic channel and absorbable barbed sutures, no matter whether it was Mr. Shao, Mr. Zhang or Xu Shou, they were all very surprised.

"Little Tao, are you doing EHS?" Mr. Shao asked hesitantly.

The operating room of their digestive endoscopy department really has this kind of needle and thread, but no one has ever used it since they bought it.

Because EHS surgery, that is, endoscopic manual suturing, is the latest and most difficult technique for endoscopic suturing in the world.

Compared with the traditional titanium clip suture method, the advantages of this technique are obvious. The suture is tight, and the gastric mucosa itself will not be cracked due to the slippage of the gastric mucosa itself, and postoperative bleeding can be avoided to the greatest extent.

It is not only suitable for small wounds of patients in front of them, but also suitable for operations with large trauma such as gastric mucosal dissection.

The only disadvantage is that the requirements for surgeons are extremely high.

Continuous linear suture under endoscopy is not as simple as suturing directly with a hand-held needle, and untrained people cannot even sew a single stitch.

Even an experienced endoscopist can sew eight or nine stitches in an hour.

As an internationally leading new technology, it has been promoted and applied on a small scale in Beijing and Haishi, but it has just been put on the agenda in third-tier cities like Yunshi.

To be precise, learning and mastering EHS technology is the main direction of the Department of Gastroenterology of the First Hospital next year.

So Mr. Shao's shock is completely understandable—even if Xiao Tao is a disciple of Zhou Guoshou, he is also a Chinese medicine doctor. How can he master such cutting-edge western medicine suture technology?
"Yes." Tao Le nodded and said, "The patient is old and has blood coagulation disorders. Once the titanium clip falls off halfway, it will cause gastric bleeding or even perforation, which is too dangerous."

"With EHS, you don't have to worry about these problems at all."

"Well, we all know the benefits of EHS." Mr. Shao asked, "It's just that this operation is very difficult, so don't force it!"

There was a faint smile on Tao Le's face.

Indeed, the operation of EHS is really difficult, but that was all in the past.

The endless patients in the past, the poisonous tongue in the mask, the single-mindedness in the past, the selflessness and no one in the past.

The Instrument Nurse has found what she wants.

Tao Le took it, and used the needle holder to clamp the suture near the tail of the needle, so that the suture can swing freely as it passes through the cannula and enters the stomach.

It was just such a movement that made Mr. Shao's eyes shine.

He has seen the operation video and explanation of EHS, although he has not done it himself, but he has a vision.

This little Tao, ah no, is Doctor Tao, who really understands, not just pretending to understand.

Once Tao Le entered the working state, he immediately forgot everything around him.

She didn't notice that the head nurse received another call from Dean Lin himself.

"Ms. Lorennie's operation hasn't started yet?" he asked.

"It's already started - 15 minutes." The head nurse replied truthfully.

3 minutes of anesthesia, 2 minutes of acupuncture to stimulate the gastric antrum, 3 minutes of endoscopic retrieval, 6 minutes of searching for a stapler, and unpacking. It took less than 1 minute for Tao Le to get started.

"What?" Dean Lin's voice was raised once, which was very rare in his career as a dean: "Didn't the family members call you and tell the lady that she has a blood clotting disorder?"

"That's true. But at that time, the patient had severe pain in the upper abdomen, and several doctors judged that the perforation might be imminent, so..."

Dean Lin immediately understood: "So I have to operate immediately, alas"

"Prince, don't worry, there was no surgery." The head nurse explained, "Boss Shao took it out under the endoscope."

"Oh? Xiao Shao is not bad!" Dean Lin praised: "He had a gastroscope again, and it succeeded? Good, good, good!"

"Not exactly." The head nurse explained seriously: "It's Doctor Tao."

"Tao Le?" Dean Lin just read the notice of this operation: "I know, Xiao Tao went to the rescue and became an anesthetist."

"Dr. Tao not only did anesthesia. She suggested acupuncture to stimulate the stomach to increase peristalsis so as to loosen foreign objects."

"I understand." Dean Lin praised: "This plan is similar to the previous Second Mirror Alliance, but it doesn't need surgery, it is simple and easy to implement."

"That's right." Dean Lin changed his tone: "The foreign object has just been taken out, and the stitching hasn't started yet, right?"

"The stitching has already started." The head nurse looked forward, and Tao Le's operations were clearly displayed on the big screen:

After the needle holder entered the stomach, Tao Le inserted the needle from the side of the wound, pulled the needle through the loop at the end of the suture, tightened it, and then sutured continuously in a linear manner with an interval of about 3 mm.

During this process, Tao Le did it smoothly, and everyone present was pleasing to the eye.

"What!" Dean Lin's voice was raised twice more than before.

"Wait, let them wait!" he cried:

"The patient has an extremely rare titanium metal allergy and cannot be sutured with conventional titanium metal clips."

"Let them spray the hemostatic agent first, and don't do anything else. The experts in Haishi have already set off, and they can come to do EHS suturing in three hours."

"Dean, don't worry." The head nurse was heartbroken when she heard that she was going to stop now.

But after hearing the latter, she put her mind back and her voice became orderly.

"No titanium clip sutures," she said, "Dr. Tao is doing EHS sutures."

She glanced at the big screen again. Tao Le was cutting off the remaining sutures with scissors, clamped the sutures with a needle holder, took out the needle through the cannula, and threw it into the stainless steel tray.

"...It's done now," the head nurse added.

"Little Tao, she can also do EHS?" Dean Lin was very surprised: "And how could it be so fast?"

He seemed to have exchanged a few words with someone on the other end of the phone, and then asked, "How long is the wound, and how many stitches did Xiao Tao have in total?"

"One and a half centimeters, six stitches."

"It's impossible!" Dean Lin said at the same time as the unknown voice.

　It's the last day at the end of the month, ask for a monthly pass!This month, Xiaohai still owes everyone a chapter plus update, maybe two chapters... I will post it as soon as possible in these two days, please don't forget the previous suspicions, and continue to support Xiaohai!

　　
　
(End of this chapter)