blenderwars Chapter 375
Chapter 375
Chapter 375
“Congenital ultralong esophageal atresia?”
Lin Feng heard the words of a colleague doctor in the emergency department.
surprise,
It was the first time he encountered this disease,
Of course, in the sign-in experience, there are a total of 1210 such cases, and Lin Feng still has enough experience in this area.
Colleague doctor: “The doctor is a friend of my high school classmate, but his strength is a little weak, so he didn’t come to Harmony Hospital…Then the baby’s family was too angry, so he could only find me, hoping that I could find you. Help…”
“How do you know that I can have this operation?”
“Hey~~ Does Dr. Lin still have surgery?”
“Cut, flattering… I, the least favorite thing in my life is flattering… Let the patient come to Harmony Hospital to find me…”
“Thank you, Brother Feng…Brother Feng is awesome!”
“It’s all said, don’t flatter!”
“Okay, hey~~~”
…
That afternoon,
Lin Feng saw the baby and an anxious family member.
A whole family of seven or eight people came in mighty…
“Doctor Lin, you must save my son!”
“Dr. Lin, I finally had such a grandson. I must save my grandson!”
“…”
A group of people have been crying and pleading around Lin Feng.
Lin Feng pressed his hand: “Everyone, be quiet, be quiet… I need a thorough examination of the baby before I can be sure… Don’t worry, the baby will be hospitalized first and be checked…”
After finally coaxing the families of the patients,
Then I contacted the neonatology department, because the baby can’t be hospitalized in the emergency department and has to go to the neonatology department. There are many miscellaneous diseases in the emergency department, which is very detrimental to the health of the newborn.
Director Zhang of the Department of Neonatology: “Extra-long esophageal atresia? Dr. Lin, would you do this operation?”
Lin Feng: “Will…”
Director Zhang: “Then, you will bring your baby to our neonatology department and be admitted to the hospital, and then the whole process of the subsequent operation, please teach our doctors…¨々…”
Obviously, Director Zhang has long wanted to find Lin Feng to teach.
Now, the opportunity just came.
Lin Feng: “No problem!”
The two sides hit it off.
soon,
The newborn baby was successfully admitted to the neonatology department.
It’s that simple!
The parents of the baby are extremely excited and grateful at this moment.
You know, the beds in the Harmony Hospital are difficult to get in. As a result, they went directly to Lin Feng and got it done.
To Lin Feng, I am grateful!
…
For the next 10 hours,
Under Lin Feng’s order, the neonatology department performed a complete examination for the baby, such as blood sampling, B-ultrasound, CT…
Finally,
Lin Feng has a complete and clear understanding of the patient’s condition.
Before Lin Feng,
There are two stages to be carried out:
·The first stage: first temporarily resume “non-esophageal eating”.
The baby is just born with immature organs and is intolerant to esophageal replacement surgery. After careful consideration, Lin Feng performs “esophageal fistula” and “gastric fistula” on the baby, so that the baby can resume normal breathing and eating, and adjust the body. After the situation, wait for the right time to perform surgery.
·The second stage: the real “esophageal replacement surgery”!
…
At the 12th hour,
Lin Feng started the first stage of treatment for the baby:
That is, “esophageal fistula surgery” and “gastric fistula surgery”.
Ostomy is the popular point of opening an opening in the skin and muscles, leading to the target (esophagus) and (stomach).
This is a minor operation,
The neonatology training and interns were very enthusiastic onlookers.
Then Lin Feng only took 30 minutes to complete two fistula operations.
The crowd watched: “………………”
Is this too fast?
囧rn~~~~
The end of this operation means that the baby can eat’normally’.
…
Next,
It is the second stage: “Esophageal Replacement Surgery”!
Lin Feng has 3 options:
·The first option: “Stomach Replacement of Esophagus”……
This method, in layman’s terms, is to lift the stomach up, and then part of the esophagus that is lifted up to replace the missing esophagus.
but,
There are also many shortcomings of stomach lift.
The first is that the stomach becomes smaller.
The second is that the stomach is lifted up, which reduces the distance between the stomach and the throat, which will increase acid reflux, nausea, and finally cause problems such as esophagitis.
Others, it may cause stomach swelling, tingling and indigestion problems…
(Note: Stomach lift is the best solution for resection of esophageal cancer.)
·The second option: colon replacement esophagus…
·The third option: Replacement of esophagus with small intestine…
Both of these operations are essentially cutting out a part of the intestines and then replacing the missing 5.3cm esophagus.
The method of replacing the esophagus with the colon also has disadvantages: the colon (the large intestine that surrounds the stomach with the M word) does not have a good peristaltic function, and it has a peculiar smell, which may affect the quality of life and social life of the child in the future.
And the small intestine replacement method,
It is the most difficult of the three choices!
…
For the average doctor,
Surgery for stomach lift is a natural choice.
Because this kind of surgery has the most experience and the least risk of surgery.
but,
Lin Feng, however, is bold and has enough experience to think that using the small intestine (the jejunum) to replace the esophagus is the best way for the baby’s future.
More importantly,
Lin Feng decided to use a method that has never been used in China:
In the baby’s body, cut a section of 30cm jejunum (a kind of small intestine) (do not take it out directly, remove 60% of the vascular pedicle tissue, and save (the king’s) 40% of the vascular pedicle tissue) to keep this section of small intestine In the stomach, cultivate and adapt to the low blood circulation to adapt to the low blood circulation of the esophagus) bow.
(Ps: The blood in the intestines is not transported from front to back through the blood vessels in the intestines, but through the blood vessels of the vascular pedicle tissue, which transports the blood to various parts of the blood vessel, and then returns to the vascular pedicle tissue)
Culture this segment of jejunum for two months,
A second operation is performed to implant the atresia and connect the two ends to become the new ‘esophagus’.
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ps: The more cases you write, the more difficult it will be to write, because many of them cannot be written, and it is not easy to find more information to write this kind of book. It needs to be factual, and it is not easy to make it understandable and clear to readers who are handsome, handsome, and have a strong sense of substitution.
Thank you readers for your continued support. Wait for the third more…
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