1663 Proved by surgery
There is a new diagnosis, and it is Boss Zheng's diagnosis, which everyone attaches great importance to. In addition, spinal surgery also requires magnetic magnetics. In the shortest time, Director Mao was carried into the magnetic room.
"Boss, how did you think of endometriosis?" Su Yun looked at the magnetic image and confirmed that Zheng Ren was right.
Because of this, he was even more surprised and asked.
"You call Fuguier. Today's surgery will require him to take Lao Liu for it." Zheng Ren suddenly remembered that there was still a lot of things on his side, "I will call Brother Yang and say that there is something wrong with me. The patient with liver cancer interventional embolization is a little later."
"Who doesn't know that something happened in the hospital is going to be postponed. What do you ask, how did you diagnose endometriosis?" Su Yun asked again.
"It's nothing difficult, it's just to judge whether the blood coagulation or the image." After seeing the nuclear magnetic field, Zheng Ren confirmed his thoughts and breathed a sigh of relief.
"Judge with ct? Are you cheating?" Su Yun said disdainfully.
"Ct can only guess, it must be magnetic. But it is enough to provide a reason for guessing. Look at the reason I said, how sufficient." Zheng Ren said with a smile, then stood up and "Go, go for surgery."
"Seriously, how did you judge it?"
"Three years ago, a similar case occurred in a prefecture-level hospital in the south. The patient's family made a big fuss and had to pay 10 million yuan. In the endosurgery, the spinal surgery was confirmed to be endometriosis, and the matter was left alone." Zheng Ren said. (Note)
"Why don't I remember it?" Su Yun was surprised.
"I didn't let the report. I saw a case report in a Chinese-font journal a year ago. At that time, I just thought about it casually. We were watching movies in the CT room before, and no matter how we looked at it, we just looked for similar cases." Zheng Ren smiled.
"Is the surgery very good?"
"Big." Zheng Ren said.
"Your confidence is really touching." Su Yun said expressionlessly.
"It's just a small piece of endometrium. Be careful not to break the gloves when peeling them. Once they break, cut a small hole and the endometrium will appear on your fingers..."
"It's so disgusting, don't say it." Su Yun was stunned for a moment, and his steps stopped.
When Su Yun thought that Director Mao’s fingers hurt and bleeding during menstruation, he felt that he was in a bad state.
"What do you think?"
"Boss, you said endometriosis can be contagious, why don't there be rejection?" Su Yun asked.
"..." This guy's brain circuit is really weird.
However, what he said seemed to be correct. Organ transplantation and surgery were not very difficult. The difficulty lies in the rejection reaction after the operation.
There are not many cases of endometrium implantation in other people, but definitely.
Zheng Ren was also stunned. This seemed to be a research direction for organ transplantation!
1.36 seconds later, Zheng Ren smiled and said, "Concentrate on the surgery, this is spinal surgery."
"Are you good enough?"
“As your boss, you must be flawless in every aspect.”
"cut."
The two of them walked into the operating room as they spoke.
"Have you ever seen a thoracic spine surgery?" Zheng Ren asked.
"I've seen it twice, what's wrong?"
"I'll see it once, this is what you said. Don't keep up when you are equipped with a table later." Zheng Ren said lightly.
"Boss, don't put too much pressure on me. At most, I'm a three-super, and you're a one-super." Su Yun said contemptuously.
Zheng Ren shook his head slightly.
When he arrived in the operating room, Zheng Ren saw that Director Mao had lost consciousness and lay on the operating table. Director Xu was doing tracheal intubation.
A professor from the orthopedics department was waiting aside. After the anesthesia was over, they had to put their positions.
Holding his arms to watch the movie, Zheng Ren went to the system operating room and started surgical training.
Because he had hip replacement during orthopedic surgery in Nanyang and used a master-level skill book, Zheng Ren was not in a hurry.
It's just thoracic surgery...
...
After 15′22″, preoperative preparation is completed.
Director Mao was in a prone position to maintain the physiological precursor of the lumbar spine. The professor in the orthopedics team took the lead and took a sterile towel.
To brush hands, disinfect, and wear clothes, Zheng Ren and Director Xu of the Spine Surgery Department came to the operating table.
"Boss Zheng, come." Director Xu said politely.
"Director Xu, I'm just helping you." Zheng Ren smiled.
"Don't be polite. Dr. Richard from Massachusetts General Hospital recommended you to become a tenured professor at Massachusetts General Hospital." Director Xu smiled, "I am a doctoral student at Massachusetts General Hospital. Richard is older than me, so I am my senior brother."
This kind of saying that you are randomly acquainted with your brothers is often seen in small hospitals.
But in 912, everyone was esteemed for their own identities, and few people said so.
But that was with domestic doctors, Director Xu was "high-level" and Dr. Richard didn't know it wasn't.
Zheng Ren smiled, "I thought Dr. Richard was joking, but I didn't expect it to be true."
"I asked and said that your hip replacement surgery was very good, and it was also the one provided by Dr. Su. Today, I'll help you learn."
The two had already put on their clothes. At Director Xu's insistence, Zheng Ren stood in the position of the sci-fi er.
"Doctor Su, I am standing in the position of Ichisuke, not to be Ichisuke." Director Xu smiled and said, "You must be fully focused."
Su Yun was stunned for a moment and nodded.
"Microscope." Zheng Ren said in a deep voice before opening his skin.
An anesthesiologist who provided the stage for Director Xu quickly put a microscope on Zheng Ren, and the operation officially began.
With his hand stretched out, the lancet gently clapped his palm.
Take the longitudinal incision with the 8 and 9 thoracic vertebrae as the center, about 6 cm.
Incide the skin, subcutaneous tissue, and deep fascia, begin to be bluntly separated, free the erection spinal muscles along both sides of the spinous process, and clean the soft tissues on the 8 and 9 lamina of the chest and transverse process.
Generally speaking, the erection spinal muscle must be incised, but in order to reduce bleeding, Zheng Ren adopted a blunt separation model. The advantage of doing this is that there is less bleeding, but there are many disadvantages.
The lower articular processes on both sides of the 8 and 9 vertebrae were removed, and the origin of the ribs on both sides were exposed outward.
Separate and ligate the intercostal veins and nerves of the corresponding ribs.
The operation was clean and neat, including the location of the joint process, and Zheng Ren did not bite it all, just exposing the surgical field was enough.
The damage should be as small as possible and the recovery will be fast after surgery.
"Pay attention to the pleura." After ligating the intercostal veins and nerves, protecting the intercostal artery, Zheng Ren said.
As soon as he stretched out his hand, the heavy rib pliers fell on his hand.
Zheng Ren used rib forceps to cut off the ribs about 3 cm outside the costal joint and removed the truncation point to the ribs of the costal joint.
Then Zheng Ren bit off all the pedicle and superior joint processes on both sides of the chest 8 and 9 to reveal the spinal cord.
The reason for biting and removing bones is that the bone stump is bleeding continuously, and the surgery field is a bit blurry.
While sucking blood with the suction device, Su Yun dipped his blood with gauze. Every time less than 1 second after exposing the savage field, the savage field will be re-covered by blood.
...
...
Note: This is the first reason for finding endometriosis. We cannot say which hospital it was from Balabara like when we first opened the book. Please forgive me. When I wrote this case, I was afraid. It is useless to be cautious. Being a doctor can make you die.
Chapter completed!