0063 Parasites in the biliary tract
The doctors in Xinglin Garden can understand the operation at this point.
Whether you can do it is the same thing, but if you can't understand it, it would be too much.
Many doctors from professional backgrounds still have this basic quality.
It’s time to take the stones below, everyone thought. Indeed, the common bile duct has been cut open, and the next step is to cut the stones to improve the patient’s symptoms of obstructive jaundice.
Zheng Ren reached out and slapped a special stone-taking pliers in his hand. This is a regular equipment in the operating room, but it is rarely used. Xie Yiren has been observing Zheng Ren's movements. When he needs it, the corresponding equipment will be handed over.
In the live broadcast room, many people feel envious and jealous.
Look at other people’s nurses who are equipped with a desk, you are so skilled. Look at your own, you are not afraid of being a little older than the other. You can only know the unconventional operation of handing over stone pliers.
More often, after reminding me, I found that the stone picking pliers were not equipped at all, and the nurse had to go to the disinfection room to get the sterile stone picking pliers.
It took a few minutes to wait a moment, so how could the live broadcast room operator be as relaxed and comfortable?
There is something even more excessive, the stone-taking pliers are not disinfected at all... it is simply a nightmare!
But no matter how envy is, life is still a bad thing.
The pliers were inserted into the common bile duct, one, two, three... No, why is the shape so strange? Isn't it a stone?
【From my years of clinical experience, it seems to be an endogastric parasite.】
[Although many years of clinical experience, what should I do? The old directors with a lot of clinical experience don’t even know how to log in to Xinglin Garden.]
[I am 59 this year, and I am considered an old director with a lot of clinical experience, but I keep up with the times. Can you control it?]
In the Xinglin Garden live broadcast room, the topic was instantly wrong.
However, judging from the strange shape, it does not look like a simple gallbladder stone.
After removing the gallbladder duct and the stones in the left and right liver ducts, the live broadcast room operator began to rinse with warm saline water to suck out more silt-like stones.
Then, the operation rarely began to pause.
[Call call, is the live broadcast room stuck? Please reply if you see the barrage.]
【Similar to the same feeling, I feel much better when I see you calling me.】
[It's not a lag, it's the surgeon who needs to prepare the next step of operating equipment, probably a cholangioscopy.]
After confirming that it was not an Internet problem or a live broadcast room problem, the particularly rare surgical termination state caused countless barrage.
Everyone was speculating about what happened.
[I'm going to have diarrhea. Once I had acute enteritis. I ran to the bathroom eight times with an appendectomy. I had to brush my hands and change my clothes every time. After brushing my hands, I wanted to have diarrhea again. That kind of painful experience makes me feel so frustrated when I think about it. Please comfort me.]
【Maybe it is to cut the gallbladder to see if there are any changes in cancer.】
[Maybe the surgeon may even be dissipated.]
Among the hundreds of barrage, everyone was talking very much, but no one was worried about the surgery.
A joke, let alone the proficiency of blunt separation and anatomical structure, the surgeon should be an old professor in his sixties. Could it be that he can't perform a third-level surgery?
In the operating room, Zheng Ren stopped and asked Chu Yanzhi to open the equipment he bought in the system mall, put the fiber mirror on the instrument table, and then put the connector on himself so that the picture detected by the fiber mirror can be observed with the naked eye.
Chu Yanzhi was tall and Zheng Ren was 172cm tall. In order to put a connector on Zheng Ren's head, she moved a footstool.
"Mr. Zheng, where did this device come from?" Chu Yanzhi had similar surgery in West China, but had never seen such an device.
"Made it myself." Zheng Ren talked to the sky to death with just one sentence.
"Stingy." Chu Yan said with a tummy voice: "You don't care if you want it, why don't you tell me?"
Zheng Ren was also helpless. He couldn't tell Chu Yanzhi that he had a system mall. But he had to make up a piece of paper. What if she went to buy something? Why not fool it like this?
Suddenly my thoughts rush like a wild dog that broke away. If a woman had a system mall, would she have a big reward on Double Eleven?
After putting equipment on Zheng Ren, Chu Yanzhi said with interest: "Sister, if the surgery can be successful, it seems that I can write an SCI."
"It should be OK, or the one with an impact factor of more than 3." Chu Yanran sat upright next to the ventilator, holding the surgical record sheet in her hand, quietly observing the various different data displayed on the ventilator and monitor, thereby adjusting the dosage of drugs.
Only during the operation did the Chu sisters behave completely differently.
Zheng Ren doesn't understand whether this is a rare way to identify twins.
The picture in the Xinglin Garden live broadcast room was distorted, and then switched to the field of view mode of the fiber mirror.
【I'm going, it's an electronic fiber mirror!】
[High-end, we use No. 5 urinary catheter to rinse, rinse, and continuously to determine whether there are any remaining stones.]
[I have a professor who uses fiber mirrors here, but it is rarely used. Many people cannot use them well, especially when using forceps under the fiber mirror, the microscope is comparable to neurosurgery.]
The camera moves inside, and the scene appears makes the atmosphere in the live broadcast room sober.
The traditional barrage disappeared, and everyone looked at the white silk thread attached to the wall of the common bile duct in shock, and were shocked.
It's really not a gallbladder stone, but a parasite!
These white silk threads are definitely not purulent objects caused by inflammation, but are slender parasites attached to the gallbladder duct.
Most of the stones removed are also the products of the mechanized parasites being wrapped by inflammation secreted by the body.
[Who told me what to do when encountering parasites? Wait online, it's quite urgent.]
A little doctor was fooling around in the live broadcast room.
Generally speaking, as long as someone starts, someone will follow you. It’s the same in the operating room, and in the live broadcast room, it’s not only the same, but also more presumptuous.
But this time the live broadcast room was extremely cold, and a barrage slid from the right side of the screen to the left side of the screen, and no one paid attention to him.
The little doctor continued to be silent tactfully.
All the doctors who watched the live video had a bad premonition in their hearts that the operation seemed to be about to be slashed.
Will you just observe it like this and then move the parasite symbolically, and find that it is very adherent. If you remove it, it may damage the endometrium of the common bile duct, and then give up?
This possibility is extremely high!
Everyone was satisfied if they could not see the dense white silk-like parasites with their own eyes.
Moreover, most people have a blind trust in the live broadcast room, and he can do everything! Since he dares to start a live broadcast, he will expect this situation.
Recalling the period when the surgery was paused, many doctors began to be shocked.
Could it be that the surgeon has diagnosed the patient with parasitic biliary blockage and the surgical instruments are ready?
Even if you prepare it, there is no good idea.
So far, parasite removal surgery has been only a preliminary attempt. After all, the possibility of parasites in the population of developed areas is very low, and most parasitic diseases occur in Africa.
It is basically impossible to expect a medical expert to specialize in the surgery to remove parasite surgery...
Even if the doctor is willing to do it, for the sake of boundless love and for the sake of sincerity of the doctor, those medical device companies that have fallen into the eyes of money will not design a set of equipment separately for surgery.
Even if designed, Africa's consumption capacity is very limited.
So far, this operation has evolved from a "simple" obstructive suppurative cholangiotomy drainage surgery to an unknown procedure.
What exactly should the operator in the live broadcast room do to complete this operation with unknown difficulty?
Chapter completed!