Chapter 1662 Use Surgery to Prove

There is a new diagnosis, and it is the diagnosis of Boss Zheng, which everyone pays more attention to. In addition, spine surgery also requires an MRI. In the shortest time, Director Mao was brought into the MRI room.

"Boss, how did you think of endometriosis?" Su Yun looked at the MRI image and was sure that what Zheng Ren said was right.

Because of this, he was even more surprised, so he asked.

"You call Fu Gui'er, let him take Lao Liu for today's operation." Zheng Ren suddenly remembered that he still has a lot of things on his side, "Call Brother Yang again and say that I have something to do with me. , patients with liver cancer interventional embolization a little later.”

"Who in the whole hospital doesn't know something happened, and the operation will definitely be postponed. What about you, how did you diagnose endometriosis?" Su Yun asked again.

"It's not difficult, just judging the non-coagulation and coagulation images." After seeing the MRI, Zheng Ren made up his mind and let out a sigh of relief.

"Using CT to judge? Are you lying to ghosts?" Su Yun said with a lot of relief and disdain.

"CT can only guess, you need MRI. But it's enough to provide a reason for guessing. You can see how strong the reason is." Zheng Ren said with a smile, then stood up, "Go, go to the surgery. "

"Seriously, how did you judge that?"

"Three years ago, there was a similar case in a prefecture-level hospital in the south. The patient's family was very violent and had to pay 10 million yuan. In the end, the spine surgery was performed and it was determined that it was endometriosis, and the matter was over. "Zheng Ren said. (Note)

"Why don't I remember." Su Yun was surprised.

"I didn't let the report. I saw a case report in a medium-sized journal a year ago. I just thought about it at the time. We were watching the film in the CT room before. If we see something wrong, we will find similar case controls." Zheng Ren smiled.

"Are you sure about the surgery?"

"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 it off. Once it breaks, make a small incision, and the endometrium will appear on your finger..."

"It's so disgusting, don't talk about it." Su Yun was stunned for a moment, and his footsteps stopped.

When he thought about the pain in his fingers and bleeding when he had a long menstrual period, Su Yun felt that his whole body was not well.

"What do you think?"

"Boss, you said that endometriosis is contagious, why isn't there a rejection reaction?" Su Yun asked.

"..." This guy's brain circuit is really weird.

But what he said seems to be right. Organ transplantation, the operation is not too difficult, the difficulty is the rejection after surgery.

There are not many cases of endometrial implants in other people, but there are definitely.

Zheng Ren was also stunned, this seems to be a research direction of organ transplantation!

After 1.36 seconds, Zheng Ren smiled and said, "Concentrate on surgery, this is spine surgery."

"Are you good enough?"

"As your boss, you have to be flawless in every way."

"cut."

The two walked into the operating room while talking.

"Have you seen thoracic spine surgery?" Zheng Ren asked.

"I've seen it twice, what's wrong?"

"You will see it once, that's what you said. Don't be too late when it comes to matching the station." Zheng Ren said lightly.

"Boss, don't put too much pressure on me. I am the third assistant at most, and you are the first assistant." Su Yun said contemptuously.

Zheng Ren shook his head slightly.

When he came to the operating room, Zheng Ren saw that Director Mao had lost consciousness and was lying on the operating table, while Director Xu was doing tracheal intubation.

A professor of orthopedics with a group waited by the side, the anesthesia was over, and they had to set up their positions.

Holding the arm to watch the film, Zheng Ren went to the operating room of the system and began to do surgical training.

Because the orthopaedic surgery performed hip replacement surgery in Nanyang and used a master-level skill book, Zheng Ren was not in a hurry.

Just thoracic spine surgery...

...

After 15′22″, the preoperative preparation was completed.

The hair is long in the prone position, keeping the lumbar spine physiologically forward. Orthopedic professors led the group to get started, routinely disinfect the operating area, and lay sterile towels.

After brushing hands, disinfecting, and getting dressed, Zheng Ren and Director Xu of Spine Surgery came to the operating table.

"Boss Zheng, come here." Director Xu said politely.

"Director Xu, I'm just here to help you." Zheng Ren smiled.

"You're welcome. Dr. Richard from Massachusetts General Hospital, he 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 he is my senior brother."

This kind of talk about recognizing brothers and sisters indiscriminately is often seen in small hospitals.

But in 912, everyone is self-reliant, and few people say that.

But that was with a domestic doctor. Director Xu climbed up with "Gao Zhi". Anyway, Dr. Richard didn't know if it wasn't.

Zheng Ren smiled, "I thought Dr. Richard was joking, but I didn't expect it to be true."

"I inquired and said that your hip replacement surgery was very good, and it was also the table that Dr. Su gave you. Today, I'm just going to help and learn."

The two were already dressed, and at the insistence of Director Xu, Zheng Ren stood in the position of the surgeon.

"Doctor Su, I'm standing in the position of the first assistant, not to be the first assistant." Director Xu smiled: "You have to pay full attention."

Su Yun froze for a moment, then nodded.

"Microscope." Zheng Ren said in a deep voice before opening the skin.

An anesthesiologist who provided a table for Director Xu quickly put a microscope on Zheng Ren, and the operation officially began.

Reaching out, the lancet gently patted on the palm.

A longitudinal incision of about 6 cm was made with the thoracic 8 and 9 vertebrae as the center.

The skin, subcutaneous tissue, and deep fascia were incised, and blunt dissection was started. The erector spinae muscles were freed along both sides of the spinous process, and the thoracic 8 and 9 laminas and the soft tissue of the transverse process were cleaned.

Generally speaking, the erector spinae must be incised, but Zheng Ren used blunt dissection in order to reduce bleeding. The advantage of this is less bleeding, but the disadvantages are just as many.

The inferior articular processes on both sides of the thoracic 8 and 9 vertebrae were removed, and the origins of the ribs on both sides were exposed outwards.

The intercostal veins and nerves of the corresponding ribs were isolated and ligated.

The operation was done neatly, including the position of the articular process, Zheng Ren did not bite off all of it, just exposing the surgical field was enough.

The damage is as small as possible, and the postoperative recovery is also fast.

"Pay attention to the pleura." After ligating the intercostal veins and nerves, and protecting the intercostal artery, Zheng Ren said.

As soon as he reached out, heavy rib forceps landed on his hand.

Zheng Ren used rib forceps to cut the rib about 3cm outside the costal vertebral joint, and removed the rib from the cut point to the costal vertebral joint.

Then Zheng Ren bit down all the pedicles and superior articular processes on both sides of chest 8 and 9 to expose the spinal cord.

The reason for the bone removal was that the bone stump bleeds continuously, and the surgical field is somewhat blurred.

While Su Yun sucked blood with an aspirator, he dipped the blood with gauze. Every time less than 1 second after the surgical field is exposed, the surgical field will be re-covered with blood.

...

...

Note: This is the first reason to look for endometriosis. I can't say which hospital Barabara is the same as when the book was first opened. Please forgive me. When I wrote this case, I was terrified for a while. It is useless to be cautious, to be a doctor, you must die.