1663 Using surgery to prove it
There was a new diagnosis, and it was boss Zheng’s diagnosis, so everyone paid more attention to it. In addition, the spine surgery department also requested for an MRI scan, so Division Chief Mao was carried into the nuclear magnetic room in the shortest time possible.
“Boss, How did you come up with this idea?” Su Yun looked at the MRI scan and confirmed that Zheng Ren was right.
It was because of this that he was even more surprised, so he asked.
“Call Fu Gui ‘er. Tell him to bring old Liu to perform the surgery today.” Zheng Ren suddenly remembered that he still had a lot of things to do on his side.”Give brother yang a call again and tell him that I have something to do on my side. The patient with interventional embolism in liver cancer will be delayed.”
“Everyone in the hospital knows that something has happened, and the surgery will definitely be postponed. I’m asking you, how did you diagnose ectopic transplantation?” Su Yun asked again.
“It’s not difficult. It’s just to judge the image of non – coagulative and coagulative. ” After Zheng Ren finished reading the MRI scan, he confirmed his thoughts and heaved a sigh of relief.
“Using CT scan to determine? Who are you trying to lie to?” Su Yun relaxed and said disdainfully.
“You can only guess when it comes to CT scans. You need an MRI scan. However, it’s enough to provide a reason for my guess. Look at the reason I gave, it’s sufficient. ” Zheng Ren smiled and stood up.”Let’s go for the surgery.”
“Seriously, how did you know?”
“Three years ago, a similar case occurred in a local hospital in the South. The patient’s family made a big fuss and wanted to compensate 10 million Yuan. In the end, the spine surgery department performed an operation, and it was confirmed that it was ectopic transplantation. Then, the matter was left unsettled. ” Zheng Ren said. (Note)
“Why don’t I have any impression of it?” Su Yun was surprised.
“No, I didn ‘T. I saw the case report in a Chinese Journal a year ago. I was just thinking about it casually at that time. Previously, when we looked at the CT scan in the CT room, we found something wrong no matter how we looked at it, so we found similar cases to compare. ” Zheng Ren said with a smile.
“Are you confident in the surgery?”
“Big.” Zheng Ren said.
“Your confidence is truly touching.” Su Yun said without any expression.
“It’s just a small piece of the uterus lining. Be careful not to break your gloves when you remove it. Once you break it and make a small cut, the uterus lining will appear on your finger …”
“It’s F * cking disgusting. Don’t say anymore.” Su Yun was stunned and stopped in her tracks.
Thinking about how Mao Long’s fingers would hurt and bleed during her period, Su Yun felt terrible.
“What are you thinking about?”
“Boss, you said that Empress Dowager is contagious, but why doesn’t she show signs of rejection?” Su Yun asked.
“…” This guy’s brain circuit was really weird.
However, what he said seemed to be right. Organ transplantation was not difficult. The difficulty lay in the postoperative rejection reaction.
There were not many cases of the uterus lining being implanted in other people’s bodies, but there were definitely cases.
Zheng Ren was also stunned. This seemed to be a research direction for organ transplantation!
After 1.36 seconds, Zheng Ren smiled and said,””Focus on the surgery. This is spine surgery.”
“Are you good enough?”
“As your boss, I must be perfect in all aspects.”
“Tsk.”
The two of them walked into the operating room as they talked.
“Have you seen any Thoracic Surgery?” Zheng Ren asked.
“I’ve seen it twice. Why?”
“You said that I’ll know it after seeing it once. Don’t fall behind when you set the channel later. ” Zheng Ren said indifferently.
“Boss, don’t give me too much pressure. I’m the third assistant at most, and you’re only the first assistant. ” Su Yun said in disdain.
Zheng Ren shook his head slightly.
When they arrived at the operating room, Zheng Ren saw that chief Mao had already lost consciousness and was lying on the operating table. Chief Xu was performing tracheal intubation.
A professor from the orthopedics department was waiting at the side. After the anesthesia was over, they had to get into position.
After reading the scans, Zheng Ren went to the system operating room and started his surgery training.
Zheng Ren was not in a hurry because he had used a master level skill book when he performed hip replacement surgery in Southeast Asia.
It was only a Thoracic Surgery …
……
After 15 ‘ 22 “, the preoperative preparation was completed.
Director Mao was in a prone position to maintain the physiological curvature of his lumbar spine. The professor in charge of the orthopedics department personally disinfected the operating area and spread sterile towels.
After washing his hands, disinfecting, and putting on his clothes, Zheng Ren and Department Director Xu from the spine surgery department came to the operating table.
“Boss Zheng, please.” Department Director Xu said politely.
“Department Director Xu, I’m just helping you out.” Zheng Ren said with a smile.
“You’re welcome. Dr. Richard from the Massachusetts General Hospital. He recommended you to become a tenured professor at the Massachusetts General Hospital, right?” Department Director Xu smiled and said,”I got my Ph.D. From the Massachusetts General Hospital. Richard is older than me, so he’s my senior.”
This kind of thing of randomly recognizing fellow students was common in small hospitals.
However, in 912, everyone was proud of their status, and very few people said that.
However, that was only with the doctors in the country. Department Director Xu was climbing up a “high branch,” and Dr. Richard did not know about it anyway.
Zheng Ren laughed.”I thought Dr. Richard was just joking. I didn’t expect it to be true.”
“I’ve asked around. They said that you perform hip replacement surgeries very well, and it was doctor su who assigned you the table, right? Today, I’m just helping out and learning. “
The two of them were already dressed. Under Department Director Xu’s insistence, Zheng Ren stood at the surgeon’s position.
“Doctor su, I’m standing in the position of the first assistant, but I don’t want to be the first assistant.” “You have to pay full attention,” Department Director Xu said with a smile.
Su Yun was stunned for a moment before she nodded.
“Microscope,” Zheng Ren said in a deep voice before the skin was peeled.
An anesthetist who was in charge of Department Director Xu’s operating table quickly put the microscope on Zheng Ren’s head, and the surgery officially began.
He reached out and gently patted the Willow – leaf saber in his palm.
A vertical incision was made with the 8th and 9th vertebral body as the center. The incision was about 6cm long.
He cut open the skin, subcutaneous tissue, and deep fascia and began blunt separation. He dissociated the erector spinal muscle along both sides of the spinal process and cleaned the soft tissue above the 8th and 9th thoracic vertebrae and the transverse process.
Generally speaking, the erector spinal muscle had to be cut open, but Zheng Ren used blunt separation to reduce bleeding. The advantage of this was that there was less bleeding, but there were also many disadvantages.
He removed the lower joint Spurs on the 8th and 9th vertebral body and revealed the origin of the ribs on both sides.
He separated and ligated the intercostal veins and nerves of the corresponding ribs.
The surgery was done cleanly and efficiently, including the position of the joint. Zheng Ren did not bite off all of it. It was enough to only expose the surgical field.
The damage was minimal, and the postoperative recovery was fast.
“Pay attention to the pleura,” Zheng Ren said after ligation of the intercostal vein and nerves to protect the intercostal artery.
He reached out and the heavy rib pincer fell into his hand.
Zheng Ren used the rib forceps to break the rib about 3 cm away from the rib joint and removed the rib that was broken at the rib joint.
Then, Zheng Ren bit off the pedicles on the eighth and ninth sides of the chest and the upper joint process, revealing the spinal cord.
Due to the bone being bitten off, the bone stump was bleeding profusely, and the surgical field was a little blurry.
Su Yun used the suction device to suck the blood while she dipped a gauze in the blood. Every time the surgical field was exposed for less than a second, it would be covered with blood again.
……
……
[Note: This is the initial cause of ectopic transplantation. You can’t start like when you first started writing the book, blabbering about which hospital it was from. Please forgive me.] When I was writing this case, I felt a lingering fear. It was useless to be cautious. To be a doctor, one had to have a good life.