Chapter 1476 Another Bottle

Zheng Ren thought that what he said was enough to distinguish Meckel's diverticulum from appendicitis, and went on to talk about the identification of another disease: "But urachal remnants are generally more closely related to the roof of the bladder, not the distal ileum. "

"What about Crohn's disease?" Although Su Yun was hindered by the sterile cap to dissipate heat, his brain turned quickly.

He already understood what Zheng Ren was talking about, but he was still trying his best to find faults.

"Tubular enhancement in the distal ileum with adjacent fatty infiltration, on CT imaging, is sufficient to suggest Meckel's diverticulitis rather than Crohn's disease."

"If you have time to do CT enhancement, you should find a coronal reorganization image of the enhanced CT scan, several consecutive image sequences, that will show a border-enhancing fluid-filled structure that originates from the distal small intestine."

Su Yun stopped talking, and stared straight at the abdominal plain film.

Feng Jianguo was dumbfounded.

It's just a flat film, so many things can be seen?

What is image base data? Although Feng Jianguo had watched countless abdominal imaging films over the years, he was ignorant about it.

What the heck is this!

He stood behind Zheng Ren and Su Yun, staring blankly at the plain X-rays of the abdomen. Could it be that the local density was wrong... But it was transformed into abdominal CT, or even enhanced abdominal CT...

But I can't do it myself!

"The diagnosis should be relatively clear, is there any problem?" Zheng Ren asked flatly.

"..." Su Yun was silent.

When Zheng Ren spoke, his thinking also kept up.

It is indeed Meckel's diverticulitis. According to Zheng Ren's thinking, the diagnosis is quite clear.

It's all to blame for the sterile cap. If it weren't for its existence to hinder heat dissipation, it might take a few seconds to see the essence of the problem.

Next time, be sure to wear a sterile cap with good ventilation.

Su Yun thought to himself.

"Boss Zheng, the anesthesia is done." Lao He said.

"Su Yun, are you going?" Zheng Ren asked.

"I'm going to sterilize." Su Yun felt very bored. It turned out that this product was really dialectical and derived from clinical images, not a perspective eye that peeked at the little widow's bath.

Life is so boring.

But why is he stronger than himself? !

Su Yun silently brushed and disinfected his hands.

"Boss, do you need to ask Yiren to come up?" Su Yun suddenly thought of it and asked loudly.

"No, the operation is very fast. It is estimated that Director Wei will come up and it is already over." Zheng Ren said, glanced at Feng Jianguo, and said with a smile, "Old Feng, can I help you?"

Feng Jianguo cried.

crying very sad.

It was clearly to let himself come to power, as an excuse, and then after the operation, let himself sew the skin and write the operation record.

These jobs are all done well by graduate students and doctoral students like Quan Xiaocao.

But Feng Jianguo didn't refute or refuse, but was as silent as Su Yun, and honestly brushed his hands.

"Will the operation be finished soon, Boss Zheng." Lao He glanced at the patient's blood pressure and other vital signs.

Vital signs are stable, but blood pressure is slightly lower, nothing major.

At this time, he relaxed, brushing his presence in front of Zheng Ren.

As long as he has the opportunity to brush his face, Lao He never wastes it. But he was worried about his profession, anesthesiologist, but he couldn't understand the video knowledge that Boss Zheng just talked about, so he couldn't help it.

But it's okay if he doesn't understand, it seems that Feng Jianguo doesn't understand either.

"Well, if there are no accidents, it should be done soon." Zheng Ren narrowed his eyes and seemed to return a smile to Lao He.

"Where's Director Wei?"

"After squatting twice in a row, there is a problem with my waist and I can't run." Zheng Ren said, "I will explain to the patient's family below and sign it before the operation."

"It's time to soak the wolfberry in the thermos." Lao He said with a smile.

"By the way, Lao He, you can call Director Wei, it's okay to open this side first." Zheng Ren was going to brush his hands and explained to Lao He.

It is still necessary to inform Director Wei.

This is the minimum respect.

Otherwise, Zheng Ren was worried that he would not be able to perform surgery in the future.

To be a human being, you have to be a little bit numb in your heart.

After Zheng Ren finished brushing his hands, Lao He shouted: "Director Wei signed the preoperative explanation for the laparotomy, saying that Lao Feng was the chief surgeon, and Boss Zheng was asked to help."

This is just a conventional statement. It can't be said that Boss Zheng would trouble you to perform the operation.

Su Yun quickly laid out the list, then disinfected, changed into sterile clothes, and stood directly in the position of the second assistant.

Feng Jianguo smiled bitterly, it seemed that he was the real second assistant.

I didn't understand what Boss Zheng said just now, but Doctor Su understood.

Is it just Meckel's diverticulum?

Forget it, don't want this, just open it and see.

Feng Jianguo didn't want to be competitive. It wasn't because he wasn't good at being strong, but under the influence of one operation after another that was difficult to break through the sky, he subconsciously judged that Boss Zheng's level was really high.

Just look at it yourself, why rush to find a fight?

Zheng Ren stood in the position of a helper, and when he stretched out his hand, the equipment nurse was startled.

"Boss Zheng is the chief knife." Feng Jianguo said flatly.

The equipment nurse immediately slapped the handle of the knife in Zheng Ren's hand.

"What incision?" Feng Jianguo felt embarrassed by the hesitation of the instrument nurse, so he asked casually.

"Appendix incision in the lower right abdomen." Zheng Ren raised the knife and dropped a few drops of blood in the surgical field.

A piece of white sterile dry gauze was put on it, and then it was removed, and the electric burn was lightly applied to stop the bleeding of the capillaries on the body surface.

Just as Feng Jianguo expected, he really became an assistant in the position of the practitioner.

The tacit understanding between Boss Zheng and Su Yun, without words, just performed the operation in silence.

This time, Su Yun was especially silent. It wasn't like when he usually had an operation, he talked and drove occasionally to adjust the atmosphere of the operating room. He was not restless at all.

This guy doesn't seem to be in a good mood today, and his hands are wide open.

Feng Jianguo watched the operation progress, except that the equipment nurse couldn't keep up with the speed and delayed the operation a little, everything was so perfect.

Open the skin, bluntly separate the subcutaneous tissue, fat, muscle, and fascia, open the retractor, protect the peritoneum, and enter the abdomen.

A piece of intestine was "fished" out by Zheng Ren.

There is a bulge-like bulge on the ileum, with a thin wall, white, with black streaks of avascular necrosis.

Feng Jianguo was startled.

This is the most typical Meckel diverticulum!

Really, and there was no exploration at all, just an appendix incision was made, and the Meckel's diverticulum was "fished" up when I went down.

MD! Can surgery do that?

How confident is this in the preoperative diagnosis?

At this point, both Zheng Ren and Su Yun's hand speed slowed down. The bowel was clamped, and 5 cm of the ileum was excised, followed by anastomosis.

Feng Jianguo was fine and began to fiddle with the cut specimens.

A bottle cap appears in the pathology basin.

It says on the cap - one more bottle.