Chapter 1477

Zheng Ren thought what he said was enough to distinguish Meckel's diverticulum from appendicitis, and continued to talk about the identification of another disease: "however, urachal remnants are generally more closely related to the top of the bladder than to the distal ileum."

"What about clonal disease?" Although Su Yun's heat dissipation was hindered by the sterile cap, his brain turned very fast.

He has understood what Zheng Ren said, but he is still trying his best to find problems.

"The CT image of the tubular enhanced structure of the distal ileum with adjacent fat infiltration is sufficient to indicate Meckel diverticulitis rather than clonal disease."

"If there is time for CT enhancement, it should be found that the coronal reconstruction image of enhanced CT scan, several continuous image sequences, will show an edge enhanced liquid filled structure, starting from the distal small intestine."

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

Feng Jianguo listened with silly eyes.

It's just a flat film. Can you see so many things?

What is image basic data? Although Feng Jianguo has watched countless abdominal imaging films for so many years, he is at a loss.

What the hell are these!

Standing behind Zheng Ren and Su Yun, he stared at the abdominal X-ray plain film. Can it be said that the local density is wrong... But it was transformed into abdominal CT, or even abdominal enhanced CT

But I can't do it myself!

"The diagnosis should be clear. Is there any problem?" Zheng Renping asked.

"..." Su Yun was silent.

When Zheng Ren talked, his thinking also kept up.

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

Blame the sterile cap. If its existence did not hinder heat dissipation, it might take less than a few seconds to see the essence of the problem.

Next time, be sure to wear a sterile hat with good air permeability.

Su Yun thought.

"Boss Zheng, anesthesia is ready." Lao he said.

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

"I'll disinfect." Su Yun felt very bored. It turned out that the goods were really dialectical, not a perspective eye peeking at the little widow's bath.

Life is so boring. Su Yun silently went to brush his hands and disinfect them.

"Boss, do you need to call Yi Ren up?" Su Yun suddenly thought of it and asked loudly.

"No, the operation is fast. It is estimated that Director Wei has come up and is over." Zheng Ren said, glanced at Feng Jianguo and said with a smile, "Lao Feng, can I give you a hand?"

Feng Jianguo cried.

Crying very sad.

Obviously, let yourself go on stage as an excuse, and then after the operation, let yourself sew skin and write operation records.

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

But Feng Jianguo neither refuted nor refused. Instead, he was as silent as Su Yun and brushed his hands honestly.

"Will the operation be finished soon, boss Zheng?" Lao he took a look at the patient's blood pressure and other vital signs.

Vital signs are stable, but the blood pressure is slightly lower. It's no big deal.

At this time, he relaxed and brushed a sense of existence in front of Zheng Ren.

As long as there is a chance to brush his face, Lao he never wastes. But he was worried about his specialty, anesthesiologist, but he couldn't understand the image knowledge just said by boss Zheng, so he couldn't support it.

But I don't understand. It's all right. It seems that Feng Jianguo didn't understand the goods.

"Well, if there were no accidents, it should be finished soon." Zheng Ren narrowed his eyes and seemed to return to Lao he with a smiling face.

"Where's director Wei?"

"I squatted twice. I have a problem with my waist and can't run." Zheng Rendao: "explain to the patient's family below and sign before operation."

"It's time to soak medlar in a thermos cup." Lao he said with a smile.

"By the way, Lao he, can you call director Wei first?" Zheng Ren is ready to brush his hands and explain to Lao he.

Let Director Wei know, it should be.

This is the minimum respect.

Otherwise, Zheng Ren is worried that he can't get the operation in the future.

To be a man, you should be a little forced to count.

After Zheng Ren finished brushing his hands, Lao he shouted, "Director Wei signed the preoperative account of laparotomy and said that Lao Feng was the main knife. Please help boss Zheng."

This is just a conventional saying. It can't be said that boss Zheng asked you to do the operation.

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

Feng Jianguo smiled bitterly. It seems that he is the real second help.

I didn't understand what boss Zheng said just now, but Dr. Su understood.

Is it just Meckel's diverticulum?

Forget it. If you don't want this, just open it and have a look.

Feng Jianguo has no competitive mind. It is not that he is not strong, but that under the influence of one operation after another that is difficult to break through the sky, he subconsciously judges that boss Zheng's level is really high.

Just watch it yourself. Why rush up and fight?

Zheng Ren stood in the position of a helper and stretched out his hand. The instrument nurse was stunned.

"Boss Zheng is the main knife." Feng Jianguo said blandly.

The instrument nurse immediately clapped the handle in Zheng Ren's hand.

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

"Right lower abdominal appendix incision." Zheng Ren's knife fell, and a few drops of blood appeared in the field of surgery.

Put a piece of white sterile dry gauze on it, then take it away, burn it gently, and stop the capillary bleeding on the body surface.

As Feng Jianguo predicted, he really became an assistant in the position of the operator.

Boss Zheng and Su Yun have a tacit understanding of cooperation. They have no words, but are silent and perform the operation.

This time, Su Yun was particularly silent. He didn't seem to be nagging, occasionally driving and adjusting the atmosphere in the operating room when he was in surgery.

This product seems to be in a bad mood today. It's very fast.

Feng Jianguo looked at the operation process. Except that the instrument nurses couldn't keep up with the speed and delayed the operation time, everything was so perfect.

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

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

There is a bulge similar to bubbles on the ileum. The wall is very thin and white, with a slight black stripe of ischemic necrosis on it.

Feng Jianguo was stunned.

This is the most typical Meckel diverticulum!

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

MD！ What else can surgery do?

How much confidence do you have in preoperative diagnosis?

Here, Zheng Ren and Su Yun's hand speed slowed down. The intestinal tract was clamped, a 5cm ileum was removed, and then anastomosis began.

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

A bottle cap appeared in the pathological basin.

The cap says - another bottle.