Zheng Ren thought that what he had said was enough to distinguish Meckel diverticulum from appendicitis. He continued to talk about the differentiation of another disease. "But urachal remnants are generally related to the top of the bladder and not to the distal ileum."
"What about clonal disease?" Although Su Yun was blocked by the sterile cap, his brain was still working very quickly.
He already understood what Zheng Ren was talking about, but he was still trying his best to find faults.
"The tubular strengthening structure of the distal ileum is accompanied by adjacent fat infiltration. This CT image is enough to indicate that it's Meckel diverticulum, not clonal disease."
"If you have time to do CT enhancement, you should find that the enhanced CT scan of the coronal reorganization image. Several consecutive image sequences will show a structure with strengthened edges and filled with fluid, starting from the distal small intestine."
Su Yun did not say anything. His eyes were fixed on the plain radiographic films of the abdomen.
Feng Jianguo was dumbfounded.
It was just a plain radiographic film, but he could see so many things?
What was the basic imaging data? Although Feng Jianguo had seen countless radiographic films of the abdomen over the years, he was at a loss about it.
What the hell are these things?!
He stood behind Zheng Ren and Su Yun and stared blankly at the X-ray film of the abdomen. Could it be that the local density was wrong … But if it was converted to an abdominal CT, or even an abdominal enhanced CT …
But he really could not do it!
"The diagnosis should be relatively clear. Are there any other questions?" Zheng Ren asked calmly.
"…" Su Yun was silent.
As Zheng Ren explained, his mind kept up with it.
It was indeed Meckel diverticulum. According to Zheng Ren's train of thought, the diagnosis was quite clear.
It was all the sterile cap's fault. If it were not for its existence blocking the heat dissipation, it might have taken a few seconds to see the essence of the problem clearly.
Next time, he would definitely wear a sterile cap with good ventilation.
Su Yun thought to himself.
"Boss Zheng, the anesthesia is done," Old He said.
"Su Yun, are you going up?" Zheng Ren asked.
"I'll go and disinfect." Su Yun felt particularly bored. It turned out that this guy was really able to see through it. It was not some X-ray vision that peeked at the young widow bathing.
Life was really boring. Su Yun silently went to wash his hands and disinfect.
"Boss, do you want me to call her up?" Su Yun suddenly thought of something and asked loudly.
"There's no need. The surgery is very fast. I think it will be over by the time Chief Wei comes up," Zheng Ren said. He glanced at Feng Jianguo and smiled. "Old Feng, let me give you a hand?"
Feng Jianguo cried.
She cried very sadly.
It was obvious that they wanted him to go on stage as an excuse. After the surgery, they wanted him to stitch up the skin and write the surgical record.
These jobs were all done by graduate students and doctoral students like Quan Xiaocao, okay?
However, Feng Jianguo did not refute, nor did he refuse. Instead, he was as silent as Su Yun, and obediently went to wash his hands.
"Will the surgery be completed soon, Boss Zheng?" Lao He glanced at the patient's blood pressure and other vital signs.
His vital signs were stable, but his blood pressure was slightly low. It was nothing serious.
At this time, he relaxed and made his presence known in front of Zheng Ren.
As long as there was a chance to show his face, Lao He would never waste it. However, he was troubled by his profession, anesthesiologist. He did not understand the imaging knowledge that Boss Zheng had just talked about, so he could not be a supporting character.
However, it didn't matter if he didn't understand it. It seemed that Feng Jianguo didn't understand it either.
"Yes, if there are no accidents, it should be completed soon." Zheng Ren narrowed his eyes and seemed to reply to Lao He with a smile.
"Where's Chief Wei?"
"He squatted twice in a row. There's a problem with his waist and he can't run," Zheng Ren said. "He's going to explain to the patient's family and do the preoperative signature."
"It's time to soak the wolfberry in the thermos cup," Lao He said with a smile.
"By the way, Lao He, give Chief Wei a call. Can we open this side first?" Zheng Ren prepared to wash his hands and instructed Lao He.
It was still necessary to inform Chief Wei.
This was the least he could do.
Otherwise, Zheng Ren was worried that he would not be able to get a chance to do surgeries in the future.
As a person, he had to know what he was doing.
After Zheng Ren finished washing his hands, Lao He shouted, "Chief Wei has signed the preoperative instructions for the laparotomy. He said that Old Feng will be the chief surgeon. Boss Zheng, please help me."
This was just a conventional way of saying it. He could not possibly ask Boss Zheng to trouble him to perform the surgery, right?
Su Yun quickly spread out the sheet, disinfected, and changed into a sterile coat. He directly stood in the position of the second assistant.
Feng Jianguo smiled bitterly. It seemed that he was the real second assistant.
He did not understand what Boss Zheng had said just now, but Doctor Su understood.
Was it just Meckel's diverticulum?
Forget it, he did not want to think about this. He would know when he opened it.
Feng Jianguo did not have the intention to be competitive. It was not that he was not competitive, but under the influence of one difficult surgery after another, he subconsciously judged that Boss Zheng's level was really high.
He could just watch carefully. Why would he rush up and ask for a beating?
Zheng Ren stood in the position of the first assistant and stretched out his hand. The scrub nurse was stunned.
"Boss Zheng, chief surgeon," Feng Jianguo said calmly.
The scrub nurse immediately slapped the hilt of the knife into Zheng Ren's hand.
"What incision?" Feng Jianguo felt that the scrub nurse's hesitation was a little awkward, so he asked casually.
"The right lower abdomen appendix incision." Zheng Ren raised the knife and a few drops of blood appeared in the surgical field.
A clean white sterile dry gauze was placed on it. Then, he took it off and burned it lightly to stop the bleeding of the capillaries on the surface of the body.
Just as Feng Jianguo had expected, he really became the assistant standing in the position of the surgeon.
Boss Zheng and Su Yun cooperated tacitly. They did not speak and just performed the surgery in silence.
This time, Su Yun was especially silent. It was not like when he usually performed surgery. He nagged and occasionally drove to adjust the atmosphere in the operating theater. He was not at all peaceful.
Today, he seemed to be in a bad mood and his speed was very fast.
Feng Jianguo watched the progress of the surgery. Other than the scrub nurse being unable to keep up with the speed and delaying the surgery a little, everything was so perfect.
He opened the skin and bluntly separated the subcutaneous tissue, fat, muscle, and fascia. The retractor was placed, the peritoneum was protected, and the abdomen was inserted.
A section of intestine was' fished 'out.
There was a bulge on the ileum that looked like a bubble. The wall was very thin, white, and there were slightly black stripes of ischemia and necrosis on it.
Feng Jianguo was stunned.
This was the most typical Meckel diverticulum!
It was really, and there was no exploration at all. Just an appendicular incision was made and the Meckel diverticulum was' fished 'out.
MD！ Surgery could be done like this?
How much confidence did one have in the preoperative diagnosis?
At this point, Zheng Ren and Su Yun's hand speed slowed down. They clamped the intestine and removed 5 cm of the ileum. Then, they began to anastomose.
Feng Jianguo had nothing to do, so he began to fiddle with the cut specimen.
A bottle cap appeared in the pathology basin.
The words written on the cap were — Another bottle.
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