Zhou Sheng had already performed hundreds of surgeries at the county hospital. He was used to precise incisions under anesthesia, and when a non-wall-hanging species suddenly appeared, he was naturally a little unaccustomed to it. It was difficult to switch from extravagance to frugality.
So it’s not that Professor Zhao is not good, Professor Zhao is very strong and easy to defeat.
People's hearts will have some thoughts. After all, anesthesia turns the patient upside down, and anesthesia is quite boring during the entire operation. It all depends on the drama of the operation to gain interest.
The chief surgeon, one assistant and two assistants are like actors.
But Anesthesia is no longer an audience, but a film critic. After watching too many movies, he has naturally become a talkative king. When it comes to reviews, it seems that directors with hundreds of millions in box office are not as good as him, but you can feel it from his analysis.
It has the aura of winning the Oscar for Best Director, which is simply terrifying.
Wang Suo's condition is rather special.
In most cases, both kidneys work at the same time, so once polycystic kidney disease occurs, it is mostly a bilateral pathological structure, and both kidneys develop at the same time. This is the same as Xiao Guangming's situation. After doing one side, the other side will have to be done after a while.
You have to suffer twice.
It may be that the kidney function is unbalanced and one side is overburdened, leading to the occurrence of unilateral polycystic kidney disease. This is a rare situation, which is considered a blessing among misfortunes, and it also provides potential assistance for rescue.
Cut the tissue and follow with the retractor.
Zhou Sheng doesn't have many opportunities to be a first aid, but he knows how to perform tricks better than many people because he understands the surgeon's thoughts very well, especially in kidney surgery. After Professor Zhao has completed this step, he has already thought of the next route.
Feed and move, and the food will be moistened without making any sound.
It seemed to be going step by step, as it should be, but gradually Professor Zhao felt that something was wrong.
It's the first time you meet someone, why do you seem to have a more comfortable rapport with him than the attending physician at the affiliated hospital?
Sun Mao didn't feel much. The operation went smoothly and he felt like he was running smoothly. The pressure caused by Wang Suo's fainting earlier had been relieved.
The wound opens.
The appearance of polycystic kidneys is revealed.
Crystal grape bunches, but they must be the kind that have gone bad, with a ruined look that is about to be broken. The cysts are like blisters, with dark red pus and blood, which complement the kidneys and perfectly present what is called a pathological structure.
A clear case.
Hiss.
The county anesthesiologist saw this thing for the first time and asked, "Professor Zhao, how do you do this?"
A sudden sound also broke the silence in the operating room.
Professor Zhao didn't put on much airs and said softly, "The normal situation is to make a superficial incision, which is about the same as peeling off the rotten skin of a fruit. But if the cyst ruptures, it depends on the infection."
Yes, now that the field of vision was revealed, several people discovered that there were no grapes in the middle of the grape bunch, but there was a round depression like the surface of the moon. The cyst had already invaded the kidneys, and tissue inflammation spread, causing the kidney tissue to become deformed and ulcerated.
.
In-depth inspection, everyone is cautious.
No one wants the rest of the cyst to continue to rupture, at least not now. Incision and drainage and direct rupture are two different concepts. The former is suctioned to release the pressure, while the latter is directly exploded. The pressure is not only upward but also downward, which can easily damage the kidney tissue structure.
The malformed kidney tissue has undergone structural changes, and such kidneys are very fragile.
"The amount of bleeding is not high, but the ulceration at the ruptured cyst is more serious." Professor Zhao said, seeming to be thinking.
The circular depression is indeed too deep.
Not long after the operation started, Professor Zhao was curious about Zhou Sheng, and now he asked: "What does Dr. Zhou think?"
I thought he would think about it for a long time, but Zhou Yisheng opened his mouth and said: "Why don't we do drainage and aspiration first to clean out the affected area, and then make plans after seeing the complete pathological structure."
Professor Zhao was slightly surprised, this guy reacted very quickly.
Judging from the rupture site, the kidneys were in very bad condition.
As far as Wang's situation is concerned, unilateral polycystic kidney disease qualifies for single kidney removal.
Medically, the only way to treat renal cysts is surgical resection. Although there will be no recurrence after resection, what needs to be considered is whether the kidney function can still be maintained after the tissue is removed. Polycystic kidneys are a terrible thing.
Inflammation occurs in the entire kidney, which can easily lead to renal failure after surgery.
The idea of being born on Monday is very clear.
Removal must be carefully weighed, but it is also included in the choice plan; the plan is very clear and logical after taking a look at the whole kidney structure, mainly because of the quick thinking, although it is consistent with the final result that Zhao Cheng thought of.
Zhao Cheng admired Zhou Sheng a little and said with a smile: "Then I will do as you say."
In words, there is an indispensable meaning that the student conforms to the teacher's wishes and the teacher praises the student.
Sun Mao on the side was slightly stunned. He carefully considered Zhou Sheng's words and felt that they were impeccable. However, when Zhao Chenggang asked the question, he failed to think of it immediately.
I was surprised that such a young urologist at the county hospital still seemed to have two brushes.
Therefore, it is inevitable that there will be some vinegar smell.
The process of drainage and aspiration is very slow. It is necessary to incise and extract the pus from each renal cyst, and then pour it clearly until the tissue condition on the surface of the kidney is seen.
At this time, Liang Yuan and others had also arrived long ago.
Since the arrival of Zhou Yisheng, it has become an unwritten rule of the county hospital to consciously use the teaching operating room for all kidney surgeries.
Video recording of each session is also to facilitate subsequent learning.
Everyone looked at Zhou Sheng and Zhao Cheng's fluent exchanges and felt proud for a moment.
The Affiliated Hospital of Zhongyuan University is not only the first hospital of kidneys, but also one of the top three. Professor of kidney surgery and teacher Xiao Zhou look like equals, and they are naturally honored.
"Who do you think is better, Teacher Xiao Zhou or Professor Zhao?" the emergency department director asked.
Dean Liang said without stumbling: "There must be criteria for judging excellence. Professor Zhao must have never published in The Lancet..."
Hahaha.
Several people laughed along, this matter is really endless, but it can indeed be talked about by several people for a lifetime.
The Lancet publisher in his twenties is right in front of me.
If Zhao Cheng could really win the lancet, he wouldn't have to come all the way to the county to make flying knives.
Even if the quotation is high, so what? With any project team, the profit cannot be measured by taking time out to run around every week.
"You're still older, Professor Zhao. What are the qualifications of Professor Zhao?" What Director Che said was pertinent. In fact, he also wanted to side with Xiao Zhou, but considering his own age, he naturally did not want the older generation.
People are crushed by young people.
Not to mention that this is also true.
With technology that has accumulated over decades, young people are extremely talented but there are bound to be shortcomings.
Director Gao joked: "I can't seal your mouth even if I twist my back."
"The back is twisted, not the mouth." Director Cha continued to hug his arms, looking funny.
A group of people were laughing and joking again.
Teacher Xiao Zhou is confident, and Professor Zhao is also confident. With the combination of the two trump cards, and the difficulty of the technique, they naturally have nothing to worry about, they are just envious.
There is an inexplicable...
Lao Wang is so lucky.
If I hadn't developed an abscess in my kidney, I would have really wanted to go up there and experience the feeling of being served by two great gods...