Chapter 1524: 1477 One More Bottle

Zheng Ren thought his words were enough to differentiate Meckel's diverticulum from appendicitis, and he continued to talk about the differential diagnosis of another disease: "But the urachal remnant is generally associated with the dome of the bladder, and not more closely related to the distal ileum."

"Clone-like Disease?" Su Yun, although her heat dissipation was hindered by the Sterile Cap, still thought quickly.

He already understood what Zheng Ren was saying, but he was still trying to find fault as best he could.

"The structure of tubular thickening of the distal ileum, with adjacent fat infiltration, this CT image is sufficient to indicate Meckel's diverticulitis, not the clone-like disease."

"If there were time to do contrast-enhanced CT, one would likely find that the contrast-enhanced CT scan coronal reconstruction images, several consecutive image sequences, would show a rim-enhancing fluid-filled structure originating from the distal small intestine."

Su Yun stopped speaking, her eyes fixedly looking at the abdominal flat film.

Feng Jianguo was dumbfounded.

Just a plain film, and yet one could see so much?

What is image basic data? Although Feng Jianguo had looked at countless abdominal imaging films over the years, he was completely ignorant of this.

What the hell is this stuff!

He stood behind Zheng Ren and Su Yun, staring blankly at the abdominal X-ray flat film, wondering if it was just a local density issue…… but when converted to abdominal CT, even abdominal enhanced CT……

But I, really can't do it!

"The diagnosis should already be fairly clear, any other questions?" Zheng Ren asked calmly.

"……" Su Yun remained silent.

When Zheng Ren was lecturing, his train of thought also kept up.

Indeed it was Meckel's diverticulitis; following Zheng Ren's line of thought, the diagnosis was quite clear.

It's all the fault of the Sterile Cap; if it weren't for its presence hindering heat dissipation, perhaps a few seconds less would have been enough to see the essence of the problem.

Next time, I will definitely wear a more breathable Sterile Cap.

Su Yun thought to herself.

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

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

"I'll go disinfect." Su Yun felt especially bored; it turned out this guy really was using dialectics, deriving from clinical imaging, not some voyeuristic x-ray to peek at widows bathing.

Life, really boring.

But what makes him stronger than me?!

Su Yun silently went to scrub hands and disinfect.

"Boss, should we call Yi Ren up?" Su Yun suddenly thought, and asked loudly.

"No need, the surgery will be quick; I estimate Director Wei will arrive and it'll already be over." Zheng Ren said, glancing at Feng Jianguo, and smiled: "Old Feng, let me give you a hand?"

Feng Jianguo cried.

He cried sadly.

It's clearly just letting me go on stage as an excuse, then after the surgery having me suture skin and write the operation record.

These tasks are the kind that graduate students like Quan Xiaocao, PhD candidates, do, right?

But Feng Jianguo didn't refute, nor refuse; instead, like Su Yun, he remained silent and honestly went to scrub hands.

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

Vital signs were stable, just blood pressure a bit low, nothing serious.

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

Whenever there's a chance to show off, Lao He never wastes it. But he's troubled by his specialty as an anesthesiologist; he can't understand the imaging knowledge Zheng Lao Ban just lectured on, so he can't play the straight man.

But it's fine if I don't understand; it looks like Feng Jianguo doesn't get it either.

"Hmm, if there's no accident, it should be done quickly." Zheng Ren narrowed his eyes, seemingly returning Lao He a smile.

"And Director Wei?"

"He's been squatting twice, his waist is a bit problematic, can't move." Zheng Ren said: "Downstairs, he's explaining to the patient's family and getting the pre-op signature."

"It's also time to steep goji berries in the insulated cup." Lao He said with a smile.

"Right, Lao He, give Director Wei a call, we can start here first." Zheng Ren prepared to scrub hands, and instructed Lao He.

Notifying Director Wei is still appropriate.

This is at least basic respect.

Otherwise, Zheng Ren worries that he'll never get to scrub in for surgery again.

Being a person, one should have a sense of limits in mind.

Zheng Ren finished scrubbing hands, Lao He shouted: "Director Wei's side has signed the pre-op for the laparotomy, saying to let Old Feng be the lead surgeon, trouble Zheng Lao Ban to lend a hand."

This is just conventional phrasing; one can't really say "Boss Zheng, trouble you to do the surgery."

Su Yun efficiently laid out the sheets, then disinfected, changed into sterile gown, and directly took the position of second assistant.

Feng Jianguo gave a wry smile; it seemed he was truly the second assistant.

Just now what Boss Zheng said, I completely didn't understand, but Doctor Su did.

Just Meckel's diverticulum?

Forget it, don't think about it; just open and see.

Feng Jianguo had no competitive streak; it wasn't that he wasn't strong, but under the influence of one surgery after another with difficulty off the charts, he subconsciously judged that Boss Zheng's level was truly high.

Just watch properly; why rush up to pick a fight?

Zheng Ren stood in the first assistant's position, reached out, and the instrument nurse was startled.

"Boss Zheng as lead surgeon." Feng Jianguo said flatly.

The instrument nurse immediately slapped the knife handle into Zheng Ren's hand.

"What incision?" Feng Jianguo felt the instrument nurse's hesitation was a bit awkward, so he casually asked.

"Right lower abdomen appendectomy incision." Zheng Ren raised the knife and cut; a few drops of blood appeared in the operating field.

A piece of clean white sterile dry gauze was placed on top, then immediately removed, electrocautery lightly applied, stopping the bleeding from the superficial capillaries.

Just as Feng Jianguo had anticipated, I truly became the assistant standing in the surgeon's position.

Zheng Lao Ban and Su Yun's tacit understanding required no words; they simply performed the Shou Bing in silence.

This time Su Yun was especially quiet, unlike usual when she chattered while doing the Shou Bing, occasionally driving, adjusting the atmosphere of the Operating Room, not at all restless.

Today this guy seems in a bad mood; his hand speed is wide open.

Feng Jianguo watched the progress of the Shou Bing; aside from the instrument nurse lagging behind, slightly delaying the Shou Bing time, everything was so perfect.

Opening the skin, performing Blunt Dissection on subcutaneous tissue, fat, muscle, and fascia, the Retractor was placed, the peritoneum protected, and entry into the abdomen.

A segment of intestine was scooped out by Zheng Ren.

On the ileum there was a bubble-like protrusion, the wall very thin, appearing white, with slight blackish ischemic necrotic streaks on it.

Feng Jianguo stared for a moment.

This is the most typical Meckel's diverticulum!

Indeed, and without any exploration, just opening an appendectomy incision, we went in and scooped up the Meckel's diverticulum.

MD! Can the Shou Bing still be done like this?

How much confidence must one have in the preoperative diagnosis?

By this point, Zheng Ren and Su Yun's hand speeds had slowed. They clamped the intestine, resected 5 cm of ileum, and then began anastomosis.

Feng Jianguo had nothing to do, and began to play with the excised specimen.

A bottle cap appeared in the pathology tray.

On the bottle cap was written——Another bottle.