Chapter 1722: line with translation of chapter title

There was a new diagnosis, and it was Zheng Lao Ban's diagnosis, which everyone paid more attention to. In addition, the Spine Surgery department also requested a Nuclear Magnetic Resonance, so in the shortest time, Section Chief Mao was lifted into the Nuclear Magnetic Resonance room.

"Boss, how did you think of endometriosis?" Su Yun looked at the Nuclear Magnetic Resonance images and confirmed that Zheng Ren was correct.

That's why he was even more surprised, so he asked.

"Call Fugui'er, today's Shou Bing, have him do it with Old Liu." Zheng Ren suddenly remembered he still had a bunch of things on his side, "Give Yang Ge a call too, say I have things on my side, the liver cancer Interventional embolization patient will be a bit later."

"Who in the hospital doesn't know something happened? The Shou Bing will definitely be postponed. And you, how did you diagnose endometriosis?" Su Yun asked again.

"It's not difficult, just judging the images of non-clotting and clotting." After looking at the Nuclear Magnetic Resonance, Zheng Ren confirmed his idea and let out a breath.

"Using CT to judge? You're kidding me?" Su Yun relaxed a lot, saying disdainfully.

"CT can only guess; you need Nuclear Magnetic Resonance. But providing a reason for the guess is enough, look at how sufficient my reason is." Zheng Ren said with a smile, then stood up, "Let's go, Shou Bing."

"Really, how did you figure it out?"

"Three years ago, a certain prefecture-level hospital in the south had a similar case; the patient's family made a huge fuss, demanding 10 million in compensation. In the end, the Spine Surgery performed the Shou Bing, confirmed it was endometriosis, and the matter fizzled out." Zheng Ren said. (Note)

"I don't remember that." Su Yun expressed surprise.

"It wasn't reported; I saw the case report in a medium-sized journal a year ago. At the time I just thought about it casually; earlier, when we were looking at films in the CT Shi, nothing seemed right, so I looked for similar cases to compare." Zheng Ren laughed.

"How confident are we about the Shou Bing?"

"Big." Zheng Ren said.

"Your confidence is truly moving." Su Yun said with a blank expression.

"It's just a small piece of endometrium; when dissecting, be careful not to tear the Gloves. If torn, make another small cut, and endometrium will appear on your finger……"

"Really damn disgusting, don't say it." Su Yun was stunned, her steps stopping.

Just thinking that Section Chief Mao's fingers hurt and bleed during her period made Su Yun feel like her whole self was unwell.

"What are you thinking about?"

"Boss, you said endometriosis can be contagious, so why isn't there a rejection reaction?" Su Yun asked.

"……" This guy's train of thought is really bizarre.

However, what he said seems correct; organ transplantation, the Shou Bing isn't that difficult, the difficulty lies in postoperative rejection reactions.

There aren't many cases of endometrium implanted in others, but there definitely are.

Zheng Ren also froze; this seems like a research direction for organ transplantation!

After 1.36 seconds, Zheng Ren chuckled and said, "Focus on the Shou Bing, this is spine surgery."

"Is your level enough?"

"As your Boss, I must be perfect in every aspect."

"Tsk."

The two walked into the Operating Room while talking.

"Have you seen thoracic spine Shou Bing?" Zheng Ren asked.

"I've seen it twice, what's up?"

"Seeing it once is enough, that's what you said. When we set up the table later, don't fall behind." Zheng Ren said lightly.

"Boss, don't put too much pressure on me. At most I'm a third assistant, you're damn just a first assistant." Su Yun said contemptuously.

Zheng Ren shook his head slightly.

Upon entering the Operating Room, Zheng Ren saw Section Chief Mao already unconscious, lying on the operating table, Director Xu performing endotracheal intubation.

A Team-leading Professor from the Orthopedics Department waited aside; after anesthesia ended, they needed to position the patient.

Holding the films, Zheng Ren went to the System Operating Room to begin Surgical Training.

Because the Orthopedics Department's hip replacement surgery in Nanyang used a Master-level Skill book, Zheng Ren wasn't in a hurry.

It's just thoracic spine Shou Bing……

……

After 15′22″, preoperative preparations were complete.

Section Chief Mao was in the prone position, maintaining the lumbar physiological lordosis. The Orthopedics Department's Team-leading Professor personally took charge, routinely disinfecting the surgical area and laying sterile drapes.

After scrubbing hands, disinfecting, and putting on gowns, Zheng Ren and Director Xu of the Spine Surgery came to the operating table.

"Zheng Lao Ban, you're here." Director Xu said politely.

"Director Xu, I'm just here to lend a hand." Zheng Ren said with a smile.

"Don't be polite. The Richard Doctor from Massachusetts General Hospital recommended you to become a lifelong professor there, right?" Director Xu laughed, "I got my doctorate at Massachusetts General Hospital; Richard is a bit older than me, so he's like my senior brother."

This kind of randomly recognizing senior brothers is commonly seen in small hospitals.

But in 912, everyone prides themselves on their status, so few people say that.

But that's with domestic doctors; Director Xu is grasping at a 'high branch,' anyway Richard Doctor doesn't know otherwise.

Zheng Ren chuckled, "I thought Richard Doctor was joking, but I didn't expect it to be true."

I inquired, they said your hip replacement Shou Bing is exceptionally good, and it's also Doctor Su who set up the table for you, right? Today I'm just here to lend a hand and learn.

Both had already put on their gowns; under Director Xu's Persistence, Zheng Ren took the surgeon's position.

"Doctor Su, I'm standing in the first assistant's position, but I'm not actually going to be the first assistant." Director Xu laughed, "You need to be fully focused."

Su Yun was stunned, then nodded.

"Microscope." Zheng Ren said in a low voice before making the incision.

An anesthesiologist assigned to Director Xu's table quickly placed the Microscope on Zheng Ren, and the Shou Bing officially began.

He reached out, and the Willow Leaf Blade gently landed in his palm.

Taking a longitudinal incision centered on the thoracic vertebrae 8 and 9, about 6 centimeters.

Cutting through skin, subcutaneous tissue, and deep fascia, beginning Blunt Dissection, freeing the erector spinae along both sides of the spinous processes, cleaning the soft tissue on the thoracic vertebrae 8 and 9 laminae and transverse processes.

Generally, the erector spinae needs to be cut, but Zheng Ren adopted the Blunt Dissection mode to reduce bleeding. The advantage is less bleeding, but the disadvantage is also many.

Remove the bilateral inferior articular processes of the thoracic 8 and 9 vertebral bodies, then externally expose the rib origins on both sides.

Separate and ligate the intercostal vein and nerve corresponding to the rib.

The Shou Bing was neat and efficient, including the position of the articular processes; Zheng Ren did not completely remove them, merely exposing the Operating Field was enough.

Minimize damage, and postoperative recovery is also fast.

"Watch the pleura." After ligating the intercostal vein and nerve, protect the intercostal artery well, Zheng Ren said.

As he reached out, the heavy rib forceps fell into his hand.

Zheng Ren used the rib forceps to transect the rib about 3 cm outside the costovertebral joint, then removed the rib segment from the cut point to the costovertebral joint.

Subsequently, Zheng Ren completely removed the bilateral pedicles and superior articular processes of thoracic 8 and 9, exposing the spinal cord.

The reason for removing the bone was that the residual bone edge bled continuously, making the Operating Field somewhat blurred.

Su Yun used the suction device to aspirate blood while using gauze to dab blood. Each time after exposing the Operating Field, within less than one second, the field would be re-covered by fresh blood.

……

……

Note: This is the original reason for looking for endometriosis; it cannot be like when the book first started, saying it's some Hospital blah blah, please understand. When writing this case, I was frightened repeatedly. Being careful and cautious is useless; as a doctor, one needs to have good luck.