Doctor of Healing

Chapter 69
"Dr. Xiaoji, the operation of minimally invasive surgery is a bit difficult, especially the step where the guide wire enters the ureter from the bladder, which is different from surgery. Please watch it for two days first, and don't rush to do it."

When Ji Xiang changed his clothes, Mr. Wu stood aside and gave him a vaccination first.

Mr. Wu was really afraid that when he was on stage, Ji Xiang would turn into a different person, staring at him directly...

I can't think about it. When I think about it, Mr. Wu's bones are a little itchy.

"Well, good Mr. Wu." Ji Xiang did not refute Mr. Wu's words.

He has undergone surgical training in a systematic operating room, and his overall level has surpassed that of clinical leading professors and directors to reach the top level in the province.

Mr. Wu's overall level of surgery in the hospital is just that, and Ji Xiang can crush him early in the morning.

But Ji Xiang just smiled and stood obediently in the assistant's position.

"Hey, today's body position is very fast." The patrol nurse came back in a hurry, carrying a bunch of things in her hand, seeing that the patient's lithotomy position was very standard, she praised.

"Sister Chu, open the bag quickly." Mr. Wu urged.

"Ready, then I will open the bag."

"What are you going to do?!" the patient asked suspiciously.

The anesthesia is continuous epidural + sellar anesthesia, and the patient can hear the conversation between the doctor and the nurse.

He didn't quite understand why he had to open the bag for himself.

Everyone in the operating room was startled, and the itinerant nurse soon realized.

Everyone has long been accustomed to this kind of thing. As long as the speed of the car is fast enough, everything will be stationary.

But patients are not used to it.

The car was going so fast that it knocked him over.

"Surgical sterile bag, sterilized." The itinerant nurse didn't take it seriously, and simply explained.

"It's the first time I know that there are other ambiguities. Sister Chu, you open bags every day, so enviable." Mr. Wu said with a smile.

"Don't talk nonsense, there are three operations, hurry up." The itinerant nurse reprimanded, "I don't know if I will come back after lunch, so I have to do all the operations."

"Sister Chu, we are serving the people wholeheartedly and relieving the patients' pain. The patients are not feeling well, so I don't have the heart to eat, you say that's right."

"If you talk about these things again, believe it or not, I will knead the stones into a powerful pill and stuff them in your mouth."

Mr. Wu shrugged and started the operation.

The ureteroscope is inserted and walked a little bit, through the urethra and into the bladder.

Mr. Wu moved the camera to look around the bladder first.

The bladder was slightly red and normal in color without stones or polyps.Mr. Wu then compared the two ureters and chose the affected side to enter.

Before entering, Mr. Wu checked with the anesthesiologist again to confirm that there was no mistake.

Although Mr. Wu's behavior of checking was too cautious, Jixiang didn't feel that there was a problem.

In the operating room of the system, the NPC of the system double-checked it. Even if he was facing a simulated human, he was afraid of getting it wrong.

The non-vascular lumen guide wire is composed of a guide wire rod, a soft spring tip and a plastic coating layer.

According to the difference of the spring soft head and whether it is coated with plastic, it is divided into a large-head hard guide wire, a flat-head hard guide wire and a plastic-coated guide wire.

Mr. Wu chose the zebra guide wire as a flat-headed hard guide wire.

After finding the ureteral opening, Mr. Wu moved his wrist, and said to Ji Xiang, "The operation here is the most difficult, the guide wire is too thin, there is still urine in the bladder, and the muscle spasm of the bladder is affected. , it is difficult to insert it successfully.”

"That's called insertion," the roving nurse corrected.

"Same, same. It doesn't make much sense to speak in a polite way. Isn't inserting just inserting it? What's the difference?"

After Mr. Wu said a word, he didn't talk to the itinerant nurse, and concentrated on operating the zebra guide wire to align with the right ureteral orifice.

Crooked……

When Ji Xiang saw Mr. Wu's hand shape, he knew that it must be inserted this time... it could not be inserted successfully.

Mr. Wu is right, this step is indeed the most difficult, otherwise the system NPC would not have taught him the two methods of solving problems, the rotation method and the upward pick method.

In the operating room of the system, Jixiang learned this step for a long time before he got a glimpse of it.

It's a pity that Mr. Wu doesn't even know where the gate is, let alone the threshold.

The ureteral orifice is hidden in the folds of the bladder, not a hole in a piece of white paper, as long as the zebra guide wire is sent in.

Moreover, the ureteral orifice moves with the peristalsis of the bladder, so it is not easy to successfully insert the catheter.

The first time, failed.

Mr. Wu didn't expect to succeed once, so he backed off the zebra guide wire a little, and prepared to do it again.

Mo Chenggui stood at the back, seeing that Mr. Wu had no intention of suppressing Ji Xiang, he was relieved.

Ji Xiang is his student, at least Mo Chenggui thinks so.

Everyone has the desire to protect the calf, and so does Mo Chenggui.

He was going to see Mr. Wu put in the tube successfully and leave.

It's nothing to fail once, and Mo Chenggui thought so too.

Even when Mo Chenggui operated by himself, it was very common for him to be unsuccessful eight out of ten times.

If it is not possible, the opening of the ureter needs to be dilated by the perfusion hydraulic pump, and the mirror can be placed directly under the guidance of a safety guide wire.

The biggest difficulty of lithotripsy and stone extraction is not the stone, but here.

The second time, Mr. Wu's operation still failed.

Mr. Wu's sterile cap started to get a little wet, and his flattened hair could be vaguely seen.

It’s just that!

I originally wanted to teach Jixiang how to do the operation and return a favor, but who knew that the patient's ureteral orifice was so difficult to find.

Mr. Wu concentrated, he put all kinds of distracting thoughts behind him, and concentrated on doing it again.

failure!

fail! !
fail! ! !

Successive failures made Mr. Wu a little discouraged.

"Prepare the perfusate." Mr. Wu sighed.

Then he comforted the patient, "It is easy to operate by getting some water into the bladder and pressurizing it."

The patient didn't understand. Hearing Mr. Wu's words, he could only nod blankly.

Mr. Wu handed the zebra guide wire to Ji Xiang, let him hold it, and then prepared the perfusion solution.

This is also something that can't be helped, and Mo Chenggui is also helpless standing behind.

The patient's ureteral orifice is indeed hidden relatively deep, no wonder... wait!
In the next second, Mo Chenggui saw Ji Xiang looking at the mirror, and slightly twisting the zebra guide wire with his right hand.

!!!

Mo Chenggui was stunned for a moment.

Jixiang's action standard is a hundred times higher than Mr. Wu's standard!
Laser lithotripsy is a technology that has just been developed in the last ten years or so. Mo Chenggui is getting older and older, and it is difficult to operate the guide wire finely.

Mr. Wu is young, and his level is still above him.

But Mo Chenggui has a solid foundation, and he can at least tell the difference between high and low levels.

Up the challenge!
The standard, textbook-like upward pick method!
Mo Chenggui's pupils narrowed, his eyes narrowed into slits, and he stared at the zebra wire between Ji Xiang's fingers.

At this time, Mr. Wu was preparing the perfusion solution, so he didn't see this scene.

Jixiang can do ureteroscopic surgery!

A terrifying thought appeared in Mo Chenggui's mind.

Mo Chenggui would understand if he had a high level of bag-cutting.

Medical students all have an internship period. It may be that Jixiang is very talented, and he may have mastered the technique thoroughly after doing a few circumcisions with the teacher.

However, ureteroscopic surgery is a third-level surgery!

Although it is minimally invasive, its surgical level is very high, and Mr. Wu's hospitalization has just reached the surgical level.

If the requirements were really strict, even hospitalization in the Second Affiliated Hospital would not be eligible.

Normally, it is impossible for Jixiang to have access to such advanced surgery.

however!
The zebra guide wire seemed to be alive between Jixiang's fingers, moving forward little by little, slowly and firmly.

How does this look like something a novice can do?
Compared with Ji Xiang, Mr. Wu is like a kid. He was sweating profusely on the wedding night and couldn't help it. He didn't know what he should do to get it in smoothly.

When Mo Chenggui saw Jixiang's wrist slightly lowered, his eyelids twitched wildly.

Indeed, it is not fooled, this is the most standard upward challenge method!

After a few breaths, the zebra wire finally stopped.

Did you go in?

Mo Chenggui looked at Ji Xiang suspiciously.

Or, he was imitating cats and tigers, but the imitation was so similar that he had an illusion.

Or, Ji Xiang has successfully inserted the zebra guide wire into the affected ureter between breaths.

"The perfusion pump is ready." Mr. Wu said in a deep voice.

After preparing the perfusion solution, Mr. Wu approached the mirror, ready to take a look.

When his vision fell on the operation area, his hands froze for a moment.

guide wire!

Zebra guide wire! !
I ran into the ureter by myself! ! !

How is this going!

Numerous exclamation marks Wuming appeared in Mr. Wu's mind, and he was stunned.

"Mr. Wu, hurry up." The roving nurse was ready to connect the booster pump, and she urged when she saw that Mr. Wu was standing there like a statue without speaking.

"..."

Mr. Wu looked at the mirror blankly, he couldn't figure out how the zebra guide wire got in.

"First...don't use it first...don't use it." Wu concluded and stammered.

"What are you doing?" The roving nurse scolded unhappily, "Use it for a while, don't use it for a while, did you not sleep well yesterday?"

"It's already gone in." Mr. Wu said helplessly.

"Huh? You have to pressurize after entering, you are sick." The roving nurse was not used to Mr. Wu at all, especially when he saw his dull look.

Mr. Wu didn't reply, he took another careful look.

The zebra guidewire was indeed placed successfully.

Countless questions came to my mind, but in any case, as long as the guide wire goes in, it is good.

Mr. Wu continued to operate, slowly deepening the ureteroscope to the position of the stone.Fortunately, the stone didn't bother me anymore, so it was there clearly.

He first clamped the stone with forceps, tried it, and determined that the stone was too big to be completely removed from the ureter.

Started the holmium laser lithotripsy machine for lithotripsy. Mr. Wu crushed the ureteral stones to a size of about 1-2 mm. Larger stones were removed to the bladder by stone extraction forceps.

The operation went smoothly, and there were no symptoms such as ureteral mucosal rupture and small ureteral perforation.

Even so, Mr. Wu still cautiously indwells the double J tube for drainage inside the ureter and keeps the catheter.

Although the subsequent operation went smoothly, Mr. Wu operated with his muscular instinct, and he was always in a trance.

After the operation, Jixiang sent the patient back.

Mr. Wu closed his eyes, his eyes were full of the zebra guide wire, which somehow entered the right ureteral orifice.

Turning around and seeing Professor Mo watching the surgery, Mr. Wu subconsciously asked, "Professor Mo, have you been watching the surgery?"

"Yes." Mo Chenggui nodded, then turned around, "Xiao Wu, come with me."

Mr. Wu took off his surgical gown, threw it aside, and followed Mo Chenggui out of the operating room.

"Xiao Wu, were you startled by the sudden insertion of the zebra guide wire?" Mo Chenggui didn't go far, but asked in a low voice while standing in the corridor.

President Wu nodded.

"I saw it. It was operated by Dr. Xiaoji, using the upward pick method."

"!!!"

"Ten seconds, it's done very steadily, and it's done in one go."

"!!!"

Mr. Wu was speechless.

Tears flowed down like frothy apple juice.

(End of this chapter)