The road to the rise of great doctors

Chapter 22 Microscope in Urology
Liu Dong returned to the ward and still lived a fulfilling study life.He not only completed the work of his group well, but also gave full play to the power of "observing words and emotions" and got along well with his "superior leader" Zhu Guoliang at this time.Observing words and expressions is actually the magical skill of "upward management".

After gaining tacit approval from Zhu Guoliang, Liu Dong's conditions for participating in tomorrow's surgery have become better.However, he still had to show his face in front of Song Wei again, so as to maintain the goodwill he had already gained and learn more skills when he took the stage. "As an expert says, not only is a minute wasted, but sometimes it is also a guiding light."

After leaving Song Wei, Liu Dong looked at the report sheet for tomorrow's patient's auxiliary examination. The chromosome examination report had been placed in the medical record. When he opened it, it turned out to be 47 XXY. In this case, the diagnosis of Klinefelter syndrome was already Very clear.

As for the overall treatment plan, the patient and his wife finally chose to take germ cells from men and women in the same cycle.

To the doctor, this was an ordinary treatment.But for this family, it is a major event related to their future.At this moment, it is difficult for outsiders to understand their mood.As a doctor, all we can do is try our best to help them!

When it comes to microsurgery, not many people may know about it.Because now, the rise of microsurgery has only been a few years, and there are not many disciplines that can be carried out, which are cutting-edge and cutting-edge technologies.

Microsurgery operations are performed under a microscope. The involuntary shaking and tiny movements of the hand that can be seen with the naked eye are magnified several times under the microscope.The operation is more detailed and more difficult.It further tests the coordination and cooperation of the eyes and hands, or in other words, the "surgical talent" of the surgeon.

With the deepening of understanding of anatomy and the development of surgical instruments and techniques, many departments are carrying out microsurgery, including neurosurgery, hand and foot surgery, and andrology.The operation sites range from anastomosis of blood vessels and nerves to anastomosis of the vas deferens and epididymis, as well as exploratory surgery under a microscope.

Of course, whether a technological breakthrough will bring profits to the hospital depends on each individual's capabilities.Only if it can bring profits can the hospital and departments agree to purchase the equipment. Otherwise, they can only borrow it from the Department of Neurosurgery or the Department of Orthopedics. Borrowing equipment is equivalent to "earning costs" for the other department, and the only choice in terms of time is A time period that is not used by others.Neurosurgery sometimes calculates the operation time as half a day or one day. Who knows how it feels.

Liu Dong still chose to be on duty in the ward today. It seemed that after yesterday's rest, the "night shift god" blessed him today. There was no emergency surgery, giving him enough time to prepare for tomorrow's surgery.

That night, he left the hospital at 23:[-] and returned to his dormitory to rest.

The next day, Liu Dong came to the ward full of energy and fighting spirit.

After handling the matters within the group and taking a leave of absence from the superior doctor, he went to the microsurgery operating room.

Because the patient needs to be prepared on the same schedule as the woman, the surgery time for the male patient is also scheduled according to the woman’s time as much as possible.The operating room is also placed in the reproductive center.

After Liu Dong arrived at the door of the microsurgery operating room, he registered first and was allowed to enter the operating room only after being confirmed by the nurse and the surgeon.

After changing shoes, washing clothes, etc., leave outer clothing in the locker in the locker room.Entered the operating room according to the instructions.

There is only one operating room in the men's department here. After entering, what immediately strikes the eye is the huge microsurgical instruments. Different from neurosurgery, neurosurgery has two eyepieces at 90 degrees. After all, the head is operated. It is more physiologically appropriate to sit with the head in front and the other to the side.

The surgical site of reproductive andrology is the trunk, and cannot be outside the head or feet, so the eyepiece of the microscope is 180 degrees, and the surgery is performed while facing each other.The rest of the process isn't much different.

Now, the anesthesiologist is performing anesthesia, while Dr. Song Wei is sitting on the computer nearby, registering patient information and creating a surgical template. Then he can fill in and modify key information according to the actual process of the surgery.Now you can fill in the patient's specific information and diagnosis first.

There were 5 microsurgeries arranged in the operating room today, 4 performed microsurgery to detect germ cells, and 1 performed anastomosis surgery for obstructive azoospermia.

After Song Wei saw Liu Dong, he said to him: "For the first operation, let Wang Jie do it first. You should carefully look at how to disinfect and spread drapes. You can also see the surgical field through the monitor. First, you should familiarize yourself with the instruments and their functions." The surgical field of view and the basic operating procedures. Then you come to the next one."

After hearing this, Liu Dong nodded to express his understanding.

When the anesthesia was about to end, Wang Jie went out to wash her hands, then came in to disinfect, spread drapes and put on surgical gowns.With the help of the circulating nurse in the operating room, adjust the surgical microscope to the appropriate position, then cover the surgical microscope with a sterile plastic cloth and expose the eyepiece in the appropriate position.

After getting ready, Song Wei sat directly in the chief surgeon's position, while Wang Jie sat opposite.Song Wei operated under a microscope throughout the whole process, with skillful movements and no unnecessary operations.Wang Jie is not used to the look of a microscope. She occasionally looks at the microscope when cooperating. Most of the time, she holds a syringe and watches the surgical area spray water with her naked eyes to make the bleeding site visible.

To be honest, bleeding that is not obvious to the naked eye will appear red under a microscope. If there is no flushing, there is no way to operate it.This is also one of the difficulties of microsurgery, which requires meticulous operation and higher visual field requirements.

The surgical incision is similar to that of a hydrocele, and the previous layer-by-layer incisions and separations also look similar.The incisions obtained are slightly different between unilateral and bilateral incisions.

As Song Wei was doing it, he said to Liu Dong: "The incision in the front is similar to other surgeries on this organ that you have participated in. However, ours is an exploratory surgery, and we may not be able to find it on one side. You still have to look at both sides to find it. Of course, it’s also possible that you can’t find anything suitable after reading both sides.

"So, the incision is more in the middle, along the wrinkles of the skin. You see, after the layers are separated in this way, the balls are exposed. Then the incision is made. At this time, it must be operated under a microscope. The assistant's requirements are lower, but the surgeon must be like this. If you can't adapt to the microscope, you won't be able to do this surgery."

While speaking, it did not affect Song Wei's hand movements. He was still rummaging in a certain order, area by area.

Because Wang Jie, as an assistant, could only help so much, Song Wei's possible pause was between rummaging and stopping bleeding when changing instruments.

The quiet operating room seemed to be waiting for the results to be announced.Song Wei's expression was indifferent. The equipment nurse handed Wang Jie the small box prepared by the technician, so that Song Wei could find the seminiferous tubules and put them in, and then the technician would check whether the technician's discovery was valuable.
Time passed by, and everyone was doing their own work. This was a peaceful time that belonged exclusively to the operating room.

(End of this chapter)