Chapter 63： Parasite in the biliary tract
The operation proceeds to this step, and the doctors in the Xinglin Garden can understand.
It will be one thing to do it, but if you don't understand it, it will be too much.
This basic quality, many doctors from the science class still have.
Let's take the stone below, everyone thinks. Indeed, the common bile duct is cut, and the next step is to cut the stone and improve the patient's symptoms of obstructive jaundice.
Zheng Ren reached out and took a special stone picker in his hand. This is a routine device in the operating room, but it is rarely used. The Shea people have been observing Zheng Ren’s movements, and when he needs it, the corresponding equipment will be handed over.
In the live room, many people have envy and emotions.
Look at the matching nurses at home, really skilled. Look at your own home, one is bigger than a temper, and the unconventional operation of handing stone tongs can only be reminded to know.
More information is reminded that the stone pliers are not equipped at all, but also the nurses to go to the disinfection room to take the aseptic stone pliers package.
After a while, it will take a few minutes, and it is so easy to have a live broadcaster.
There is more to it, the stone pliers are not disinfected at all... that is a nightmare!
However, envy is envious, and the days are too late.
The pliers protrude into the common bile duct, one piece, two pieces, three pieces... wrong, how is the shape so eccentric? Is it not a stone?
[Based on my many years of clinical experience, it seems to be a parasite parasite. 】
[With years of clinical experience, what is blowing? The old directors with more clinical experience don’t even know how to land in the Xinglin Garden. 】
[I am 59 this year, I am an old director with more clinical experience, but I am advancing with the times, can you manage it? 】
In the apricot forest live broadcast room, the topic was instantly paralyzed.
However, from the eccentric shape, it does not seem to be a simple gallstone.
After removing the cystic duct and the stones in the left and right hepatic ducts, the live broadcaster began to rinse with warm saline to absorb more sediment-like stones.
Then, the surgery started to stop very rarely.
[Call call, is the live broadcast stuck? Please see the barrage, please return. 】
[I feel the same, it is much better to see you call me. 】
[Not Caton, it is the surgeon to prepare the next operation equipment, it is estimated to be a choledochoscope. 】
After determining that it is not a network problem and a live broadcast problem, a particularly rare surgical termination state triggers numerous bullets.
Everyone speculated that what happened.
[I am going to diarrhea, once I have acute enteritis, a appendectomy has ran eight times in the bathroom, and I have to change my clothes every time. After brushing my hands, I want to go to the diarrhea. That kind of painful experience, when you think of it, you feel that your heart is stuffed and you are comforted. 】
[Maybe cut the gallbladder to see if there is any cancer change. 】
[Perhaps the operator may be dizzy, maybe. 】
In the hundreds of barrage, everyone talked very H, but no one worried about the surgery.
Jokes, not to mention anything else, light is the proficiency of blunt separation and anatomical structure, the surgeon should be an old professor of about 60 years old, may not be able to do a three-level surgery?
In the operating room, Zheng Ren stopped, let Chu Yuzhi open the equipment he bought in the system mall, put the fiber mirror on the instrument table, and then put on the connector for himself, so that the picture detected by the fiberscope can be observed with the naked eye.
The head of Chu Yu and Zheng Ren are both high, both are 172cm. In order to put a connector on the top of Zheng Ren's head, she moved a footstool.
"Zheng Zong, where is this device?" Chu Yuzhi had similar surgery in West China, but he had never seen such a device.
"Do it yourself." Zheng Ren said the day to death.
"Small ghosts." Chu Yu's gas said to him: "No matter what you want, why not tell?"
Zheng Ren is also very helpless, can not tell Chu Yuzhi, he has a system mall. But if you want to edit a place, what if she wants to buy something? It's better to be confused.
Suddenly my thoughts are like a wild dog that is dislocated. If a woman has a system mall, will there be a big bargain on the day of the double eleven?
After giving Zheng Ren a good equipment, Chu Yuzhi said with interest: "Sister, if the surgery can be successful, it seems that you can write a SCI."
"It should be OK, or the kind of influence factor is above 3." Chu Yuran sitting next to the ventilator, holding a surgical record in his hand, quietly observing the various data displayed on the ventilator and monitor. This adjusts the amount of the drug.
Only at the time of surgery, the Chu family’s sisters performed very differently.
Zheng Ren does not understand, this is not a rare identification of twins.
The picture in the apricot garden live room was distorted and then switched to the field of view of the fiberscope.
[I am going to be an electronic fiber mirror! 】
[High-end, we are here to use the No. 5 catheter to rinse, rinse, and constantly rinse to determine if there are any residual stones. 】
[I have a professor of fiber mirrors here, but it is rarely used. Many people do not use it well, especially the use of pliers under fiberscope to remove residual small stones. The micromanipulation is almost the same as neurosurgery. 】
The lens goes inside, and the appearance of the scene makes the atmosphere of the live broadcast a success.
The traditional style of the barrage disappeared, and everyone looked at the white silk thread attached to the wall of the common bile with horror.
It’s not a gallstone, it’s a parasite!
These white silk threads are never a purulent object caused by inflammatory exudation, but a slender parasite is attached to the cystic duct.
Most of the stones that have been removed are also the products of the parasitic insects that are secreted by the body and are mechanicalized.
[Which tell me, what should I do if I encounter parasites? Online, etc., very urgent. 】
A small doctor was in the live room.
Under normal circumstances, as long as someone starts, someone will follow the skin. In the operating room, in the live room, not only the same, but also more arrogant.
However, the live broadcast room was extremely cold, and a barrage was alone from the right side of the screen to the left side of the screen No one took care of him.
The little doctor is very interested in the silence.
All the doctors watching the live video have a bad feeling in mind, and this surgery seems to be embarrassing.
Will it be observed this way, and then symbolically move the parasites, and find that the adhesion is so strong that the removal may damage the inner membrane of the common bile duct, and then give up?
This possibility is great!
Not enough to see the dense parasites of the white silk thread, everyone is satisfied.
And most people have a blind trust in the players in the live broadcast, he can do anything! Since you dare to open the live broadcast, you will expect this situation.
During the period when Lenovo had a pause in surgery, many doctors began to feel awkward.
It is difficult for the surgeon to diagnose that the patient is a parasitic biliary obstruction, and the surgical instruments are ready?
Even if it is ready, there is no good way.
So far, the removal of parasites has only been an initial attempt. After all, populations in developed regions are less likely to have parasites, and most parasitic diseases occur in Africa.
And it is almost impossible to expect a medical medicinal specialization to study the surgical procedure of parasitic surgery.
Even if the doctor is willing, for the sake of great love, for the sake of great doctors, those medical device companies that have gone into the money are not willing to design a separate device for surgery.
Even if it is designed, Africa’s spending power is limited.
So far, this surgery has evolved from a "simple" obstructive suppurative bile duct incision to an unknown procedure.
What should the operator in the live broadcast do to complete this surgery of unknown difficulty?
Or does he just want to observe it and then give up?
It will be one thing to do it, but if you don't understand it, it will be too much.
This basic quality, many doctors from the science class still have.
Let's take the stone below, everyone thinks. Indeed, the common bile duct is cut, and the next step is to cut the stone and improve the patient's symptoms of obstructive jaundice.
Zheng Ren reached out and took a special stone picker in his hand. This is a routine device in the operating room, but it is rarely used. The Shea people have been observing Zheng Ren’s movements, and when he needs it, the corresponding equipment will be handed over.
In the live room, many people have envy and emotions.
Look at the matching nurses at home, really skilled. Look at your own home, one is bigger than a temper, and the unconventional operation of handing stone tongs can only be reminded to know.
More information is reminded that the stone pliers are not equipped at all, but also the nurses to go to the disinfection room to take the aseptic stone pliers package.
After a while, it will take a few minutes, and it is so easy to have a live broadcaster.
There is more to it, the stone pliers are not disinfected at all... that is a nightmare!
However, envy is envious, and the days are too late.
The pliers protrude into the common bile duct, one piece, two pieces, three pieces... wrong, how is the shape so eccentric? Is it not a stone?
[Based on my many years of clinical experience, it seems to be a parasite parasite. 】
[With years of clinical experience, what is blowing? The old directors with more clinical experience don’t even know how to land in the Xinglin Garden. 】
[I am 59 this year, I am an old director with more clinical experience, but I am advancing with the times, can you manage it? 】
In the apricot forest live broadcast room, the topic was instantly paralyzed.
However, from the eccentric shape, it does not seem to be a simple gallstone.
After removing the cystic duct and the stones in the left and right hepatic ducts, the live broadcaster began to rinse with warm saline to absorb more sediment-like stones.
Then, the surgery started to stop very rarely.
[Call call, is the live broadcast stuck? Please see the barrage, please return. 】
[I feel the same, it is much better to see you call me. 】
[Not Caton, it is the surgeon to prepare the next operation equipment, it is estimated to be a choledochoscope. 】
After determining that it is not a network problem and a live broadcast problem, a particularly rare surgical termination state triggers numerous bullets.
Everyone speculated that what happened.
[I am going to diarrhea, once I have acute enteritis, a appendectomy has ran eight times in the bathroom, and I have to change my clothes every time. After brushing my hands, I want to go to the diarrhea. That kind of painful experience, when you think of it, you feel that your heart is stuffed and you are comforted. 】
[Maybe cut the gallbladder to see if there is any cancer change. 】
[Perhaps the operator may be dizzy, maybe. 】
In the hundreds of barrage, everyone talked very H, but no one worried about the surgery.
Jokes, not to mention anything else, light is the proficiency of blunt separation and anatomical structure, the surgeon should be an old professor of about 60 years old, may not be able to do a three-level surgery?
In the operating room, Zheng Ren stopped, let Chu Yuzhi open the equipment he bought in the system mall, put the fiber mirror on the instrument table, and then put on the connector for himself, so that the picture detected by the fiberscope can be observed with the naked eye.
The head of Chu Yu and Zheng Ren are both high, both are 172cm. In order to put a connector on the top of Zheng Ren's head, she moved a footstool.
"Zheng Zong, where is this device?" Chu Yuzhi had similar surgery in West China, but he had never seen such a device.
"Do it yourself." Zheng Ren said the day to death.
"Small ghosts." Chu Yu's gas said to him: "No matter what you want, why not tell?"
Zheng Ren is also very helpless, can not tell Chu Yuzhi, he has a system mall. But if you want to edit a place, what if she wants to buy something? It's better to be confused.
Suddenly my thoughts are like a wild dog that is dislocated. If a woman has a system mall, will there be a big bargain on the day of the double eleven?
After giving Zheng Ren a good equipment, Chu Yuzhi said with interest: "Sister, if the surgery can be successful, it seems that you can write a SCI."
"It should be OK, or the kind of influence factor is above 3." Chu Yuran sitting next to the ventilator, holding a surgical record in his hand, quietly observing the various data displayed on the ventilator and monitor. This adjusts the amount of the drug.
Only at the time of surgery, the Chu family’s sisters performed very differently.
Zheng Ren does not understand, this is not a rare identification of twins.
The picture in the apricot garden live room was distorted and then switched to the field of view of the fiberscope.
[I am going to be an electronic fiber mirror! 】
[High-end, we are here to use the No. 5 catheter to rinse, rinse, and constantly rinse to determine if there are any residual stones. 】
[I have a professor of fiber mirrors here, but it is rarely used. Many people do not use it well, especially the use of pliers under fiberscope to remove residual small stones. The micromanipulation is almost the same as neurosurgery. 】
The lens goes inside, and the appearance of the scene makes the atmosphere of the live broadcast a success.
The traditional style of the barrage disappeared, and everyone looked at the white silk thread attached to the wall of the common bile with horror.
It’s not a gallstone, it’s a parasite!
These white silk threads are never a purulent object caused by inflammatory exudation, but a slender parasite is attached to the cystic duct.
Most of the stones that have been removed are also the products of the parasitic insects that are secreted by the body and are mechanicalized.
[Which tell me, what should I do if I encounter parasites? Online, etc., very urgent. 】
A small doctor was in the live room.
Under normal circumstances, as long as someone starts, someone will follow the skin. In the operating room, in the live room, not only the same, but also more arrogant.
However, the live broadcast room was extremely cold, and a barrage was alone from the right side of the screen to the left side of the screen No one took care of him.
The little doctor is very interested in the silence.
All the doctors watching the live video have a bad feeling in mind, and this surgery seems to be embarrassing.
Will it be observed this way, and then symbolically move the parasites, and find that the adhesion is so strong that the removal may damage the inner membrane of the common bile duct, and then give up?
This possibility is great!
Not enough to see the dense parasites of the white silk thread, everyone is satisfied.
And most people have a blind trust in the players in the live broadcast, he can do anything! Since you dare to open the live broadcast, you will expect this situation.
During the period when Lenovo had a pause in surgery, many doctors began to feel awkward.
It is difficult for the surgeon to diagnose that the patient is a parasitic biliary obstruction, and the surgical instruments are ready?
Even if it is ready, there is no good way.
So far, the removal of parasites has only been an initial attempt. After all, populations in developed regions are less likely to have parasites, and most parasitic diseases occur in Africa.
And it is almost impossible to expect a medical medicinal specialization to study the surgical procedure of parasitic surgery.
Even if the doctor is willing, for the sake of great love, for the sake of great doctors, those medical device companies that have gone into the money are not willing to design a separate device for surgery.
Even if it is designed, Africa’s spending power is limited.
So far, this surgery has evolved from a "simple" obstructive suppurative bile duct incision to an unknown procedure.
What should the operator in the live broadcast do to complete this surgery of unknown difficulty?
Or does he just want to observe it and then give up?
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