"Dr. Koji, minimally invasive surgery is a bit difficult, especially the step where the guidewire enters the ureteral opening from the bladder, which is different from surgery. You look at it for two days first, don't be in a hurry. ”

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

Wu was always really afraid of going on stage, and Ji Xiang became a person, looking at himself with straight eyes......

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

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

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

Mr. Wu's total surgical level of hospitalization is just like that, and Ji Xiang can crush him early in the morning.

But Ji Xiang just smiled and honestly stood in the position of an assistant.

"Yo, the position is very fast today." The itinerant nurse came back in a hurry, carrying a bunch of things in her hand, and praised the patient when she saw that the patient's stone cutting position was very standard.

"Sister Chu, hurry up and open the bag." Mr. Wu urged.

"Ready, then I'll open the bag."

"What are you going to do?!" The patient asked, confused.

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

He didn't understand why he was opening a bag.

The people in the operating room were stunned, and soon the itinerant nurse reacted.

This kind of thing has long been taken for granted, as long as the speed is fast enough, everything is stationary.

But the patient is not used to it.

The car was fast enough to turn him down.

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

"For the first time, I know that there are other ambiguities, Sister Chu, you open the bag every day, so that people can envy." Mr. Wu said with a smile.

"Don't talk nonsense, three surgeries, hurry." The itinerant nurse reprimanded, "I don't know if I will come back after lunch, so I have to do it on stage." ”

"Sister Chu, we are serving the people wholeheartedly and relieving the pain of patients. The patient is not feeling well, how can I have the heart to eat, you are right. ”

"If you talk about these things again, believe it or not, I'll knead the stones into a strong pill and stuff it in your mouth later."

Mr. Wu shrugged his shoulders and began the operation.

The ureteroscope is inserted, and little by little, it is walked through the urethra and into the bladder.

Mr. Wu moved the camera and first looked at the situation in the bladder.

The bladder is slightly red, normal in color, and there are no stones and polyps. Mr. Wu then compared the ureters on both sides 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 was too cautious, Ji Xiang didn't feel that there was a problem.

In the operating room of the system, the NPCs of the system are checked again and again, even if they are facing a simulator, he is afraid of getting the opposite direction.

The non-vascular lumen guidewire is composed of a guidewire, a spring soft head and a plastic coating.

According to the different spring soft heads and whether they are coated or not, they are divided into large head hard guide wires, flat head hard guide wires and plastic coated guide wires.

Mr. Wu chose zebra guidewire as a flat-headed rigid guidewire.

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

"That's called placement." The itinerant nurse corrected.

"The same, the same. It doesn't mean anything to speak, isn't it inserted into 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 guidewire to align the right ureteral orifice.

Crooked......

Ji Xiang knew as soon as he saw Mr. Wu's hand shape that he would definitely insert it this time...... Unable to be successfully placed.

Mr. Wu is right, this step is indeed the most difficult, otherwise the system NPC will not teach itself the rotation method and the upward picking method to solve the problem.

In the operating room of the system, Ji Xiang learned this step for a long time before he got a glimpse of the door.

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

The ureteral opening is hidden in the folds of the bladder, not a hole in a blank piece of paper, just send a zebra guidewire in.

Moreover, the ureteral orifice also moves with the peristalsis of the bladder, and it is not easy to successfully place the catheter.

The first time, failed.

Mr. Wu didn't think that he could succeed at one time, he stepped back a little and prepared to come again.

Mo Chenggui stood behind, and when he saw that Mr. Wu didn't want to suppress Ji Xiang, he was relieved.

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

Everyone has the mind to protect the calf, and Mo Chenggui is the same.

He was ready to see that Mr. Wu was successfully placed and left.

One failure is nothing, and Mo Chenggui thinks so too.

Even Mo Chenggui operates on his own, and it is common to be unsuccessful eight times out of ten.

If this is not possible, it is necessary to infusion the hydraulic pump to dilate the ureteral opening and guide the direct view through the safety guidewire.

The greatest difficulty of lithotripsy and stone removal surgery is not in the stone, but in this place.

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

Mr. Wu's sterile cap began to get a little damp, and his flattened hair could be faintly seen.

Simply so!

I wanted to teach Ji Xiang how to do surgery and give him a favor, but who knew that the patient's ureteral opening was so difficult to find.

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

Fail!

Fail!!

Fail!!!

The successive failures made Mr. Wu a little discouraged.

"Let's prepare the perfusate." Mr. Wu sighed.

He then reassured the patient, "I need to put some water into the bladder and then put pressure on it, it's so easy to do." ”

The patient didn't understand, and when he heard Mr. Wu say this, he could only nod blankly.

Mr. Wu handed the zebra guidewire to Ji Xiang and asked him to hold it, and then prepared the perfusate.

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

The patient's ureteral orifice is indeed relatively hidden, no wonder...... Wait a minute!

In the next second, Mo Chenggui saw Ji Xiang's eyes looking at the mirror, and his right hand slightly twisted the zebra guidewire.

！！！

Mo Chenggui was stunned for a moment.

Ji Xiang's action standard is a hundred times higher than Wu's total standard!

Laser lithotripsy is a technology that has just been developed in the last decade or so, and Mo Chenggui is getting older and older, and it is somewhat difficult to operate the fine placement of guidewires.

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

But Mo Chenggui has a solid foundation, and he can at least distinguish the level from the high.

Pick the method!

Standard, textbook-like approach!

Mo Chenggui's pupils narrowed, his eyes narrowed into a slit, and he stared at the zebra guidewire between Ji Xiang's fingers.

At this time, Mr. Wu was preparing the perfusate and didn't see this scene.

Ji Xiang actually did ureteroscopic surgery!

A terrifying thought appeared in Mo Chenggui's mind.

If his level of cutting the skin bag is very high, Mo Chenggui can also understand.

Medical students have an internship period, and it may be that Ji Xiang is particularly talented, and he may have mastered this technique completely after following the teacher to do a few circumcisions.

However, ureteroscopy is a tertiary operation!

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

If it is really a very strict requirement, even the hospitalization of the second hospital is not qualified to do it.

Normally, it is impossible for Ji Xiang to come into contact with such a high-level operation.

However!

The zebra guide wire seemed to be alive between Ji Xiang's fingers, moving forward little by little, slowly but firmly.

What the hell does this seem like a novice can do?

Compared with Ji Xiang, Mr. Wu is like a hairy boy, he can't do anything about sweating on the wedding night, and he doesn't know what he should do to put it in smoothly.

Mo Chenggui saw Jixiang's wrist slightly lowered, and his eyelids jumped wildly.

Indeed, it is not Meng, this is the most standard upward lifting method!

After a few breaths, the zebra guidewire finally stopped.

Did you go in?

Mo Chenggui looked at Ji Xiang suspiciously.

Or, he imitated the cat and the tiger, but imitated it too similarly, so that he had an illusion.

Alternatively, Ji Xiang has successfully inserted a zebra guidewire into the ureter on the affected side between breaths.

"Perfusion pump ready." Mr. Wu said in a deep voice.

Preparing the perfusate, Mr. Wu approached the mirror, ready to take a look.

When his vision fell on the operation area, his hand froze suddenly.

Guidewire!

Zebra guidewire!!

I ran into my ureter!!

What's going on!

Countless exclamation points appeared namelessly in Mr. Wu's mind, and he was stunned for a moment.

"Mr. Wu, hurry up." The itinerant nurse was ready to connect the pressurized pump, and when she saw that Mr. Wu did not speak, she stood there like a statue, so she urged.

“……”

Mr. Wu looked at the mirror in a daze, he couldn't understand how the zebra guidewire got in.

"First...... Don't ...... No need. Wu summed up and stammered.

"What the hell." The itinerant nurse reprimanded unhappily, "You won't use it for a while, didn't you sleep well yesterday?" ”

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

"Huh? If you go in, you have to pressurize, you're sick. The itinerant nurse was not used to Mr. Wu at all, especially when she saw his wooden appearance, she was even more upset.

Mr. Wu didn't talk back, he took a closer look again.

The zebra guidewire was indeed successfully inserted.

Countless questions came to mind, but in any case, as long as the guidewire went in, it was good.

Mr. Wu continued to operate, slowly deepening the ureteroscope to the location of the stone. Fortunately, the stone didn't trouble itself again, and it was clear where it was.

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

Starting the holmium laser lithotripsy machine for lithotripsy operation, Mr. Wu crushed the ureteral stones to a size of about 1~2 mm, and the relatively large stones were taken to the bladder through the stone removal forceps.

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

Despite this, Mr. Wu cautiously left a double J tube inside the ureter for drainage and retained the catheter.

Although the subsequent operation went well, Mr. Wu relied on muscle instinct to operate, and he was always in a trance.

At the end of the operation, Ji Xiang sent the patient back.

Mr. Wu closed his eyes, and his eyes were full of the zebra guidewire, which inexplicably entered the right ureteral orifice.

Looking back and seeing Professor Mo watching the operation, Mr. Wu subconsciously asked, "Professor Mo, have you been watching the operation?" ”

"Hmm." Mo Chenggui nodded, then turned around, "Xiao Wu, you 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 zebra guidewire?" Mo Chenggui didn't go far, but stood in the corridor and asked in a low voice.

Mr. Wu nodded.

"I saw it, it was operated by Dr. Xiao Ji, and the method used was picked."

“！！！”

"Ten seconds, it's very stable, and it can be done in one go."

“！！！”

Mr. Wu was speechless.

Tears flowed down like apple juice with foam.