Zhang Yi quickly got up, put on his clothes, and rushed out of the door. As soon as he arrived at the department, he saw the doctors and nurses on duty busy.
"Zhang Yi, you're finally here. The old man you took in this afternoon went to the toilet in the middle of the night. He squatted down and complained that his stomach hurt badly. In the end, he took a B-scan and found that his kidney stones had shifted and blocked his ureter. We have to arrange for surgery for him as soon as possible.
I was worried that I wouldn't be able to handle it alone, so I called you over.”Zhao Fei looked at Zhang Yi apologetically.
Zhang Yi nodded." It's fine. I'm on duty today."”
"Then…are you going to perform the surgery, or should I do it?”Zhao Fei asked again.
"What's wrong? You can't do this small surgery?" Zhang Yi asked as he put on his white coat.
"Sigh, I'm not as all-rounded as you. I specialize in cardiology. I can treat urology patients, but forget about surgery.
I just called the urology department to ask them for help, but they just accepted an emergency patient and couldn't get away. Otherwise, why would I call you in the middle of the night?”
"Alright, it's fine. I'll just go up and do it.”Zhang Yi had performed this surgery many times during his internship, and the operation was very simple.
Zhao Fei looked at Zhang Yi gratefully and said,""That's great! Great benefactor!"
Then, Zhang Yi followed the nurse into the operating theater.
Kidney stones are caused by an increase in the concentration of crystalline substances in the urine or a decrease in their dissolution. After the crystals are separated, they begin to grow locally and gather, eventually forming stones. There were many factors that could cause this, such as age, environment, diet, infection, and so on.
Under normal circumstances, kidney stone surgery was considered a relatively simple surgery. Nowadays, minimally invasive methods were basically used, which was minimally invasive percutanous kidney stone removal. Due to its advantages of small incision, slight injury, less bleeding, high stone clearance rate, and fast recovery, it became the ideal method of choice for surgical treatment of kidney and ureteric calculi.
After the surgery, the patient was placed in the lithotomy position, followed by the prone position.
Disinfect the skin of the surgical site. The disinfection range of the ascending device was 15cm, and the disinfection range around the kidneys in the prone position was 15cm.
Artificial pyeloid effusions were used, which was to insert an F5 tube into the kidney through the ostium and leave it outside the ostium to fix it. Saline and contrast agent were injected during the operation to observe the position and size of the stone after puncture.
Then, the patient was placed in a prone position. The puncture was performed at the position closest to the stone between the 11th intercostallar line and the subscapular line. The puncture needle was almost vertical to the patient's spine and 30-60 degrees from the horizontal plane.
When he punctured and expanded the channel, he could not avoid tearing some blood vessels. However, because the amount of bleeding was small, he did not need to avoid blood vessels.
After the channel was expanded, the Peelaway sheath was inserted and fixed. Then, the ureteroscope was inserted through the sheath. Under the vision of the ureteroscope, the stone crushing optical fiber was inserted along the surface of the stone to crush the stone into powder. Then, the Peelaway sheath was used to flush and discharge the stone.
After cleaning, he took out the Peelaway sheath and inserted a double-cavity ureter.
After another round of disinfection, the surgery ended.
The whole process was simply to break the stone from the kidney and suck it out.
90% of the stones that were taken out contained calcium. Basically, stones were formed by the accumulation of various types of calcium in the human body. The most common one was calcium esh.
It was best to limit the intake of foods such as spinach, beets, tomatoes, nuts, cocoa, and chocolate.
The entire surgery took about half an hour to an hour, depending on the size and number of gallstones.
Fortunately, this old man only had one stone, and it was not big. Zhang Yi finished it in twenty minutes.
"What the f * ck? How did you finish it so quickly?" Zhao Fei looked at Zhang Yi who appeared in the doctor's office and said.
"It's just a stone. How long can we do it?”
"Sigh! I just didn't dare to do it. I was afraid that I would screw it up. If I had known earlier, I would have gone!”Zhao Fei looked regretful and regretful.
"Come on, you're only saying this now. I didn't see you attack directly just now.”Zhang Yi rolled his eyes at Zhao Fei.
"Thanks, I'll treat you to a meal tomorrow." Zhao Fei chuckled.”
"Alright, I'll go back first!"
It was almost two o'clock when Zhang Yi returned home. Standing in the living room, he could hear the snoring coming from Lu Ming's room through the door.
Zhang Yi was neither tired nor sleepy. His mental strength was much better than before.
In the past, when he was doing his internship with his teacher, he would have a sore back and sore feet after performing a surgery that took four to five hours. His entire foot would swell, and he would have to soak his feet in hot water at night to relieve the discomfort. Now, Zhang Yi would probably not feel uncomfortable even if he performed a high-precision surgery for ten hours.
However, Zhang Yi still had to sleep because he could only train when he slept.
"Now, we will begin the simulation training of 'Duodenectomy.' Host, please be prepared." Countdown 5, 4, 3, starting now!
PS: There are a few sensitive words in this chapter that I used homophonic, mainly because I am afraid of entering a small black room, please forgive me.
This book comes from：m.funovel.com。