Description: doctors are letter but his technology. The real skill is required in the hospital to learn, things on textbooks are dead.
He started the operation on the operation table calm got many people praise, you know Li Jie in the medical profession but a newcomer, the calm is praiseworthy for one's excellent conduct.
Wait until Li Jie the knife down, everyone have praise, Li Jie did not enjoy undeserved fame generation.
Skin muscle after open operation knife,mlb jerseys, cut to the perirenal fascia when, can not use it, because the distance is close to renal fascia, injury to the kidney.
But the kidneys also connected with fascia, it must first be separated from them, in order to remove the kidney.
Li Jie finger started to separate kidney and peripheral fascia, first from the kidney and the convex surface of the back, and then to upper, lower pole and front, and then along the upper ureteral separation to the renal hilum.
In the renal hilum before operation, Li Jie has been very successful, but now he was stopped.
Because of the separation of the renal hilum renal resection is the key steps, separated successfully or not, related to patient safety.
Li Jie found that patients with renal fascia adhesion around the door close, this is the worst, because it is the most difficult separation, Li Jie looked up, straightened his waist. Instrument nurse to give Li Jie the just the sweat on his forehead.
If special circumstances was not so hard for Li Jie, but the problem is how can fast separation, this operation must race against time, because Professor Zhang from Dumbo living donor kidney is not his, living donor kidney in taking down must as soon as possible to the body, or for a long time the lack of blood is easy to cause the damage, Li Jie must catch on Professor Zhang finish this kidney removed.
Li Jie took a deep breath, and then bent down to continue operation after a short consideration, he already had an idea!
"Subcapsular nephrectomy!" one to observe the operation doctor exclaimed.
"Indeed, subcapsular nephrectomy!" echoed the king forever.
"He really confident, so a small space with a knife but very dangerous, if the injury to the renal parenchyma, will cause a large amount of bleeding, so the operation can be finished!" another doctor said, for his words we have agreed.
Almost everyone held their breath, want to have a look to the new doctor, is how to do the difficult hepatectomy!
Li Jie it seems to have a soul of general operation knife, in the coating operation knife goes, now has the soul, just like what should cut what should not be cut.
Operation knife bold incision of renal capsule, operation knife tip just close to the renal parenchyma, but none met. He then used the handle instead of fingers under the renal capsule to renal before, after, as, very blunt separation, until the renal hilum.
(PS: blunt separation, as the name suggests is that there is no sharps to separation of the tissue, can use a finger, tissue forceps handle, etc.)
The presence of visiting doctor if subcapsular nephrectomy, this technique can also be accepted, so Li Jie used the handle to be separated, but want to criticize Li Jie! It's too dangerous! He is a newcomer with what think you can perfect mastery of hand strength, with what confidence no injury to patients.
