It's so short in the middle, and the blood vessels and nerves need to be separated at both ends. Part of the tissue needs to be cut off, and the rest is only a centimeter at most. It's so short that it's very difficult to sew. If it's sewn, it's easy to get necrotic. It's better to just give up. Physically That section is directly connected to the mushroom head and will not have a great impact on the future.
Jin Cheng shook his head and lamented: "You really can do it!"
Xu Yang was speechless and said: "This boy has wanted to be a girl since he was a child and wanted to undergo sex reassignment surgery. His parents did not agree. Today, he committed suicide out of anger!"
Jin Cheng nodded. In principle, patients who self-mutilate are contraindicated in replantation surgery, because even if the replantation is successful, the patient is likely to self-mutilate again.
However, his parents will definitely urge replantation.
"Xu Yang, Jin Cheng, send the patient to the operating room quickly!"
Director Luo came in and urged.
Jin Cheng stopped chatting and pushed the rescue bed straight to the operating room with Xu Yang and other doctors.
Operating room No. 8.
Director Ma, Yin Wensheng, and Han Yue, together with an attending surgeon and a resident from the surgical department of surgery, were all the most elite people in the surgical department. They stood at the door of the operating room, ready.
A deputy director also came from the Department of Urology, but he was not going to take the stage. He was just providing some help to the best of his ability. After all, Urology had no experience in this area.
The instrument nurse has already counted all the gauze and instruments and placed them neatly.
Director Anesthesia Ding personally took charge and prepared for general anesthesia. The ventilator and general anesthesia machine have been debugged and are just waiting for the patient to arrive.
Director Ding sighed. It's a pity that he hasn't learned acupuncture general anesthesia yet, otherwise he wouldn't be able to use these complicated equipment.
Director Ma paced back and forth in the operating room, feeling a little uneasy.
This is also the first time he has had this kind of surgery.
In the past, I only heard in the news that a man had his penis cut off by his wife after cheating on him, and then it was successfully re-implanted. In reality, it is difficult to receive one diagnosis in a lifetime.
Now that he is really here, I heard that he is the son of Deputy Director Guo of the Municipal Health Bureau.
The Health Bureau is the direct leadership unit of the hospital, and the top management of the hospital attaches great importance to it. Today's operation can only succeed, not fail.
This is also an opportunity for me to make a contribution to the leadership of the Health Bureau. If the operation is done beautifully and the leadership is satisfied, maybe I can be given a hand so that I can join the leadership of the hospital!
Thinking of this, Director Ma was both nervous and excited.
For a moment, Jin Cheng's appearance flashed in his mind.
This kid has been in the limelight these days. He even completed an operation in the morning that he couldn't even imagine. The hospital is paying more and more attention to him and cannot let him continue to grow like this. Otherwise, one day he will take revenge. Own.
Therefore, Director Ma decided that he would rush to perform all operations involving hand surgery in the future. Jin Cheng must not be allowed to be more beautiful than before.
"Rumble..."
The sound of the emergency bed crushing the floor came quickly.
Yin Wensheng quickly stepped on the air-closed door.
Xu Yang, Xie Yalun, An Shanshan, and emergency nurse Xiao Yang Ting pushed the patient in together.
The hand surgeon and surgical nurse lift the patient to the operating bed together.
Jin Cheng didn't follow him. Since he didn't need the surgery, there was no need to meet Director Ma and the others.
Xu Yang handed the plastic bag to Director Ma, and together they pushed the bed out of the operating room.
"Prepare diluted iodine complex saline."
Director Ma gave an order, and the circulating nurse Jiao Yang and the equipment nurse immediately prepared disinfectant.
Director Ma opened the plastic bag without looking, and directly poured the chicken into a steel bowl filled with brown iodine complex salt water.
"Hurry and wash your hands and come to the stage. Han Yue and I will handle the patient's vaginal meridian port together, and Director Yin and Liu Fei will handle the severed end of the free vaginal meridian together."
Director Ma deployed in an orderly manner.
Everyone immediately fell into their roles.
Director Ding was familiar with the road and was soon under general anesthesia.
Director Ma and the others are also fully dressed.
F.
Yin Wensheng quickly disinfected, and together with the attending doctor Liu Fei, he quickly completed the laying work.
Director Ma picked up the small scissors and began to trim the severed end of the boy's penis. He needed to separate the corpus cavernosum and various blood vessels and nerves.
Yin Wensheng did not dare to delay.
Reach out and fish out the free end of your cock.
When he discovered that there were two sections, he was stunned.
The middle section is too short!
"Director, take a look, it's a bit unexpected."
Yin Wensheng put the penis in a clean steel bowl and handed it to Director Ma.
Director Ma turned around and was stunned.
Why are there two sections!
At this time, the live broadcast is on.
The hospital leaders and Director Guo were all watching in the live broadcast room.
Director Ma didn't dare to show too much surprise.
He nodded and said: "I will handle the free end, and you will handle the near end."
Director Ma took the steel bowl and came to the equipment table.
The equipment nurse consciously stepped aside.
Director Ma picked up the middle piece and held it in his hand, like a small piece of sausage.
The nerves and blood vessels are already partially atrophied. If you want to completely separate enough suture length, you will definitely need to cut off part of the length. In this way, the operation will be very difficult.
The vaginal meridian has a total of four arteries, two veins, two nerves, three cavernous bodies, and one urethra. These all need to be sutured one by one. I am afraid it will take more than 3 hours to suture one section. Two sections, It will take at least 6 hours, maybe more.
With such a long time and the postoperative swelling, the possibility of avascular necrosis is very high. Abandoning the middle section will cause the vaginal meridian to be short. I wonder if Director Guo will agree.
Director Ma was caught in a dilemma. After thinking carefully for a few minutes, he dialed Dean Xue's phone number.
Surgery live broadcast room.
Dean Xue and Director Guo were sitting in the best viewing positions.
A group of senior leaders of the hospital, as well as several department directors and doctors from various departments, were all sitting behind the leader.
Jin Cheng sat at the farthest back, closed his eyes, and entered the simulated operating room.
What happened to this old horse?
Dean Xue suddenly felt bad when he saw that Director Ma did not move, but was holding the penis in a daze.
Sure enough, Director Ma called.
Dean Xue turned on the speakerphone.
Director Ma explained the situation to see what Director Guo would choose.
Director Guo's face was ashen and he suppressed the unhappiness in his heart. Fortunately, the child's mother was moved away, otherwise there would have been a big fuss.
"If the middle section is retained, what is the possibility of necrosis?" Director Guo asked patiently.
Director Ma said on the phone: "The possibility is very high. My suggestion is not to keep it, because if it becomes necrotic, the entire remote end will be amputated."
Director Guo took a deep breath and couldn't make up his mind.
Such an important matter must be discussed with the child's mother.
Director Guo's wife also came in. After hearing about the situation, she immediately yelled: "Are all your hospitals just useless? If you don't have the ability to handle it, just tell me earlier! We can bring in professors from the province to do it!"
Dean Xue looked very ugly. As the boss of the hospital, he must feel uncomfortable being scolded like this, but he didn't dare to have an attack, so he could only accept it.
Director Guo sat his wife down on the chair and said in a deep voice, "Stop talking about these useless things now. When the professor comes over, all my son's things will be ruined!"
"Then what do you think we should do?" Director Guo's wife said in a tearful voice.
