The skinned area is like a plucked chicken, solitary. After being contaminated with sterilized iodophor, it looks like Zhou Hei Ya's braised products.
"Little Lagou!" Zhang Fan said. The structures in the pelvic cavity are much smaller than those in the abdomen, especially the male pelvic cavity. Zhang Fan made a conventional incision directly on the upper end of the pubic bone.
The scalpel cuts across the skin, like drawing a straight line with a pale yellow pen on white paper. Zhang Fan holds a knife in one hand and a rectangular gauze in the other, gently pulling it outward along the incision. Bright red flowers slowly bloomed on the yellow fat.
Xue Fei held a suction device in one hand, always ready to suck blood to ensure a clear surgical field. The other hand also held a piece of gauze, parallel to the gauze in Zhang Fan's hand, and gently pulled it. This is to make the skin appear taut.
"Electrocauter!" As the skin opened, bleeding began. Generally, bleeding from tiny capillaries occurs in a state of exudation, while larger capillaries slowly surge upward like spring water. Generally speaking, they are relatively mild.
But the arteries are not good. Regardless of their size, they are all very violent. They all bleed in the same way. When they bleed out, the pressure is not small. Things that happen if the person does not pay attention to the face of the bleeder often happen.
Opening the skin, Zhang Fan began to use the electric knife to enter. As the electric knife made a stinging sound like a soldering iron, wisps of green smoke began to slowly float up.
At this time, the suction device not only sucks blood but also smokes. A good doctor with a good assistant will almost never let the smoke come out. Xue Fei's skill was mediocre, so a lot of green smoke came out.
"Brother, after the operation, I'll treat you to a barbecue. Xiao Yang, Xiao Li, and Xiao Wang, let's go together." He meant it. Xiao Li is a surgical nurse and Xiao Wang is a circulating nurse.
Zhang Fan ignored him, but Xiao Yang smiled and said, "Director Xue, forget about the barbecue, and treat us to a KFC." The two nurses smiled and said nothing.
"Okay, after the operation is completed, I will ask Wang Zipeng to buy it. Today's night shift overtime pay will be calculated twice for you."
“Mr.
The skin is opened in the suprapubic center, the underlying fascia is incised sequentially, and the rectus abdominis muscle is separated and retracted to expose the prevesical space. The pubic bone is actually where the pelvis joins the front of the human body, specifically just above the genitals. People with thin fat layer can press it with just one press.
"Oh my God! How could it be like this?" Xue Fei immediately exclaimed when Zhang Fan entered his bladder. No wonder he exclaimed, this kind of pressure-injured bladder is so rare.
If you hold in too much urine, your brain will become anxious. When it becomes anxious, it will directly send out pain signals. Therefore, a normal person will not and cannot hold it to this extent. That is to say, this person is drunk, otherwise he would not My bladder exploded.
The surface of the bladder is very smooth, with a thin film on the outside. You can vaguely see a network of blood vessels crawling on the surface of the bladder, just like some particularly fair faces.
When the fascial tissue is opened, what you see is like a broken paper shell exploded by a firecracker, a hole with a diameter of three to four centimeters, the hole is in the shape of a flower, and the bloody bladder meat is like a petal. Floating in the yellow urine, they looked like flowers in the wind. Moreover, the internal structure of the bladder was also turned out.
The outside of the bladder is smooth to reduce friction with other tissues. On the inside of the bladder, there are many folds forming ravines like small ridges.
This structure is very similar to the body of the stomach, which is why many stalls selling haggis refer to the bladder as the belly. Moreover, when the bladder is cooked, it actually tastes similar to the stomach, with a certain taste. Chewy toughness.
"Aspirator!" Zhang Fan immediately used gauze to block the urine that was about to overflow.
Following Zhang Fan's words, Xue Fei immediately inserted the plastic head of the suction device into the rupture of the bladder. Because of the blood, the urine is obviously yellow. The transparent plastic tube of the suction device quickly sucks urine.
Looking at this scene, Xue Fei didn't know why, but the scene of a fashionable beauty on the street wearing sunglasses sucking orange juice through a straw flashed in his mind, and he couldn't get rid of it. I thought about it and let it go, but this shameless thing actually smacked my lips unconsciously.
"What? Do you want to drink?" Mainly because Xue Fei slurred so loudly that Zhang Fan was surprised.
"Uh! How could that happen? Stop talking nonsense. What should we do now? Stitch it?" Xue Fei was a little embarrassed and quickly changed the subject, "What happened today!" The baby secretly blamed himself.
"Let me explore first to see if there is any damage elsewhere." Generally, there will only be one breakthrough in this kind of situation, but as a doctor, if you don't see it clearly and understand it, you will suffer the consequences of the operation and you will definitely feel uneasy. A long time.
Following Zhang Fan's examination, Zhang Fan said, "This man's prostate is also a little swollen. Ouch!"
"It's strange that it's not swollen. I'm a taxi driver, and I like to hold my urine for fun. I'll have to pay off the debt in a few years." Xue Fei said after taking a look.
What is the relationship between the prostate and the bladder? In fact, a very vivid metaphor is a gourd, which is often used to hold wine in costume TV dramas.
The larger one at the bottom of the gourd is the bladder, the smaller one on top is the prostate, and the mouth of the gourd is the urethra. It is very vivid. If the top one is smaller, it will be exactly the same.
As age or bad habits increase, the prostate will slowly swell. This thing is not hollow inside, just like a fresh gourd, the contents inside are not hollowed out.
The larger and larger prostate will make the urethra narrower and narrower, until it is so narrow that urine cannot pass out. And because this place is very rich in nerves and muscles.
Therefore, when the prostate is enlarged and you forcefully urinate, various nerve reflexes will cause the muscles here to contract and relax, and the so-called urine ticking will occur!
Why are there so many nerves and various kinds of muscles in this place? It is also very simple, because the ejaculatory (a) seminiferous duct is out of shape in this place.
In other words, there are two channels in this place, the thicker one is the urethra, and the thinner one is the ejaculatory (a) seminiferous duct, which is derived from the bladder.
"Let's sew it up. There are no ulcers in other places! This person must use antibiotics regularly after the operation. Otherwise, the adhesion will not heal after the infection and inflammation in this area, which will cause trouble."
"Don't worry!" Xue Fei nodded.
Compared with the sutures in other places, this suture is more layered, and some devitalized bladder tissue needs to be cut off.
Zhang Fan took the needle and began to suture layer by layer, using 3-0 or 4-0 catgut to suture the bladder tear in 2 or 3 layers. Catgut is actually the so-called absorbable thread. It is such a simple thing that China could not make in the early years.
Finally, the smooth bladder surface appeared on the bladder like a chrysanthemum, like a smooth volleyball with a patch on it.
That's how surgery goes in, how it comes out. The layers must be sewn clearly, otherwise this place will be a mess in the future.
"Fistula!" Zhang Fan said after suturing it. After the bladder is sutured, there is a fear that the urine will cause the bladder to rupture or become infected again. Ostomy is to use a knife to open an opening at the lower end of the front wall of the bladder and put a plastic tube in to directly drain the urine. How much urine comes out of the ureter will be drained away. fluid, because I am afraid that the infection will not heal.
Bladder surgery sounds very simple. It seems like it is just a matter of opening the skin and suturing it. In fact, the difficulty lies in the exploration. There are several openings in the bladder.
The openings of both kidneys and ureters, the vas deferens and the urethral opening are like wires buried in the wall. Injuring one of these things is very troublesome.
If one ureter is damaged, by the time symptoms appear, the corresponding kidney will have hydronephrosis. So although the bladder is just like a volleyball, it is actually very complicated.
After the operation, Zhang Fan said to Xue Fei: "You must explain it to your family and take good care of it, especially the stoma, so you should pay more attention to it."
"Okay! I understand, brother, thank you!" Xue Fei said sternly to Zhang Fan when no one was around.
"It's okay. If you have any surgeries in the future, just call me!" Zhang Fan nodded. In fact, Zhang Fan felt a little disappointed. In the past, Xue Fei never called him brother. He called him Zhang Fan when he was happy, and called him livestock when he was unhappy.
It seems that this brother sounds like a beast! Self-abuse?
. m.
