Path of Medicine With a System

The place where the skin has been prepared is as lonely as a plucked chicken. After being contaminated with disinfected iodine, it looks like Zhou Hei Ya's stewed products.

"Xiao Lagou!" Zhang Fan said. The structure in the pelvis is much less than that of the abdomen, especially the male pelvis. Zhang Fan made a conventional incision directly on the upper end of the pubic bone.

The scalpel cut across the skin, as if a straight line was drawn with a light yellow pen on white paper. Zhang Fan held a knife in one hand and a rectangular piece of gauze in the other, and gently pulled it outward along the incision. Bright red flowers slowly bloom on the yellow fat.

Xue Fei held the suction device in one hand, ready to suck blood at all times, to ensure the clarity of the surgical field. The other hand also held a piece of gauze, parallel to the gauze in Zhang Fan's hand, and pulled it gently. This is to make the skin appear taut.

"Electric knife!" As the skin opened, there were bleeding spots. Generally, tiny capillary bleeding occurs in a state of oozing, while slightly larger capillaries flow upward slowly like spring water, which is generally relatively mild.

The arteries are not good, no matter how big or small they are, they are very irritable. They all bleed in the same way. They come out, and the pressure is not small. Things that don’t pay attention to the face of the surgeon often happen.

Opening the skin, Zhang Fan began to use the electric knife to enter. After the electric knife made a piercing sound like a soldering iron, wisps of green smoke also began to slowly float up.

At this time, the aspirator not only sucks blood, but also smokes. A doctor who is a good assistant will hardly let this smoke come out. Xue Fei's skills were mediocre, so a lot of green smoke came out.

"Brother, after the operation, let me invite you to eat barbecue. Xiao Yang, Xiao Li, and Xiao Wang, let's go together." He did it on purpose. Xiao Li is an operating nurse, and Xiao Wang is an itinerant nurse.

Zhang Fan ignored him, but Xiao Yang smiled and said, "Director Xue, forget about the barbecue, let's have a KFC instead." The two nurses smiled and said nothing.

"Okay, after the surgery, I'll let Wang Zipeng buy it. Today's night shift overtime pay, I'll also count it twice for you."

"Director Xue, you are so kind!" The smiling face of the itinerant nurse was all smiles. She was a little unhappy when she was called in at home, but in the end she was able to get two overtime pay.

The skin was opened midway above the pubic bone, the underlying fascia was incised sequentially and the rectus abdominis muscle was separated and retracted to expose the prevesical space. The pubic bone is actually where the pelvis joins the front of the human body, specifically above the genitals. People with a thin layer of fat can press it with one touch.

"Oh my God! How did this happen?" Xue Fei exclaimed immediately after Zhang Fan entered the bladder. No wonder he exclaimed, such pressure-injured bladders are too rare.

If you hold back too much urine, your brain will become anxious. When it is anxious, it will directly send out pain signals. Therefore, people in a normal state will not hold back to this level at all, that is, this person is drunk, otherwise it will not Drank the bladder and exploded.

The appearance of the bladder is very smooth, with a thin film on the outside, and the network of blood vessels can be vaguely seen crawling on the surface of the bladder, just like some particularly fair faces.

When the fascia tissue was opened, what I saw was like a broken paper shell cracked by firecrackers, a hole with a diameter of three to four centimeters, the hole was in the shape of a flower, and the bloody bladder flesh was like a petal. Floating in yellow urine like a flower in the wind. And 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 gullies like small mountain ridges.

This structure is very similar to the body of the stomach, which is why the bladder is called a small belly in many stalls selling lamb offal, and the bladder is cooked, in fact, the taste is similar to that of the stomach, with a certain taste. Chewy toughness.

"Suction device!" Zhang Fan immediately blocked the urine that was about to overflow with gauze.

Following Zhang Fan's voice, Xue Fei immediately inserted the plastic head of the suction device into the ruptured bladder.

Because of the blood, the urine is obviously yellow. The transparent plastic tube of the aspirator quickly sucks the urine.

Looking at this scene, for some reason, Xue Fei's mind flashed a scene of a fashionable beauty wearing sunglasses sucking orange juice through a straw on the street, and couldn't shake it off no matter what. It's okay to think about it, but this shameless thing actually smacked his mouth unconsciously.

"What? Do you want to drink!" The main reason was that Xue Fei's voice was so loud that Zhang Fan was surprised.

"Eh! How come, stop talking nonsense. What should we do now? Stitch it?" Xue Fei was a little embarrassed, and hurriedly changed the subject, "What happened today!" Wa secretly blamed herself.

"Let me check first to see if there is any damage in other places." Generally, there will only be a breakthrough in this situation, but as a doctor, if you don't see clearly, you will suffer after surgery, and you will definitely be uneasy for a long time.

Following Zhang Fan's examination, Zhang Fan said, "This man's prostate is also a little enlarged. Hey!"

"It's strange that it's not swollen. I'm a taxi driver, and I like to play with it. It's time to pay back 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 the gourd, which kind of gourd is often used to hold wine in ancient TV dramas.

The larger one at the bottom of the gourd is the bladder, and the smaller one at the top is the prostate gland, and the mouth of the gourd is the urethra, which is very image-like. If the one at the top is smaller, it will be exactly the same.

With the increase of age or bad habits, the prostate will gradually swell. The inside of this thing is not hollow, just like a fresh gourd, the inside is not hollowed out.

The growing prostate will make the urethra narrower and narrower until it becomes too narrow to pee. And because this place is very rich in nerve and muscle.

Therefore, when the prostate is enlarged and the urine is forced to urinate, various nerve reflexes will cause the muscles here to contract and relax, and the so-called urine tick will appear!

Why there are so many nerves and various types of muscles in this place is also very simple, because the ejaculatory (a) seminiferous duct is deformed in this place.

That is to say, there are two passages 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 is no ulceration in other places! This person must use antibiotics regularly after the operation, otherwise the adhesions will not heal after infection and inflammation in this place, and it will be troublesome."

"Don't worry!" Xue Fei nodded.

Compared with the sutures in other places, this suture has more layers, and some inactivated bladder tissue has to be cut off.

Zhang Fan took the needle and began to suture layer by layer, using 3-0 or 4-0 gut suture to suture the bladder tear in 2 or 3 layers. Gut thread is actually the so-called absorbable thread. It was such a simple thing that Huaguo couldn't make it in the early years.

Finally, the smooth surface of the bladder is shown on the bladder like a chrysanthemum, like a patch on a smooth volleyball.

This is how surgery works, how you get in and how you get out. The layers must be stitched clearly, otherwise this place will be a mess in the future.

"Ostomy!" Zhang Fan said after suturing. After the bladder is sutured, I am afraid 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 direct the urine away. How much urine comes out from the ureter depends on how much urine is taken liquid, for fear that the infection will not heal.

Bladder surgery is very simple to say, it seems that the skin is opened and sutured. In fact, the difficulty of this thing lies in the detection. There are several openings in the bladder.

The opening of both kidneys and ureters, the vas deferens and urethral opening like wires buried in the wall, it is very troublesome to damage one of these things.

One ureter is damaged, and when the symptoms appear, the corresponding kidney becomes hydronephrosis. So don't look at the bladder as a volleyball, it is actually very complicated.

After the operation, Zhang Fan said to Xue Fei: "Be sure to explain to the family and take good care of it, especially this stoma, you should pay more attention."

"Okay! I see, brother, thank you!" Xue Fei said to Zhang Fan seriously when no one was around.

"It's okay. Call me if you have an operation in the future!" Zhang Fan nodded. In fact, Zhang Fan felt a little lost. Xue Fei never called him brother before. He called Zhang Fan when he was happy, and called him livestock when he was unhappy.

It seems that this brother sounds like no animal! Masochistic?

Please remember the first domain name of this book: . Mobile version reading URL: