The place where the skin has been prepared, like a plucked chicken, is lonely, and after being contaminated with disinfected iodine, how can it look like the marinated products of Zhou Heiya.

"Little Lagou!" Zhang Fan said. There are many fewer structures in the pelvis than in the abdomen, especially in men. Zhang Fan made a conventional incision directly at the upper end of the pubic bone.

The scalpel sliced through the skin, as if a straight line had been drawn with a pale yellow pen on white paper. Zhang Fan held a knife in one hand and a rectangular gauze in the other, gently pulling it outward along the incision. Bright red flowers slowly bloom on the yellow fat.

Xue Fei held the suction device in one hand, always ready to suck blood to ensure the clarity of the surgical field, and the other hand was also holding a piece of gauze, parallel to the gauze in Zhang Fan's hand, gently pulling. This is to give the skin a taut appearance.

"Electric knife!" As the skin opened, there began to be bleeding spots. Ordinary small capillary hemorrhage is a state of oozing, while slightly larger capillaries are slowly rising like spring water, and in general they are relatively mild.

And the arteries are not good, no matter how big or small, they are very irritable, their bleeding methods are the same, the pressure is not small, and it often happens if you don't pay attention to the face of the surgeon.

Opening the skin, Zhang Fan began to use an electric knife to enter, and after the electric knife like an electric soldering iron made a stabbing sound, wisps of green smoke began to slowly float up.

At this time, the suction device not only has to suck blood but also smoke, and the good doctor who is the assistant will hardly let this green smoke come out. Xue Fei's kung fu was average, so there was a lot of green smoke coming out.

"Brother, after the operation, I invite you to eat barbecue. Xiao Yang, Xiao Li, Xiao Wang, let's go together. "He did it on purpose. Xiao Li is a surgical nurse, and Xiao Wang is a roving nurse.

Zhang Fan ignored him, but Xiao Yang smiled and said, "Director Xue, forget about the barbecue, please eat KFC." The two nurses smiled and didn't speak.

"Okay, when the operation is done, I'll let Wang Zipeng buy it. Today's night shift overtime pay, I will also calculate all of them for you twice. ”

"Director Xue, you are so good!" The smiling face of the itinerant nurse blossomed, she was a little unhappy after she was called at home, but she was able to have two overtime pay.

The skin is opened in the middle of the pubic bone, the subfascia is cut sequentially, and the rectus abdominis muscle is separated and retracted to expose the anterior bladder space. The pubic bone is actually where the pelvis meets the front of the human body, specifically above the genitals. People with thin fat layers can press it with one press.

"Oh my God! When Zhang Fan entered the bladder, Xue Fei immediately exclaimed. It's no wonder he exclaimed, this kind of pressure injury to the bladder is too rare.

If you hold too much urine, your brain will be anxious, and as soon as you are in a hurry, it will directly send a pain signal, so people in a normal state will not be able to hold it to this extent at all, that is, this person is drunk, otherwise he will not drink and explode his bladder.

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

When the fascia tissue is opened, what I see is a broken paper shell that has been blown open by a firecracker, a hole with a diameter of three or four centimeters, the mouth is in the shape of a flower, and the bloody bladder flesh is like a flower petal floating in the yellowed urine, like a flower in the wind. And the structure inside the bladder has also been turned out.

The outside of the bladder is smooth, which is to reduce friction with other tissues. On the inside of the bladder, there are many folds that form furrows and ravines like small mountain beams.

This structure is very similar to the stomach body, which is why the bladder is called a small belly on many stalls selling haggis, and the bladder is cooked, in fact, it is similar to the taste of the stomach, with a chewy toughness.

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

As Zhang Fan spoke, Xue Fei immediately inserted the plastic head of the suction device into the cracked bladder. Because of the blood, the urine is obviously yellow. The suction device is a transparent plastic tube that quickly sucks up urine.

Looking at this scene, Xue Fei didn't know how in his mind, and the scene of a fashionable beauty wearing sunglasses and sucking orange juice with a straw flashed in his mind, and he couldn't get rid of it. It's okay to think about it, but this shameless thing unconsciously chirped its mouth.

"What's the matter, do you want to drink it!" The main thing was that Xue Fei's pouting was too loud, and Zhang Fan was surprised.

"Why, you don't talk nonsense. What should I do now?"Xue Fei was a little embarrassed, and hurriedly changed the topic, "What's the matter today!" The baby secretly blamed herself in her heart.

"I'll take a look and see if there's any damage elsewhere. "Generally, there will only be a breakthrough in this situation, but as a doctor, if you don't see it clearly, if you don't see it clearly, you will suffer after surgery, and you will definitely be nervous for a long time.

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

"It's strange if it's not swollen, I'm a taxi driver, and I love to play with urine. In a few years, it will be time to pay off the debt. Xue Fei said after a glance.

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 costume TV dramas.

The bottom of the gourd is a little bigger, the bladder, and the upper part is a little smaller, the prostate, the mouth of the gourd is the urethra, very image, if the top is a little smaller, it is exactly the same.

With the increase of age or bad habits, the prostate will slowly enlarge, and the inside of this thing is not hollow, just like a fresh gourd, the contents are not hollowed.

The larger and larger prostate gland narrows the urethra until it is so narrow that it is impossible to urinate. And because this place is very neuromuscular.

Therefore, when the prostate is enlarged, when you force urine, various nerve reflexes will cause the muscles here to contract and relax, and the so-called urine ticking will occur!

Why there are so many nerves and all kinds of muscles in this place is also very simple, because the ejaculatory (a) seminiferous duct is out of shape in this.

That is to say, 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.

This person must use antibiotics regularly after surgery, otherwise the adhesions in this place will not heal after the infection and inflammation, and it will be troublesome. ”

"Don't worry!" Xue Fei nodded.

This suture is a little more layered than other sutures, and some of the bladder tissue that has been deactivated is also cut away.

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

In the end, the smooth surface of the bladder is like a chrysanthemum on the bladder, like a patch on the smooth volleyball.

That's what the surgery is, how to get in and how to get out. The layers must be clearly stitched, otherwise this place will be a mess in the future.

"Fistula!" Zhang Fan said after the stitches were completed. After the bladder is sutured, it is afraid that the urine will cause the bladder to rupture or become infected again, and the ostomy is to use a knife to open an opening at the lower end of the front wall of the bladder, put a plastic tube to directly drain the urine, how much urine comes out of the ureter, and how much urine is drained away, for fear that the infection will not heal.

Bladder surgery is very simple to say, as if the skin is opened and sutured to finish, but in fact, the difficulty of this thing is to explore. There are several tube openings in the bladder.

The opening of the ureters in both kidneys, the vas deferens and urethral openings like wires buried in the wall, these things are very troublesome.

If one ureter is damaged, and when the symptoms manifest, the corresponding kidneys become hydronephrosis. So don't look at the bladder as if it were a volleyball, it's actually very complicated.

At the end of the operation, Zhang Fan said to Xue Fei: "You must explain it to your family members and take good care of it, especially this ostomy hole, you should pay more attention." ”

"Okay! I see, brother, thank you!" When no one was around, Xue Fei said to Zhang Fan with a straight face.

"It's fine. Call me if there is surgery in the future!" Zhang Fan nodded, in fact, Zhang Fan felt a little stunned, Xue Fei had never called him brother before, he called Zhang Fan when he was happy, and shouted livestock when he was unhappy.

Like, no matter how this brother sounds, it doesn't sound as natural as livestock!

。 m.