Chapter 66: Nerve anastomosis
readx; Alas, I'm running naked again next week, and this book is pounced like a dog again, so depressed, ask for comfort, give Lao Bai some motivation to write it down, so kind!
Gao Shuai's words made the sad old Song become a frightened bird, resisting the urge to faint and looking at himself in horror You are half a "little bird", now it is not in the operating room that there is an ECG monitor that can monitor the blood pressure of Comrade Lao Song, if he is too nervous and causes high blood pressure, it will not only increase intraoperative blood transfusion, but also may lead to other serious intraoperative complications, such as cerebral hemorrhage, cardiac arrest and so on. Pen % fun % Pavilion www.biquge.info
Li Xiujie now regrets that he brought Gao Shuai, who is unlearned and unskilled, if he can't help at all, he will add to the chaos, he knew that it would be better to find Xie Shimeng, although she nagged like an old lady, but at least she couldn't speak to stimulate the patient.
But now that the wood is in the boat, and there is no time to change people, Li Xiujie had to stop first to reassure Song Qianghe and said: "The penis is broken into two, it is not a simple sewing on, I need to free the main nerves and blood vessels connected inside, so as to ensure the survival rate and function of the penis after surgery, so a simple dissection is necessary, Mr. Song, don't be too nervous, this is not a big operation, now what you have to do is to raise your head and don't look, take a deep breath, yes, that's it, come once, okay." ”
Under Li Xiujie's explanation, Comrade Song was finally less worried, and now he was taking a deep breath with his head tilted back like a mother.
Li Xiujie glared at Gao Shuai and asked this thing not to talk nonsense, and then began to use hemostats to use a little bit of free penis, he said it simply, but the actual operation is a little complicated, first of all, the corpora cavernosa can not be destroyed too much, once the damage is serious, it will affect the permanent energy of the penis, but without destroying the corpus cavernos, there is no way to find out the main nerves, blood vessels and urethra inside, this is a very delicate technical work, not only to destroy the corpus cavernosa, but also to control the degree of destruction within a certain range, I'm afraid there aren't many urologists in a small city like Songcheng for such a delicate operation.
After all, such an operation is very rare, Songcheng has a large population, how can there be hundreds of thousands of people, but who would be unlucky to be cut off by his wife like Lao Song? It's not bad to have a trauma like this once a year.
Li Xiujie asked Gao Shuai to take advantage of Lao Song's half of the birdie and began to wander away a little bit, Li Xiujie's speed was very slow, it was twenty minutes Gao Shuai felt that there was almost no change in the incision, it was still the same, he would have a sore back and was very uncomfortable, and couldn't help complaining: "Lao Li, what are you doing here?" Scamping? It's been 20 minutes, why is it still the same? ”
Li Xiujie didn't look up, rolled his eyes and said, "Do you take a closer look and look the same as just now?" This beige thing to see no, it's nerves, let the ground. After Li Xiujie finished speaking, he pushed Gao Shuai away with his arm and picked up the head-mounted microscope next to him, but it was Song Qianghe, who was injured, and it was impossible for ordinary people to receive this kind of sophisticated medical instrument.
Gao Shuai took a closer look and did see a beige thing, but this thing was too thin, thinner than hair, how could such a thin thing fit? It's harder than carving on rice.
Li Xiujie found the microsurgical cartridge and put it into the penis, and there were two small grooves in the cartridge that could be moved, which could fix the small nerves, and Li Xiujie took a head-mounted microscope to put the nerves with small tweezers and began to use a special nerve knife to carry out micro-repairs.
Gao Shuai was puzzled: "What are you doing?" Don't say you want to put this nerve together. ”
Li Xiujie was lazy to take care of Gao Shuai, a fool, and continued to do the work in his hands, after the repair, he did not immediately anastomosis the nerve, but continued to be free, Song Qianghe's penis was hit by him several radioactive incisions, all of them were free, and the nerves and blood vessels were found and micro-repaired and marked.
Every surgeon is a painter, but the real painter is to depict beautiful scenes on paper, but the doctor is painting in the human body, this painting I believe that most people feel the slightest sense of beauty when they see it, it is really a little bloody and terrifying, but if it is a peer can appreciate the unique beauty of this painting.
However, Gao Shuai obviously can't be regarded as Li Xiujie's peer, all he can feel is boring and cumbersome, and beauty or something is still there.
Gao Shuai's classmate was very dissatisfied with Li Xiujie for finding him this drudgery, complaining in his stomach, grinding and chirping and nagging next to him, Li Xiujie couldn't wait to sew his mouth shut, and finally couldn't help it, and yelled at him Gao Shuai is a teacher.
But Gao Shuai felt that he was too faceless if he didn't speak, how could he be frightened by Li Xiujie, so he snorted coldly: "I'll see how you anastomoses these blood vessels, thinner than hair, how do you sew?" Do you want to sew a circle? ”
Li Xiujie ignored him and continued to do the work in his hand, but this remark aroused Song Qianghe's curiosity, "pregnant woman" Lao Song lowered his head again to look at Shuye, Comrade Song's eyes were not bad, but he also looked for a long time before he saw the nerves on his little brother that were freed out, and couldn't help asking: "Doctor Li, how do you sew this?" Your threads are thicker than this. ”
Li Xiujie really didn't have time to explain to Lao Song and the handsome man who didn't learn and didn't know how to do it, and said vaguely: "You'll know in a while." ”
Three hours later, Li Xiujie freed the nerves and blood vessels that needed to be anastomosed in the two little brothers, took another card and put the broken little Ding Ding on it, and simply connected them together.
At this time, Li Xiujie held a small pair of tweezers in one hand and pinched the two nerves respectively and said, "Take a closer look at these two nerves?" ”
Gao Shuai pouted and said, "What's there to see?" Not all the same. ”
Li Xiujie's face was **: "You can't teach it, these two nerves are indeed the same, but if you look carefully at the tip, is the broken end of the nerve on the left very sharp, and is there a groove on the right?" ”
Gao Shuai snorted impatiently and said, "I can't see clearly." "He really can't see clearly, he can't see clearly without a microscope.
Li Xiujie was lazy to explain, and directly used tweezers to slowly connect the two nerves together, and a magical scene appeared, and the two broken nerves were connected together in this way.
Gao Shuai exclaimed: "I'll rub, how did you do it?" How did it connect? ”
Li Xiujie rolled his eyes and said, "You know the sword, right?" The sword has a scabbard, the front end of the nerve on the left can be regarded as an unsheathed sword, and the groove on the right is the scabbard, and it fits when you insert it into the scabbard, but this is not enough, you have to stitch it up. Speaking of which, Li Xiujie found the thinnest thread to suture the nerve and carefully stitched a stitch on the nerve junction.
Gao Shuai was dumbfounded and said, "Are you a human hand?" It's fucking harder than carving on millet. ”
Li Xiujie smiled and said, "Do you want to learn?" ”
Gao Shuai's head jerked, and his expression of excitement was like a child who couldn't wait to get a novelty plaything.
"I don't have time to teach you now, but I have time to teach you when I get back." Li Xiujie also has the heart to pull Gao Shuai, this kid is still very righteous, last time Song Jinlong wanted to fire himself, he was uneven and followed himself to leave the hospital, Li Xiujie didn't want to see him messing around all day long, after the internship, he couldn't do other work as a doctor, and he ran around in the social mountains for food and clothing.
Li Xiujie's magical anastomosis method is really not done by a few doctors, it is too fine, that is, him, but because his hands have not been fully exercised after rebirth, his flexibility is far from enough, this work is not only slow but also a little rough, Li Xiujie himself is not satisfied, and he thinks in his heart that he has to exercise his hands quickly, otherwise he will not be able to do surgery.
The anastomosis of blood vessels is similar to that of nerves, and it is easy to do as for the urethra, after all, this tube is thicker than nerves and blood vessels, and it can be sutured directly and continuously.
A penis is planted in the operation li xiujie didn t finish until it was dark he looked at his results and then looked at the urethral catheter before bandaging song qianghe.
The urethra must be placed, but the urethra is broken, although it is sewn, but it is difficult to guarantee that the urine will not leak out along the suture when it passes through, the urine is not clean, and if it causes infection, Song Qianghe's little brother will have to rot.
Li Xiujie stood up and said deeply: "Mr. Song's surgery is done, I'll come over tomorrow to change the dressing for you, I'll prescribe some medicine for you in a while, you ask someone to get it, and find someone to infuse the liquid after you get it back, there is an oral one called diethylstilbestrol, which is an imitation drug, you must take it on time." ”
As soon as Li Xiujie's words fell, Song Qianghe's wife Li Li walked in with tears on her face, and choked up as soon as she came in: "The ambulance from the old Song Jingcheng is here, let's go to the capital, I really didn't mean it, I was just too angry just now, so I ...... ......"
When Song Qianghe heard this, he understood why his wife never appeared, and it turned out that he had contacted a big hospital in the capital to transfer him.
He smiled bitterly and said, "No need, Dr. Li has already sat down for the operation." Song Qianghe was in a very complicated mood at this time, he wanted to get angry but couldn't, and the ups and downs came to his heart together.
Li Li looked at the young Li Xiujie and said, "He gave you the operation?" Isn't this nonsense? Speaking of this, he immediately roared at Li Xiujie: "Let me tell you, if you do my old Song's surgery badly, I will make you unable to eat and walk around, you didn't bring it by Xu Bingcheng, right?" You can't run, I don't have time to take care of you now, you wait for me. ”
Li Xiujie didn't expect Li Li to change her face when she said it, and he was stunned for a while.
At this time, a doctor and two nurses came in and carried him to the stretcher without waiting for Song Qianghe to speak, and then carried him away, Song Qianghe's voice came from the direction of the door: "What are you doing?" Dr. Li, I'm sorry, I'll thank you when I come back. ”
"What the hell are you thanking? Isn't it confused? He is not operating on you to save you, he is harming you, let's hurry to the capital and not delay. ”
"Li Li, you are enough, what nonsense? Isn't it clear if Dr. Li is harming me? ”
Li Xiujie sighed and said, "It's really a fucking dog." ”