Ji Xiang peeled off the retroflexed peritoneum at the top of the bladder, opened the bladder, and used a small retractor to open the bladder to expose the fistula.

Lu Gang stood behind, staring at the operation area without blinking.

Director Liu stood opposite, honestly as an assistant, and Lu Gang didn't understand it. Usually Director Liu is not like this, although he does not operate on the operation and is more hands-off, he is definitely not the kind of director who is easy to talk and unprincipled.

Even if you let go and trust, you don't have such a thing, Lu Gang is in a complicated mood.

After opening his abdomen and seeing the fistula, Ji Xiang asked for an ordinary urinary catheter, Lu Gang's vision was restricted, and he turned around and put his foot on the ground.

Coupled with the height of the pedals, Lu Gang could just follow Ji Xiang's shoulder to see the operation area.

He saw Ji Xiang use an ordinary urinary catheter to insert YD through the fistula hole, and Zhao Zhe waited below to lead the catheter out of YD.

Seeing this, Lu Gang still didn't understand the use of table tennis.

After leaving the urinary catheter instilled, Ji Xiang punched holes at the upper end of the sterilized table tennis ball and handed it to Zhao Zhe.

Zhao Zhe tied the tip of the catheter firmly with a traction wire.

After doing all this, Zhao Zhe looked up at Ji Xiang.

"Brother Zhao, let's start." Ji Xiang nodded.

"Okay." Zhao Zhe pulled back the urinary catheter and the upper traction line.

Zhao Zhe pushed the table tennis ball up with his right hand, and the table tennis ball easily entered along the fistula.

This is......

Lu Gang was puzzled.

Ji Xiang tightened the upper traction line of the table tennis ball in the fistula hole, and lifted the front wall of the YD up to fully expose the fistula hole.

The last operation failed mainly because the fistula was not well exposed because of the many folds in the bladder wall.

This is the same as Mr. Wu using a zebra guidewire to find the ureteral hole in the bladder.

But this time, with the support of a ping-pong ball, the force pressed against the soft wall, and the fistula was exposed quite intact.

Lu Gang was stunned.

The surgery was only one step, and he knew that it would be done, and it would be done.

It's the same for yourself, and the next surgery is not difficult.

It's just that Lu Gang was a little in a trance, and it turned out to be like this for surgery with table tennis balls!

Ji Xiang fully exposed the fistula, and then cut off the paralyzed tissue of the fistula wound, and appropriately separated it between the bladder and the YD wall.

"Sheep intestines." Ji Xiang stretched out his hand, "2-0." ”

Tang Yan's sharp needle lead, the very thin sheep intestine was missed, and then the needle holder was placed in Ji Xiang's palm.

Ji Xiang used 2-0 gut to suture the YD wall longitudinal intermittent full-thickness suture, and then used No. 4 silk suture to make the bladder wall muscular layer transverse intermittent mattress suture.

Lu Gang quickly noticed a detail, the stitches used by Ji Xiang did not penetrate the entire layer.

The suture does not penetrate the whole layer, and the needle and suture pass between the serous muscle layer and the mucosal layer, so that the wound part of the tissue is turned inward, and the outer surface remains smooth and well aligned, reducing adhesions, and is often used for anastomosis between the gastrointestinal tract and the bladder.

After suturing, the serous layer is tightly aligned, which is conducive to wound adhesion healing.

It's very simple to say, but Lu Gang has never seen someone who can do it as fast and good as Ji Xiang.

And he knew very well that not to mention the table tennis ball of the Flying Immortals outside the sky, he would not be able to achieve such perfection as Ji Xiang just by stitching this step.

Could it be that so many well-known experts and professors of the Second Affiliated Academy can't even compare with a regular trainee?

Gradually, a haze of loss shrouded Lu Gang's heart.

Ji Xiang finally used No. 3-0 sheep intestine to intermittently suture the bladder mucosa, and then pulled the traction line left outside the YD to take out the table tennis ball from the YD.

An adult 18-gauge balloon catheter was inserted from the urethra, and Ji Xiang used a syringe to inject 15ml of saline into the balloon.

The mucosal layer of the bladder incision was sutured continuously with No. 2-0 gut, and the outer layer was sutured with No. 6 silk suture, and the sutures still did not penetrate the mucosa.

Ji Xiang's hand is very steady, and the difficult operation is shown smoothly in his hand, as if there is no difficulty at all.

After the sutures were completed, Ji Xiang injected Meilan solution into the bladder from the urinary catheter.

Lu Gang's eyes were round, and he knew that this step was the only criterion for testing the operation he had just performed.

If there is no leakage, it is proven that the sutures are intact.

In the last operation, Director Liu injected Meilan with Meilan after suturing, and there was always oozing, but in the end, he couldn't suture again, although the amount of oozing was not much, so he could only comfort himself and hope that he could heal on his own.

Unfortunately, the fistula did not heal......

And what about this time?

Ji Xiang waited for 5 minutes after injecting Meilan.

Generally, after the operation, the atmosphere in the operating room will be very relaxed when waiting for some kind of examination, and everyone will talk and laugh.

But this patient is a patient of medical disputes, and the operation is still the operation of entering the uterus in the second or third time, and it looks like it should be very strong, but who knows what will happen.

The atmosphere in the operating room was oppressive, and no one spoke.

Especially Director Bai, he stood directly behind Zhao Zhe, looking at it without blinking.

Time passes minute by minute,

There is no oozing

No oozing!

No oozing!

"Brother Zhao, it's okay."

"It's fine."

"Ready to close."

"Wait a minute!" Director Bai and Director Liu said in unison.

"Huh?" Ji Xiang was puzzled, "What's wrong?" ”

"Wait." The two said in unison again.

There were hundreds of patients' families outside the building, and the two old guns showed extreme caution.

"......" Ji Xiang said helplessly.

The two of them were too cautious, it was estimated that Director Liu had been bitten by a snake for ten years and was afraid of the well rope, and after stepping down, Director Bai had to face the family members of more than 100 patients downstairs, so he had to confirm it repeatedly.

After waiting for another ten minutes, wiping it with clean gauze, and repeatedly making sure that there was no Meilan oozing, Director Bai let out a sigh of relief and turned to leave.

Director Liu looked up at Ji Xiang, "Xiao Ji, you did a good job." ”

Ji Xiang smiled, placed a balloon catheter, and then began to close his abdomen layer by layer.

"Xiaoji, this is the first time I've heard of this way." Director Liu was in a relaxed mood at this time, and said happily and happily, "You don't know the last operation, I thought of countless ways to push it up, tried it with my fingers or something, and was almost pricked by a needle, but I didn't expect a table tennis ball to solve the old problem." ”

Ji Xiang smiled and didn't speak.

Director Liu also knew that what Ji Xiang said was wrong at this moment, but he witnessed an operation that used a table tennis ball to solve the problem, and his heart was a little excited while being soothed.

Mr. Wu smiled and walked from behind Director Liu to Lu Gang's side.

"Director Lu, look, I'll just say that the operation can be taken down."

Lu Gang was a little confused, and kept looking at the operation area motionless, as if he hadn't heard Mr. Wu's little sarcasm at all.

It wasn't until Ji Xiang turned around and almost knocked Lu Gang down that he relieved himself.

"I'm sorry, Director Lu." Ji Xiang apologized.

Lu Gang couldn't see the expression on his face under the mask, and just stood in the corner of the wall in a daze, like a student who had been punished for standing.

Ji Xiang's surgery was clean, unlike some doctors' messy surgical areas, which others couldn't understand.

It's clean and simple, and others will know what Ji Xiang is going to do next at a glance.

Lu Gang really didn't expect table tennis to be so useful.