Medical road

The area where the skin has been prepared is like a plucked chicken, lonely, and after being stained with sterilized iodophor, it looks like Zhou Hei Ya's stewed products.

"Little Lagou!" Zhang Fan said.Compared with the abdomen, the structure in the pelvis is much less, especially the male pelvis.Zhang Fan made a regular incision directly on the upper pubic bone.

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

Xue Fei held the suction device in one hand and was always ready to suck blood 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, gently pulling it.This is to make the skin appear tight.

"Electric knife!" As the skin opened, there were bleeding spots.Generally, microcapillary bleeding occurs in a state of exudation, while the slightly larger capillaries rise slowly like spring water. Generally speaking, they are relatively mild.

The arteries are not good, no matter how big or small, they are very irritable, their bleeding methods are the same, they come out, the pressure is not small, and things that do not pay attention to the face of the surgeon often happen.

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

At this time, the aspirator not only needs to suck blood but also smoke, and the doctor who is a good assistant will hardly let this blue smoke come out.Xue Fei's hard work was average, so a lot of green smoke appeared.

"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 an operating nurse and Xiao Wang is an itinerant nurse.

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

"Okay, when the operation is finished, I will let Wang Zipeng buy it. For today's night shift and overtime, I will also calculate all two for you."

"Director Xue, you are so kind!" The smiling face of the visiting nurse bloomed. After she was called at home, she was a little unhappy, but she was able to get two overtime pay.

Open the skin in the middle of the suprapubic bone, successively cut the lower fascia and separate and retract the rectus abdominis to expose the anterior bladder space.The pubic bone is actually the junction of the pelvis on the front side of the human body, specifically just above the genitals.People with thin fat layers can press it.

"Oh my God! How come this happened." Xue Fei immediately exclaimed when Zhang Fan entered the bladder.No wonder he exclaimed that this kind of pressure-damaged bladder is too rare.

If you have too much urine, the brain will be anxious. When it is anxious, it will directly send out pain signals. Therefore, a person in a normal state will not and cannot hold it to this degree, that is, the person is drunk, otherwise it will not Drinking the bladder exploded.

The outer surface of the bladder is very smooth, with a layer of membrane on the outside, and a vascular network can be seen crawling on the surface of the bladder, just like some particularly white faces.

When the fascia tissue is opened, what you see is like a torn paper shell cracked by firecrackers. A mouth about three or four centimeters in diameter. The mouth is in the shape of a flower and bloody bladder flesh is like a petal. Floating in the yellow urine, like a flower in the wind.And the internal structure of 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 gullies like small hills.

This structure is very similar to the stomach body, which is why the bladder is called a small belly at a lot of stalls selling lamb offal, and the bladder is cooked. In fact, it has a taste similar to the stomach. Chewy toughness.

"Aspirator!" 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 bladder split.Because of the blood, the urine is obviously yellow.The transparent plastic tube of the aspirator sucks urine quickly.

Seeing this scene, Xue Fei didn't know what was going on in his mind, it flashed the scene of a fashionable beau on the street wearing sunglasses and sucking orange juice through a straw.Just think about it, but this shameless thing, unexpectedly chirped his mouth unconsciously.

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

"Um! How come, don't talk nonsense. What do you do now? Stitching?" Xue Fei was a little embarrassed, and quickly changed the subject, "What happened today!" The baby secretly blamed herself.

"I'll check it out first to see if there is any damage in other places." Generally, there will only be a breakthrough in this situation. As a doctor, if you don't see clearly or understand, you will suffer a crime after the operation, and you will definitely be uneasy. Long time.

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

"It's weird if it doesn't swell up. I was originally a taxi driver and loves to hold back urine. I'll pay the bill 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 is the kind of gourd often used to hold wine in the costume TV series.

The bigger one at the bottom of the gourd is the bladder, the smaller one at the top is the prostate, and the mouth of the gourd is the urethra, which is very visual. If the one on the top is smaller, it will be exactly the same.

With the increase of age or bad habits, the prostate will gradually enlarge. This thing is not hollow inside, just like fresh gourd, the contents are not hollowed out.

The bigger and bigger prostate will make the urethra narrower and narrower until it is too narrow to urinate.And because this place is very rich in neuromuscular.

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

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

In other words, there are two passages in this place, the thicker is the urethra, and the thinner is the ejaculatory (a) seminiferous duct, which is derived from the bladder.

"Let's sew, there is no rupture in other places! This person must use antibiotics formally after the operation, otherwise the adhesion will not heal after infection and inflammation, and it will be troublesome."

"Relax!" Xue Fei nodded.

Compared with other sutures, this suture is a little more layered, and some inactivated bladder tissue must be cut.

Zhang Fan took the needle and started suturing layer by layer, using 3-0 or 4-0 gut suture to suture the bladder split in 2 or 3 layers.Catgut is actually the so-called absorbable thread. It is such a simple thing that Hua Guo couldn't make in the early years.

Finally, the smooth bladder surface appeared on the bladder like a chrysanthemum, like a patch on a smooth volleyball.

Surgery is like that, how to get in and how to get out.The level must be clearly stitched, otherwise this place will be a mess in the future.

"Fistula!" Zhang Fan said after stitching up.After the bladder is sutured, it is afraid that urine will cause the bladder to rupture or infect again. A fistula is to open a hole at the lower end of the front wall of the bladder with a knife, and put a plastic tube to directly lead the urine away. How much urine comes out of the ureter and how much urine is taken away Fluid, I am afraid that the infection will not heal.

Bladder surgery is very simple to say, as if opening the skin and suture is finished, in fact, this thing is difficult to detect.There are several ports in the bladder.

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

One ureter is injured. When the symptoms show up, the corresponding kidneys become hydronephrosis.So don’t look at the bladder like volleyball, it’s actually very complicated.

At the end of the operation, Zhang Fan said to Xue Fei: "Be sure to explain to your family members and take good care of them, especially for this fistula. You should also pay more attention."

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

"It's okay. Call me for surgery in the future!" Zhang Fan nodded. In fact, Zhang Fan felt a little sad. Xue Fei never called his brother before. He called Zhang Fan when he was happy, and livestock when he was upset.

It seems that there is no livestock naturally when this brother sounds!Self-abuse?