Chapter 231 Abandoned limbs, the reconstruction of living and dead flesh and bones!
Use one word to describe it.
That's minced meat.
The patient's wife bit her mouth too hard, and you can still see the teeth marks. That area must have been completely destroyed, and the blood vessels, nerves, and part of the cavernosal muscles must no longer be used.
This means that the difficulty of reconstruction is further increased.
Xu Qiu's expression remained unchanged, she glanced at it and said calmly: "Get ready for the surgery."
…
Emergency surgeries are arranged in the shortest possible time.
Blood transfusion was performed to expand volume and correct shock, while epidural anesthesia was performed.
Qin Qiyin, who was in urology, was preparing the surgical area.
The exposed wound surface has been soaked in 1:2000 chlorhexidine solution for fifteen minutes. At this time, rinse with metronidazole and normal saline.
Next, the surrounding skin is routinely disinfected.
After completing all this, it was Xu Qiu's turn to take the stage.
He measured the length from the stump, dissected the two stumps, ligated the proximal and distal dorsal arteries, spermatic arteries and veins, reproductive ducts, etc., freed them appropriately, and then carefully marked the dorsal arteries, veins, nerves, etc.
Then, an F18 catheter is inserted from the external urethral opening and enters the bladder through the two ends of the urethra to form a stent.
The urethra is sutured with 4-0 catgut intermittently from opposite ends.
No. 1 silk suture was used to suture the septum cavernosa and tunica albuginea of Xiaoshu.
At this time, the bitten section had been assessed as "necrotic" and removed.
It is estimated that even if the operation is successful, the patient will lose a small amount of weight.
Of course, what is even more devastating is whether the blood vessels can still be anastomotic, whether the nerves can be reconstructed, or whether the smooth muscle and connective tissue of the cavernous body will be destroyed.
However, when the operation was carried out, everyone's doubts disappeared.
No one knew how Xu Qiu found the almost invisible blood vessels among the bloody flesh.
By some means, he fiddled under the microscope and picked out the dorsal nerve.
Everything happened so naturally!
Like this is just a normal thing.
However, everyone knows what kind of difficulty lies beneath these seemingly easy and freehand movements...
…
Halfway through the surgery.
Xu Qiu always stared at the surgical microscope without a moment's distraction.
This is a specially brought twenty-fold microscope.
At this multiple, any slight shaking will be as obvious as an earthquake.
However,
Even so, everyone still saw that the hands in the operation area and the rapidly moving sutures did not move at all when they stopped.
It's like pressing the pause button!
This is enough to show Xu Qiu's basic skills...
Suddenly, Xu Qiu withdrew his eyes from the microscope field of view, relieved the fatigue of his pupils from focusing for a long time, and said: "Please come over, the director of the Department of Urology."
Everyone was still a little puzzled.
Xu Qiu's surgery was impeccable, and it was time to start anastomosis, the most difficult part of the reproductive tract.
Why do you want the director of the Department of External Medicine to come over all of a sudden?
Is it because Xu Qiu is not too sure and wants to ask the director of the Department of Internal Medicine to take over?
Although she had doubts in her heart and this was not Xu Qiu's style, the traveling nurse hurried out to inform him.
now.
In a community fifteen kilometers away, in a luxuriously decorated three-bedroom house, Director Biwai was sitting at the dining table, eating dinner happily with his family.
The smart director never chooses a residence that is too close to the hospital.
Otherwise, if anything happens in the hospital in the future, they will be the first person to respond.
And the nature of the hospital is that there are basically emergencies every day...
Jingle Bell!
Just then, the work phone rang.
The Director of Internal Medicine picked up the phone with one hand and picked up the food faster with the other hand, taking two quick bites.
The director's wife looked distressed in her eyes.
As long as he answers the phone while eating, his husband will eat as fast as a hungry wolf pounces on his food.
This has almost become a conditioned reflex...
Also, every phone call means that the hospital is in an emergency situation. Where can I take care of eating?
"Eat more. And don't choke."
The wife quickly made a bowl of soup, went to the kitchen, soaked it in cold water for a while, and then put it in front of the director.
Gulu.
The latter finished the drink in one gulp and hung up the phone at the same time.
"Honey, you eat first and go to bed early. You don't have to wait for me to come back."
He drove non-stop to the hospital.
"Xu Qiu can't perform reproductive tract anastomosis?"
"This is impossible!"
"Does he have other purposes?"
The Director of Internal Medicine trusts Xu Qiu very much.
A doctor who has even performed cranial separation surgery, I can't say how stable his hands are, but he is definitely much more reliable than his director!
It is impossible to find out the truth from yourself.
Xu Qiu is enough to give him the scoop!
Therefore, the other party must have other plans!
Thinking of this, the Director of Extraology speeded up again.
…
In the operating room.
An hour later, Xu Qiu had completed the trimming of the dorsal artery, vein, and spermatic artery and vein.
"Release the blood vessel clamp."
Chi chi chi——
The blood flow happily rushed through the reconnected lumen.
"It's done."
Everyone breathed a sigh of relief.
Here, after Xu Qiu saw that there was no problem, he raised his hand to prepare for the next step.
Under the microscope, he used thinner 9-0 nylon thread.
End-to-end anastomosis.
Then, continue to connect the reproductive tube with 7-0 nylon thread.
Also loosen the hemostatic clamp to confirm whether it is smooth.
"The blood supply at the distal end of the section is good, no problem!" Qin Qiyin judged.
Xu Qiu nodded, and placed a rubber tube on the ventral side of the section and the spermatic cord anastomosis for drainage.
At this time, the director of Urology finally arrived.
Qin Qiyin and others were puzzled.
They originally thought that Xu Qiu was moving the director to help, but at this point, it was obviously not for this purpose.
"Doctor Xu."
The director of Urology came over after putting on his surgical gown and was ready.
Xu Qiu briefly explained: "I plan to do a reconstruction."
The director of Urology looked condensed.
Reconstruction?
This operation is mainly used for patients with defects.
Clinically, there are more hermaphroditic patients or female transgender patients.
To put it simply, it is actually plastic surgery below.
The director of Urology was very surprised, "Are you going to restore the appearance?"
After biting like this, the patient should be thankful to be able to restore some functions, but Xu Qiu actually has the energy to repair the appearance?
Either it's a perverted level of obsessive-compulsive disorder, or the other party is absolutely sure!
"Which flap are you going to take, which operation will I perform?"
The director of Urology said without any nonsense, and went on stage, ready to operate.
Xu Qiu arranged: "You take the forearm flap, I'll prepare the other one."
Reconstructive surgery should be carried out in two groups at the same time.
This is why Xu Qiu called the director of Urology.
It's easy to pull out a tree, but it's difficult to plant a tree.
Reconstructive surgery is obviously the latter, and Qin Qiyin obviously can't handle such a difficult operation.
In the hospital, only a few directors of Urology are capable of helping Xu Qiu.
"Let's start."
Xu Qiu waited for the director to take his seat, and then he picked up the scalpel without any nonsense.
This operation can actually be regarded as one of the greatest medical inventions in modern times. The first person who thought of this operation had a transcendent thinking and courage that transcended that era.
