Chapter 491 The ultimate surgery, either full marks or zero marks!

Yang Yuen, Shi Lian and Yunmei who were accompanying them all curled their lips.

Tsk, I still thought there would be a chance...everyone in the emergency department is waiting, so it won't be your turn!

"We will have a pre-operative consultation and a pre-operative talk in a moment. Once the signatures are signed, there will be no problem. The surgery should be arranged before noon." Xu Qiu announced.

This news once again inspired the three people in the ward. Xun Yu clenched his fists, the joy on his face was beyond words, and the eyes he looked at Xu Qiu were full of gratitude.

…

Half an hour later, Director Liao from the Department of Urology, Hua Qin Qiyin from the Department of Urology and others rushed to the emergency department.

After hearing Xu Qiu's surgery plan, everyone in the urology department felt it was outrageous!

"Can neurogenic bladder be eradicated by surgery?" Director Liao felt that his many years of clinical experience had been a waste of time.

"Colon replacement surgery... This should be a surgery performed in the Department of Gastroenterology. Can it also be used in the Department of Urology?"

“Can the sigmoid colon really replace the bladder?”

Only Qin Qiyin's pretty face was slightly red, and she said excitedly: "Doctor Xu, can I be an assistant?"

Director Liao:? ? ?

We are still discussing the feasibility of surgery, why did you just take the position?

"No, I'll do it." Director Liao leaned forward and said immediately.

Complete fusion and separation of the brain, replacement of small blood vessels in Linhai, regeneration of the palms and fingers... Now it is finally the turn of the urology department!

Excited, excited, trembling, excited...

If God had not given birth to me as a doctor, my medical knowledge would be as long as the night!

"Qin Qiyin should be a helper." Xu Qiu made the final decision.

She has participated in the famous sword competition with him, so her tacit understanding will be higher.

Mainly because I'm an experienced tool maker, so it's relatively easy to use.

"Yeah!" Qin Qiyin smiled.

Director Liao and others were devastated because they had finally waited for the spring of the Department of Urology, but it was not their spring.

As we all know, those who work as an assistant in one of Xu Qiu's pioneering surgeries are often valued and trained by Xu Qiu. Later, they can quickly master the surgery and become the second doctor who can perform the surgery independently.

Several previous surgeries have verified this. Director Lin, Yang Chenxi, Yue Pan... this time it turned out that they were not senior and deputy senior officials, but Qin Qiyin, the senior attending physician!

"No more nonsense, let me briefly introduce the surgical plan..."

As soon as Xu Qiu finished speaking, the conference room immediately fell silent. Everyone was waiting and staring at the big screen expectantly.

According to common sense, before major surgery, the surgical team needs to get used to it for a long time, and even conduct several drills before entering actual combat.

In particular, this new, unheard-of, inter-departmental surgery is extremely difficult, complex and cumbersome, and must be carried out with caution.

but……

Xu Qiu thought about it carefully. This operation was too difficult. It took him several weeks to understand it and gain the confidence to perform the operation.

If you look at other doctors, the urology department is not good at colon replacement, and the gastroenterology department is not good at incising the bladder, and cannot do urethral diversion, etc...

If this fusion surgery is replaced by a joint surgery from two departments and performed by different surgeons, the effect will be significantly different.

Therefore, even if Director Liao and Director Xiao are captured and trained behind closed doors for a month or two, the effect will not change much.

From 10 points to a passing 60 points, in Xu Qiu's eyes, they are all zero points.

It would be better to announce the surgical plan directly and leave all the difficult parts to Xu Qiu, while Qin Qiyin and Director Liao help pull the hook, stop the bleeding, and insert a balloon urinary catheter.

…

As schematic diagrams flashed on the big screen, Xu Qiu also explained the specific procedures of the operation.

More than forty minutes passed, and the faces of Qin Qiyin, Director Liao and others were filled with disbelief.

"Why not do a total bladder resection, but keep part of it?"

"Shouldn't the urethropubic ligament be cut off? Routine surgery must cut it off!"

"The proximal and middle sections of the urethra are preserved...this will almost certainly damage the urethral sphincter!"

"Yes, and this is still a surgery for women. The male urethra, ureter, etc. are relatively simple, but women are much more complicated, and there are too many uncontrollable factors!"

Everyone was stunned and amazed.

They originally thought that this would be a conservative, innovative surgery with a slight nod to the edge of urology.

As a result... one head was left among the known surgeries, and everything else was a bold creation!

This is simply a brand new surgery!

Every step of the operation was beyond their expectations, yet seemed to make sense.

Various operations, wandering in dangerous areas, point to an excellent prognosis...

It was not like Xu Qiu was performing an operation, but rather he was using it to demonstrate his unparalleled control over the scalpel and his absolute control over the situation.

A slight mistake can make a world of difference, and patients may face serious consequences.

"It's not just for a better recovery effect, but... for neurogenic bladder, there is only a difference between radical treatment and no treatment. If you don't do your best, there is no essential difference from non-drug treatment." Xu Qiu gave Answer.

For urinary incontinence, peeing in a pot is incontinence, and peeing in a test tube is the same. Only if there is no leakage can it be cured.

This puts extremely stringent requirements on the surgeon, or rather on Xu Qiu. Every step in the operation must be perfect, so that it is possible to pursue the ultimate without missing a beat.

"Can the sigmoid colon really be used to replace the bladder?" Director Liao still couldn't accept it.

Things to hold feces, used as bladders, although feces, urine and farts are often mentioned together, but in clinical practice, they are the distinctions between gastroenterology, anorectal surgery and urology.

"Yes."

As soon as Xu Qiu started talking, everyone's attention was immediately focused.

He explained: "First, the sigmoid colon is closest to the urethra, which is suitable for in situ controllable bladder surgery.

Moreover, compared with the small intestine, cutting off a section of the sigmoid colon will not cause serious imbalance of water, electrolytes and acid-base balance.

And the sigmoid colon secretes very little intestinal mucus, which has little effect on the postoperative recovery process.

Of course, there are many other advantages, such as large capacity, and the intestinal segment has its own blood vessels, which are easy to survive..."

After Xu Qiu's analysis, Director Liao and others' eyes lit up slightly.

So... is it really feasible?

Moreover, the sigmoid colon is indispensable!

"But there are still a few problems." Director Liao spoke again.

As Xu Qiu looked over, he continued, "First, the difficulty of the operation.

No matter how suitable the sigmoid colon is, it needs to be detubated to adapt it to the function of the bladder.

Just to do this, there are countless steps, and it may take countless sutures.

In addition, if it is a sigmoid colon transplant, there is another extremely fatal problem that cannot be avoided!"

Fatal problem?

Qin Qiyin looked over curiously, secretly admiring in his heart, worthy of being the director, he could raise so many constructive questions at once.