Chapter 406: Petals in the wind

Chapter 406: Petals in the Wind
The skinned place, like a chicken with bare hairs, is solitary and contaminated with sterilized iodophors, how does it look like the stewed product of Zhou Heiya.
"Little pull!" Zhang Fan said. There is much less structure in the pelvis than in the abdomen, especially in men. Zhang Fan made a conventional incision directly on the upper end of the pubic bone.
The scalpel cut across the skin as if drawing 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, and pulled it gently along the incision. Yellow fat slowly bloomed bright red flowers.
Xue Fei held the attractor in one hand and was always ready to blood to ensure the clarity of the surgical field. The other hand was also holding a piece of gauze, parallel to the gauze in Zhang Fan's hand, and gently pulling. This is to make the skin appear taut.
"Electric knife!" As the skin opened, bleeding spots started. Generally, microcapillary hemorrhage occurs in a state of exudation, while slightly larger capillaries are slowly flowing upward like spring water, and generally they are relatively mild.
The arteries are not enough, regardless of their size, they are very irritable. They bleed in the same way. They come out, the pressure is not small, and things that do n’t pay attention to the face of the surgeon often happen.
Opening the skin, Zhang Fan started to enter with the electric knife. After the sound of a stabbing lala made by the electric knife like a soldering iron, a plume of smoke began to float slowly.
At this time, the attractor must not only blood but also smoke, and a good doctor who is an assistant will hardly let this green smoke come out. Xue Fei's hands were average, so a lot of smoke came out.
"Brother, after the operation, I'll invite you to have a barbecue. Xiao Yang, Xiao Li, Xiao Wang, let's go together." He did it on purpose. Xiao Li is a surgical nurse and Xiao Wang is a circuit nurse.
Zhang Fan ignored him, but Xiao Yang smiled and said, "Director Xue, don't worry about the barbecue. Please have a KFC." The two nurses smiled and didn't speak.
"Okay, I'll ask Wang Zipeng to buy it after the operation. I will pay you all twice for the night shift today."
"Director Xue, you are so good!" The touring nurse's smiling face blossomed. After she was called at home, Ben was a little unhappy, but she was able to get overtime twice.
Open the skin in the middle of the pubic bone, cut the inferior fascia in turn and separate and retract the rectus abdominis to reveal the anterior bladder space. The pubic bone is actually the junction of the pelvis on the front side of the body, specifically above the genitals. People with a thin layer of fat can press it.
"Oh my God! How did this happen." When Zhang Fan entered the bladder, Xue Fei immediately exclaimed. No wonder he exclaimed that such pressure-damaged bladder is too rare.
If the urine is too much, the brain will be anxious. When it is anxious, it will directly send the pain signal, so a person in a normal state will not and cannot hold it to such a degree, that is, the person is drunk, otherwise The bladder exploded.
The bladder's appearance is very smooth, and there is a thin film on the outside. The vascular network can be seen faintly crawling on the bladder surface, just like some particularly white faces.
When the fascial tissue was opened, what I saw was a torn paper shell that had been cracked by firecrackers. A mouth measuring three to four centimeters in diameter, the mouth was flowering, and the bladder was like petals. Floating in yellow urine, like flowers in the wind. In addition, the internal structure of the bladder was turned out.
The outside of the bladder is smooth. This is to reduce friction with other tissues. On the inside of the bladder, there are many folds that form grooves like small beams.
This structure is particularly similar to the body of the stomach. This is why the bladder is called a small belly on a lot of stalls that sell shredded sheep, and the bladder is cooked. In fact, it is similar to the taste of the stomach. Chewy toughness.
"Aspirator!" Zhang Fan immediately blocked the urine that was about to overflow with gauze.
With Zhang Fan's voice, Xue Fei immediately inserted the plastic head of the suction device into the cracked mouth of the bladder. Because of the blood, urine is obviously yellow. The aspirator's transparent plastic tube urine quickly.
Looking at this scene, Xue Fei didn't know what was happening in his mind, and it appeared that the fashionable beauty on the street was wearing sunglasses and sucking orange juice with a straw. It doesn't matter if you think about it, but this shameful thing didn't even consciously purse your mouth.
"Why? Want to drink it!" It was mainly because Xue Fei pouted so loudly that Zhang Fan was surprised.
"Eh! How can you say that nonsense. What do you do now? Suture?" Xue Fei was a little embarrassed and quickly changed the topic. "What's wrong today!" Silently rebuked her.
"I'll check first to see if there is any damage elsewhere." Generally, there will only be a breakthrough in this situation. As a doctor, if you do n’t see clearly, you do n’t see clearly, you will be sinned after the operation, and you will definitely be upset For a long time.
With Zhang Fan's examination, Zhang Fan said, "This person's prostate is also a little swollen. Hey!"
"It's weird not to be swollen. I was a taxi driver and I like to play peeing. It's time to pay it back in a few years." Xue Fei said after a glance.
What is the relationship between the prostate and the bladder? In fact, a very vivid metaphor is the gourd, which is often used to hold wine in ancient dramas.
The bigger part of the bottom of the gourd is the bladder, and the smaller part of the gourd is the prostate. The mouth of the gourd is the urethra, which is very image. If the upper part is smaller, it will be exactly the same.
As the age or bad habits increase, the prostate will gradually swell. The inside of this thing is not hollow, just like the fresh gourd, and the contents are not hollowed out.
The larger and larger prostate will make the urethra narrower and narrower until the urine does not come out. And because this place is very rich in neuromuscular.
So when the prostate is enlarged, when you force your urine, various nerve reflexes will cause the muscles here to contract and relax, and there will be so-called urine ticks!
Why is there so many nerves and various muscle-like things in this place? It is also very simple, because (a) the seminiferous tube is shaped inside this.
That is to say, there are two channels in this place, the thicker is the urethra, and the thinner is the (a) seminal duct, which is derived from the bladder.
"Sew it, no rupture is seen elsewhere! This person must use antibiotics regularly after the operation, otherwise the adhesion will not heal after infection and inflammation in this place, and it will be troublesome."
"Relax!" Xue Fei nodded.
Compared with sutures elsewhere, this suture is a bit more layered, and it also needs to cut out some inactivated bladder tissue.
Zhang Fan held the needle and started suture layer by layer, and sutured the bladder with 3-0 or 4-0 intestinal line in 2 or 3 layers. The bowel line is actually the so-called absorbable line. It is such a simple thing that Hua Guo could not make it in its early years.
In the end, the smooth bladder surface appeared on the bladder like a chrysanthemum, with a patch on the smooth volleyball.
This is the operation, how to get in and how to come out. The levels must be clearly stitched, otherwise this place will be a mess in the future.
"A fistula!" Zhang Fan said after sutured. After the bladder is sutured, it is afraid that the urine will cause the bladder to rupture or become infected again. The fistula is to open a mouth on the lower end of the anterior wall of the bladder with a knife and put the plastic tube to directly drain the urine. Fluid, fear that the infection will not heal.
Bladder surgery is simple to say, it seems to be completed by opening the skin suture. In fact, this thing is difficult to detect. There are several openings in the bladder.
The opening of a double kidney ureter, like the vas deferens and urethral openings, like a wire buried in a wall, damages one of these things, which is very troublesome.
One ureter was damaged, and when the symptoms appeared, the corresponding kidneys became hydronephrosis. So don't look at the bladder like volleyball, it's actually very complicated.
After the operation, Zhang Fan told Xue Fei: "Be sure to explain to your family and take good care of it, especially this fistula, you should pay more attention to it."
"Okay! I see, brother, thank you!" Xue Fei said to Zhang Fan when he was nobody.
"It's okay. Call me after surgery!" Zhang Fan nodded. In fact, Zhang Fan felt a bit lost. Xue Fei never called his brother before, and called Zhang Fan with pleasure, and called animals with dissatisfaction.
It seems that no matter how this brother listens, there is no livestock! Are you masochistic?
continue or not?
Looks like you have no tickets.
(End of this chapter)