Doctor of Healing

Chapter 286 Synchronization Caution
Ji Xiang peeled off the peritoneal reflex at the top of the bladder, opened the bladder, and retracted the bladder with a small retractor to expose the fistula.

Lu Gang stood behind and stared at the operation area without blinking.

Director Liu was standing opposite, acting as an assistant honestly, but Lu Gang didn't understand.Usually, Director Liu is not like this. Although he doesn't care about the operation and is more hands-off, he is definitely not the kind of director who is easy to talk and has no principles.

Even if it's letting go and trusting, don't bring this kind of thing. Lu Gang is in a complicated mood.

After opening the abdomen and seeing the fistula, Ji Xiang asked for an ordinary urinary catheter. Lu Gang's vision was limited, so he turned around and moved a pedal to the ground.

Coupled with the height of the pedals, Lu Gang was able to see the operation area along Ji Xiang's shoulder.

He saw Ji Xiang inserting an ordinary urinary catheter into the YD through the fistula hole, and Zhao Zhe was waiting below to lead the catheter out of the YD.

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

After indwelling the catheter, Ji Xiang punched holes in the upper end of the sterilized table tennis ball and handed it to Zhao Zhe.

Zhao Zhe tied the top 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 catheter and the upper traction wire.

Zhao Zhe pushed the ping-pong ball up with his right hand, and the ping-pong 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 to fully expose the fistula hole.

The last operation failed, mainly because the fistula was not well exposed due to the many folds on the inner wall of the bladder.

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

But this time, with the ping-pong ball as a support, the strength was pressed against the soft wall, and the fistula was quite well exposed.

Lu Gang was stunned.

He knew that the surgery would be done and it would be done after only this one step.

It's the same for me, and the next operation is not difficult.

It's just that Lu Gang was a little dazed. It turned out to be like this when using table tennis for surgery!

Jixiang fully exposed the fistula hole, then cut off the paralyzed tissue at the edge of the fistula hole, and properly separated between the bladder and YD wall.

"Gut." Ji Xiang stretched out his hand, "2-0."

Tang Yan threaded the needle deftly, hitting the arrow with the very thin gut, and then placed the needle holder in Ji Xiang's palm.

Jixiang used 2-0 catgut to suture the YD wall in longitudinal and intermittent full-thickness, and then used No. 4 silk suture to suture the bladder wall muscle layer in transverse and intermittent mattress suture.

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

The suture does not penetrate the whole layer, and the needle and thread pass between the seromuscular layer and the mucosal layer, so that the tissue of the wound margin is turned inward, the outer surface is kept smooth, the fit is good, and the adhesion is reduced. It is often used for the anastomosis of the gastrointestinal tract and bladder.

After suturing, the serosa layer is closely aligned, which is conducive to wound adhesion and healing.

It's easy to say, but Lu Gang has never seen someone who can do as fast and well as Ji Xiang.

And he knew very well that, not to mention Feixian's ping pong ball, he couldn't achieve Jixiang's perfection just by sewing.

Could it be that there are so many long-established experts and professors in the Second Affiliated Academy that they can't even match a Gui Peisheng?

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

Finally, Jixiang sutured the bladder mucosa intermittently with No. 3-0 catgut, then pulled the traction line left outside the YD, and took out the table tennis ball from the YD.

An adult 18-gauge balloon catheter was inserted from the urethra, and Jixiang injected 15ml of saline into the balloon with a syringe.

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

Ji Xiang's hands are very stable, and the difficult operations are displayed smoothly in his hands, as if there is no difficulty at all.

After the suturing was completed, Ji Xiang injected the melanin solution into the bladder through the catheter.

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

If there is no leakage, it is proved that the suture is intact.

In the last operation, Director Liu used Meilan to inject after suturing, there was always exudate, and in the end it was impossible to sew any more. Although there was exudate, the amount of exudate was not much, so he could only comfort himself and hope to heal on his own.

Unfortunately the fistula did not heal...

What about this time?

Jixiang waited for 5 minutes after injecting Meilan.

Generally, the atmosphere in the operating room will be relaxed after the operation is completed and waiting for some kind of examination. Everyone is talking and laughing.

But this patient is a patient with medical disputes, and the surgery was performed twice or three times. It looks like the stitches 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, who stood directly behind Zhao Zhe, watching without blinking.

Time passes by every minute,
no exudate
No exudate!

No exudate! !
"Brother Zhao, are you okay?"

"fine."

"Ready to close."

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

"Huh?" Ji Xiang wondered, "What's wrong?"

"Wait a minute." The two said in unison again.

There are hundreds of family members of patients outside the office building, and the two veterans showed extreme caution.

"..." Ji Xiang expressed helplessness.

The two were too cautious. It is estimated that Director Liu was bitten by a snake for ten years and was afraid of well ropes. After stepping down, Director Bai will have to face the family members of the patients downstairs, so he has to confirm repeatedly.

After waiting for another 10 minutes, he wiped it again with a clean gauze. After repeatedly confirming that there was no exudate from Meilan, Director Bai heaved a sigh of relief, turned and left.

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

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

"Xiaoji, this is the first time I've heard of this method." Director Liu said in a relaxed mood at this time, happily and cheerfully, "You don't even know about the last operation, I thought of countless ways to push it up, using fingers and so on I tried them all, and almost got hurt by a needle, but I didn’t expect a ping-pong ball to solve the old problem.”

Ji Xiang smiled and said nothing.

Director Liu also knew that what Ji Xiang said at this moment was wrong, but he witnessed an operation in which he used a table tennis ball to solve the problem like a flying fairy, and he felt relieved and a little excited at the same time.

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

"Director Lu, look, I said the surgery can be done."

Lu Gang was a little confused, he kept watching the operation area remain motionless, and seemed to have never heard Mr. Wu's little sarcasm.

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

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

Lu Gang couldn't see the expression on his face under the mask, he just stood in the corner in a daze, like a student who was punished to stand.

Jixiang's operation is clean, unlike some doctors' operation area, which is messy and unintelligible to others.

Clean and simple, others can know what Jixiang is going to do next at a glance.

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

(End of this chapter)