Chapter 476 Unconstrained style! Incredible colon replacement!
"Doctor Xu..."
Xun Yu supported his body and tried to stand up.
Neurogenic bladder will not have much impact on body functions in a short period of time, and walking and jumping is not a problem.
Xun's mother tried to stop Xun Yu, but the latter was very stubborn.
She arranged the urinary tube, held it with one hand, and put on a glove with the other hand. She slowly moved to the locker and pulled out a neatly folded white coat.
"Doctor Xu, this is your white coat. I asked my mother to wash it many times and it's very clean."
Xun Yu held it with one hand and handed it over, turning his head away and looking at the ground in the distance, not daring to look at Xu Qiu.
"Just right."
What everyone didn't expect was that Xu Qiu took off his white coat, took the clothes in Xun Yu's hand, shook them off, then walked up to them, straightened his clothes, and said: "The white clothes on my body are all
My coat is dirty, I just need to get a new one, thank you."
Xun Yu was extremely surprised.
At this moment, when he saw Xu Qiu put on the white coat she handed over without any precautions, Xun Yu suddenly wanted to cry. His nose immediately became sore and he kept wiping his tears.
The subsequent physical examination and evaluation went extremely smoothly.
Xun Yu put down all her precautions. Even if Xu Qiu wanted to have another anal digital examination at this moment, she would not resist anymore, but since the diagnosis was already confirmed, there was no need for that.
Almost ten minutes later, Xu Qiu ended the inspection.
This was the first time Xun's father saw his daughter behave like this. He was surprised by Xu Qiu's ability. This was not only a superb medical skill, but also an art in communicating with patients. He immediately gained the patient's trust with just a few simple actions...
…
"Doctor Xu, is there any other way?" A glimmer of hope ignited in Father Xun's eyes.
When Xun Yu heard this, she couldn't help but become irritated. She whispered: "Dad, don't embarrass Doctor Xu anymore. I have checked a lot of information in the past few days, and they all say that there is no complete cure... Give me some more
In time, I may be able to accept an external urinary catheter..."
As she spoke, her voice became lower and lower, and she sobbed.
Which girl doesn't want to have a flat and tight belly without a hole in it connected to a catheter that can spurt out urine at any time...
Xu Qiu stood there, thinking quietly.
Now that he has mastered the surgeries in various departments, he can think about problems from the perspective of human beings as a whole, rather than focusing on a certain system or a certain organ, which will broaden his vision and thinking a lot.
What this brings is naturally a wider range of treatments, and surgical options that are more imaginative but feasible.
"etc……"
Suddenly, Xu Qiu's eyes suddenly lit up, and his attention was focused on the surgery he had just received not long ago.
"Colon Replacement Surgery"!
His brain was running rapidly, and all the details of the operation, the indications for colon replacement surgery, the pros and cons, etc., flashed before his eyes like a slideshow.
Clinically, colon replacement surgery is mostly used to replace the esophagus, etc., because the colon has a large capacity and has a certain degree of malleability...
However, doesn’t this advantage perfectly fit the characteristics of the bladder?
What the bladder also needs is a large capacity and a certain degree of ductility!
For other doctors, this operation is almost impossible, and just proposing an idea is close to crazy!
Colon replacement surgery is generally a surgery performed in departments such as digestive and gastroenterology departments. Although closely related to urinary tract diseases, they are distinct, and there is an insurmountable gap between them.
However, for Xu Qiu, this is not a problem at all.
In Xu Qiu's eyes, gastroenterology surgery can be used in urology surgery as long as the purpose of the surgery can be achieved!
Moreover, Xu Qiu himself also mastered a series of urethral diversion surgeries. When combined with colon replacement surgery, urethral diversion, etc., it is really possible to use the colon to replace the bladder!
In that case...
Theoretically, the patient can regain a bladder with the ability to store urine, and the root cause of the disease will be solved naturally.
"I need some time to verify the feasibility." Xu Qiu responded to the hopes of everyone in the ward with these words.
Xun Yu's whole body became excited, and her eyes glowed: "Really, Doctor Xu, can you really find a way to save me!"
Xu Qiu spoke extremely rigorously: "I have thought of a surgical plan, but I am not sure whether it can be successful. Even if it can be successful, you will be the first person to carry out this kind of surgery... The risks are very high, so don't expect too much."
hope."
"No, I believe you! Doctor Xu, I believe you!" Xun Yu almost gave Xu Qiu a hug, she wiped her eyes, this time she burst into tears from laughter.ωωw..net
Xun Yu's parents were also trembling with excitement.
Although nothing is certain, when a doctor like Xu Qiu stands in front of him and speaks these words in a calm and powerful voice, the encouragement and strength he brings to people are immeasurable.
…
After returning to the office, Xu Qiu became busy again.
The colon replaces the urethral diversion. This is just the most basic combination of surgical procedures. It goes on the real operating table, but it cannot be summed up in a few words.
Combined surgery is easy to say, but extremely difficult to execute.
For example, should the urethra-pubic ligament be cut off routinely during combined surgery?
How is the relationship between the vaginal wall and the neovesical urethral angle maintained?
The operating table is as detailed as every organ, every ligament, and every muscle. The combination of the two requires too many difficulties to overcome. Just how to deal with an "orthotopic bladder" is enough to stump countless people.
people.
As the same saying goes, medicine is an empirical discipline. Behind every mature operation and every seemingly unreasonable regulation, there are blood lessons, accusations and warnings passed down to doctors by patients one after another with their lives.
It would be too difficult to turn a gastrointestinal surgery into a urological bladder replacement for Xun Yu, and it would not be a quick success.
How to retain the urinary control mechanism, how to precisely connect the colon, ureter, and urethra, and how to ensure that the neobladder can operate well and control urine freely are all difficult problems that need to be solved urgently.
After some thinking, Xu Qiu also made a preliminary plan.
The first thing to solve is the core skeleton part.
How to carry out this combined surgery!
Once you have a clear understanding of the surgical steps and general ideas, you will have the opportunity to consider many details.
Secondly, it is to ensure functionality.
This is particularly important. Without even basic bladder function, there is no need for surgery.
Then there is the control of risks, side effects, complications, etc.
Finally, details were added to make this surgery completely mature.
Xu Qiu's biggest advantage is that he has a simulated operating room, where he can constantly backtrack, repeat, and polish any operation. He has countless opportunities to fail and restart, and he uses countless simulated patient deaths to change
Chapter completed!