Chapter 491 Extreme Surgery, Full Score or Zero Score!
The accompanying Yang Yuen and Shi Lian made Yunmei and the flowers curl their lips.
Tsk, I still thought there would be a chance...everyone in the emergency department is waiting, so it's your turn!
"We will have a pre-operative consultation and a pre-operative talk later. 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 Qinqiyin from the Department of Urology and others rushed to the emergency department.
After hearing Xu Qiu’s surgical 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 fed the dog.
"Colon replacement surgery... This should be a gastroenterology surgery. Can it also be used in urology surgery?"
“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 your first 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, the knowledge of medicine would be as long as the night!
"Qin Qiyin should be a helper." Xu Qiu made the final decision.
She has participated in famous sword competitions with him, so her cooperation will be better.
Mainly because I'm an experienced tool maker, so it's relatively easy to use.
"Yeah!" Qin Qiyin smiled.
Director Liao and others were heartbroken 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 by Xu Qiu and trained in such a way that they can quickly master the surgery and become the second doctor who can perform surgeries independently.
Several previous surgeries have already 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!
"I won't talk nonsense anymore. 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.
Especially this kind of new, unheard of surgery across departments, is extremely difficult, complex and cumbersome, and must be carried out with caution.
but……
Xu Qiu thought about it carefully and realized that this operation was too difficult. It took him several weeks to understand it and gain the confidence to perform the operation.
If it were another doctor, the urology department is not good at colon replacement, and the gastroenterology department is not good at incising the bladder, nor can it 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 will help pull the hook to 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 cystectomy, but keep a part of it?"
"Shouldn't the urethropubic ligament be cut off? It must be cut off in routine surgery!"
"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, ureters, etc. are relatively simple, but women are much more complicated, with too many uncontrollable factors!"
Everyone was stunned and amazed.
They originally thought that this would be a conservative and innovative surgery that pushed a little bit towards the edge of urology surgery.
As a result...one head was left among the known surgeries, and the rest were all bold creations!
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, but pointing 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 cure and no cure. 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 goal of not missing anything.
"Can the sigmoid colon really be used to replace the bladder?" Director Liao still couldn't accept it.
The thing that holds stool is used as a bladder. Although feces and urine are often mentioned together, in clinical practice, it is the difference between gastroenterology, anorectal medicine and urology.
"able."
As soon as Xu Qiu spoke, everyone's attention immediately focused.
He explained: “First, the sigmoid colon is closest to the urethra and is suitable for in situ controlled bladder surgery.
Moreover, compared with the small intestine, amputating a section of the sigmoid colon will not cause serious imbalances in water, electrolyte, and acid-base balance.
Moreover, the sigmoid colon secretes very little intestinal mucus, which has little impact 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 that are easy to survive..."
After Xu Qiu analyzed it, Director Liao and others' eyes shone slightly.
So... is it really possible?
Moreover, it has to be the sigmoid colon!
"But, there are still a few questions." Director Liao spoke again.
While Xu Qiu looked over, he continued: "The first one is the difficulty of operation.
No matter how fit the sigmoid colon is, it needs to be decannulated to adapt it to the function of the bladder.
Just to do this requires countless steps and may require countless stitches.
In addition, if a sigmoid colon transplant is performed, there is an unavoidable and extremely fatal problem!"
The fatal question?
Chapter completed!