sinovels Chapter 408: Brother Tian Really Lives Up To His Reputation
Chapter 408: Brother Tian Really Lives Up To His Reputation
At 9 a.m., the operation began.
In the operating room, Xia Xia looked at the contents of the surgery on the wall.
Total Cystectomy!
Gastric tumor resection!
Pulmonary nodule resection!
Lymphadenectomy!
Nephrectomy!
Secondly, there is a small mass in the patient's brain, which can be removed by ultrasound, but depending on the patient's response during the operation, it may or may not be removed by the surgeon's choice.
Look at the dense data.
Xia Xia said: "The original cancer of the patient is bladder cancer, so let's start with total cystectomy."
Han Meiji nodded.
A nurse next to him said quietly: "Can you survive so many operations?"
"It's all like this, what surgery are you going to do?"
Several young nurses expressed incomprehension.
after all……
In addition to the pain, the operation also suffers from inhuman torture.
for example……
Total cystectomy.
Cystectomy in men is an en bloc removal of the bladder, prostate, seminal vesicles, pelvic peritoneum, pelvic side walls, and surrounding tissues of blood vessels (including lymph nodes and lymphatic vessels).
The dignity of a man is gone.
Many male patients, especially the older generation, choose to refuse surgery after they become ill.
People die, birds face up!
The bird is gone, and it is not reconciled to die.
Moreover, for patients with cancer metastasis, the hope of cure is very, very slim... Why bother, in the end, lay on the board, bury the mountain, and eat together in the whole village!
An old nurse sighed: "If my cancer metastasizes, I'll be dead, I'll get some Du Leng Ding from the relationship, and the rest of the money will go out to eat, drink and have fun. It is better to die happily than to die in pain.”
A young nurse said, "Sister Wang, you don't understand."
"They are rich people, and they are reluctant to leave before the money is spent."
"It's different from us ordinary people."
Xia Xia reminded the two: "Stop chatting, the operation has begun."
"Prepare the patient for surgery and place a sponge on the sacrococcygeal area."
The first step in cystectomy is the elevation of the sacrum, which is located below the lumbar spine and above the coccyx.
Get into position.
Step 2: Cut.
"No. 10 knife."
The instrument nurse, immediately delivered the scalpel.
Knife incision in the midline of the abdomen.
The skin is cut with one knife, and the fat and muscle are next to expose the position of the abdominal cavity and bladder.
"Miki, look at the bladder."
The bladder is a vertebral cystic muscular organ, and the whole body is pink, but at this moment, the patient's bladder has completely turned purple-black, the shape has become oval, and the surface skin is tightened.
The entire bladder has been occupied by cancer cells.
Bladder: The enemy has invaded the jungle!
Han Meiji glanced at him and said blankly, "Mr. Tang has a history of cancer for at least five years. As a top rich man, he did not do any physical examination for five years, which is unbelievable."
Everything is cute in childhood.
Except cancer cells...
But... cancer cells also need a process from small to large, and it is a long process that the entire organ has been completely occupied by cancer cells.
Cancer cells: Hey, ignore us? Keep having kids, keep having babies...
"Get ready to cut it off."
The third step: separate the bladder, prostate, and both sides of the bladder, push the peritoneal reflex, reveal the anterior bladder wall and reach the prostate.
Step 4: Cut the ureter, cut the retroperitoneum at the pelvic edge, separate the ureter, cut the ureter 4 to 5 cm below the pelvic edge, ligate and suture the distal end, and leave it to be removed together with the bladder (because the ureter is often covered by tumor lymph nodes). Infiltration, the excision should not be too short).
A ureteral catheter is inserted into the proximal end to drain the urine out of the surgical area to reduce the contamination of the abdominal cavity.
Step 5: Cut out the bladder.
Step 6: Cut off the urethra Pull out the inner urethral catheter, cut the urethra with long forceps, turn the proximal end up, and suture the distal end with No. 0 chrome catgut.
Step 7: The critical step.
Remove the prostate!
Unlike ancient eunuchs who clean the body, eunuchs only cut off the front part.
It's like repairing trees, eunuchs clean themselves, just cut off the branches, but a total cystectomy, uprooted, not a centimeter.
Han Meiji used a clip to lift the cut part.
operating room.
All eyes were on the part that was mentioned.
A little nurse said, "Yo, it's quite a big one."
"Doctor Han, is this the big one or the big brother Tian?"
puff!
The old nurse blushed and reprimanded the little nurse, "What do you say? The little girl's family is not ashamed. Doctor Xia is still here."
cough cough...
As the only man in the operating room, at the moment of cutting it off, Summer felt a chill under his crotch.
As soon as the little nurse opened his mouth, his cheeks became hot again.
Since the first grade, medical staff have been experimenting with the teacher of "General". At first, they were embarrassed. After a long time, men and women are not ashamed, and they will discuss with each other.
(Teacher in general: the honorific title for the person who donated the corpse.)
Han Meiji blinked at the little nurse: "Have you forgotten the title of Brother Tian?"
What's the name?
Everyone was stunned.
Han Meiji said lightly, "The strongest man in the provincial hospital."
The little nurse showed an expression of "understanding in seconds", looked at Xia Yingying with a smile, and said, "Brother Tian really lives up to his reputation."
"Wonderful!"
Summer: ... so shy.
"Cough cough..."
"Prepare to drain."
Step 9: Drainage and suture Place 3 to 4 drainage tubes in the bladder fossa for drainage, and the incision is sutured layer by layer.
It took 1.5 hours to remove the bladder.
Next.
Nephrectomy...
After 3 hours, Xia Xia said: "Miki, you go to rest, the next surgery, I will do it myself."
Han Meiji sighed.
Tiredly nodded to Xia Tian: "Call me if you have something to do."
As a doctor in the same operation, even if he rests, he cannot leave. He can only sit in the corner and close his eyes.
Summer glanced at her.
Some distressed, but also some tired.
"Xiao Li, give me a drink of water."
"Use my cup."
A small energy bottle was poured into the cup, which he didn't want to waste in the summer, but after his physique dropped from 8 to 6, he was particularly prone to fatigue. He was able to endure the previous three or four hours of surgery.
Now... my eyes feel a little flowery.
Xiaoli inserted a straw into the cup and handed Xia Xia a sip.
Energy entrance.
In an instant, exhaustion is swept away, hunger is swept away, and I become myself, energy bottle, really exciting.
call……
Take a deep breath and continue the operation.
A super double dopamine, a small energy bottle, a lucky jelly, just for one patient!
It would be unreasonable not to give him a super grace!