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285 sync cautious

Ji Xiang stripped off the peritoneal fold of the apex of the bladder, opened the bladder, and used a small hook to pull the bladder to reveal the fistula hole.

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

Director Liu stood opposite and was honestly an assistant. Lu Gang didn't understand. Director Liu was not like this either. Although he didn't take the surgery and was more let go, he was definitely not the kind of director who was easy to talk and had no principles.

Even if you let go and trust, you won’t be like this. Lu Gang is in a complicated mood.

After seeing the fistula hole in the open belly, Ji Xiang asked for an ordinary catheter. Lu Gang's vision was restricted, so he turned around and moved a pedal and placed it on the ground.

With the height of the kick, Lu Gang could see the art area along Ji Xiang's shoulder.

He saw Ji Xiang inserting a normal catheter into yd from the fistula, Zhao Zhe waited below and led the catheter out of yd.

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

After the catheter was left, Ji Xiang punched the upper end of the disinfected ping-pong ball and handed it to Zhao Zhe.

Zhao Zhe was firmly tied to the top of the catheter 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 with his right hand, and the ping-pong ball easily entered along the fistula.

This is……

Lu Gang was confused and inexplicably.

Ji Xiang tightens the upper traction line of the ping-pong ball in the fistula hole, lifts the front wall of YD to fully reveal the fistula hole.

The last operation failed mainly because the fistula hole was not exposed well because of the wrinkles on the inner wall of the bladder.

This is the same as Mr. Wu used zebra guidewire to find the ureter hole in the bladder.

But this time with a table tennis ball as support, the force pressed against the soft wall, and the fistula was exposed quite well.

Lu Gang was stunned when he saw it.

If the operation is only done this step, he will know that it will be completed and will be completed.

It's the same if you change yourself, and the next surgery is not difficult.

But Lu Gang was a little confused and it turned out that this was the case with a ping-pong surgery!

Ji Xiang fully exposed the fistula hole, and then cut off the paralyzed tissue at the fistula hole's wound edge and separated appropriately between the bladder and yd walls.

"Sheep intestine line." Ji Xiang stretched out his hand, "2-0."

Tang Yan quickly threaded the needle and the very thin intestine thread was missed, and then he held the needle in Ji Xiang's palm.

Ji Xiang used 2-0 intestinal thread to suture the yd wall in a vertical and horizontal line, and then used No. 4 thread to suture the bladder wall muscle layer for horizontal and intermediate mattress-style suture.

Lu Gang soon noticed a detail that the stitches used by Ji Xiang did not penetrate the entire layer.

The suture does not penetrate the entire layer, and the needle and thread passes between the sarcoidal layer and the mucosa layer, causing the tissues of the wound edge to be inverted, the outer surface remains smooth, good in harmony, and reduce adhesions. It is often used for the anastomosis of the gastrointestinal tract and bladder.

After suturing, the serous membrane layer is tightly aligned, which is conducive to wound adhesion healing.

It sounds simple, but Lu Gang has never seen anyone who can be as fast and good as Ji Xiang.

And he knew very well that without talking about the ping-pong ball of Feixian in the sky, he could not be as perfect as Ji Xiang by just stitching.

Are there so many long-standing experts and professors who are not even as good as a regular trainee?

Gradually, a sense of loss shrouded in Lu Gang's heart.

Ji Xiang finally used No. 3-0 sheep intestinal thread to intermittently sutured the bladder mucosa, then pulled the traction line left outside yd, and took out the ping-pong ball from yd.

Insert the adult No. 18 airbag catheter from the urethra, Ji Xiang used a syringe to inject 15 ml of saline into the airbag.

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

Ji Xiang's hands were very stable, and the difficult operation was displayed in his hands, as if there was no difficulty at all.

After the suture was completed, Ji Xiang used Meilan solution to inject the bladder into the catheter.

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

If there is no leakage, it is proven that the sewing is intact.

During the last operation, Director Liu finished suture and injected it with Meilan. There was always ooze. In the end, he couldn't sew any more. Although there was a ooze, it was not much. He could only comfort himself and hoped that he would heal on his own.

Unfortunately, the fistula has not healed...

What about this time?

Ji Xiang waited for 5 minutes after injecting Meilan.

Generally, after the operation is completed, the atmosphere in the operating room will be very relaxed when waiting for a certain examination, and everyone is talking and laughing.

But this patient is a patient with a medical dispute. The surgery was still the second and third uterine uterus. It looked very strong, but who knows what would happen.

The atmosphere in the operating room was depressing and no one spoke.

Especially Director Bai, he stood directly behind Zhao Zhe and looked at him without blinking.

Time passes by minute by minute,

No ooze

No leachate!

No leachate!

"Brother Zhao, is it okay."

"fine."

"Prepare to close."

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

"Hmm?" Ji Xiang was puzzled, "What's wrong?"

"Wait a little longer." The two of them said in unison again.

There are hundreds of families of patients outside the office building, and both old guns show extreme caution.

"..." Ji Xiang said he was helpless.

The two of them were too cautious. It was estimated that Director Liu was bitten by a snake for ten years and was afraid of the rope. After stepping down, Director Bai had to face the families of about 100 patients downstairs, so he had to repeatedly confirm.

After waiting for another ten minutes, wiped the clean gauze, and repeatedly confirmed that there was no Meilan seepage, the white part breathed a long time, turned around and left.

Director Liu looked up at Ji Xiang, "Xiao Ji, you're doing a good job."

Ji Xiang smiled, put the airbag catheter in his stomach, and then began to close the abdomen layer by layer.

"Xiao Ji, this is the first time I heard of this method." Director Liu was relaxed and said happily and happily, "You don't know the last operation. I thought of countless ways to push it, using my fingers or something.

I tried it all and almost got hurt by a needle. Unexpectedly, a ping-pong ball solved the old problem."

Ji Xiang smiled and didn't say anything.

Director Liu also knew that Ji Xiang said nothing was right at this moment, but he witnessed a surgery to solve problems with table tennis like a flying fairy in the sky. He felt a little excited while he was relieved.

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

"Director Lu, look, I'll just say that the surgery can be taken down."

Lu Gang was a little confused and kept watching the martial arts area without moving. He seemed to have never heard of the sarcasm of Mr. Wu.

It was not until Ji Xiang turned around and almost knocked down Lu Gang that he recovered.

"Sorry, Director Lu." Ji Xiang apologized.

Lu Gang's face under the mask was wearing a mask and couldn't see the expression clearly, but he just stood in a daze to the corner of the wall, like a student who was punished to stand.

Ji Xiang's surgery was clean, unlike some doctors' surgery areas that were messy and could not be understood by others.

It is clean and simple. Others can tell what Ji Xiang will do next at a glance.

Lu Gang really didn't expect that table tennis would have such great uses.


Chapter completed!
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