The locations of five o'clock and seven o'clock correspond to the proximal and distal urethra!

Director Liao nodded and said, "Yes, it is almost impossible to keep the urethra in routine, but Dr. Xu took a different approach and entered the posterior furan, accurately locking the two sections of the urethra, and perfectly avoiding the nerves of the urethra sphincter!"

Qin Qiyin was awakened. At this time, she saw Xu Qiu's inexplicable operation of the dome and vagina, and immediately understood the mystery.

The female external urethral sphincter is divided into smooth muscle sphincter and striated muscle sphincter.

The former is controlled by the autonomic nerve of the pelvic plexus.

The latter comes from somatic nerve regulation of the vaginal nerve.

Xu Qiu, from the back of the lunar ridge, avoided damage to the pelvic plexus nerve with one knife.

Crossing the dome and vagina, another knife avoids damage to the vagina's somatic nerves...

After two tricks, the problems that trouble countless clinicians were solved easily!

"Doctor Xu, you're done with your finger regeneration surgery. When will you come to our urology department to do a new surgery?" Director Liao's face immediately filled with smiles.

Qin Qiyin is right, it’s really comfortable to hug her thighs!

...

The operation continues.

Soon, the bladder removal came.

This step also made everyone's heart suffocate.

As we all know, this type of surgery requires a total bladder resection.

If you forcefully retain the bladder neck, it will be a very difficult problem.

If you keep too much, it will be overly controlled, resulting in the inability to remove urine from the bladder and urinary retention.

If it is less, symptoms similar to neurogenic bladder will appear. Although the causes are different, the results are all caused by urinary incontinence...

"This is simple, just control the balance." Xu Qiu said naturally.

He gently pushed open the peritoneum with gauze, clamped the four corners of the bladder with four tissue forceps, and then slowly peeled off the top and posterior peritoneum of the bladder.

Posterior peritoneal incision…

Separate downwards gradually until the bottom of the bladder...

Cut off, ligate the suprachal bladder artery...

Retain the pubic ligament and separate it, and cut off the bladder body...

This series of operations is actually an ordinary cystectomy.

It is often used in clinical practice on malignant bladder tumors.

Xun Yu has no tumors, so there is no need to consider invasion, metastasis, etc., and there is no need to remove the nearby peritoneum.

Therefore, from the naked eye, this cystectomy is easier.

However, in the operating room, Qin Qiyin, Director Liao and others were on high alert, and no one dared to relax at all...

balance!

These two words cannot be seen from the few cuts and cuts. Even Director Liao can only judge the prognosis after the patient recovers.

This is also the reason why no one dares to retain the bladder neck.

Just like the regeneration of the palm and fingers, it is necessary to control the balance between the number of blood vessel fractures and blood circulation, there is also a subtle point in the retention of the bladder neck, which is further overcontrollable, and urinary incontinence is withdrawn...

But stuck at a certain precise point and retaining the right neck can quickly root the transplanted bladder, adapt and play a better role.

"Finish."

"Cut the colon and prepare for bladder replacement."

When Xu Qiu's voice fell again, this unpredictable step was completed.

Except for him, Qin Qiyin and others were silent. They could not see whether the length of the bladder neck was appropriate, so they could only wait for postoperative observation.

"Okay." Qin Qiyin quickly cooperated.

...

The operation time has reached the second hour.

Everyone was amazed.

A total bladder surgery alone is conservatively estimated to take three to five hours of surgery.

However, Xu Qiu did it even harder, retaining part of the resection of the bladder neck.

And it is not all that is done. He also needs to consider transplantation of the new bladder in the future. Each cut must pave the way for subsequent transplantation. It is not an exaggeration to describe it step by step.

With so many restrictions, Xu Qiu actually completed the removal in just two hours...

"Although the capacity is large, the reserves are still somewhat different compared to the sigmoid colon and bladder." Director Liao felt a little regretful.

The capacity of the bladder of a normal adult is 300~500ml, and the limit reserve can even reach 800ml.

However, it is considered very good to have a 150ml reserve by intercepting a section of sigmoid colon to replace the bladder.

It is a miracle to be able to achieve half of the urine storage capacity of the natural bladder.

After all, compared with frequent urinary incontinence, it is just a few more trips to the toilet a day, so the choice is obvious.

"Director Liao, be quiet." Qin Qiyin's eyes were filled with Xu Qiu's churning hands.

"Oh." Director Liao immediately calmed down.

He still has a clear mind about who is the thigh in the operating room.

After retracting his mind, Director Liao also focused on the operation again.

As the operation progressed, his face slowly crawled with doubt.

Xu Qiu's approach is still unprecedented.

It's a bit like the Alcini method, but it seems to be different.

Xu Qiu cut off a fifteen-cm sigmoid colon as a neo-bladder. When the removal, the sigmoid colon omentum band and independent band, along with the annular muscle of the intestinal wall between the two bands, and retained three centimeters at both ends of the intestinal duct.

Long colonic belt.

The central department also has special treatment, and Xu Qiu retained a 2×2cm colonic belt.

After de-management, Xu Qiu began to match.

The three-centimeter colonic band is anastomotic with the ureter.

The 2×2cm colonic band is consistent with the retained urethra.

Intermittent five-acupuncture method passes from the urethra side through the dorsal venous complex...

As soon as the magical stitching method was released, everyone present felt pleasing to the eye.

"It would be great if I came to cut the foreskin, and I would definitely be famous." Qin Qiyin sighed.

Although she does not undergo such minor surgery, suturing without leaving scars is the goal pursued by any surgery.

"No, you were wrong." Director Liao said in the tone of an experienced person.

"Ah?" Qin Qiyin was puzzled.

"Other surgeries can leave no scars, but only foreskin surgery, the suture technique is too good, but it is not a good thing." Director Liao smiled knowingly.

The other urologists also had their faces tense, with an expression that they wanted to laugh but didn't dare to laugh out loud.

Qin Qiyin was stunned for a moment, and after reacting for a long time, she realized what Director Liao meant, and her face turned red quickly.

"Xu, Dr. Xu..."

As soon as Qin Qiyin shouted, a question suddenly popped up in his mind.

Has Dr. Xu been cut? Have you left any scars?

She has no experience in this area, and she really doesn't understand what other female colleagues say is different from having scars and not having scars...

"No, no!"

Qin Qiyin shook her head, her eyes returned to coldness from mist. She quickly said, "Why do you need to leave two colon belts?"

Director Liao and others also raised their ears.
Chapter completed!