Nineteenth Century Medical Guide

Chapter 393 389. Little Eggplant

Violent breaks like Geizer's occur only in the boki state and are called tunica albuginea breaks, or more generally, bending injuries. 【1】

Just like the popsicles I ate when I was a child. After bending hard, the ice inside shattered, but the plastic film outside remained strong.

"Mr. Geizer Knissel, the youngest son of the former chairman of the Swiss Federal Assembly, Knissel Sr."

After the two directors stepped down, Kawei re-entered the surgical theater: "He had suffered a vaginal injury in Zurich. At that time, the cavernous body was partially broken and the epidermis was damaged due to animal teeth bites. Professor Sedieu and I Foreskin flap repair done together however today.”

When they hear about skin flap repair, many people's artistic cells are ready to start: "What happened again today?"

Kawei made a silent gesture and asked his assistant to bring in the cross-section anatomy diagram: [2]

"Today's problem lies in two aspects. First, he failed to follow the doctor's instructions and rest completely for two weeks, and the fascia at the suture site failed to fully recover. Second, he was too excited, which caused him to collapse when he encountered external force. The white membrane wrapping the outer layer of the sponge body exceeds its maximum elastic strength and breaks.

During the examination, I found the typical eggplant sign, which is that the hematoma stays between the skin of the penis and the tunica albuginea, indicating that the deep fascia is intact. I gave it this name because the hematoma gives the skin a bluish-purple color. If the deep fascia is also ruptured, the hematoma will leak out of the penis stem and reach the vaginal bursa, vagina, and suprapubic area. "

After saying that, he asked someone to prepare the ward and sent Geize in.

The young man's original coat, shirt, and trousers were replaced by a thin hospital gown. His body trembled slightly due to the cold air, and the shaking of his body further affected the little eggplant.

"felt it."

The surgical theater, which had been deserted for almost two months, became popular again. Some audience members who were about to leave immediately sat back in their seats, while those who had left their seats stopped. Some people who had already left the theater could not help but return to the theater when they heard Kawi's voice coming from inside.

While explaining, he touched the location of the hematoma with his hand, regardless of Geizer's reaction: "With a little force, you can find the location of the rupture of the tunica albuginea, in the shape of a cord. Come, come, come and find the location. , you will know how to deal with it if you encounter it in the future.”[3]

Kawei reminded him while washing his hands: "Come on, Mr. Geiser, come to the surgical theater of the Municipal General Hospital for a rare occasion and say hello to the audience."

"It's okay to know it hurts."

It is easy to repair a rupture of the tunica albuginea. Just make a circular incision below the hematoma, remove the hematoma, and suture the tunica albuginea. However, for the sake of safety, Kawei installed a catheter in advance and checked the urethra. After finding that there was no damage, the operation ended under the operation of Jack and Shanwang.

The post-war haze still hangs over Vienna in January.

"I felt it too, the roughness of the rope was obvious."

"This is indeed much more spacious than the small theater at Zurich University Hospital." Kawei patted him on the shoulder, motioned for him to lie down, and then asked Jack and Shanwang to get on stage to work quickly. "The operation is much easier than the previous skin flap repair."

"I won't go, I won't go again."

After that, Kawei asked Jack and Shanwang to do a palpation: "Do you feel it?"

The surgery itself was simple, but Geyser's legendary experience still adds to the color. Coupled with Kawi's limited-time return, the audience still maintained a high level of enthusiasm.

"What about you?"

"Me too." Geize didn't dare to move away. He could only rely on his body's instinct to press his lower abdomen tremblingly, hoping to relieve the pain through compression. "So, stop touching it, ah, it hurts so much!"

The pain felt like a musician who was so full of emotions that he still suppressed his fingers and kept tapping the keys to produce notes. Beating lightly, it is secretly accumulating strength and waiting for the moment to explode.

The incredible Prussia, Hungary that has been reluctant to unite for a long time, and France that is ambiguous to all parties make Austria's surroundings full of uncertainty. Coupled with Russia, which always likes to have a foot in the east, and Britain, which likes to check and balance other countries, the entire European continent is not peaceful.

Having just been watched by one group of people for his solo performance, and now having to be watched by another group of people for surgery, even Geizer, who had drunk a lot of wine, would always feel some resistance in his heart. He waved his hands around awkwardly, complained, and then put on a painful smile: "There are too many people, ladies and gentlemen, everyone, hello everyone."

"Everyone, these are just appetizers." Kawei announced Alphonse's surgery as he finished. "I have done a reconstruction of your breast here before. A week later, also here, I will do the world's first... Yin stem reconstruction surgery."

Kawei finally asked Armor, who had been preparing for a long time, to put on the ether mask: "Have a good sleep, and when you wake up, look at it and ask yourself, do you still want to go to Hoints Street?"

"What about you?"

Prussia's military strength is already a definite fact, and Paris will usher in the World Expo that attracts world attention. Compared to them, Hungary is obviously easier to deal with. The people of Vienna also hope to include Hungary in their territory to increase their strength.

But since Franz went to Budapest, there has been no news of returning home. Elizabeth has also been away for nearly a week, and there has been no new progress in the negotiations. The reins of the merger of Austria-Hungary seem to have been tightened, and there was no further thought at the moment.

At this time, Kawei's surgery became a shot in the arm, temporarily breaking up the lethargic city atmosphere.

From the night he appeared, theater tickets for Alphonse's penis reconstruction surgery became hard currency in the hands of scalpers. The ticket price for the last row of seats increased from 300 kroner at the opening to 500 kroner, and the VIP seats in the front row, which cost 1000 kroner, nearly doubled.

By the 15th, the cheapest tickets had reached an exaggerated four-digit price. If the University of Vienna Medical School had not booked some tickets early, I am afraid that the theater would have become a carnival place for aristocrats and wealthy businessmen.

The dean of the medical school, Meadows, looked at the laymen who had paid a lot of money to get in, and gently patted the anatomy professor Lange on the shoulder: "Look at all these people, they don't understand surgery at all, but they are constantly speculating on it." ticket price."

"I have already said that surgery has entered a new era, and things like surgical theater can be completely abandoned." Lange looked serious, as if all the people in the theater except those skilled doctors were his enemies, " Kawei also mentioned before that there are surgical rules, but you don’t listen.”

"Okay, okay. You're here again." Meadows felt like he was lighting a firecracker, and quickly stopped talking and looked at Chrissy sitting next to him, "Congressman Celestine, what do you think?"

Chrissy was also very serious. He sat upright on the chair, put his hands on both sides of his trouser legs and rubbed his fingers: "This needs to be discussed with the Minister of Health. It is not my business."

After saying this, he couldn't help but pause, and continued: "However, from a father's perspective, I think this design is good. At least I can be lucky enough to enter the scene and watch my son go on stage for surgery, and see...(his move) Growth over the years)” The following words were very soft, drowned in the conversation between his wife Elena and Berget’s cousin.

Meadows originally wanted to talk to him about something serious, so he chose this seat, but he didn't expect this. Fortunately, in front of him were Waterman, Mosier, Massimov and Bill Rotter: "Four chief doctors, what do you think of my proposal just now?"

They were chatting about the surgery that was about to begin in front of them. They were all focused on Kawei's method of selecting the skin flap and some key points of treatment. They didn't even hear what he was saying just now: "Huh? What proposal?"

"I didn't hear it either."

"I mean to abolish the ticket sales system of the surgical theater and set up an access system like the medical association. Only those with a pass or badge given by the association can enter."

Meadows said: "Of course, it would be better if, as Carvey originally said, hospitals and schools were linked to turn purely commercial surgical theater into teaching content."

Mosier, not an Austrian, made no reply. Massimov has almost reached retirement age and has no responsibilities, so his advice is of little use.

Among the four, Waterman and Bill Rotter are the more important ones, and the president and vice president of the College of Surgery can indeed decide a lot of things.

The two of them turned to look at him, and said in a strange tone: "Okay, as long as the medical school can provide us with money and guarantee our income, then it will be no problem."

Billroth's words were more direct than Waterman's, and hit the pain points of Meadows: "It is true that our surgeons' income depends entirely on surgery tickets. If this is banned, what will we eat? I remember when Meadows Hospital I think I switched to internal medicine because my income from surgery was too low. You should understand that."

After hitting the wall one after another, Meadows had a few black lines on his forehead. He wanted to chat with the audience in the row behind him, but he never expected that it was Laszlo and his son Phoenix who took their seats.

As the richest man, there are only two situations when he comes to public places, one is to do business, and the other is to discuss business. Today is obviously more suitable for talking about business, because not only is there a long-term partner, Chino, but also two sisters, Jenny and Cecilia, who have just started a relationship.

Their sanatorium has an Amor platform, and Laszlo provides funds behind it, and the business is very good. Recently, he and mechanical designer Forester designed an operating bed specifically for surgery that can assist in surgery, hoping to get Laszlo's recognition and investment.

"I'm not optimistic about this thing." Laszlo directly denied its existence value. "Look at the surgeon in front of you, look at Kawhi Hines. With his skills, there is no need for auxiliary tools."

"Other doctors don't."

"Other doctors can also learn from it. There is no end to learning."

Phoenix had a different view on this matter: "What is the purpose of the operating table designed by the two of you?"

"Mainly responsible for hemostasis during the operation, including cutting." Jenny explained, "We asked Dr. Kawei to understand the current level of surgical operations, and we really need such auxiliary tools to protect the operation."

"Stop the bleeding?" Phoenix and his father changed seats and asked curiously, "What should be used to stop the bleeding?"

"electricity."

Phoenix didn't know much about this aspect, but was very interested: "Can electricity do this?"

"Several experiments were successful." Seeing that there was still a chance, Jenny continued, "This working mode is convenient and fast to operate. It is much simpler than using silk catgut for suturing during surgery, especially for those who cannot rely on the thread. Come to ligate the small bleeding point.”

"Are there any risks?"

"Risk." Jenny didn't dare to hide it. "There is definitely a risk. The small generator brought from Prussia is very unstable. If the current is unstable, it may malfunction midway, affecting the operation."

At this time, Cecilia also stepped in: "We discussed it with Kawei before, and he also said that the technology is not mature enough, but we can give it a try. Especially for complex operations, such as today's operation, which requires several wounds. , manual ligation is too slow.”

Phoenix's business has been separated from Laszlo's industry and is now responsible for some industrial products. He really wanted to make achievements before the Paris World Expo, and then take his own products to participate in the World Expo as an independent businessman.

The operating table in front of me is indeed an opportunity.

"If you only focus on the high-end market and customize it only for those doctors who need it, you may have different effects." Phoenix asked, "How much money do you still lack?"

"Two Swiss banks have already given a lot of investment, totaling 400 million, and now we are still short of about 100 million kronor." Jenny said.

"Okay, take me to see the effect of the operating table tomorrow." Phoenix made a decision, "If it is really as useful as you said, I can invest money on behalf of my father."

"No, it's you and I'm me." Laszlo suddenly interrupted, "If you want to invest money, that's your business and has nothing to do with me."

"Okay, I'll put in the money."

Conversations like this abounded in the court. The time slowly came to 19:30, the bell rang, and Kawhi's surgery officially began.

"Everyone, Alphonse is a French chef well known on the streets of Vienna. He is famous for his novel and creative cooking of unique dishes." Kavi walked into the theater alone and took off his coat. "At the same time, he is also a man of upright character. French fighter.

The fighter succeeded in defeating his enemy in an inevitable duel, but also suffered a serious gunshot wound. The enemy's bullet hit his penis, the cavernous body shattered, and blood flowed profusely. My surgical team and I performed emergency treatment in a timely manner, cutting off the useless distal vaginal stem head, disinfecting the wound, and performing primary suturing.

Nowadays, the wound stump has healed well and has met the requirements for second-stage reconstruction surgery. For the sake of the French chef’s second half of life, and for your picky demands on French cuisine, I will recreate his body, rebuild his male self-esteem, and make his title of fighter worthy of his name. "

"Today's patient, Mr. Alphonse Françoise Rochechuart, is invited to enter."

(End of this chapter)