Doctor: It's reasonable to perform surgery on yourself.

The operation is actually very simple to describe.

Xu Qiu took the ribs, and the director of Urology took the skin flap from the forearm.

The ribs are the support, that is, the skeleton.

The skin flap of the forearm is filled on the outside of the ribs to form the flesh.

This is also the most core operation to save female transgender patients.

If the doctor is skilled, it is possible that the reconstructed tree is not much different from the original one, at least in appearance.

At present, Xu Qiu regards this operation as plastic surgery.

It is also another use of reconstruction.

…

The area abandoned by the patient is not small, but if it is not restored, it will be about three or four centimeters shorter than the original.

After Xu Qiu determined the size, area and other parameters, the operation officially began.

The director of Urology.

He took a 7cm long and 3.5cm wide area from the ulnar side of the patient's forearm as a skin flap for urethra shaping, and the basilic vein was retained at the pedicle.

On the radial side, the long skin flap pedicle surrounds the radial artery, circumferential vein and cephalic vein.

This is the key to the reconstruction of the main part of the flesh.

Then,

he cut the skin and subcutaneous tissue according to the design line drawn by Xu Qiu to the superficial surface of the fascia, and made sharp separation on the fascia from the radial and ulnar sides, all the way to the gap between the brachioradialis and the radial flexor carpi.

The total operation time came to the second hour.

Xu Qiu finally completed the rib cutting and modified the shape of the skeleton.

The director of the Department of Urology naturally gave up the position of the main surgeon and gave the forearm operation area to the other party.

I was amazed in my heart, the speed was too fast!

After Xu Qiu took over, the efficiency of the operation reached a new height.

He quickly cut off the median vein, cephalic vein, radial artery and accompanying vein at the distal end of the flap, and sutured the broken ends.

Then, he separated the deep surface of the radial artery and vein to the proximal end, ligated and cut off the muscle branches of the radial artery one by one, and lifted the flap from the intermuscular groove.

After more than ten minutes, the flap was also trimmed.

The shape is perfect, and a one-centimeter-wide de-epithelialized area is removed in the middle part, which is the suture band formed between the urethra and the stem.

After completing all this, the reconstruction surgery officially began.

Since all the blood vessels were marked before, Xu Qiu was faster at this time. He smoothly dissected the arteriovenous pedicle of the flap, turned the ulnar flap skin inward, wrapped the 16F silicone ureter, and then sutured it continuously with 5-0 absorbable sutures to form the urethra.

Then, he turned to the radial flap, turned the skin outward, buried the ribs and urethra in parallel in the flap, and sutured the radial skin edge and suture band with 3-0 absorbable sutures to make the stem.

This is not over yet.

Xu Qiu also made an interrupted suture of the distal stem flap and the distal urethral flap, which is the stem head and the external opening of the urethra.

At this point, the whole shape has come out.

Then it is to put this section back on the patient's missing third leg.

Xu Qiu took this into consideration when he performed the amputation replantation.

The transplant bed was already prepared.

At this moment, he directly transplanted the prepared free section to the perineum, cut off the vascular pedicle together with the lateral forearm cutaneous nerve, and then went up to the femoral artery pulsation area.

Positioning suture...

Anastomosis of various blood vessels under the microscope...

Anastomosis of the urethra...

Connecting the cutaneous nerve on the lateral side of the forearm and the stem nerve...

The last step is particularly important, which determines whether the patient has feeling and whether he can develop male secondary sexual characteristics.

1.7 hours later.

Reconstruction is completed.

Everyone looked at the operation area. The reconstructed limbs were different in color and there were some residual hand hairs on them. There was no difference in the rest.

The thickness and the connection of the anastomosis were perfect!

The director of urology hurriedly tested the function.

The urethra was unobstructed.

The blood vessels were also perfectly unobstructed.

There was shock in his eyes.

This technology... If Xu Qiu specialized in performing surgery on female transgender patients, he would be famous all over the world!

...

The operation was over.

On the stage, Xu Qiu was still reminding the precautions after the operation.

"Continue intravenous drip of high-dose antibiotics to prevent infection."

"Use low-molecular dextran and low-dose aspirin for anticoagulation."

"Inject diethylstilbestrol intramuscularly to prevent stem body reaction."

"In addition, the patient must stay in bed for three days. If there is no problem after three days, the drainage tube will be removed. After the scab falls off, the catheter can be removed. At that time, another functional and sensory test will be performed..."

Everyone recorded quietly.

After leaving the surgical corridor, the director of urology looked at Xu Qiu deeply and said, "Is there any surgery you don't know how to do?"

Xu Qiu gave a polite smile, went to the locker room to take a shower, and then changed into casual clothes and left the hospital.

It was already past eight o'clock in the evening.

Xu Qiu originally planned to have a bite at the roadside stall outside the hospital, but when he looked up, he saw the crowded shared kitchen opposite.

He heard from the landlord Bai Xi that the store was rented out a few months ago.

At that time, he said he would set up a shared kitchen, and the decoration was finally completed a few months ago and officially started business.

In fact, the roadside stalls outside the courtyard are already quite economical. A plate of fried rice with diced ham and minced eggs costs only about six yuan.

However, even so, the shared kitchen across the street is still full of customers.

It’s no wonder that it’s cheaper there.

“Captain Xu!”

Suddenly, a pleasant voice sounded from behind.

Qin Qiyin also took a shower and left work, but her hair was still a little wet. She used one hand to brush her hair to speed up the drying process, while walking towards Xu Qiu with a smile.

"Yeah."

Xu Qiu nodded.

Qin Qiyin noticed Xu Qiu's gaze and asked with a smile: "Captain, do you want to go to that kitchen to have a look? The owner has a good reputation. When I was making rounds, I heard many patients praise them."

"Let's go and have a look."

Xu Qiu was also a little curious.

Qin Qiyin said: "The decoration started in September last year and opened in mid-October.

They only rent out kitchen space, and guests can cook their own meals.

The boss lady doesn't sell meals herself.

However, the boss lady came to our hospital and gave doctors a business card, saying that if doctors want to eat, they can go there to order, and doctors can get a 50% discount.

We were embarrassed, so we never went."

Xu Qiu also received a business card for ordering meals from a shared kitchen.

And the business card was different from that of others.

Wang Fan and his friends received a 50% discount.

But Xu Qiu's business card clearly said that they could order meals for free.

This made Xu Qiu wonder.

Is it a recovered patient who opened the shared kitchen?

However, he was too busy on weekdays and had been traveling around for the past two months, so he had no chance to find out.

Today, I happened to catch an emergency operation and was hungry, so I could go and have a look.

…

After crossing the road, the shared kitchen was within reach.

In this place where every inch of land is valuable, even the funeral home next to it is decorated luxuriously. In comparison, this store only has a simple sign with the simple four characters "Shared Kitchen", which is a bit too shabby.

However, the stoves inside were rising with flames, the smell of each family lingered in the air, and the lively fireworks soothed the hearts of every patient's family.

Xu Qiu noticed the price list posted in the most conspicuous position at the door.

"Stir-fried vegetables, one yuan."

"Soup, three yuan."

No wonder there are so many people, this price is completely charity...

He looked inside the shared kitchen and noticed the proprietress wearing an apron, and was shocked.

It turned out to be her?