The surgery is actually very simple to describe.

Xu Qiu took the ribs, and Director Miwai took the skin flap from the forearm.

The rib is a support, that is, the skeleton.

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

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

If the doctor has excellent skills, it is possible that the rebuilt small tree is not much different from the original one, at least it is similar in appearance.

At present, Xu Qiu treated this surgery as plastic surgery.

It is also another purpose of reconstruction.

...

The area abandoned by the patient is quite small, but if it is not made up, it will be almost three or four centimeters shorter than before.

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

Director Biewai’s side.

He took a 7cm long and 3.5cm wide area from the ulnar side of the patient's forearm. As a urethra-shaped flap, the pedicle also retained the Guijiao vein.

On the radial side, it is 6.5 cm long and 8 cm wide. The pedicle of the skin flap covers the radial artery and surrounds the veins and cephalic veins.

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

then,

He cut the skin according to the design line designated by Xu Qiu, and the subcutaneous tissue reached the shallow side of the sarcoid, and sharply separated from the radial and ulnar sides on the sarcoid membrane to the space between the brachioradial muscle and the radial flexor wrist muscle.

The total operation time has reached the second hour.

Xu Qiu finally completed the interception of the ribs and modified the shape of the skeleton.

Director Biwai naturally gave up the position of the main surgeon and gave the current forearm surgery 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 surgery increased to a new level.

He quickly cut off the distal middle vein of the flap, the cephalic vein, the radial artery and the accompanying vein, and the end of the flap was cut.

Immediately afterwards, the vein was separated deep toward the proximal end of the radial artery, and the muscle branches of the radial artery were ligated and cut off one by one, and a flap was lifted from the intermuscular groove.

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

The shape is perfect, and the middle part is cut off a centimeter-wide deepthelial area, which is a suture band formed between the urethra and the stem body.

Complete all this and the reconstruction surgery officially begins.

Since all blood vessels were marked before, Xu Qiu was faster at this time. He smoothly dissected the arteriovenous pedicle of the skin of the skin, flipped the skin of the ulnar flap inward, wrapped around the 16f silicone urethra, and then sutured continuously with a 5-0 absorbable line to form the urethra.ъìqυgΕtv.℃ǒΜ

Then, the radial flap is turned to the radial flap, allowing the skin to turn outward, and the ribs and urethra are embedded in the flap in parallel. The radial skin edge and suture band are replaced with 3-0 absorbable thread suture to make a stem body.

This is not over yet.

Xu Qiu performed an intermittent suture on the distal stem flap and distal urethra, which were the stem head and the outer mouth of the urethra.

At this point, the entire appearance has come out.

Then the part was put back on the patient's third leg.

Xu Qiu took this into consideration when he was doing the Liduo replantation technique.

The transplant bed is ready long ago.

At this moment, he directly transplanted the prepared part of the free to the perineum, and separated the blood vessel pedicle together with the lateral cuticle nerve of the forearm, and then reached the femoral pulsation area upwards.

Positioning suture...

The anastomosis of each blood vessel under a microscope...

Anastomosis to the urethra...

Connect the dermal nerve and stem nerve on the lateral side of the forearm...

The last step is particularly important, which determines whether the patient has feelings and whether the male secondary sexual characteristics can be promoted.

1.7 hours later.

Reconstruction is completed.

Everyone looked at the surgical area. Except for the different colors of the reconstructed limbs, there were some residual hand hairs on them, and there was no difference in the rest.

The thickness and the docking fit are perfectly matched!

Director Biewai quickly test the function.

Urethral clearance.

Blood vessels, etc. are also perfectly cleared.

There was shock in his eyes.

This technique... If Xu Qiu specializes in performing surgery on female transgender patients, it will become famous all over the world!

...

The operation is over.

On the stage, Xu Qiu was still reminding me of what to pay attention to after the operation.

"Continue intravenous drip in large doses of antibiotics to prevent infection."

"Anticoagulation is performed with low molecular weight dextran and low dose aspirin."

"Injecting diethylstilbestrol intramuscularly prevents the stem body from reacting."

"In addition, patients will definitely rest for three days. After three days, there will be no problem to remove the drainage tube. After the scab falls off, you can consider removing the catheter and perform another functional and sensory test at that time..."

Everyone recorded quietly.

After leaving the surgical channel, Director Bianwai looked at Xu Qiu deeply and said, "Is there any surgery you don't know how to do?"

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

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

Xu Qiu originally planned to deal with the couple at a roadside stall outside the yard, but as soon as he looked up, he saw the crowded shared kitchen opposite him.

He heard from his landlord Baixi a few months ago that the store had been rented out.

At that time, I said I wanted to build a shared kitchen. The renovation was finally completed a few months ago and officially started business.

In fact, the roadside stall outside the yard is already quite economical. A fried rice with diced ham and crumbled eggs is only about six yuan.

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

You don't have to guess, it will only be cheaper there.

"Captain Xu!"

Suddenly, a nice voice sounded behind him.

Qin Qiyin also took a shower and got off work, but her hair was still a little wet. She teased her hair with one hand and accelerated the air drying, while walking towards Xu Qiu with a smile.

"Um."

Xu Qiu nodded.

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

"Go and have a look."

Xu Qiu was also a little curious.

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

Their house only rents a kitchen seat, and guests can cook their own meals.

The boss’s wife doesn’t sell food.

However, at that time, the boss's wife came to our hospital and sent the doctor a business card, saying that the doctor could go there to order, and the doctor received a 50% discount.

We are embarrassed, so we haven't been there."

Xu Qiu also received a meal ordering business card from the shared kitchen.

Moreover, the business card is different from others.

Wang Fan and the others received a 50% discount.

But Xu Qiu's business card clearly stated that ordering meals are free.

This made Xu Qiu puzzled.

Is there a recovered patient who opens a shared kitchen?

However, he is too busy on weekdays and has been traveling around in the past two months, so he has no chance to find out.

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

...

After crossing the street, the shared kitchen is close to you.

In this place where there are countless wealth and land, even the funeral shop next to it is decorated very luxuriously. In contrast, this shop only has a simple sign and the simple four big words "shared kitchen", which is a bit too shabby.

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

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

"Fry, one dollar."

"Make soup, three yuan."

No wonder so many people are doing charity at this price...

He looked at the interior of the shared kitchen and noticed the boss's wife wearing an apron, and was shocked.
Chapter completed!