Foreign bladders have always occupied a place in emergency surgery, which is not common, but there is an example from time to time.

The general treatment method is to use vesicular endoscopy to detect the urethra. If you can take it, you can take it. If you can't take it, you can only do suprapubic cystectomy like Kawei now. In principle, most foreign objects that can enter from the urethra can be removed in the reverse direction. Modern urology equipment includes mirror forceps, small hooks and various types of dissolving solutions, which are enough to cope with most situations.

But things always happen. Patients can do whatever they want when putting foreign objects, but the doctor still has to follow the most basic anatomical structure of the human body. For things that are too large or difficult to grasp, they can only be cut in the end.

"The total length of rat tail is 8.6cm." Kawei showed it in front of everyone.

"Doctor Kavey is really knowledgeable. It seems that he is really a living mouse to be powerful enough."

"It's so exaggerated. Is this really something that people can do?"

"I guess he was just about to pull out after he got into the living, but suddenly he encountered an accident. He chose to cut off his tail directly. As a result, he did not reserve the length of the removal and became deeper and deeper."

"We put aside his identity and his life in vain, and only talk about the logic of the whole thing." A medical student asked, "Why should we break the tail at this time? Isn't it better to pull it out directly? If the mouse is out of shackles, isn't it faster to pull it out directly?"

Another medical student followed the idea and said, "Isn't this forced to break the tail, but he took the initiative to cut it and stayed inside?"

"Maybe, maybe, I need to reminisce?"

"I have to wonder if I refuse to say it, it's so perverted!"

"Shame of the French!"

"Oh, don't throw dirty water on your country, this person is entirely a British man." The medical student just now said with disdain, "Looking at his face, he looks dissatisfied. I haven't seen anyone who can enjoy it so much if he sucks ether."

"I can't imagine whether his purpose is to abuse himself or "Sedillo couldn't bear to look at the 100 francs he paid, and just hoped to end the operation as soon as possible. "Forget it, Doctor Kavey, do the final stitching soon. We still need to prepare for rectal cancer in bed 13."

Kawei's surgery was done neatly, and Ende's bladder was also particularly wonderful. This excitement was not only because of the rat tail that had begun to rot, but also other things.

"Professor, this may not work." Kavi's tweezers touched something else in his bladder. "This pocket is not that simple."

"Not there any more, right?"

As soon as he finished speaking, tweezers picked up a thinner thing: "It looks like a plant with a soft texture. It should have been soaked for a long time."

"The shape should be the stem of the plant."

"Do you have to do all animals and plants?"

Kavey placed it in a metal dish, spread it carefully with tweezers, and explained: "I have to thank Professor Bertus of the School of Medicine of the University of Vienna. The botany he taught was fresh in my memory. At the same time, it also allowed me to accurately realize that it was a dog-tail grass."

"."

"Oh? Is it that kind of fluffy dogtail grass?"

Someone suddenly mentioned it, which made the others who were still immersed in the shock of the living rat tail gasp for a while: "It's fluffy. This is too exaggerated."

"Outstanding."

"Incredible! It's so disgusting!"

"When will the Lord's Palace Hospital abandon such patients? They are slandering this church and hospital, and they will be beaten to death before the Renaissance!"

The reason they sucked half of the cold air was because the remaining half had to be left for something, even the surgeon, who had been tempered by modern foreign objects for decades, could not distinguish with the naked eye.

He frowned and looked at the ball of foreign objects clamped out of the tweezers. He repeatedly looked for the items to be compared in his mind. After hesitating for a long time, he could only pick an approximate object: "Is this cotton cloth?"

"It may also be a growth that the bladder itself produces."

"No, I haven't seen this kind of growth before." Kavey shook his head. "My father has taken over hundreds of patients with bladder stones and urinary retention in Italy. Whether I saw it with my own eyes or recorded it, this has never happened."

"What would that be?"

“The possibility of cotton cloth is low because it cannot stabilize its shape after entering a small space.”

"This is not a problem for those who are used to stuffing things," Kavey explained. "It only needs to be wrapped in hard and slender wire to get it in."

"Oh yes, there's this way"

The foreign object is wool-shaped around it, and the end is somewhat adhered to the bladder wall. After a simple separation, Kawei spread it flat on a metal plate, and after a simple rinse with clean water, he began to calculate its length:

"When taken out, the foreign object is about 3*4*1cm in size, and after being expanded, it is a long strip of 12*1cm, similar to cotton. It may not be cotton! Dr. Albaran, please take it for a sectioning pathological examination."

"OK."

Three large objects left the bladder, making the two iron nails that were salvaged next look pale. In the end, the suture of the bladder and lower abdominal incisions that are worth learning by all medical students was also submerged in saliva discussing the weirdness of foreign objects.

In fact, even Ju Yong and Seidio were attracted by Ende's bladder. The only thing they noticed was Kaushke, who was sitting beside them: "Doctor Kaush's technique is really special."

"Hmm?" Seidio came to his senses, "Where is special?"

"Didn't you see it? His stitching is not just a pair of hands, but a pair of short pliers to make excessive knots. The artistic view may be a bit worse, not as ornamental as the knots with both hands. But if the patient is considered, his movements are faster, he will start more stably, and the knots will not slip easily."

Kausk stood up and put on his hat, lifted up the cane leaning against the side, and said with satisfaction: "It seems that I didn't come in vain this time."

"Are you leaving?"

"The surgery is over, of course I have to go back."

"I will have my rectal cancer surgery in the afternoon, and he will also participate."

Kausk smiled and said, "You have specialized in your profession. There are many things worth studying for urinary things alone. Why bother torture yourself with complicated rectal cancer? If I have something to do in the hospital, I will leave first. By the way, I hope Professor Seidio will give me a message."

Seidio's eyes were still looking for the so-called short-mouth pliers, but Ende's incision had already been sewn. After searching for two rounds and turns, he still chose to give up: "Can't you tell me yourself?"

"You know I'm not good at socializing," Kausk looked at Kavi, who was doing the aftermath in the audience, and said, "Please tell Dr. Kavi, I will definitely prepare a few suitable cases for him to choose from."

The operation has been over and there is really nothing to see. Seidio also stood up and prepared to leave: "Although I want to say that missing the rectal cancer surgery is a big loss for you, but forget it."

At this moment, the door of the surgical theater was rudely opened.

The one who rushed in quickly was Dr. Perang who checked together last night, but his face was gone long ago, as calm as the top surgical department of the Main Palace Hospital should have: "Doctor Kavey, something big happened to Dr. Kavey!"

He left everyone in the venue in just one sentence.

"What's wrong?" Kavi had already guessed most of the time, but he still wanted to confirm, "It's not the girl in bed 97, is it?"

"Yes, that's her!"

"It's not that I fainted because of abdominal pain, right?"

"Yes! You guessed it right!!!"

Kausk, who was about to leave on the stage, didn't expect there was still a show. After listening to the conversation between the two, he became interested and turned to look at Seidio: "What's wrong with your bed 97? They both looked very nervous."

"Severe abdominal pain, mild vomiting, and no diarrhea." Sediyo briefly said a complaint, "Originally, the diagnosis we gave was enteritis and appendicitis, and we were going to have an excision today. Later, Dr. Kavey thought it was a problem with obstetrics and gynecology, so he called the old stubborn one. The result."

"Haha, the person was robbed."

Kauschke also knows Hugir. The three of them are all students who graduated from the University of Paris Medical School. The difference between them is only one or two years old. They know the truth: "Why is that guy so domineering now? He doesn't care if something happens to the person he snatches?"

"I don't know this."

Although the girl's symptoms are very vague, it is necessary to conduct further examinations in modern times. However, considering the basic concept of acute abdominal disease, it is necessary to appropriately expand the indications for open abdominal disease without imaging.

Regardless of whether the previous judgment of ectopic pregnancy is correct or wrong, now I have to do an open abdominal examination.

"Where is Professor Hugir?"

"He is already treating it, but the effect is not good, and the girl did not respond. I think he is also hesitant and doesn't know what to do next." Pei'ang wiped it off, "He asked someone to come to you and Teacher Seidio, but he didn't say he wanted to have the surgery, he just hopes you can go and see it."

"All people are like this, what are he waiting for?"

Kavey took off his leather skirt and didn't have time to wash his hands, so he followed Pei'an out of the surgical theater. When the others in the venue saw that the situation had changed, they stayed, including Kausk, who had just wanted to leave: "I feel like there will be surgery for another time to see."

"Don't you think the abdominal surgery is too complicated and you're leaving?"

"This is different." Kauschke sat back to the seat just now. "I mainly look at the conflict between this young man and that old stubborn man. Of course, it would be even more fun if the two could have surgery together."

"You're still so bad." Sedijo sighed, "It's so inappropriate."

"What's wrong? Are you unhappy when he was slapped in the face?" Kauschke took out his pipe from his pocket, pressed a small handful of tobacco leaves, and asked Ju Yong to take a candle and light it gently. "At the beginning, he first denied the surgery, left the surgery, belittled the surgery, and said that surgery was a barbaric behavior. Why, if you were slapped in the face, you wouldn't let the show watch?"

"What if he wins?"

Seidio looked at his old friend's face and asked, "It is all his credit for the obstetrics department of the Main Palace Hospital to have the current development. So many years have passed, and if he hadn't advocated not having a cesarean section, I wonder how many women would die on the operating table."

Kausk vomited two smoke rings and said without caring: "I'm not a woman, it's all my business!"

Seidio knew that his old habit had been broken again, and his face turned cold: "Be careful, old classmate, I am different from you, I have a wife and daughter."

"That's really a pity." Kaushke took a sip of cigarettes and continued his yygq. "But I want to remind you that when a man was suffocated to death because of his prostate, no one came out and said he wanted to stop the operation."

The topics of the two start with old friends and end with men and women. Although their ideas are different, their enthusiasm for surgery is the same.

Things went along the direction Kaushke had just guessed. 15 minutes later, Kawei and Hujil appeared in the surgical theater together. Kawei and Pei'an from the theater were preparing surgical instruments, and the opening remark was personally hosted by Hujil, the director of obstetrics.

But as soon as he was about to speak, he saw Kaushke waving to him with a smile, and his mouth felt as uncomfortable as if he had eaten a fly.

When things came to this point, it was impossible to repent. He would never allow others to take away the girl from his department, nor would he allow her to die in his own hands because of obstetrics problems.

Of course, Hugir was not always stubborn. In order to respect himself and avoid some unnecessary embarrassment, he still made some modifications to his rhetoric:

"The next step is a temporary additional operation, which was first treated by Professor Sedillo, the director of the surgery department. Because the diagnosis was unknown, I was found last night for a follow-up visit. At that time, considering that the patient had already had a life and there were no obvious signs of abdominal surgery, it was temporarily placed in the obstetrics ward management."

Two ordinary sentences, the responsibility was inexplicably pushed onto Seidio's shoulders, which made Seidio, who had been talking to him, unable to bear it: "Old thing, did you snatch this patient?"

"Professor Sediyo, now he is in the surgical theater, not your surgical ward, please respect yourself."

"If you hadn't stopped her, she would have undergone surgery last night!"

"Stop kidding, you dare to have surgery without clear indications of appendicitis? What if there is nothing in your stomach after everything is done?" Hujill argued and retorted, "Will you really stand up for the surgery in the end? I'm afraid you will throw the pot to Dr. Kavey, who had just arrived in Paris not long ago on the grounds that he had a less successful gastrectomy in the afternoon."

"You!" Seidio directly broke the defense and asked, "You haven't used a knife for more than ten years, can you still use a scalpel?"
To be continued...