Healing Doctor

Chapter 252 In ancient times, this was called "Yang Qiang Yi Ju" (meaning "easy to achieve male potency").

"Director, I'd like to try the scalpel-corpus cavernosum shunt technique," Ji Xiang said softly from the surgeon's position.

"Give it a try, I'm going to cut it anyway. It can't possibly turn out badly, it can't end up any worse than this," Director Liu said.

Ji Xiang felt grateful, knowing that Director Liu's earlier words about taking responsibility were true.

"Give me the knife!" Ji Xiang reached out.

Tang Yan has been cooperating with Ji Xiang for some time now and knows that he usually seems very low-key and gentle, but once he's in the surgeon's position, he'll say "Bring the knife."

His shout of "Bring the knife!" always made him seem arrogant, unlike Ji Xiang's usual gentle and refined demeanor.

The scalpel slapped in Ji Xiang's hand, reflecting the light of the operating lamp, and carried a slight chill.

Ji Xiang lifted the head of the penis with his hand, aligned the back of the penis with the corpus cavernosum, and with a "thud," plunged the scalpel vertically into the shaft.

"Ah!" The circulating nurse, who was watching the surgery, was startled and exclaimed.

"Xiao Ji, slow down." Director Liu was also startled and whispered.

In his view, Ji Xiang was careful and meticulous in his surgeries, including partial nephrectomy and surgery for massive hydronephrosis, which showed a style reminiscent of the Southern School of medicine.

No wonder, he studied in Guangzhou, so it's only natural that his surgeries are more delicate; that's Director Liu's understanding.

But Ji Xiang's "reckless" slash just now pierced the tough white membrane to a depth of 4-5cm!

This one cut made Director Liu's eyelids twitch.

Even though the patient's penis couldn't be saved, we can't mutilate the corpse.

Basic morality is still necessary.

Even when performing dissections on cadavers, this level of "brutality" is unacceptable.

He was just thinking about how to persuade Ji Xiang when he saw dark red blood flowing out.

There's blood!

Seeing blood in the emergency room is a real headache.

But the patient in front of us has necrosis. As long as there is blood, it means there is still hope!

Director Liu felt a surge of hope.

Ji Xiang didn't explain; he held the knife in his hand, completely focused.

Here, the sorcerer is the only king.

After the resistance suddenly decreased and dark red blood flowed out, Ji Xiang rotated the blade 90° and cut the white membrane again, forming a cross shape with the previous cut.

"..."

"..."

"..."

The people watching Ji Xiang's surgery, including Director Liu, made gurgling sounds in their throats.

Ji Xiang made two deep cuts, creating a cross shape.

If it weren't for the dark red blood flowing out, Director Liu would definitely have stopped Ji Xiang from continuing.

But the blood test results showed that the patient's penis was still alive and could be saved.

The cross-shaped incision serves to ensure adequate drainage. Ji Xiang strongly advises against squeezing the surgical area to remove any blood clots.

"Syringe... No. 18 syringe needle." Ji Xiang reached out, only to find his hand empty. He then realized that this was the real world. Tang Yan, as the scrub nurse, was countless times worse than the nurses in the system's operating room, and their cooperation was far from smooth.

"Sister, give me an 18-gauge syringe," Tang Yan said to the circulating nurse.

A minute later, the syringe needle was handed to Ji Xiang.

Ji Xiang inserted an 18-gauge needle into the corpus cavernosum at the base of the stem and then injected heparin isotonic saline solution for irrigation and flushing.

"Dr. Xiao Ji, there's blood, and it still has a breath?" Tang Yan asked.

"Mm." Ji Xiang nodded.

"Should we increase the concentration of heparin?" Director Liu asked.

"No need, it's fine as is. We'll need to stitch it up later." Ji Xiang smiled, focusing intently on the incision without even looking up.

After waiting for nearly 3 minutes, the blood flowing from the puncture turned bright red!

Bright red!

This means it's fresh blood, which means that the little guy who's been swollen for 6 days actually still has a breath left.

The bright red color swept away the oppressive atmosphere in the operating room.

"That really worked! We actually saved it!" Director Liu said gleefully, even swearing.

He felt no shame whatsoever, even though he was the one who had just said that the patient needed to have the surgery.

The anesthesiologist was dumbfounded.

Why didn't Ji Xiang's cross-shaped incision with the knife go all the way through? That was the only question on the anesthesiologist's mind.

Seeing the bright red blood flowing out, Ji Xiang did not stop and carefully removed the black necrotic tissue bit by bit along the cut skin.

"Dr. Ji, after removing so much corpus cavernosum, will it still be okay in the future?" The anesthesiologist knew that leaving it would only lead to infection, but it was still corpus cavernosum after all, so he asked with regret.

"Based on the study of the ultrastructure of abnormally congested corpora cavernosa, epithelial tissue necrosis and blood clot formation can be seen after congestion for more than 48 hours. It's too late to save it now; 144 hours is too long. If only it had happened sooner, there would still be a chance," Ji Xiang said with some regret.

"However, the amount of corpus cavernosum removed is just right, so theoretically it will not affect the patient's future life."

"!!!"

"Director Liu, your department... your technical capabilities are getting stronger and stronger." The anesthesiologist didn't know what to say, and after a long pause, he finally managed to utter a sentence.

"That's right, do you know what it's called in traditional Chinese medicine?" Director Liu wasn't sure either, but after Ji Xiang said that, he was in a great mood and started gossiping.

"Traditional Chinese medicine has this kind of explanation?" the anesthesiologist asked in surprise.

"You think so! Our ancestors have accumulated a wealth of experience," Director Liu said. "This is called 'easy to ejaculate,' which is often caused by yin deficiency and excessive fire, liver stagnation transforming into fire, or blood stasis and seminal fluid obstruction."

"Awesome!" the anesthesiologist exclaimed.

"It's a pity that nowadays everyone says it's kidney deficiency, no matter what it is, tsk tsk."

"Director Liu, this patient was injected with papaverine. Did that happen in ancient times?" the anesthesiologist asked rhetorically.

"Primary erectile dysfunction is easy to achieve, but I don't know the specific mechanism; I haven't seen many cases like that," Director Liu said. "I guess it's something that people in ancient times ate by taking elixirs, like this powder or that powder."

After saying that, Director Liu asked, "Xiao Ji, what should we do after we go down?"

"Broad-spectrum antibiotics, compound Danshen injection, low molecular weight dextran, sodium bicarbonate, and oral dipyridamole," Ji Xiang replied immediately.

Ji Xiang left several decompression incisions, and the cross-shaped incisions made with a knife were sutured with 4-0 catgut sutures. After bandaging, the surgery was completed.

This was an open surgery. Stepping off the operating table does not mean the surgery is over. The remaining incision will need to be sutured again in about a week.

Although the delay was quite long, Director Liu had already gotten used to it.

In the past, when performing open abdominal surgery on patients with deep fat layers, sutures were generally not directly applied, otherwise fat liquefaction would be severe. Sutures were left in place, and the sutures were applied after 3-4 days of observation until the condition stabilized.

Director Liu was a little worried, so he reached out and squeezed it, squeezing out bright red blood.

He nodded in satisfaction, watching Ji Xiang finish the final touches.

(End of this chapter)