284. A miserable person

In the eyes of others, what Kawei mentioned in situ urethral reflux is not his own "speculation", but more like an innovation based on the wisdom of his predecessors. However, the jumping range of this innovation is really larger, making people unable to see the shadow of the springboard.

"There is a urinary-related magazine in the library of the medical school that records a ureteral colon anastomosis."

Kavey asked the young assistant standing beside him to bring a set of abdominal model and said: "A French doctor named Simon chose to connect the ureter to the sigmoid colon after removing the patient's extraverted bladder to form an effective urination pathway." [1]

Watman nodded and praised: "Good idea"

"But at that time I didn't notice that the entire urinary system and the digestive tract were different." Kavey explained. "Urine is much cleaner than stool full of bacteria. Once connected, intestinal bacteria will invade the urinary system."

With more than half a year of brewing, the concepts of "bacteria" and "infection" have taken root and sprouted in Vienna.

Especially the Municipal General Hospital and the Academy of Surgery, which were directly transmitted by Kavey, except for those tough opponents, most doctors have already agreed to these two important concepts. In comparison, Mosier, who was standing by the operating table, could not accept this new idea.

"In the same year, there was also a surgeon named Royd who also performed a similar operation on a patient with bladder extrusion."

Kawei has repeatedly examined the suture surfaces in the pelvic cavity, protected it with wet gauze and moved the surgical position upwards, and began to find suitable bladder replacements:

"The former lived for a year and died of infection. The latter only lived for a week and died of peritonitis caused by suture oral leakage. In the next decade, surgeons from various countries tried this surgery, but the results were not very good."

"So you made improvements to the way the surgery is done?" Watman asked.

"Yes," said Kavey. "It is definitely not possible to connect the ureter directly to the colon, but those two surgeries are not useless and have given me a lot of inspiration. I believe that in the near future, my surgery will also become inspiration for others, regardless of success or failure."

Even so, in fact, there has not been much change in urine flow diversion within a hundred years after the ureteral sigmoid anastomosis in 1851.

It was not until the late 1950s that medicine officially entered a period of rapid development of modernization, and clinicians began to discover various disadvantages of such surgeries. [2]

Since then, lower urinary tract reconstruction began to develop in three different directions [3], among which neo-cystosurgery in situ that began to appear in the 1980s has gradually become the gold standard for clinical urinary flow diverting in a large number of clinical practices.

Kawei has increased the maturity of this surgery by more than a hundred years at one time. In the context of insufficient hardware level and soft power, it may not be possible for anyone to replicate the surgery at the end of his life.

After all, if you want to achieve autonomous urine control, you need to retain the complete yin nerve and carefully handle the urethral sphincter. Any accident will cause difficulties in postoperative recovery.

There are difficulties everywhere in the selection, treatment of intestinal ducts, and the anastomosis with the ureter and urethra. Even if you watch this surgery repeatedly at close range, you may not be able to grasp the key.

"When choosing a bladder alternative, the intestine is the easiest or perhaps the only choice." Kawei, who was originally standing on the left of Edham, changed positions with Mosier at this time, and the original bladder retractor was withdrawn and replaced with a normal hook first. "In the intestine, no matter which in the intestine is chosen, it will have their own advantages and disadvantages."

While talking, he looked for one of the important signs of this operation, the appendix.

"In the stomach, jejunum, ileum and colon, I choose the more modest ileum."

Kawei began to find the junction of the colon: "The ileum has a large enough mobility and abundant blood supply. The colon cavity is large, and although the position is relatively fixed, it is easy to loosen and move to any part of the pelvic cavity. However, no matter which one is chosen, it will cause corresponding complications, which is inevitable."

The appendix is ​​not difficult to find. Not long after, Kawei had already pinched Edham's ileocephaly: "The appendix is ​​here. We choose a section of the colon and a section of the ileocephaly to retain the middle ileocephaly valve [4]. Come, give me tissue forceps, and the first step is to 'loosen' the colon."

Nearly two hours have passed since the operation, and the process has just passed, and bladder reconstruction is still underway in the surgical theater.

At the Vienna Railway Station on the other side, a train that had just arrived from Paris had just entered the station. According to the original plan, it will leave Vienna at 7 o'clock tonight and return to its previous departure point, Paris.

From the beginning, there were rumors that Edward, the Ambassador to Austria, would take the train back to China, with a young doctor and his surgical team. So the conductor specially vacated the first class and provided the capable diplomat with a sumptuous French meal.

"Mr. Edward, it's a great honor to send you back to Paris." The conductor smiled and walked towards Edward who had just arrived at the platform. "The first class has been vacant and can get on the bus now."

"No, no hurry."

Edward's heart was not here at all. Even if he went to Paris today, he had to act according to the expressions of others: "I am just a fellow traveler when I returned to China this time. The real protagonist is not me. After sending that person to Paris, I have to come back as soon as possible. After all, Pu'O is still fighting, and anything will happen at this time."

"Oh, that's it"

"By the way, I'll introduce it to you." Edward smiled and turned toward her side, looking behind her, "This is Mr. Alphons. He has worked in the palace for many years. This time he is also a helper, so let him leave the kitchen."

"Looking for a long time."

"Stop it."

Alphons hasn't returned to China for a long time. After a long journey in East Asia, he has been living in Vienna.

The main reason for getting on this train today is Kawei. After all, the other party cured his hidden disease and had such an identity, so it was worth helping. Of course, he has many friends in Paris and Vienna, and can make some contributions to the relationship between Fa'ao around Kawei.

"From the beginning of getting on the train, Dr. Kavi's diet was left to him."

Edward just said his request very routinely, not for advice. The conductor felt uncomfortable, but there was no other way: "What should the chefs on the train do?"

"In principle, all the chefs on the train have no right to get in touch with dishes. This is not that they don't believe in their cooking skills, but for safety." After Edward said that, he handed over the right to speak to Alphonse. "I am mainly responsible for the diet of Dr. Kavey and his fellow surgical teams, and I don't have time to take care of the rest."

"Okay, I get it."

After a brief exchange, Alphons followed the conductor on the train, while Edward continued to stay in the waiting room on the platform and anxiously waited for the results of the operation.

For him, what troubles him now is actually the three forks of road in front of him.

Everyone was happy when the operation was successful. After the car was returned to Paris for a handover, Edward could stay in Paris for a few more days and then return to Vienna in a grand manner. If he was lucky enough to get promoted, he might not come back this time when he returned home.

But if the operation goes wrong, in principle, as diplomatic ambassadors and surgeons, Edward and Kavey should stay here.

But the war between Pu'Ao tends to ease. If you miss this opportunity to perform, Edward doesn't know what he will be in the future. After all, the black news about him a few days ago has long been circulating on the streets of Paris through ubiquitous news newspapers.

"God, please help me, a miserable person."

There are thousands of miserable people in the world, and Edward is not the only one.

In Berlin on the other side, a middle-aged man who was enjoying his afternoon leisure time in a roadside cafe seemed to have to call himself a "hard person".

Mick's letter has been sent for two days. Regardless of whether it succeeds or not, he will find a reason to kill Li Ben, so as to vent the evil fire in his stomach. But at this moment, the two messages sent by his subordinates made Mick's mood fall to the bottom.

Looking at the simple password letters on the letter paper, he felt hated, but unfortunately, such expressions should not appear on his face: "The mission has been completed."

"Boss, if they deal with it like this, we will not be able to make any contribution."

"What credit do you need to do for the empire?" Mick stared at him, "As soon as this news came out, the Prussians in Vienna would contact our upper class. As long as the Prussians were not fools, the war would soon end with the 'smooth peace talks', and there would be nothing to do with the French."

"Oh, the news has not been done by us. This trip has been in vain." The man in black picked up the cup, put it on his lips, and took a sip carefully. "Berlin's coffee is really bad."

Mick sighed: "Don't think so much, go back later and clean up. I'll go back tonight. Remember to clean it up."

My subordinates were very surprised and couldn't help but look at Mick for a few more times: "Let's go tonight?"

"What else should we stay here? Travel and sightseeing?" Mick didn't let go of his guard for a moment, glanced at the many Prussians around him and said, "Besides being surrounded by these 'enemy's every day, we can't do anything here, and we are also prone to reveal our identity. It's better to return to China as soon as possible. Even if the credit is gone, material rewards will never be missing."

"That's right, Berlin is nothing good to look at."

At this moment, his subordinates suddenly remembered another bad news: "By the way, boss, what should that guy do?"

"That guy" Mick didn't want to lose his temper at first. Seeing the other party talking too much about the man, he asked with anger, "How do you do it? Can a stinky mouse trapped in the apartment let go?"

His subordinates trembled slightly, and knew that he had said the wrong thing, so he could only explain: "He is too sensitive. We just knocked on the door and aroused his suspicion. As a result, when he came to his senses, he had already climbed through the window and left the apartment and could never find it again."

"Knocking? Why are you knocking on the door?"

"this"

"Have you learned to unlock the lock in the library? Wouldn't you open the lock secretly in the middle of the night? Even if you really can't, wouldn't you kick the door in and shoot him directly? Even if he was asked to slid over the window, you never thought of looking at the door and window downstairs?"

Mick asked questions in a series of ways, leaving the other party with no room for resistance.

But no matter how fierce the scolding was, they still missed the goal, and it would be useless to scold: "Do you know where he went?"

The subordinate shook his head: "He lives not very big. We searched several times except for no reliable information."

"I don't even know where to go." Mick smiled bitterly, "This guy is really not slim and has many of our secrets in his arms, if so."

"Why do I look for my brother before looking for it?"

Although he has been mentioning the importance of Li Ben, in fact, it is more of Mike's personal grudge. After all, he was deceived by Li Ben's fake identity before and was very embarrassed. After becoming a pawn, he was very restless and even squandered the operation of funds.

But he had to weigh the pros and cons of more than a dozen people in the team, as well as several "wireheads" hidden in Berlin.

"Forget it, it's just a stinky mouse crossing the street, let him die for himself."

“Boss means”

"I'll go to the newspaper later and talk to the reporters inside about this young baron, so that he can enjoy the sun in Berlin."

If he knew that Edward and Mick both claimed to be miserable, then Li Ben, who had just escaped and was about to leave Berlin, would definitely slap the table and exude fragrance.

At the beginning of the year, I came to Vienna from Berlin all the way, but soon I went from Vienna to Berlin again. Now all the German-speaking places can't tolerate him. There are too many coincidences and bad luck in this, if it weren't for the French chef, if it wasn't for the doctor, if it wasn't for the...

Mick!!!

Since seeing this guy in the apartment, Li Ben has been very uncomfortable because the mess he had committed had long surpassed the bottom line of this immediate boss.

If he was in Vienna, an informant who was extremely unstable and had countless criminal records like him would only last three days. The reason why Mik kept him was to give him a lot of money was simply because of his fake identity.

After the matter was completed, Li Ben kept thinking about escaping, and the knock on the door was just a not-so-coin opportunity.

"Sir, where are you going?"

"Let's go first, I won't be able to pay any debts."

Li Ben still has the 2,000 tale (Prussian currency) given by Mick before, a set of decent suitcases and a forged Prussian Baron certificate. He seems to be able to live a life, but there are few places to go.

Russia in the east is too cold, and Britain still has to take a boat. Italy in the south is pleasant in the climate, but unfortunately it doesn’t know Italian. The only thing he can walk now is the southwest direction, France.

Go to France! Go to romantic Paris to do my old business! Those stupid rich people will definitely be fooled by me

Having made up his mind, Li Ben knocked on the car window: "Send me to Berlin Central Railway Station."
Chapter completed!