Rebirth 90: I opened a hospital in Shencheng
Chapter 169 Cooperate like a duck to water!
Chapter 169 Cooperate like a duck to water!
"Scalpel." Nie Chen stretched out his slender palm to Dai Chunni.
Dai Chunni nervously held the scalpel in both hands, and carefully handed it into Nie Chen's palm.
Nie Chen glanced at her, then at Chen Chunmei, who was holding back her laughter, and said nothing.
Holding the handle of the scalpel with steady fingers, he made the first incision towards the joint of Zhang Jicheng's cheek.
Nie Chen's operation speed and cutting angle, no matter what kind of operation or patient he is dealing with.
All will have a dazzling, pleasing, extremely smooth, flowing visual impact.
During the two operations yesterday, Nie Chen slowed down specifically because he had to explain to Lin Ronghua and Liu Yueqian.
Today is different.
Nie Chen had a consultation directly before the operation, and then the operation began according to the rhythm he is usually used to.
After Lin Ronghua made the first cut by Nie Chen, the hook in his hand adjusted according to the position Nie Chen cut, creating a range for Nie Chen to perform the next cut.
There is no doubt that.
The cooperation between Lin Ronghua and Nie Chen became more and more harmonious, more and more like a fish in water.
Lin Ronghua was even able to deduce from the anatomical direction Nie Chen pointed out during the pre-operative consultation, the optimal position where Nie Chen would perform the anatomy.
This is also the sense of surgical action that the top medical students of this era should have.
As for Liu Yueqian's debridement in the second aid position, she seemed a bit clumsy.
Nie Chen quickly released the skin flaps that were piled up from the glued parts around Zhang Jicheng's nose, and then reshaped them.
This reshaping method of thinking is similar to that of cleft lip repair.
The core idea is to preserve the vascular network and the functionality of the tendons to the maximum extent, and then repair the damaged nerves to the maximum extent.
The final flap repair position is left to the flap after the expander is implanted.
Nie Chen completed the dissection of all bonded skin flaps in less than half an hour.
Then a simple suture repair of the facial vascular network was performed.
Finally, with the scalpel in his hand, he made a small opening at the end of the hairline within the scope of the implantable dilator drawn by the blood vessels on the pulley.
It was exactly the same as the process of implanting a dilator on the trolley for Peng Xueni yesterday.
Today Nie Chen's speed is one-third faster.
Lin Ronghua, who was pulling out of the surgical field with tweezers and a hook, was sweating profusely when Nie Chen made the fifth cut.
As for Liu Yueqian, who stood on tiptoe to give Nie Chen the best view and cast the flashlight light, was on the verge of falling.
"If there were no photos for comparison, I couldn't believe that Comrade Zhang was so handsome before he was burned."
After Nie Chen implanted a forehead expander.
Liu Yueqian, who was a little shaken at first, raised her chin with glistening beads of sweat and breathed a long sigh of relief.
Then she glanced at the two-inch black and white photo of Zhang Jicheng before he was burned, which Nie Chen had pasted on the film reader next to the operating table.
In the photo, Zhang Jicheng is wearing a military uniform, with a bright smile, piercing eyes, a straight nose, a mouth like a horizontal line, and the outline of his face like a thick-line woodblock painting, just like the protagonist in a model play full of positive energy.
As for Zhang Jicheng, who was lying on the operating table, his face was glued together after being burned. Except for the forehead and jaw, there was almost no complete piece of skin on the entire face.
Fortunately, the eyes and eyelids under the brow bone were not affected, otherwise it would have been completely ruined.
at this time.
Nie Chen re-excised and debrided the wound, and cut all the bonded skin tissue.
Then Zhang Jicheng, after contour shaping, his nose, which was piled up and glued so hard to see the outline, unexpectedly became tall and straight again.
At the same time, the skin flaps and tendons that were removed showed Zhang Jicheng's outline again under the shadowless lamp.
All that's missing is a layer of skin over the outline.
With Nie Chen's hand, he cut Liu Yueqian's knife and knife, and finally combined the cutting with an anatomical technique with unexpected results, which really made her amazed.
Next.
Nie Chen drew a large area where the dilator will be implanted at the position of the lower jaw, and the dilator implanted with the facial blood vessels as the source of the blood supply flap pedicle.
The operation method is still the same as that of the blood vessels on the pulley feeding the nasal mucus blood vessels.
Nie Chen made an incision at the intersection between his jaw and his neck.
Then, avoiding the cortical blood vessels, they dissected under the surface blood vessels one by one, and then implanted the dilator at this place.
Nie Chen implanted three dilators on Zhang Jicheng's forehead, jaw, and below the collarbone.
The dilators are also arranged in order from small to large.
The expander below the collarbone is implanted, fully occupying the entire top of the chest cavity.
The dilator is implanted in this place, and the flap is the flap that needs to be covered to make up for the neck burn.
Nie Chen estimated the entire operation to take two hours.
He also happened to walk out of the operating room almost two hours later.
"Doctor Nie Chen, good morning."
This morning, Fu Sisi was already waiting in the reception area for the patient who was scheduled to undergo surgery on the second channel.
Fu Sisi's appearance is exactly the same as that of Hong Kong comedian Pistachio Shen Dianxia, not only her glasses, but also her appearance and body shape are basically the same.
However, Fu Sisi's voice was delicate and full of girlishness, which was quite different from Shen Dianxia's rough voice.
The one who came with Fu Sisi today was her mother. Her mother had the same round face as Fu Sisi. She didn't have short hair, but long straight hair.
"The cyst removal is a minor operation, don't worry." Nie Chen smiled and comforted Fu Sisi's mother and daughter who were extremely nervous.
Pointing to Zhong Lanlan, who had a gentle smile and looked more and more beautiful: "Look, Miss Zhong did a cystectomy in our outpatient clinic, and now I can't even see the scar."
"Let's take a look first, our Aihua clinic re-photographed the patients' postoperative recovery photo album during this period."
Zhong Lanlan brought two cups of steaming tea to Fu Sisi's mother and daughter, and then gave her a new photo album that she had re-shot during this time.
"I'm going to send the patient who was operated on just now to the ward for care."
Nie Chen smiled and informed Fu Sisi.
"Brother Chen, Comrade Zhang has no relatives or friends to accompany him. Is it a bit too high for us to offer a daily allowance of ten yuan to the nurse who escorts him?"
Chen Chunmei didn't understand why Nie Chen would give another allowance of ten yuan a day to the nurse who accompanied Zhang Jicheng: "Brother Chen, you can perform surgery on Zhang Yingxiong for free, and also cover his postoperative care, board and lodging. As nurses Yes, why can't you provide him with nursing care for free, but instead, Brother Chen, you should give him an extra allowance?"
"That's right. We've also read about the firefighting hero Zhang Zhicheng in the newspaper. It's our honor to accompany him. Doctor Nie doesn't need to give him an additional allowance."
Dai Chunni, who came with the car, nodded seriously.
(End of this chapter)
"Scalpel." Nie Chen stretched out his slender palm to Dai Chunni.
Dai Chunni nervously held the scalpel in both hands, and carefully handed it into Nie Chen's palm.
Nie Chen glanced at her, then at Chen Chunmei, who was holding back her laughter, and said nothing.
Holding the handle of the scalpel with steady fingers, he made the first incision towards the joint of Zhang Jicheng's cheek.
Nie Chen's operation speed and cutting angle, no matter what kind of operation or patient he is dealing with.
All will have a dazzling, pleasing, extremely smooth, flowing visual impact.
During the two operations yesterday, Nie Chen slowed down specifically because he had to explain to Lin Ronghua and Liu Yueqian.
Today is different.
Nie Chen had a consultation directly before the operation, and then the operation began according to the rhythm he is usually used to.
After Lin Ronghua made the first cut by Nie Chen, the hook in his hand adjusted according to the position Nie Chen cut, creating a range for Nie Chen to perform the next cut.
There is no doubt that.
The cooperation between Lin Ronghua and Nie Chen became more and more harmonious, more and more like a fish in water.
Lin Ronghua was even able to deduce from the anatomical direction Nie Chen pointed out during the pre-operative consultation, the optimal position where Nie Chen would perform the anatomy.
This is also the sense of surgical action that the top medical students of this era should have.
As for Liu Yueqian's debridement in the second aid position, she seemed a bit clumsy.
Nie Chen quickly released the skin flaps that were piled up from the glued parts around Zhang Jicheng's nose, and then reshaped them.
This reshaping method of thinking is similar to that of cleft lip repair.
The core idea is to preserve the vascular network and the functionality of the tendons to the maximum extent, and then repair the damaged nerves to the maximum extent.
The final flap repair position is left to the flap after the expander is implanted.
Nie Chen completed the dissection of all bonded skin flaps in less than half an hour.
Then a simple suture repair of the facial vascular network was performed.
Finally, with the scalpel in his hand, he made a small opening at the end of the hairline within the scope of the implantable dilator drawn by the blood vessels on the pulley.
It was exactly the same as the process of implanting a dilator on the trolley for Peng Xueni yesterday.
Today Nie Chen's speed is one-third faster.
Lin Ronghua, who was pulling out of the surgical field with tweezers and a hook, was sweating profusely when Nie Chen made the fifth cut.
As for Liu Yueqian, who stood on tiptoe to give Nie Chen the best view and cast the flashlight light, was on the verge of falling.
"If there were no photos for comparison, I couldn't believe that Comrade Zhang was so handsome before he was burned."
After Nie Chen implanted a forehead expander.
Liu Yueqian, who was a little shaken at first, raised her chin with glistening beads of sweat and breathed a long sigh of relief.
Then she glanced at the two-inch black and white photo of Zhang Jicheng before he was burned, which Nie Chen had pasted on the film reader next to the operating table.
In the photo, Zhang Jicheng is wearing a military uniform, with a bright smile, piercing eyes, a straight nose, a mouth like a horizontal line, and the outline of his face like a thick-line woodblock painting, just like the protagonist in a model play full of positive energy.
As for Zhang Jicheng, who was lying on the operating table, his face was glued together after being burned. Except for the forehead and jaw, there was almost no complete piece of skin on the entire face.
Fortunately, the eyes and eyelids under the brow bone were not affected, otherwise it would have been completely ruined.
at this time.
Nie Chen re-excised and debrided the wound, and cut all the bonded skin tissue.
Then Zhang Jicheng, after contour shaping, his nose, which was piled up and glued so hard to see the outline, unexpectedly became tall and straight again.
At the same time, the skin flaps and tendons that were removed showed Zhang Jicheng's outline again under the shadowless lamp.
All that's missing is a layer of skin over the outline.
With Nie Chen's hand, he cut Liu Yueqian's knife and knife, and finally combined the cutting with an anatomical technique with unexpected results, which really made her amazed.
Next.
Nie Chen drew a large area where the dilator will be implanted at the position of the lower jaw, and the dilator implanted with the facial blood vessels as the source of the blood supply flap pedicle.
The operation method is still the same as that of the blood vessels on the pulley feeding the nasal mucus blood vessels.
Nie Chen made an incision at the intersection between his jaw and his neck.
Then, avoiding the cortical blood vessels, they dissected under the surface blood vessels one by one, and then implanted the dilator at this place.
Nie Chen implanted three dilators on Zhang Jicheng's forehead, jaw, and below the collarbone.
The dilators are also arranged in order from small to large.
The expander below the collarbone is implanted, fully occupying the entire top of the chest cavity.
The dilator is implanted in this place, and the flap is the flap that needs to be covered to make up for the neck burn.
Nie Chen estimated the entire operation to take two hours.
He also happened to walk out of the operating room almost two hours later.
"Doctor Nie Chen, good morning."
This morning, Fu Sisi was already waiting in the reception area for the patient who was scheduled to undergo surgery on the second channel.
Fu Sisi's appearance is exactly the same as that of Hong Kong comedian Pistachio Shen Dianxia, not only her glasses, but also her appearance and body shape are basically the same.
However, Fu Sisi's voice was delicate and full of girlishness, which was quite different from Shen Dianxia's rough voice.
The one who came with Fu Sisi today was her mother. Her mother had the same round face as Fu Sisi. She didn't have short hair, but long straight hair.
"The cyst removal is a minor operation, don't worry." Nie Chen smiled and comforted Fu Sisi's mother and daughter who were extremely nervous.
Pointing to Zhong Lanlan, who had a gentle smile and looked more and more beautiful: "Look, Miss Zhong did a cystectomy in our outpatient clinic, and now I can't even see the scar."
"Let's take a look first, our Aihua clinic re-photographed the patients' postoperative recovery photo album during this period."
Zhong Lanlan brought two cups of steaming tea to Fu Sisi's mother and daughter, and then gave her a new photo album that she had re-shot during this time.
"I'm going to send the patient who was operated on just now to the ward for care."
Nie Chen smiled and informed Fu Sisi.
"Brother Chen, Comrade Zhang has no relatives or friends to accompany him. Is it a bit too high for us to offer a daily allowance of ten yuan to the nurse who escorts him?"
Chen Chunmei didn't understand why Nie Chen would give another allowance of ten yuan a day to the nurse who accompanied Zhang Jicheng: "Brother Chen, you can perform surgery on Zhang Yingxiong for free, and also cover his postoperative care, board and lodging. As nurses Yes, why can't you provide him with nursing care for free, but instead, Brother Chen, you should give him an extra allowance?"
"That's right. We've also read about the firefighting hero Zhang Zhicheng in the newspaper. It's our honor to accompany him. Doctor Nie doesn't need to give him an additional allowance."
Dai Chunni, who came with the car, nodded seriously.
(End of this chapter)
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