Rebirth 90: I opened a hospital in Shencheng

Chapter 170 Removal of an Oversized Facial Cyst!
The twin sisters Dai Chunni and Dai Erni have received five red envelopes since they officially started working yesterday. After undergoing two surgeries, they already have a very deep sense of identification with Aihua Clinic.

Originally, her sisters had higher treatment and higher wages for Aihua Clinic.

That's why he obeyed the arrangement of Director Wang of the Department of Orthogonal Surgery of the People's Hospital, and went directly from the People's Hospital to work in the self-employed Aihua Clinic.

It's just that they didn't expect that the treatment at Aihua's outpatient clinic and the future that Dr. Nie presented to them were really unexpected surprises.

Because of this.

Sisters Dai Chunni and Dai Erni agree that Nie Chen gave Zhang Jicheng, a firefighting hero, a free operation.

At the same time, they also believed that, as members of the Aihua Clinic, they also needed to stand behind Nie Chen who set an example by themselves, and there was no need for Nie Chen to give extra allowances.

Nie Chen drove the car slowly across Aihua Road, and turned into the alley next to Aihua Market leading to the bungalow ward.

Holding the steering wheel, he responded to the three of Chen Chunmei with a smile: "In principle, our Aihua Clinic does not accept unaccompanied patients. Not to mention giving Zhang Jicheng free surgery, this is my personal opinion, not yours. I can't impose my ideas on you, as for the daily allowance of [-] yuan for the escort, it's just a compensation for my breach of this principle, so you don't need to argue."

Huang Chuyu was on duty in the ward in the morning.

Nie Chen transferred Zhang Jicheng, who was still under general anesthesia, to the hospital bed, woke him up, and gave Zhang Jicheng the doctor's instructions.

At the same time, he also explained to Huang Chuyu on duty the main points of the escort's time.

Zhang Jicheng, who was still in a dazed state after the anesthesia, couldn't hear Nie Chen's words with his head buzzing.

On the contrary, Huang Chuyu, who was conscientious and prudent, quickly arranged the IV for Zhang Chengji.

She said timidly to Nie Chen: "There are only five patients to be cared for plus compensation, so it's not a big problem. Doctor Nie doesn't have to worry."

Clap la la la.

The money counter quickly passed the full price of the operation given by Fu Sisi's mother, 24 yuan.

Fu Sisi's cyst removal operation is theoretically a minor operation.

But her cyst was just too big.

"Is the process of removing the cyst also removing the skin flap?"

Lin Ronghua, who was conducting consultations in front of the film reader behind the short sofa, pointed at the film on the reader.

He was amazed at the huge cyst growing out of his cheekbone and asked Nie Chen.

Amidst the clattering sound of the money counter passing through the money.

Chen Chunmei, Dai Chunni, and Dai Erni were already busy in the operating room, changing Fu Sisi into a hospital gown and preparing her surgical site.

Liu Yeqian smiled and said: "Visually, this cyst weighs at least two pounds."

On the other hand, Li Dayong looked worried. He pointed to the sentinel vein, superior eyelid vein, and nasal artery, which were pressed by the cyst, the three vascular networks that had twisted and deformed and interlaced with the cyst.

Taking a breath of cold air slowly, he asked, "Doctor Nie, this excision is really too difficult. If you are not careful, once the vascular network of any blood vessel is destroyed, it will cause blood collapse."

"The risk of this operation is no less than that of Ms. Zhang Manyu."

Nie Chen smiled, "If it weren't for the high risk of this operation, the cost would not have been raised several times to 24."

"That's true. Not to mention other places, even if it is placed in the plastic surgery department of the Second Affiliated Guang Medical Hospital of Sun Yat-sen University, if such a large cyst is to be removed, and the recovery effect described in Dr. Nie's surgical case is to be achieved, it will be the same. It needs about 20 yuan." Li Dayong agreed with Nie Chen's statement about the risks of this operation.

The risk of this operation is a technical risk.

A little carelessness can result in surgical failure or blood collapse.

Even because the side nasal artery is too deeply combined with this cyst, if this artery is damaged to cause blood collapse, it was a medical incident that could kill people immediately in 1990.

Putting it in any big hospital, in a situation like Fu Sisi's, no big doctor would actually be willing to take over.

Li Dayong lowered his head and silently took notes.

This operation is not as innovative as Nie Chen's unconstrained innovation in cleft lip repair, dilator implantation, total nose reconstruction, etc.

Instead, solid and exquisite basic skills are needed for anatomical debridement, without any ambiguity.

Just now when Nie Chen sent Zhang Jicheng's stretcher to the ward, Li Dayong chatted with Fu Sisi's mother and daughter.

As a son of a wealthy family with a family business all over Southeast Asia on Hong Kong Island, Fu Sisi has consulted about her situation not only in China, but also in Hong Kong Island, Singapore, and Seoul.

It was also because these hospitals directly rejected Fu Sisi, who demanded a perfect recovery.

That's why she turned around and found Aihua Clinic.

And Nie Chen accepted Fu Sisi's operation with ease.

And he gave a promise of postoperative effect beyond Fu Sisi's expectation.

This confidence alone is worth 20.

"Scalpel."

Nie Chen stretched out his palm to Dai Erni who was standing in the position of the first nurse.

Dai Erni slapped a scalpel into Nie Chen's palm neatly.

Dai Chunni, who was standing aside, was eager to try.

With a swipe, the scalpel in Nie Chen's hand made a small incision on the edge of Fu Sisi's mountain-like cyst.

If you do not consider the effect of skin suture after operation.

Fu Sisi's operation was based on the fact that the cyst had already pressed three main blood vessels of the face, and also pressed a nasal artery.

Starting from the safety of the patient's life.

The operation method should be directly above the criss-crossed vascular network, that is, the central position of the cyst, and the operation should be performed with the cross method.

Resection was performed directly from the center, avoiding the most risky lateral nasal artery.

However, this resection method will leave a cross, no matter what suture method is used, it will leave a large scar with prognosis.

"Pull the hook."

After Nie Chen made this incision with a length of four centimeters, and then cut inside the surgical field under the cortex with the scalpel, he instructed Lin Ronghua, who was in the first assistant position.

Lin Ronghua, who was waiting in battle, carefully opened the area of ​​the surgical field that Nie Chen dissected with the hook in his hand.

"light."

Nie Chen reminded Liu Yueqian who was holding a strong flashlight in her hand.

The most dangerous moment in the whole operation is now.

Liu Yueqian squatted halfway, and cast the light of the strong flashlight in Lin Ronghua's hand into the range of the operation field opened by the hook in Lin Ronghua's hand.

I saw that at the position where the cyst appeared, there was actually a nasal artery in the middle of the cyst.

The artery throbbed lively in the middle of the cyst.

To completely remove the cyst, the side nasal artery that should be at the alar of the nose must be removed first.

And in this process, it must not cause damage to this blood vessel and cause blood collapse.

Otherwise, once blood collapse occurs within this narrow surgical field, the flap can only be cut directly.

Even if the risk of surgery is removed, an irreparable suture scar will eventually be left.

Gollum.

Lin Ronghua and Liu Yueqian, who helped each other first, were extremely nervous and swallowed at the same time.

And the scalpel in Nie Chen's hand had been replaced with tissue scissors, and it was gently inserted into the surgical field.

Click.

Tissue scissors excised a small piece of cyst tissue within a narrow surgical field.

Click, click, click.

Nie Chen, who has a big heart that ordinary people can't reach, the surgical scissors in his hands are extremely precise around the cystic tissue around the nasal artery, and cut off small pieces like ants moving house.

pat.

The nasal artery, which was firmly stuck in the cyst tissue before, was snapped out by Nie Chen after Nie Chen cut off the last bit of cyst, and the extremely elastic artery popped out and retracted to the side of the nose.

call.

Both Lin Ronghua and Liu Yueqian, who were extremely tense, breathed a sigh of relief.

(End of this chapter)