Rebirth 90: I opened a hospital in Shencheng

Chapter 257 Bilateral Full Ear Reconstruction!

On the magnet blackboard next to the reader.

After Bao Weilin came to the Aihua Clinic for consultation last week, he went to the People's Hospital to check the routine ECG, heart rate, blood pressure, body temperature, blood routine, electrolyte coagulation time, and prothrombin time.

Nie Chen usually doesn't take any surgery, especially this kind of dilator implantation surgery, to heart.

Today, it is uncharacteristically listing all the items of Bao Weilin's routine inspection before the operation.

"Judging from the data of alanine aminotransferase, the patient Bao Weilin is getting enough sleep these days, and the risk of dilator implantation can be said to be minimized."

Nie Chen pointed to this row and went through various data.

At the same time, I also told everyone why we had to list these data in a serious manner before the implantation of the expander today, "The flap pedicles we implanted with the expander this time are not the usual ones. Instead, it is necessary to use a dilator located behind the ear, and use the branch of the posterior jugular vessel as the flap pedicle to implant the dilator.

"If the various indicators fail to meet the blood supply requirements of the flap pedicle, it may cause necrosis of the superficial skin of the ear after the second-stage surgery."

Li Dayong, Song Dongyang, Lin Ronghua, and Liu Yueqian who were conducting the consultation had already seen Nie Chen's surgical case for Bao Weilin in advance.

Li Dayong, who will get a 20 yuan allowance for each consultation, raised his hand at this moment and put forward his own opinion:
"I can understand the use of external jugular blood vessels as the pedicle of the flap. After all, the blood supply of external jugular blood vessels is more abundant than that of facial blood vessels. However, if the dilator is implanted close to the scalp, there will eventually be some skin on the surface of the skin." The scalp with the hair may also become part of the flap, which is hard to avoid."

"Professor Li is right."

Nie Chen nodded incessantly, pointing the pen in his hand at the skin on the back of the ears and neck on the CT scan of Bao Weilin's head on the film reader.

The pen clicked on this large piece of skin: "If our operation is only to perform unilateral ear surgery, then considering the situation that Professor Li said just now, we may perform implantation of two dilators. One flap is based on the sentinel vessels, and the other is based on the posterior jugular vessels behind the ears. Then, the cartilage sculpture is completed to form the ear contour bracket, and the skin is double-sided.

"But now we are performing one-stage bilateral ear surgery. If two dilators are implanted on both sides, no matter how slowly our expansion sac expands, it will still cause extreme damage to the skin of the face and neck. pull."

When Nie Chen said this, several people in the consultation room nodded.

It is also because of the implantation of the dilator, which was unfamiliar to most surgeons at this time in 1990.

Even though it is not the first time that Nie Chen has told Lin Ronghua, Liu Yueqian, and Li Dayong that the implantation of dilators needs to consider the skin fiber layer first.

But at this time, the idea of ​​flap transplantation is just to use the nearest skin graft to cover up the important part. It is still difficult for surgeons from Banco like Li Dayong to change their thinking and adapt to Nie Chen's thinking.

However, as Ma Dongqing said to Marianne Froude yesterday, if Nie Chen's various ideas and technical directions can be learned from textbooks.

Then why did they pay such a high price to come to Aihua Clinic as a regular trainee?

"After the examination last week, Bao Weilin has been complaining to me for the past two days. He has been insomnia and can't fall asleep. I prescribed Suleazepam and also treated him. It was only these days that he had a very high alanine aminotransferase. It was lowered."

After Nie Chen finished speaking, Song Dongyang said after everyone was silent.

Others don't know the meaning of this operation, but Song Dongyang knows that it is the Department of Orthogonal Senses of the People's Hospital. Director Liu, Song Dongyang's immediate boss, specially selected one of the patients with difficult and complicated diseases for referral to the Aihua Clinic. patient.

In the words of Director Liu, it is like a mule or a horse, just pull it out for a walk.

If Bao Weilin was in this situation, Nie Chen would be able to take it down, and actually performed bilateral full-ear reconstruction on Bao Weilin.

The significance of this operation definitely surpassed the sum of all the operations performed by Nie Chen in Aihua Clinic before.

According to Nie Chen's operation, it can even be declared that the domestic facial organ reconstruction technology is already the top in the world, not one of them.

Song Dongyang has worked under Director Liu for many years, so he naturally knows what Director Liu said is true.

"I apply to be Bao Weilin's first assistant in this operation."

Song Dongyang smiled at Nie Chen dog-leggedly, "I will continue to be the first assistant for this one, and I am willing to be the third assistant for the next few operations."

"You are the only one who is smart." Li Dayong gave Song Dongyang a hard look. "Did you arrange the manpower? Is this what Dr. Nie meant? I think you are especially suitable to sit at the outpatient clinic this morning!"

Everyone present, no one is a good stubble.

Song Dongyang knew that Bao Weilin's operation would definitely leave a name in medical history, but wouldn't Li Dayong know?
It's just that, even if Li Dayong said that he broke the sky, no matter how good advice he gave during the consultation process, as the deputy leader of the vascular project team, he was not qualified to enter the operating room to observe Nie Chen's surgery.

Over the past few weeks, Li Dayong, who has been tacitly with Nie Chen, has already admitted this matter.

There is no need for him, Li Dayong, to make it clear in person, if the face is torn apart, then there will be no room for maneuver in the future.

Nie Chen nodded: "For today's operation, Dr. Song is still the first assistant, Ronghua is assisting Dr. Song, and Yueqian is the third assistant. After our consultation, Dr. Song will give the patient preoperative anesthesia. Professor Li still told us before." In that way, go to the outpatient clinic in the morning."

The chubby Li Dayong nodded: "No problem."

buzzing.

In the spacious new operating room, with the fresh air system and air conditioner, the temperature quickly dropped to [-] degrees.

The airtight operating room with stainless steel inner walls and hanging panels produced a slight resonance and buzzing sound when the air conditioner was working rapidly.

Dai Erni, who took the trainee nurse Li Lini, changed the patient Bao Weilin into a surgical gown, sterilized the whole body, and prepared the skin for Bao Weilin to lie on the operating table.

When the anesthetist sent Dongyang over, Ding Ding Ding prepared the surgical instruments needed for this operation.

Sisters Dai Chunni and Dai Erni finished three operations in the new operating room yesterday morning, returned to their dormitory No. [-] on the fifth floor, had a good sleep, and went downstairs to eat in the cafeteria in the evening.

Suddenly, the two sisters felt that their life, which was originally ordinary, suddenly became wonderful and decent.

After half a year of internship in the People's Hospital, the two sisters who originally wanted to retire and go to sea to start a small business, came to the Aihua Clinic for an interview just with the mentality of giving it a try and not dying.

Unexpectedly, after trying this, the Aihua Outpatient Clinic has met the upper limit that the sisters could not imagine before, whether it is the pace of work, food, clothing, housing, transportation, or entertainment during breaks after get off work, etc.

"Doctor Song, don't anesthetize me, let's chat for a while, shall we?"

When Song Dongyang was about to give Bao Weilin general anesthesia, Bao Weilin grunted and struggled to sit up on the operating table. Trembling with nervousness, he begged Song Dongyang, "Doctor Song can talk about anything, I'm out of my mind now." There is a blank inside, and I feel that once my eyes are closed and my eyes are dark, I will not be able to wake up."

"I've been practicing medicine for so many years, and I've seen people who are nervous, but I've never seen someone as nervous as you."

Song Dongyang cheerfully asked Bao Weilin to lie down on the operating table, and then gave him general anesthesia, "If Aihua Clinic really wants to seek money and kill you, what I will give you now is not anesthesia. It's a poison that can kill you instantly."

The anesthetic began to take effect, and Bao Weilin, who spoke with a big tongue, began to lose his mind. He stammered and asked, "Is it really poison? It's numb, my tongue is numb!"

"That's right, Wei Lin, I will take care of your wife and children for you, so you can go there without worry." Song Dongyang said in a deep voice.

Song Dongyang did this a lot when anesthetizing patients in the operating room of the People's Hospital.

"Doctor Song, aren't you going too far?" Dai Erni, who couldn't see clearly, packed up all the medicines and instruments to be used in the operation, and then glanced coldly at Song Dongyang, who made cheap jokes about the patient, and couldn't help it. Live to scold and ask.

Song Dongyang shrugged his shoulders to Song Dongyang, who was familiar with all kinds of dirty and low-level jokes in the operating room, and said calmly to the two young nurses who had just debuted:
"After we gave the patient general anesthesia, what he said and what he heard, after the anesthesia wears off, he can't remember everything. If I remember, it means that my anesthesia is not good enough."

(End of this chapter)