Rebirth 90: I opened a hospital in Shencheng

Chapter 273: Flying wire bridging flap pedicles!

"It's a typical burn repair operation."

In front of the film reader in the consultation room, Nie Chen hung up various data of Zheng Jinhai's preoperative examination, and the most important thing was still Zheng Jinhai's vascular CT images.

"The difficulty of this operation is that, in addition to the need for burns on the side from the opposite blood vessel to the nasal blood vessel, tendon repair and superficial skin blood vessel restoration... the total nose reconstruction and the left total ear reconstruction are also required. "

Nie Chen smiled and asked Song Dongyang and Lin Zhonghua who were standing in front of the film reader: "How many dilators do you think is reasonable to implant? Which blood vessel should be used as the pedicle of these dilators?"

Ok……

Song Dongyang and Lin Ronghua fell into deep thought.

It was already 45:[-], and Liu Yueqian had already gone to the outpatient clinic with Chen Chunmei, who brought three interns from the military hospital.

"Total nose reconstruction is a must. Then the implanted blood vessel can still be designated as the upper trochlear blood vessel. After all, the patient's hairline is not very high, and the upper trochlear blood vessel can avoid the scope of the dilator flap. into the scalp."

Lin Ronghua, who was no longer taciturn and afraid to speak out in front of others, stood up on his own initiative, pointed to the position of Zheng Jinhai's forehead on CT angiography, and first decided on the implantation position of the dilator for total nose reconstruction.

Nie Chen nodded: "That's right, this is the first dilator to be implanted. There is no problem with the choice of blood vessel at the flap pedicle, it is the blood vessel on the right-side trochlear."

"For the second left total ear reconstruction, we can only choose the left posterior jugular blood vessel, which is the only option." Song Dongyang was not to be outdone, and pointed out the location of the second dilator implantation.

"In order to make up for the skin flap missing from the burn on the left cheek, the most suitable skin layer should be the right cheek flap." After Song Dongyang finished speaking, Lin Ronghua pointed out the third place. The position of the optimal solution for dilator implantation.

"Impossible." Hearing what Lin Ronghua said, Song Dongyang sneered, "Everyone knows that the right cheek is the best to make up for the left cheek, so how do you create the blood vessels at the pedicle of your skin flap? Do you want to transplant it as a whole? ? This way the whole piece of skin will not become necrotic?"

Facing Song Dongyang's question, Lin Ronghua was extremely calm. He looked at Nie Chen, waiting for Nie Chen to answer Song Dongyang's question.

"The idea of ​​choosing the right cheek skin flap as the left cheek skin graft is correct." Nie Chen made the final decision.

"What about the pedicle of the flap?" Song Dongyang spread his hands out.

"How simple! The pedicle of the flap is directly connected from the left side!" Nie Chen drew a flying line on the CT image with the oil brush in his hand.

hiss.

Song Dongyang and the confident Lin Ronghua both took a deep breath.

It is different from the situation of consulting with the patient's family members in the open place of the outpatient clinic before.

Non-Aihua outpatient medical personnel are not allowed to enter the consultation room. Even patients can only sit on the stainless steel bench outside the consultation room door.

Next to the consultation room, there is already a waiting room dedicated to patients waiting for surgery. There is no need to let patients and their families sit in the consultation room together like yesterday and the day before yesterday, and listen to all irrelevant summary topics.

Puchi.

In the operating room, Nie Chen adjusted the height of the operating table with his foot on the valve again.

Looking at himself, he was also wearing a sky-blue hand washing suit and a surgical cap, eager to help Song Dongyang first and Lin Ronghua second.

Nodding to them, he took the scalpel handed over by intern nurse Qin Qianqian, and with a swipe of the floor, cut a small incision at the tip of the left eyebrow of the anesthetized patient Zheng Jinhai.

The first dilator implantation with the supratrochlear vessel as the pedicle of the flap was initiated.

"Senior Sister Liu, I look forward to it every day, but I finally see you in the hot land of Shencheng!"

Early ten o'clock in the morning.

Chen Chunmei, Li Dayong, and Liu Yueqian represented the Aihua Clinic and stood under the big signboard of the clinic, waiting for the yellow van of the Provincial Medical Research Institute to stop under the signboard.

The person who opened the sliding door of the van and came down was carrying a large snakeskin bag, tied two braids, and wore black-framed glasses. He was about 1.5 meters tall, wearing calico short sleeves, straight blue jeans, and stepped on his feet. Light brown plastic sandals, a big girl with a slightly fat body, a very big mouth, and a loud voice.

As soon as she got out of the car, she carried a big snakeskin bag and ran over to shake hands and hug Liu Yueqian.

"Hahaha, Pang Furong!"

Liu Yueqian hugged and shook hands with Pang Furong, who edited the vascular malformation column of Aihua Clinic, a medical journal affiliated to the School of Medicine.

"Hello, Ms. Chen, I am Su Yaping, editor-in-chief of the Aihua Outpatient Experimental Group column of Guangdong Medical Journal."

While Liu Yueqian and Pang Furong were chatting.

A 35-year-old young man with a slicked-back hair and a suit and leather shoes on a hot day got out of the car with a black travel bag in one hand and a briefcase in the other. He greeted Li Dayong first, and then formally introduced himself to Chen Chunmei. .

"Hello, Editor-in-Chief Su, it's hot outside, let's go into the outpatient clinic to talk." Chen Chunmei greeted everyone to enter the outpatient clinic.

Su Yaping and Pang Furong, as the editorial branch of the Medical Journal of the Provincial Academy of Medical Sciences in Shencheng, the office is still assigned to the outpatient clinic, that is, they share an office with Jimmy Chen.

"For the vascular malformation experimental group that Aihua Clinic cooperates with the research institute, our column can be said to be in Huacheng or even in the province, and everyone is looking forward to it!"

Su Yaping drank a cup of tea in the outpatient clinic, wiped profuse sweat, and shivered under the cool air conditioner, and couldn't help putting on the suit jacket that he had taken off, "Professor Li, I just What a bad editor. I am not good at medical materials. My main duty here in Shencheng is to help you polish the materials you have written, so the main force is still on Professor Li and Doctor Liu. "

Everyone has finished talking about this set of words, and now it is time to distinguish their respective responsibilities.

Li Dayong sneered: "Editor Su, you have a good plan! Every time we publish a paper and publish it in your editor-in-chief column, you can get a column allowance of about [-] yuan. Just like that, you still want to shake the follicle Daddy, it looks too beautiful!"

"This, this, Professor Li, why are your words getting more and more vulgar!"

Su Yaping was blushed and thick necked by Li Dayong's few words, "Okay, you can give the outline, and Furong and I will be busy and connect the materials you need. However, once our column goes up, we must publish one every week. The results of one to two articles! Once the publication is closed, the responsibility does not lie with me, but with you, Professor Li."

"Okay, then it's a deal!" Li Dayong made a final decision coldly, and Su Yaping, who was able to bargain for Professor Li, was taken aback for a while.

Liu Yueqian and Pang Furong in the consulting room laughed out loud.

"There will be no interns watching the operation on stage today."

At 11:30, Nie Chen completed Zheng Jinhai's surgery and performed the first implantation of a dilator in the form of a flap pedicle bridge.

Sitting in the consultation room, Nie Chen, who was drinking hot tea, said this to Director Ke.

Director Ke proposed to Nie Chen the third operation, that is, Wei Xiaomei, who started at [-]:[-] p.m., performed the first stage dilator implantation operation of the right total ear reconstruction, and had to be observed by three army training doctors .

Nie Chen rejected Director Ke's request without saying a word.

What a joke.

The three training interns who came from afar were exhausted, and they didn't even get dizzy. They just finished the induction surgery with Chen Jimmy at the outpatient clinic, and instilled in Chen Jimmy the rules of the Aihua Outpatient Clinic. Afterwards, they had to be driven into the operating room to observe the operation, so that they were bombarded in turn, which would be a fatal blow to the rookie.

"Our military hospital will continuously refer burn patients who meet the requirements of the Aihua clinic during this week."

Director Ke didn't care about Nie Chen's direct refusal at all. He changed the subject and talked about the various cooperation projects between the military hospital and the Aihua Clinic, which will start to get on the right track today.

"Every patient who is referred has been reimbursed in full by medical insurance at the military hospital, and all the reimbursement expenses will be assigned to the outpatient clinic by our military hospital."

Nie Chen nodded.

The money is still the money of the military hospital. This wealth is so rich that other institutions are simply incomparable.

Even the Provincial Medical Research Institute, which is most concerned about cooperating with itself on experimental projects, has dealt with various special matters, and the limit of reimbursement for patients with vascular malformations referred is 70.00%.

However, every burn patient referred by the military hospital can be [-]% reimbursed for medical treatment.

"Welcome everyone to be a member of Aihua Clinic."

Today, three large round tables were set up in the cafeteria to entertain the new members who came from afar.

Chen Dehai and his wife, who have become more and more stable on the road of chefs, and the dishes are getting more and more delicious, today cooked three tables full of Cantonese cuisine.

The upper third of seafood is stewed, stir-fried, or steamed, one third of delicacies is stewed or boiled, and one third of poultry and livestock is braised, roasted, or grilled.

Nie Chen held up a full glass of Mirinda, and respected Su Yaping, Pang Furong and three military training trainees from all over the world.

"Everyone is here for the first time today, so you don't have to rush into work. You should get used to the environment first, take a walk around, and then start working next Monday."

Nie Chen held up his glass and made a toast while arranging the work of the newcomers properly.

"That's a good relationship." Su Yaping, the editor-in-chief, was happy, and clinked glasses with Nie Chen with Mirinda, "Drink wins!"

"Drink wins!"

(End of this chapter)