Rebirth 90: I opened a hospital in Shencheng

Chapter 56 Aihua repair method for bilateral cleft lip!
At this time, Song Dongyang felt that if he missed the opportunity to watch the operation, he would definitely regret it for the rest of his life.

After all, in 1990, if you want to watch a world-class cutting-edge surgery, you can only apply to go abroad to a famous international medical school for medical exchange, and some doctors stop production at their own expense, and go abroad for medical exchange to improve themselves technology and knowledge.

After all, as a group of doctors, the pursuit and study of technology is driven by an arrogance and a sense of mission that people in other industries cannot imagine.

Even if he is as refined and self-interested as Song Dongyang, when Nie Chen demonstrated this kind of surgical technique that can already stand among the top in the world, the curiosity and longing that belonged to surgeons in his heart naturally occupied all his emotions.

"Rules are rules." Nie Chen smiled and pointed to the sign in front of the operating room, "Non-official staff of Aihua Clinic are not allowed to enter the operating room."

On this matter, Nie Chen would never let go easily. Even if Song Dongyang resigned and wanted to come to Aihua Clinic to apply for a doctor, Nie Chen would have to consider whether he would accept him.

Not to mention that the current Song Dongyang is actually Nie Chen's competitor in the industry, and it is even more impossible to easily show his skills in front of him for him to observe.

Originally, before that, Nie Chen still had a sense of medical skills without borders.

After what Chen Chunmei and her father said at dinner time a few days ago, Nie Chen felt that the original intention of his rebirth was to go in the direction of a private hospital. Before becoming bigger and stronger, his own core technology was not enough. easily leaked to outsiders.

Unless these doctors can be firmly bound to the Aihua Clinic.

As for Song Dongyang, this kind of attending doctor who has already formed his own system and habits in all aspects of medicine and surgical technology, his plasticity is not as good as that of a newly graduated intern.

"After Liu Hongxia's operation, she had to be observed and nursed in the outpatient ward for at least three days before she could go home."

Before the operation, Chen Chunmei took out a series of "Patient Preoperative Information Letter", "Patient Family Preoperative Information Letter", "Operational Risk Information", "Anesthesia Risk Information" and "Outpatient and Inpatient Nursing and Accompanying Procedures" drafted by Zhou De. " and a series of preoperative procedures, Liu Hongxia's parents who had paid the money signed one by one and printed the finger prints.

The nursing ward was a fifteen-square-meter, airy and bright room that Nie Chen had asked Chen Chunmei and Zhong Lanlan to tidy up three days ago.

It was also the location of the stairs under the attic of Nie Chen's parents' outpatient clinic before.

This nursing ward is generally not used unless the patient must undergo intensive care after surgery.

"No problem." Liu Hongxia's father signed one by one, and he carefully studied and read the procedures.

The more you sign, the brighter your eyes will be, "Our Aihua clinic is more formal than the procedures of the People's Hospital!"

That's right, in this era, many procedures in the hospital are actually very simple, and the patient's family members will not be required to sign every time they move.

Nie Chen, who moved this set of contract procedures between doctors and patients after 1990 to [-], of course knows all kinds of problems that may cause disputes on the behavioral or psychological level. It is helpful to complete the procedures with clear rights and responsibilities in advance What good.

"Brother Chen, can Liu Hongxia really be able to speak without leaking after the operation?"

The anesthesia method for Liu Hongxia's operation was general anesthesia with endotracheal intubation.

in the operating room.

Liu Hongxia, who had undergone general anesthesia with tracheal intubation, lay flat on the operating table.

The closed mouth was slightly opened, and under the shadowless lamp, the cracks on both sides of the cleft lip could be clearly seen, directly reaching the bottom of the nose on both sides.

"If the leakage cannot be solved, then the operation has not been done."

Nie Chen took the adrenal saline syringe handed over by Chen Chunmei, and injected it from the maxillary bone of the upper lip to the anterior lip-nasal columella junction.

After injecting adrenal saline, Nie Chen took over the small scalpel and tweezers.

The first cut cuts the joint from the front lip to the columella.

Then, according to the three-dimensional anatomical model designed by my previous operation plan, the incision of the fissure was made to form deposits on both sides, and the round red lip and muscles of the Sylvian fissure were retained.

The rest of the red lip mucosa, along the surface of the base layer, dissociates to the bottom of the nostrils, and spreads the muscle layer layer by layer to repair the bottom of the nose.

Then the nasal septal mucoperiosteum on both sides of the completely split lip was cut to form a nasal septal mucosal flap, which was still used to repair the bottom of the nose.

So far, the bottom of the nose has been repaired successfully.

Then the orbicularis muscle was properly dissected, and the orbicularis muscle on both sides was sutured at the same time to restore its continuity.

During the operation, Nie Chen continuously replaced the scalpel and forceps in his hands with circular needles and needle holders, incising and freeing, and then suturing and pulling threads.

The lobes on both sides that seemed impossible to repair were cut and spread layer by layer.

Then slowly, as if created out of nothing, layers of nerves and tiny blood vessels were cut and connected with the free nerves and tiny blood vessels in the middle of the crack.

At the same time, Nie Chen cut open the free orbicularis oris muscle, removed the bonding points one by one, and then repaired the cleft edge to restore the dynamic model of the orbicularis oris muscle linkage.

At the same time, the cartilage at the position of the columella under the alar of the nose is also greatly repaired.

After the completion of the nasal bone repair, Liu Hongxia's nose, which had enlarged nose wings and upturned nostrils, suddenly had a beautiful nose tip contour.

The tip of the nose is slightly raised to make up for the defect that the upper lip is not thick enough after repair.

Even Nie Chen used this bilateral cleft lip repair method named after the Aihua Clinic to perform the first-stage repair operation on Liu Hongxia, which is actually better than the two-stage operation effect of Tennyson's method or Millard's repair method. , even better.

"Shuye attracts!"

The operation lasted an hour, and Nie Chen used the suture-embedded mattress suture method to suture the tiny blood vessels and nerves throughout the whole process.

It has not yet progressed to the most critical skin suturing, but the gauze that blocked Liu Hongxia's trachea is already covered with saliva, mucus, and blood.

Chen Chunmei, who was already able to cooperate with Nie Chen on the operating table, picked up the surgical suction device that Nie Chen assembled herself, slowly inserted it into Liu Hongxia's mouth, sucked up all the mucus in the surgical field, and then Then Liu Hongxia was replaced with medical cotton gauze that blocked the opening of her trachea.

tom tom tom tom!

Chen Chunmei used the suction device a few times, and the vacuum pump placed outside the Aihua Clinic began to roar.

"Doctor Nie Chen, is he undergoing surgery?"

When Nie Chen's operation was in full swing, Li Dayong, the deputy director of the Huacheng Microvascular Research Institute who followed Yangcheng Evening News reporter Du Yuewen to interview a few days ago, pushed open the glass door of the Aihua Clinic and saw a room full of people in the reception area. Can't help but ask Zhong Lanlan, who is in a demure atmosphere, boiling water and making tea for everyone.

"Hi Director Li, Dr. Nie is currently undergoing surgery." Zhong Lanlan replied to Li Dayong in a gentle voice, beckoning Li Dayong to sit on the side of the long sofa near the short sofa, and offered him a cup of steaming tea.

"Oh, what kind of surgery is it?" Li Dayong looked around, glanced at Nie Chen's medical records on the low table next to the short sofa, and his eyes froze immediately, "A third-degree bilateral cleft lip? Dr. Nie is doing this Operation?"

"Are you Professor Li?" Sitting on the side of the couch, Song Dongyang, who is well-informed, is a little unsure whether this gray-haired, 50-year-old man is Li Dayong, who is well-known in the medical circle of Guangdong Province professor.

"Ms. Zhong, I'm going to the operating room to take a look now." Li Dayong ignored Song Dongyang. He was completely attracted by Nie Chen's ongoing bilateral cleft lip surgery. He stood up and was about to move toward Walk to the operating room.

However, Li Dayong hadn't taken two steps before he was blocked by Zhong Lanlan, who had a good eye and quick hands, in the corridor in front of the operating room: "Director Li, except for staff and patients, no one else is allowed to set foot in the operating room of Aihua Clinic."

Pfft, Song Dongyang couldn't help laughing out loud.

(End of this chapter)