From small clinic to medical empire

Chapter 35 Zhang-M Rotating Propulsion Technique
Zhang Zifan finally chose the Millard rotary propulsion method.

Zhang Zifan might choose the former if he could not see the prognosis and images of the child, but looking at the very different appearances under the two techniques, as a doctor, or as an ordinary person with a heart of compassion, Zhang Zifan could not convince Compromise yourself.

When he was at the First Affiliated Hospital, Zhang Zifan participated in several operations to treat cleft lip using the Millard method, but he always appeared as an assistant to Professor Zhu Wenyou. As for the experience of being the chief surgeon, Zhang Zifan had never had any experience.

However, the principle of all cleft lip repair methods is actually the same, that is, by cutting the tissues on both sides of the cleft within the plan, the tissues form different convex and concave structures, and then splice each other to form a new lip structure. .

Since human skin and mucous membranes have a certain degree of ductility and elasticity, through different cutting and splicing methods, the original defective gap can be compensated by tissue extensibility to avoid beak deformity.

However, different surgical methods have different cutting positions and different numbers of bumps and concaves, so the final repair effects are completely different.

Zhang Zifan first used a sterile pen to set four marking points on the edge of the child's red lips, namely the two lip peaks, the philtrum notch, and the mirror point of the cleft on the other side.

Next, four points are also determined at the base of the nose, namely the columella point, points on both sides of the cleft, and the point under the left nose wing.

These eight points are very important, and they are related to the success or failure of the operation.

Although these dots are clearly visible on the child's face now, as the cutting, rotation, and splicing proceed, the positions of these eight dots will eventually become unrecognizable.

For example, the original point on the bottom of the nose will be transferred to the middle part of the man as the restoration progresses, and the original point on the side of the cleft on the upper edge of the red lip will go through mountains and rivers to the bottom of the left nose.

In short, the process is quite complicated, far more than a simple jigsaw puzzle.

With the completion of the fixed point, Zhang Zifan began to cut the knife.

At this time, there was silence in the operating room, and even the child seemed to be infected by the nervousness, and he grasped the armrest of the operating table tightly, not daring to make a sound.

"Steady your hands!" Zhang Zifan broke the silence.

Although Yuan Qiang has the characteristics of courage, he also seemed a little nervous at this time.

The tissue forceps that assisted the surgery in his hand were shaking all the time, which affected Zhang Zifan's operation.

"Okay, Director!"

Yuan Qiang swallowed a mouthful of saliva, and he glanced at Zhang Zifan with admiration, this, perhaps, is a genius!

I was so nervous just being on the sidelines, but Director Zhang's hands were still so steady!
Is Zhang Zifan really not nervous?
Of course not, he was so nervous to death!

But the more nervous he was, the more he told himself that every cut and detail he made determined the fate of this little girl's life.

……

After more than a minute, the first incision was completed.

[Preset: Millard rotates and advances the spell formula

Prognosis: If the operation is completed perfectly, the recovery rate can reach 91%]

Zhang Zifan was startled, cold sweat dripped from his forehead.

Even though he has been very careful, the accuracy of fixed points and incisions is considered to be close to perfect, but through the [Eye of Preset], Zhang Zifan found that the degree of recovery of the patient's prognosis has still dropped by two percentage points, from 93% to 91%.

Sure enough, "perfectly completing the operation" is not a simple matter.

This is not based on human will. Zhang Zifan's B+ surgical skills are not enough to achieve perfection.

But now is not the time to think about that, you have to look ahead!
Zhang Zifan continued with the next step of cutting.

second cut...

The third cut...

When the fourth incision was made, Zhang Zifan saw through the [Eye of Preset] that the recovery rate of the prognosis had dropped to 88%.

This is still an acceptable recovery rate.

According to Zhang Zifan's estimation, when all the incisions are completed and sutures are added, the final recovery rate is about 80%, which can be said to be quite good.

All other techniques, even if they are perfect, can only reach a maximum of 82%.

However, the 82% recovery rate of the triangular flap method is unacceptable, so is Millard's 80% recovery rate really acceptable?
Looking at the little girl whose left lip is obviously not high enough in the [Eye of Preset], and whose mouth is skewed visible to the naked eye, Zhang Zifan is full of unwillingness!

Is there any other way?

Suddenly, Zhang Zifan had such an idea in his mind.

He observed the existing four incisions. If the fifth incision no longer follows the standard of the Millard method, will there be another plan?

Zhang Zifan's mind was running wildly, and suddenly he thought, could he change the direction of the original No. [-] incision, and then based on it, make several oblique tension-reducing incisions inward?

This incision does not need to cut through the entire mucosa-cortex, but only needs to enter from the oral mucosa and make a half-thick incision.

This will not add new incision scars to the child, but can have greater flexibility between the fifth incision, the fourth incision and the third incision?
Try it when you think of it!
Of course, Zhang Zifan didn't try it on a patient, but...

[Default: Zhang-M Rotation Propulsion Technique
Prognosis: If the operation is completed perfectly, the recovery rate can reach 95%]

feasible!

Zhang Zifan tightly clenched the handle of the knife in his hand, suppressing the excitement in his heart.

According to international practice, when someone makes a major improvement on the previous technique, it is considered as a joint invention of two people, and the new technique will be named after the initials of these two people.

This is just like Mr. Yang Zhenning’s famous Yang-Baxter equation in physics. It is a great honor.

Of course, Zhang-M's rotational propulsion technique is not that influential, but in terms of therapeutic effect, it has been recognized by the system.

95%, which is not the limit that a perfect operation can achieve from the beginning.

It's the limit that Zhang-M's rotating propulsion spell can still achieve when Zhang Zifan has made four incisions that are not "perfect"!

Taking a deep breath, Zhang Zifan immediately began the operation according to the preset operation method.

Improved fifth incision!
Auxiliary first incision!

Auxiliary second incision!

Auxiliary third cut!

Turn the flap to advance!

All marked points are stitched in place!

Intraoral plugging agent to compress the wound surface!
Time passed by, and after a full 10 minutes, the operation was finally completed.

【Ding!Congratulations, you have completed the entrustment of Police Officer Li, the recovery rate of lip stitching has reached 91%, and you will permanently retain the special skill: Eye of Preset]

【Ding!Congratulations, you have eliminated the elite cleft lip monster, and your oral surgery skills have been upgraded to A-]

【Ding!Obtained items: blueprint of intermediate conference room]

Hearing a series of prompts in his ears, Zhang Zifan let out a long sigh of relief, and patted the girl on the shoulder with a smile: "Little beauty, your illness has finally been driven away by your uncle. Next, obediently take injections and medicine, and you'll be fine!"

(End of this chapter)