When doctors have a simulated operating room
Chapter 281
The doctor said that the patient was very happy.
Xiaohua smiled and shook her head:
"I'm not afraid~! Not only am I not afraid, I'm also very happy.
Because Xiaohua will no longer be the ugly one Wang Gui and his friends say!"
Xiaohua was lying on the bed, and Zhang Yi chatted with her casually.
"Who is Wang Gui?"
When mentioning Wang Gui, a trace of unhappiness flashed across Xiaohua's face.
"Humph, he is a bad boy in our village, always bullying me and saying I am ugly."
Zhang Yi comforted her:
"It's okay, Xiaohua, after we have this operation, no one will say you are ugly anymore!"
"Well! Thank you, Dr. Zhang~!"
The grandfather and grandson were grateful to Zhang Yi from the bottom of their hearts.
Without Zhang Yi, they would not be able to perform the operation.
Soon, the group arrived at the operating room.
Xiaohua was sent in first.
Just when Zhang Yi was about to enter the operating room to prepare, the old man behind him suddenly called him.
"Um... Doctor Zhang, please wait."
A tangled look flashed across the old man's face.
Zhang Yi asked him:
"What's wrong, uncle? Is there anything else?"
"No... nothing, I just want to ask, Xiaohua's operation... will I be asked to donate blood? I mean, will there be blood loss, and then I will be asked to donate blood?"
Zhang Yi looked at the old man in confusion.
"What's wrong? Why do you ask this question? Generally speaking, there will be no heavy bleeding, unless there is an accidental cut on the artery, there may be a need for blood transfusion, but it is possible, and the probability of this happening is very, very low."
It is impossible for such a dangerous operation to be performed by Zhang Yi.
The old man nodded thoughtfully, then he looked at Zhang Yi again and seemed to be hesitant to speak.
Zhang Yi was puzzled: "What's wrong, uncle? Do you have anything else to say?"
"I...if...I mean if you need blood for surgery...you can try my blood first to see if it's suitable. I'm willing to donate blood to Xiaohua."
Zhang Yi laughed twice in confusion and said:
"Uncle, Xiaohua is your granddaughter. There is a high probability that your blood types are suitable."
After saying that, Zhang Yi was stunned for a moment...
This old man should be Xiaohua's grandfather, right?
Otherwise, why would he ask such a question?
"I...actually, I'll tell you the truth!"
After struggling for a while, the old man decided to make it clear to the doctor.
"Actually... Xiaohua is not my biological child. I picked her up at the entrance of the village.
I told you this because I was afraid that something might happen to Xiaohua during the operation. I was worried that Xiaohua would be in danger.
That's why I informed you in advance. I hope you can just draw my blood if you really need it.
Xiaohua is a miserable child. She has never seen her parents since she was a child. I raised her all by myself.
As for me, I have never married and have no descendants in this life.
So I really raise Xiaohua as my own granddaughter.
So... Doctor Zhang... I beg you, please make sure to cure Xiaohua..."
As the old man spoke, he slowly grabbed Zhang Yi's wrist.
A force came from his wrist. Zhang Yi could feel that this force carried all the expectations of the 70-year-old man.
Zhang Yi looked at him and nodded heavily:
"Okay, don't worry, I will do my best to perform the operation on Xiaohua. Don't worry about the blood transfusion either. It is highly likely that no blood transfusion will be performed."
"That's good. Thank you, thank you, Doctor Zhang..."
The old man choked up a little, and his eyes were slightly moist.
First, he felt sorry for his granddaughter entering the operating room, and second, he was moved to meet a good doctor.
Afterwards, Zhang Yi did not delay any longer and turned to enter the operating room.
Good guy.
Chen Fang was right.
No wonder he said that the grandfather and grandson did not look alike at all.
It turned out that they were not biological children!
However, I think this old man is also a kind person.
The child he picked up, and the child with cleft lip and palate, he raised him with all his heart and soul to this age.
It is really not easy.
In the operating room.
Xiaohua has been given basic anesthesia, lying on her back, with her shoulders raised first and her head tilted back.
Fully expose the best surgical field of view.
Zhang Yi was the main surgeon, and Wang Weibing came to assist Zhang Yi.
Although he was not very willing, since Zhang Yi said that he would not take commissions for the surgery, Wang Weibing turned a blind eye.
"Alcohol disinfection."
Zhang Yi had just finished speaking when he grabbed
The forceps with sterilized gauze were handed over.
Zhang Yi thought, not bad, not bad, this speed is as fast as Dilraba.
It is worthy of being a director-level doctor to be his assistant.
After the disinfection is completed, the sterile surgical towel is spread, and then the local nerve block anesthesia under the eye socket is performed.
Smaller children can be given general anesthesia.
Older children can be given basic anesthesia plus local nerve tissue anesthesia.
Basically, sodium thiopental is used as basic anesthesia, and lidocaine is added for local anesthesia.
First, use the modified Millard method to determine the points, and determine seven points.
These seven points are the child's philtrum, the high point of the lip shape, the thick point, the fixed point at the root of the healthy side of the columella, the fixed point connection line on the nasal floor of the cleft, etc.
First determine the points, and then cut the skin in the order of the fixed point connection line.
Because Zhang Yi has practiced many times, in the eyes of several assistants, Zhang Yi completed the point determination in less than a few seconds.
Wang Weibing was stunned for a moment, and asked him quickly:
"Wait! You... don't you check the distance?? You just set the point directly??"
"No, I believe my eyes."
Hiss! !
Damn! !
Look, is he speaking human language!
Another assistant in the operating room frowned slightly... Hmm? ? This sentence is so familiar? Did I hear Zhang Yi say it before? ?
"Small round knife No. 15."
The small round knife cuts the scar along the edge of the upper lip scar 1 mm.
Then cut the skin according to the designed fixed point incision.
When making an incision at this position on the face, the speed of cutting must be fast.
Be fast, accurate, and steady, and cut the incision in one cut.
Don't cut slowly and not cut it. This situation is most likely to leave scars, and the scars are not small.
Deep scars on the stomach and legs are actually okay, and they can be covered with clothes.
That's definitely not okay on the face. As a doctor, while ensuring the safety and health of the patient, you must also reserve the patient's right to pursue beauty.
"Change to No. 11 sharp knife."
Use the sharp knife to make a full-thickness incision.
When cutting the edge of the fissure, the tip of the knife should be slightly biased toward the fissure side, so that more muscle and mucosal tissue can be preserved.
Then make an additional incision of 0.2 cm on the right alveolar, insert the knife handle to do periosteal peeling, and prepare for bone grafting.
In addition, the peeling range on the outside of the fissure is wider than that on the healthy side, and can reach the nasal base, so the technique must be more careful.
After the incision is made, the next step is bone grafting and fixed-point suture.
Suture is not an ordinary suture. Not only must the lip arches on both sides be complete, but the lip peaks and lip beads must also be obvious.
Otherwise it will not look good.
During the entire suture process, Zhang Yi only asked Wang Weibing to pass things, and he didn't mean to ask for help at all.
Of course, Wang Weibing was also stunned.
Seeing Zhang Yi perform surgery in person is really different from watching the video!
The speed of the knife and the suturing technique...
It's really daunting!
The operation was over in less than half an hour!!
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