Rebirth 90: I opened a hospital in Shencheng

Chapter 135 Millard Restoration Method Without Excision of Nose!
But Li Dayong really can't fix it at this moment.

What should I say?The premise of the consultation allowance for each operation promised by Nie Chen and him before was that Li Dayong could put forward constructive opinions during the consultation process.

And now what is Li Dayong in the consultation process?Just like an ordinary medical student asking questions that he doesn't understand, waiting for Nie Chen to answer him?

What kind of expert consultation is this?

"If I hadn't seen it with my own eyes, the postoperative recovery of Ms. Liu who had surgery in our clinic before, as well as her extremely plump upper lip and nose tip, I would not dare to imagine the plan of repairing the nose without removing the alar .”

Under this stressful situation, Li Dayong put forward a little suggestion, "With Ms. Liu's medical record as a premise, I dare to imagine that we can actually suture the orbicularis muscle. Suture the contractile cord of the tendon at the bottom of the gingiva, so that the blood supply distance of the orbicularis oris muscle can be shortened, and the blood supply in the repaired part of the nose base and alar can be smooth and normal.”

Nie Chen nodded slightly as he listened, this line of thinking is the consultation suggestion that experts in the field of microvascular should come up with:

"Professor Li, you continued to say that I have adopted your suggestion. When I was on the stage for surgery, I also thought about this method, but Liu Hongxia has bilateral cleft lip, and the distance of the orbicularis muscle itself is short enough, and there is still need Carry out transplantation and suturing... the effect of the whole machine is the same as the effect of shortening the distance you are talking about now."

"But this one is a unilateral cleft lip." Nie Chen accepted his suggestion, and Li Dayong suddenly became more confident. He pointed to the position of the orbicularis oris muscle on the little girl's upper lip on the CT image film, "We can achieve this by performing surgery on the stage. The red lip line is beautiful and natural because the patient has bilateral cleft lip and the distance between the orbicularis oris muscles is short enough. If the experience of the previous surgery is applied to this unilateral cleft lip, the postoperative effect in terms of physical beauty will be greater. discount."

Nie Chen slapped his palms and laughed loudly: "Yes, fortunately, Professor Li, you reminded me! Otherwise, the effect of the red lip line on the upper lip of this operation may be stretched."

Clap la la la.

The banknote counter is passing banknotes quickly.

Shao Lixiang was carrying a small travel bag today, twisting her water snake waist, and brought her daughter Shao Jiaxin into the Aihua clinic at [-]:[-].

Her best friend Lin Qingya was busy with business in the morning, so she didn't come to the Aihua Clinic with her.

"After the operation, you will be hospitalized in our outpatient clinic, right?"

Amidst the sound of money counting, Zhao Lixiang couldn't help stretching her long legs towards Nie Chen's trouser legs. Her shawl and long wavy hair were gathered with an exaggerated expression, and the entire outpatient reception area was filled with her strong aura. The smell of perfume, even the smell of new hundred-dollar bills can't suppress her perfume smell.

Nie Chen nimbly dodged Zhao Lixiang's calf, nodded and said, "He's here in the outpatient clinic."

"Is there any problem with what we eat and drink here?"

"Of course there is no problem. Our outpatient clinic has a special patient cafeteria that provides food suitable for patients' recovery. The meals for patients in our outpatient clinic cost ten yuan per meal."

"The 15 yuan was spent, why don't we provide food for the patients in the outpatient clinic?" Amidst the clattering sound of counting money, Zhao Lixiang felt very distressed.

When Chen Chunmei heard Shao Lixiang's low-pitched complaint, she smiled. In fact, Nie Chen was fighting for the cafeteria benefits for her parents, brothers and sister-in-law.

"All 15 yuan."

Zhong Lanlan and Chen Chunmei followed behind the banknote counter, counted the banknotes manually, matched the number of banknotes manually counted, and reported the number to Nie Chen and Shao Lixiang.

"Scalpel."

15 minutes later, in the operating room.

Nie Chen took the scalpel from Chen Chunmei.

Lying on the hospital bed under the shadowless lamp, there was a little girl named Shao Jiaxin with a well-behaved face and a very good-looking face, but only one side of her lip was cleft.

During Shao Jiaxin's anesthesia process, Nie Chen, who had already explained the entire surgical plan and process to Li Dayong, Lin Ronghua, and Liu Yueqian in the operating room, now held the scalpel in his hand, and the unique temperament of a well-trained surgeon was in vain.

The tweezers in Nie Chen's hand gently clamped the little girl's unilateral cleft lip under the nose, and lifted the split part of the bottom of the nose with the tweezers.

Nie Chen did not cooperate with the first assistant Lin Ronghua and the second assistant Liu Yueqian to perform cleft lip repair related operations, so this kind of work with tweezers can only be done by Nie Chen himself, and cannot be entrusted to others.

Brush it.

With the scalpel in Nie Chen's hand, he dissected the part of the tissue that was clamped at the bottom of the nose.

Along the incision range he established, first the flap of the upper lip was peeled off above the orbicularis muscle bit by bit.

The most important thing in every cleft lip repair operation is whether the scalpel in the hand can completely peel off the skin flap above the orbicularis muscle without injuring the flap or the orbicularis muscle .

Once this is done, this cleft lip repair surgery can be equal to a small half of success.

That is to say, no matter what kind of cleft lip repair surgery, the final test of the large and small ones is still the skill of anatomy.

Once the knife skills are passed, the final repaired shape of the patient can achieve the effect of cosmetic surgery, and even the original cleft lip position can be repaired seamlessly, so that no trace of cleft lip can be seen.

"Pliers, hold this flap and keep it still." Nie Chen handed the pliers in his left hand to Lin Ronghua, who was already getting ready.

Although you can't perform complementary surgeries at your own pace, Lin Ronghua and Liu Yueqian still have to arrange some of the simplest assistant actions. It's really a big loss.

"Hemostatic forceps."

When Nie Chen cut open the tendon according to what Li Dayong mentioned during the consultation, and then performed shortening suture, he cut off a small section of vein.

Then Liu Yueqian took the hemostat and clamped the blood vessels on both sides.

And Nie Chen replaced the scalpel in his hand with a needle holder, held the round needle with the tweezers, and immediately performed mattress suture on the vein that had been cut and shortened.

"Starting from tonight, the pig's trotter suturing practice in our outpatient clinic, Ronghua, Yueqian, you two must not be absent."

"Okay! Actually, I wanted to apply for pig's trotter suturing practice in the outpatient clinic yesterday." Lin Ronghua, holding the pliers to pinch the flap, smiled brightly.

Li Dayong asked, "What about me, can I sew pig's trotters together with everyone?"

"Of course you can." Nie Chen replied with a smile, while his hands were suturing the blood vessels smoothly and quickly. "In terms of blood vessel mattress sutures, the current speed can actually be doubled. But only two mattresses are needed." This effect can only be achieved with the cooperation of doctors who are capable of suture techniques."

With regard to double-person cooperation with vascular mattress suture, after [-] in the new century, many hospitals have conducted research on this aspect.

Nie Chen is also because he now has Lin Ronghua and Liu Yueqian, two terrifying medical students with solid basic skills, in the team, so it seems that this kind of double can be arranged with blood vessel suturing.

(End of this chapter)