Rebirth 90: I opened a hospital in Shencheng
Chapter 149 Amazing Dissection!
Chapter 149 Amazing Dissection!
"Hahahaha, Dr. Nie, don't play tricks on me, an old man in his 70s."
Professor Ma Dongqing on the other end of the phone still laughed heartily.
Before leaving, he had already confirmed that Nie Chen was a very authentic businessman.
I also determined that as long as I can meet the exchange conditions that Nie Chen needs, then the goal I want to achieve, the fact that my laboratory medical students come to cooperate with Nie Chen on the project, will basically not run away.
So Ma Dongqing didn't care about Nie Chen's joke at all.
Professor Ma Dongqing asked: "Is there any problem this Friday? If the patients in the outpatient clinic can't shirk it, then we can postpone the time to next Monday."
"It's fine on my side, let's arrange it on Friday."
Nie Chen hung up the phone, clenched his fist and waved it lightly, just in time to meet Zhong Lanlan who was looking over.
Obviously, Zhong Lanlan, who was boiling water and making tea, had already heard the content of the conversation between herself and Professor Ma, and there was a bit of joy in her clear eyes.
Consuls from the Huacheng Consulate in England and negotiators from major medical device companies in England came to Aihua Clinic in Shencheng to hold a press conference jointly held by the three cities of Hong Kong Island and Shenzhen.
Simply hearing the specifications of this press conference is enough for Zhong Lanlan, who has learned about the various specifications of public opinion in various channels such as movies, newspapers, Hong Kong Island Entertainment Magazine, etc., to realize what Professor Ma Dongqing said to Nie Chen about this press conference on the phone. Yes, how high is the specification.
If the leaders of Shencheng came to the Aihua Clinic for research and went to Shencheng TV Station, and left calligraphy in the Aihua Clinic, this specification is about the specification that self-employed vanguards, top model workers, and domestic technical backbones can enjoy.
Well, Professor Ma Dongqing's series of arrangements are purely based on the standards of public opinion, which has far exceeded the media treatment that Nie Chen had enjoyed in Shencheng before.
Since hearing the morning news on Hong Kong Island Jade Channel yesterday, when Mr. Shao donated an inpatient building and a CT imaging room to Aihua Clinic, Zhong Lanlan realized that Aihua Clinic and Nie Chen will, in the following time, With the expansion of the scale of Aihua Clinic, there will be a higher level of corresponding specifications.
However, even Zhong Lanlan, who had prepared herself mentally after reading the news yesterday, was still indescribably shocked after hearing the content of the call between Nie Chen and Professor Ma Dongqing today.
After all, as a member of the Aihua Clinic, her sense of honor and sense of identity is improved almost every day with the accumulation of each patient in the Aihua Clinic and the increase of each honor.
With a demure air, Zhong Lanlan nodded to Nie Chen who was ready to enter the operating room, and said that the outpatient reception area can be handed over to her with confidence.
Snapped.
In the operating room, Nie Chen turned on the direct light next to the microscope.
Under shadowless light.
Under general anesthesia, Peng Xueni lay on the operating table in a surgical gown.
Peng Xueni, who is slender, has a body proportion that can be called fit in this era, and her face is also round and oval, which is very in line with the aesthetics of this era.
It is precisely because Peng Xueni's basic conditions are very good that the missing part of her nose looks so ugly and so dazzling.
Nie Chen stood next to the microscope where the chief surgeon was. With the liner in his hand, he had already inserted the dilator at the flap pedicle of the blood vessel on Peng Xueni's pulley, and drew a dilator about fifteen centimeters long and five centimeters wide. Implant range.
Compared with Nie Chen's method of choosing skin flaps for Zhou Caifeng and Ye Wanqiu to implant expanders.
The selection of the flap range and the prudence of the flap blood vessels in this total nose reconstruction operation are far superior to those of the previous two operations.
After all, the goal of Zhou Caifeng's dilator implantation is to cover the area of the skin flap after the removal of the mole. This is an extremely simple operation, and there is no need to pay too much attention to the subtle overall blood supply of the flap pedicle.
Ye Wanqiu's dilator was implanted, and the expansion range of the flap was too large, and there were many blood vessels to choose from, unlike the pedicle flap, which could only choose a flap blood vessel between the eyebrows.
"Before the operation, we have explained clearly the importance of the blood vessel on the pulley within the scope of the dilator implanted flap. You two, is there anything else you don't understand?"
Nie Chen was wearing a hand-washing suit and a mask, and his sharp eyes swept over Lin Ronghua and Liu Yueqian who were standing silently in the first and second assistant positions.
Today's operation, Li Dayong was still not invited by Nie Chen into the operating room to observe.
Originally, Lin Ronghua and Liu Yueqian followed Nie Chen's requirements on Saturday and standardized the training and practice process. Before they signed a contract with Aihua Clinic that gave them priority in future employment, Nie Chen originally did not arrange for the two of them this Monday. When entering the operation, one assists the other.
In this regard, even if Nie Chen wanted to relax the regulations, if Lin Ronghua and Liu Yueqian did not sign a confidentiality agreement with the Aihua Clinic and the Aihua Clinic has a priority agreement, then it is still impossible for Nie Chen to do nothing. Unreservedly let them enter the operating room to learn Nie Chen's current leading surgical technology of this era.
So last night, when Lin Ronghua and Liu Yueqian came to Aihua outpatient ward for dinner, they took the initiative to mention that they wanted to sign a confidentiality agreement and Aihua outpatient priority agreement.
Lin Ronghua and Liu Yueqian, who can become the top medical students of this era, although their social experience is relatively young, their IQ and EQ are not low.
During the time I have been in Shencheng for about a week, the potential of Aihua Outpatient Clinic is unlimited, whether it is the quality of patient resources or the improvement of working here.
Therefore, Lin Ronghua and Liu Yueqian have already taken the vascular malformation and vascular tumor project assigned to them by the Provincial Research Institute as a sideline, and set their goal to become full-time employees of the Aihua Clinic. After Nie Chen told them about the arrangement The externship period above.
Being able to independently complete a patient operation that Aihua Outpatient Clinic is currently accepting is equivalent to having the ability to have a bright future like Dr. Nie Chen.
This goal makes Lin Ronghua and Liu Yueqian, who are both surgical researchers, full of enthusiasm for the future.
For Lin Ronghua and Liu Yueqian, if they did not sign a contract for this kind of professional position with Nie Chen as an example to encourage them, they would be out of their minds.
It is precisely because the two signed the contract that they have the opportunity to enter the operating room this Monday and continue to be the first assistant and the second assistant.
"I started researching our operation on Friday afternoon, and checked a lot of information around the operation case given by Dr. Nie."
Liu Yueqian, who was standing in the position of the second assistant, her eyes with single eyelids were shining brightly, and asked Nie Chen, "Doctor Nie, I found that the split double flap surgery method and the blood vessel on the trochlear as proposed in your surgery case There are no corresponding papers or cases at home and abroad on the implantation of the flap pedicle expander! Our operation is not the first, is it?”
Lin Ronghua, who was also wearing hand-washing clothes as calm as a rock, nodded: "Doctor Nie, are we witnessing the history of the birth of the first case of this type of surgery?"
Originally, Lin Ronghua and Liu Yueqian, who were afraid to make a sound in the reception area, became alive immediately after entering the operating room.
"Yes, you guessed it right, this operation is the first case of total nose reconstruction in the case of splitting the upper blood vessels of the double-valve trochlear."
After swiping, the scalpel in Nie Chen's hand had already cut a small incision on Peng Xueni's left eyebrow, at the far end of her hairline.
Then, at the end of the blood vessels on the pulley, the subdermal vascular network of fine blood vessels, and towards the subcutaneous fat, Nie Chen made another light cut.
With a single stroke, a skin flap cavity with an extremely narrow opening and a large space is formed instantly.
"Pull the skin flap." Nie Chen said to Lin Ronghua who was ready after making the opening.
The pliers in Lin Ronghua's hand gently clamped the skin flap where the hollow cavity was opened on the forehead of the patient Peng Xueni.
"light."
When helping Lin Ronghua pull out the cavity of the flap that Nie Chen had cut open.
Liu Yueqian, holding a small strong flashlight in her hand, found a suitable position between the chief surgeon and Yisuke, and then put the light of the small flashlight in the small area of the skin flap cavity at an angle suitable for Nie Chen's field of vision. Inside.
Nie Chen used the cavity of the skin flap created by the cooperation of the first assistant and the second assistant, and the scalpel in his hand went deeper, and within the space of the whip pulled up by the first assistant Lin Ronghua, he swipe and cut another knife.
"Lift flap, light."
Lin Ronghua immediately shifted the position of the pliers in his hand, and Liu Yueqian, who put on the strong light of the small flashlight in his hand, also slightly adjusted the angle of the light.
One knife one adjustment.
The rhythm and speed of this operation is much slower than Huang Yumei's operation on Saturday morning.
Because the dilator to be implanted in this operation is not wide, but extremely long.
Every cut by Nie Chen needs to be dissected under the ultra-thin skin flap under the subdermal vascular network, and the tiny blood vessels in the subdermal vascular network must not be damaged. Once damaged, the operation will fail in half.
If it was the first ten centimeters, it would not be difficult for Nie Chen.
Then the five centimeters behind is the moment to really show the technology.
Lin Ronghua, who held the pliers in his hand to lift up the flap, had stretched the surgical field to the maximum.
Liu Yueqian, who specialized in supplementing the lighting, also tried her best to put the light at the best angle into the deepest part of the surgical field that Nie Chen could see.
For other people, it would be even more difficult to see the situation in the field of surgery clearly.
Not to mention the need to operate a scalpel, and continue to dissect inward in the somewhat dimly lit area and depth of the surgical field.
With a swipe, the slender and strong fingers held the scalpel, firmly and steadily penetrated into the deepest part of the surgical field, and slowly made the last cut.
Then, Nie Chen easily took the scalpel out of the surgical field.
The most difficult part of the first-stage implantation of the dilator is the anatomical debridement of the operative field to preserve the blood supply of the blood vessels on the entire trochlear.
At this point, you're done.
Pulling the skin flap, Lin Ronghua, who was so concentrated that he was almost not breathing, was sweating profusely at this moment.
The twin sisters Dai Chunni and Dai Erni, the intern nurses standing behind Chen Chunmei, both let out a sigh of relief when Nie Chen handed the scalpel to Chen Chunmei.
"Doctor Nie, from the medical school to the research institute, I have never seen a surgeon who has mastered the scalpel to your level." The flashlight in Liu Yueqian's hand had not been turned off when Nie Chen put away the scalpel. She looked at Nie Chen like she was looking at God, her eyes were full of stars.
(End of this chapter)
"Hahahaha, Dr. Nie, don't play tricks on me, an old man in his 70s."
Professor Ma Dongqing on the other end of the phone still laughed heartily.
Before leaving, he had already confirmed that Nie Chen was a very authentic businessman.
I also determined that as long as I can meet the exchange conditions that Nie Chen needs, then the goal I want to achieve, the fact that my laboratory medical students come to cooperate with Nie Chen on the project, will basically not run away.
So Ma Dongqing didn't care about Nie Chen's joke at all.
Professor Ma Dongqing asked: "Is there any problem this Friday? If the patients in the outpatient clinic can't shirk it, then we can postpone the time to next Monday."
"It's fine on my side, let's arrange it on Friday."
Nie Chen hung up the phone, clenched his fist and waved it lightly, just in time to meet Zhong Lanlan who was looking over.
Obviously, Zhong Lanlan, who was boiling water and making tea, had already heard the content of the conversation between herself and Professor Ma, and there was a bit of joy in her clear eyes.
Consuls from the Huacheng Consulate in England and negotiators from major medical device companies in England came to Aihua Clinic in Shencheng to hold a press conference jointly held by the three cities of Hong Kong Island and Shenzhen.
Simply hearing the specifications of this press conference is enough for Zhong Lanlan, who has learned about the various specifications of public opinion in various channels such as movies, newspapers, Hong Kong Island Entertainment Magazine, etc., to realize what Professor Ma Dongqing said to Nie Chen about this press conference on the phone. Yes, how high is the specification.
If the leaders of Shencheng came to the Aihua Clinic for research and went to Shencheng TV Station, and left calligraphy in the Aihua Clinic, this specification is about the specification that self-employed vanguards, top model workers, and domestic technical backbones can enjoy.
Well, Professor Ma Dongqing's series of arrangements are purely based on the standards of public opinion, which has far exceeded the media treatment that Nie Chen had enjoyed in Shencheng before.
Since hearing the morning news on Hong Kong Island Jade Channel yesterday, when Mr. Shao donated an inpatient building and a CT imaging room to Aihua Clinic, Zhong Lanlan realized that Aihua Clinic and Nie Chen will, in the following time, With the expansion of the scale of Aihua Clinic, there will be a higher level of corresponding specifications.
However, even Zhong Lanlan, who had prepared herself mentally after reading the news yesterday, was still indescribably shocked after hearing the content of the call between Nie Chen and Professor Ma Dongqing today.
After all, as a member of the Aihua Clinic, her sense of honor and sense of identity is improved almost every day with the accumulation of each patient in the Aihua Clinic and the increase of each honor.
With a demure air, Zhong Lanlan nodded to Nie Chen who was ready to enter the operating room, and said that the outpatient reception area can be handed over to her with confidence.
Snapped.
In the operating room, Nie Chen turned on the direct light next to the microscope.
Under shadowless light.
Under general anesthesia, Peng Xueni lay on the operating table in a surgical gown.
Peng Xueni, who is slender, has a body proportion that can be called fit in this era, and her face is also round and oval, which is very in line with the aesthetics of this era.
It is precisely because Peng Xueni's basic conditions are very good that the missing part of her nose looks so ugly and so dazzling.
Nie Chen stood next to the microscope where the chief surgeon was. With the liner in his hand, he had already inserted the dilator at the flap pedicle of the blood vessel on Peng Xueni's pulley, and drew a dilator about fifteen centimeters long and five centimeters wide. Implant range.
Compared with Nie Chen's method of choosing skin flaps for Zhou Caifeng and Ye Wanqiu to implant expanders.
The selection of the flap range and the prudence of the flap blood vessels in this total nose reconstruction operation are far superior to those of the previous two operations.
After all, the goal of Zhou Caifeng's dilator implantation is to cover the area of the skin flap after the removal of the mole. This is an extremely simple operation, and there is no need to pay too much attention to the subtle overall blood supply of the flap pedicle.
Ye Wanqiu's dilator was implanted, and the expansion range of the flap was too large, and there were many blood vessels to choose from, unlike the pedicle flap, which could only choose a flap blood vessel between the eyebrows.
"Before the operation, we have explained clearly the importance of the blood vessel on the pulley within the scope of the dilator implanted flap. You two, is there anything else you don't understand?"
Nie Chen was wearing a hand-washing suit and a mask, and his sharp eyes swept over Lin Ronghua and Liu Yueqian who were standing silently in the first and second assistant positions.
Today's operation, Li Dayong was still not invited by Nie Chen into the operating room to observe.
Originally, Lin Ronghua and Liu Yueqian followed Nie Chen's requirements on Saturday and standardized the training and practice process. Before they signed a contract with Aihua Clinic that gave them priority in future employment, Nie Chen originally did not arrange for the two of them this Monday. When entering the operation, one assists the other.
In this regard, even if Nie Chen wanted to relax the regulations, if Lin Ronghua and Liu Yueqian did not sign a confidentiality agreement with the Aihua Clinic and the Aihua Clinic has a priority agreement, then it is still impossible for Nie Chen to do nothing. Unreservedly let them enter the operating room to learn Nie Chen's current leading surgical technology of this era.
So last night, when Lin Ronghua and Liu Yueqian came to Aihua outpatient ward for dinner, they took the initiative to mention that they wanted to sign a confidentiality agreement and Aihua outpatient priority agreement.
Lin Ronghua and Liu Yueqian, who can become the top medical students of this era, although their social experience is relatively young, their IQ and EQ are not low.
During the time I have been in Shencheng for about a week, the potential of Aihua Outpatient Clinic is unlimited, whether it is the quality of patient resources or the improvement of working here.
Therefore, Lin Ronghua and Liu Yueqian have already taken the vascular malformation and vascular tumor project assigned to them by the Provincial Research Institute as a sideline, and set their goal to become full-time employees of the Aihua Clinic. After Nie Chen told them about the arrangement The externship period above.
Being able to independently complete a patient operation that Aihua Outpatient Clinic is currently accepting is equivalent to having the ability to have a bright future like Dr. Nie Chen.
This goal makes Lin Ronghua and Liu Yueqian, who are both surgical researchers, full of enthusiasm for the future.
For Lin Ronghua and Liu Yueqian, if they did not sign a contract for this kind of professional position with Nie Chen as an example to encourage them, they would be out of their minds.
It is precisely because the two signed the contract that they have the opportunity to enter the operating room this Monday and continue to be the first assistant and the second assistant.
"I started researching our operation on Friday afternoon, and checked a lot of information around the operation case given by Dr. Nie."
Liu Yueqian, who was standing in the position of the second assistant, her eyes with single eyelids were shining brightly, and asked Nie Chen, "Doctor Nie, I found that the split double flap surgery method and the blood vessel on the trochlear as proposed in your surgery case There are no corresponding papers or cases at home and abroad on the implantation of the flap pedicle expander! Our operation is not the first, is it?”
Lin Ronghua, who was also wearing hand-washing clothes as calm as a rock, nodded: "Doctor Nie, are we witnessing the history of the birth of the first case of this type of surgery?"
Originally, Lin Ronghua and Liu Yueqian, who were afraid to make a sound in the reception area, became alive immediately after entering the operating room.
"Yes, you guessed it right, this operation is the first case of total nose reconstruction in the case of splitting the upper blood vessels of the double-valve trochlear."
After swiping, the scalpel in Nie Chen's hand had already cut a small incision on Peng Xueni's left eyebrow, at the far end of her hairline.
Then, at the end of the blood vessels on the pulley, the subdermal vascular network of fine blood vessels, and towards the subcutaneous fat, Nie Chen made another light cut.
With a single stroke, a skin flap cavity with an extremely narrow opening and a large space is formed instantly.
"Pull the skin flap." Nie Chen said to Lin Ronghua who was ready after making the opening.
The pliers in Lin Ronghua's hand gently clamped the skin flap where the hollow cavity was opened on the forehead of the patient Peng Xueni.
"light."
When helping Lin Ronghua pull out the cavity of the flap that Nie Chen had cut open.
Liu Yueqian, holding a small strong flashlight in her hand, found a suitable position between the chief surgeon and Yisuke, and then put the light of the small flashlight in the small area of the skin flap cavity at an angle suitable for Nie Chen's field of vision. Inside.
Nie Chen used the cavity of the skin flap created by the cooperation of the first assistant and the second assistant, and the scalpel in his hand went deeper, and within the space of the whip pulled up by the first assistant Lin Ronghua, he swipe and cut another knife.
"Lift flap, light."
Lin Ronghua immediately shifted the position of the pliers in his hand, and Liu Yueqian, who put on the strong light of the small flashlight in his hand, also slightly adjusted the angle of the light.
One knife one adjustment.
The rhythm and speed of this operation is much slower than Huang Yumei's operation on Saturday morning.
Because the dilator to be implanted in this operation is not wide, but extremely long.
Every cut by Nie Chen needs to be dissected under the ultra-thin skin flap under the subdermal vascular network, and the tiny blood vessels in the subdermal vascular network must not be damaged. Once damaged, the operation will fail in half.
If it was the first ten centimeters, it would not be difficult for Nie Chen.
Then the five centimeters behind is the moment to really show the technology.
Lin Ronghua, who held the pliers in his hand to lift up the flap, had stretched the surgical field to the maximum.
Liu Yueqian, who specialized in supplementing the lighting, also tried her best to put the light at the best angle into the deepest part of the surgical field that Nie Chen could see.
For other people, it would be even more difficult to see the situation in the field of surgery clearly.
Not to mention the need to operate a scalpel, and continue to dissect inward in the somewhat dimly lit area and depth of the surgical field.
With a swipe, the slender and strong fingers held the scalpel, firmly and steadily penetrated into the deepest part of the surgical field, and slowly made the last cut.
Then, Nie Chen easily took the scalpel out of the surgical field.
The most difficult part of the first-stage implantation of the dilator is the anatomical debridement of the operative field to preserve the blood supply of the blood vessels on the entire trochlear.
At this point, you're done.
Pulling the skin flap, Lin Ronghua, who was so concentrated that he was almost not breathing, was sweating profusely at this moment.
The twin sisters Dai Chunni and Dai Erni, the intern nurses standing behind Chen Chunmei, both let out a sigh of relief when Nie Chen handed the scalpel to Chen Chunmei.
"Doctor Nie, from the medical school to the research institute, I have never seen a surgeon who has mastered the scalpel to your level." The flashlight in Liu Yueqian's hand had not been turned off when Nie Chen put away the scalpel. She looked at Nie Chen like she was looking at God, her eyes were full of stars.
(End of this chapter)
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