Rebirth 90: I opened a hospital in Shencheng

Chapter 154 Rules are rules!

"Professor Li, you are right, it is the age of the patient to make a judgment on the adjustment of the surgical case."

Nie Chen smiled and pointed to the position of the blood vessel on Zhong Xiaoling’s film that needed to be removed on the film reader, “The two patients, Zhong Xiaoling and Shao Jiaxin, are ten years apart in age, and her blood vessels cannot be as malleable as the little girl Shao Jiaxin’s, so the same operation Zhong Xiaoling’s operation focused on re-suturing the matched vascular network after the resection of the blood vessels.”

The location Nie Chen was referring to was the vascular network composed of the labial artery and the lateral nasal artery.

Like on film, the labial artery that should have been connected in a straight line has been interrupted because of her cleft lip.

The effect that Nie Chen pointed out in the fourth paper is that while peeling and resolving the lip, the labial artery is distributed in the fine blood vessel network of the upper lip and the nasal artery at the bottom of the nose. , to reframe it.

"Then the reconstruction of the orbicularis oris muscle and the reconstruction of the vascular network are all carried out in the same operation. Dr. Nie, is the two-hour operation time you estimated in the operation case too short?"

Liu Yueqian, who was standing on the periphery, holding a hard-cover copy in her hand and carefully recording the details of Nie Chen's pre-operative procedures and intra-operative movements, was the first to ask the question.

Today's Liu Yueqian, she tied her shoulder-length hair behind her head, wore a waist-length blouse, tight bodybuilding pants, and stepped on pull-back sneakers. Although her face was plain, her facial features were very distinct and neat.

The way she is dressed today looks a bit like Jun Ji-hyun, who plays the heroine in the post-millennium Korean film "My Sassy Girl" from the side.

"Don't worry, there is enough time. Because of the suturing in this operation, Lin Ronghua and I will cooperate to suture the blood vessels, and he will control part of the suturing needles." Nie Chen answered Liu Yueqian's question while smiling. A task was announced to Lin Ronghua, who was going to be an assistant in this operation.

"Huh? Can I?"

Lin Ronghua, who was also taking notes with his head down and holding a hard copy, was flattered all of a sudden, "No, can I really participate in the suturing process of this operation?"

"You're fine, it's just like how we sewed up the pig's trotters and skin the night before yesterday to cooperate."

The consultation process between Nie Chen's operation and Li Dayong's six people was basically his explaining the technical points recorded in this operation case.

On the contrary, experts and professors such as Li Dayong, Ke Weiguo, Du Ke, and He Guangtong really couldn't come up with anything in front of Nie Chen's case of Millard repair method for unilateral cleft lip without alar, which was far ahead of its time. Consultation opinions available for reference.

"Director Ke, Professor Li, Dr. Du, Dr. He, the four of you drink tea here in the reception area and wait for two hours. After my operation is over, let's continue to chat about medical technical knowledge."

Before entering the operating room, Nie Chen once again rejected Li Dayong who was eager to try or wanted to enter the operating room to observe the operation.

Li Dayong smiled, he was able to accept Nie Chen's arrangement calmly: "Doctor Nie, today we will have patients in the field of vascular malformations and vascular tumors in Huacheng referred to the outpatient clinic. You can do this surgery." You can’t keep me out of the operating room.”

"No problem." This was originally a deal between Nie Chen and Li Dayong.

"Can't we go into the operating room to observe this operation?"

Ke Weiguo, Du Ke, and He Guangtong, who were rejected by Nie Chen from the corridor of the operating room, were greatly shocked. They couldn't understand why Nie Chen refused them to enter the operating room.

Ke Weiguo was heartbroken: "We made a special trip from the Huacheng Military Hospital Research Office to our Shencheng, Dr. Nie, one more person to observe your operation is one more person who agrees with your skills, there is no need to refuse us to observe your one-sided operation. Cleft lip surgery without alar resection."

The youngest He Guangtong nodded in agreement: "Yes, yes, even if we let us watch from the sidelines, we would not be able to learn Dr. Nie's skills and methods. There is no need to hide your secrets."

"Director Ke, the operating room of our Aihua Clinic is not allowed to enter except for the outpatient staff. If the patient for this operation is referred to Aihua Clinic from our military hospital, then Aihua Clinic can I am sorry for allowing two expert doctors from the military hospital to enter the operating room to observe the operation, three seniors."

Nie Chen smiled and explained to Ke Weiguo and the three of them that it has become an iron-clad technical exchange condition at Aihua Clinic.

This is not the case.

For example, Song Dongyang had introduced two surgeries to the Aihua Clinic, and through a verbal agreement with Director Liu of the Department of Otology of the People's Hospital, Nie Chen finally relented and asked the doctor from the Department of Otology of the People's Hospital to come to the Aihua Clinic at night to practice mattress sutures. Legal stitching.

And Ke Weiguo and the others, even with the title of military hospital research institute, came to Aihua Clinic empty-handed and wanted to enter the operating room to observe the operation. It would be really strange if Nie Chen could really agree to them.

Zhong Lanlan, who was boiling water and making tea, was extremely calm and breezy. After Nie Chen entered the operating room, she left Ke Weiguo and the three of them in front of the corridor a little out of breath. She smiled and greeted the three of them to sit on the couch superior.

She pointed to Li Dayong, who was already sitting on the couch in a big way, holding the newspaper in his hands, and said calmly: "Director Ke, Doctor Du, Doctor He, rules are rules. Anyway, as long as our military hospital has corresponding The patients referred to Aihua Clinic will have more chances to have technical exchanges with Dr. Nie in the future, so let’s not fight for this moment.”

And Su Kaifeng, a reporter from People's Diary, sat on the far right side of the couch, bowed her head, and rustled notes in her shorthand notebook.

At this time, she sighed a little that Aihua Clinic, a self-employed clinic called outpatient clinic in name, is operating like any outpatient clinic in public hospitals, or community hospitals, clinics and other medical institutions that she has seen. The method is very different.

It can even be called a medical system under two different systems.

Ding.

in the operating room.

Nie Chen administered general anesthesia and Zhong Xiaoling, who had cleaned her mouth, had already performed a complete dissection of the cleft lip and nasal cleft.

At the same time, the deformed tendons and blood vessels of the orbicularis muscle deformity and labial artery vascular malformation caused by cleft lip and nasal fundus fissure were also resected.

At this moment, the tweezers and the needle holder in his hand collided with each other, making a crisp metallic sound.

Then he tilted his head and looked at Lin Ronghua, who was holding a hook in his hand and retracting the hook: "I first completed the repair and suturing of the orbicularis oris muscle alone, and in the second step, I repaired the tube network at the end of the broken lateral nasal blood vessel network at the bottom of the nose, as well as the labial blood vessel artery. The third step is to repair the tiny blood vessels of the labial vascular network and merge them into the end part of the lateral nasal vascular network. For the vascular suturing of this part, I will insert the needle and the first line, and you will complete the second and third For the first-degree line, I will do the next step of inserting the second-degree needle and the first-degree needle, and then come back to retract the first-degree needle and the fourth-degree line, and we will work together to repair and suture the vascular network."

"No, it's no problem." Lin Ronghua was extremely nervous, his teeth were chattering against each other, and his words were slurred, "Doctor Nie, please don't worry."

No wonder Lin Ronghua was so nervous.

Ke Weiguo, Du Ke, and He Guangtong, who are well-known in the field of plastic surgery and burns, made a special trip to Aihuamen City and gave Nie Chen a lot of hats. In the end, they couldn't even enter the operating room.

And not only can I enter the operating room to become Nie Chen's first assistant, but I can also directly suture blood vessels with Nie Chen, and use the vascular mattress suture method pioneered by Dr. Nie!

This kind of opportunity, compared to Lin Ronghua's successful admission to the medical university, gave him an overwhelming sense of honor.

"Don't be nervous. You earned this opportunity by yourself." Nie Chen took the threaded round needle from Chen Chunmei. He alternated the forceps and needle holder in his hand and began to suture the tendons of the orbicularis oris muscle.

(End of this chapter)