Rebirth 90: I opened a hospital in Shencheng

Chapter 168 This project is getting more and more glittering!
"The blood vessels on the pulley use the forehead skin flap, which is understandable."

Li Dayong stroked his chin and asked Nie Chen, "The facial blood vessels are located at the intersection of the jaw and the face, and there is a certain curvature here. Do you want to use this blood vessel to implant a dilator? "

Nie Chen nodded: "Yes, the only remaining skin flaps on Comrade Zhang's face are one on the forehead and one on the mandible. Originally, there are many blood vessels available in the mandible, but if we want to obtain the best blood vessels after surgery, Fortunately, the blood vessels at the pedicle of this flap can only be facial blood vessels.”

As Li Dayong in the field of blood vessels, he can naturally understand Nie Chen's thinking.

But this is not what he questioned, he asked: "Doctor Nie, the facial blood vessels are indeed the best source of blood supply to the skin of this flap, but can the dilator make a turn and achieve an arc?"

After all, the silicone dilator can be deformed at will when no saline is injected before implantation.

It's just that once the saline is injected and the dilator expands, it is impossible to bend it, so this is where Li Dayong is very puzzled.

"In this place, the thickness and degree of expansion of our dilated sac do not exceed one centimeter."

With the pen in Nie Chen's hand, he pointed to the sharp corner where the blood vessels on the face meet the jaw: "Technically, it is achievable."

Li Dayong suddenly realized.

At the same time, without further ado, he picked up his hardcover copy and quickly recorded what Nie Chen proposed in this case.

The dilator implantation has a new idea and implantation direction for blood vessels.

Since yesterday, Nie Chen took out rapamycin, which can treat the prognosis and recurrence of vascular malformations.

Some of Li Dayong's thoughts that had been blocked in his heart seemed to have been opened up to Ren Du's second channel.

He had already reached the level of knowledge when he was 30 years old, but now he began to loosen up.

In this special environment, Li Dayong began to have a motivation to work hard and want to learn more new knowledge about the field of blood vessels.

After all, once the research project that Li Dayong and Nie Chen are working on has completed its phased scientific research results.

To reach the top of the sky is a small goal for him.

Thinking of this, Li Dayong's heart became hot.

While taking notes, Liu Yueqian raised questions:
"Doctor Nie, we can see from this blood vessel image that the blood vessels on Comrade Zhang's face have been severely damaged. Especially the side nasal blood vessels, nasal columella blood vessels and upper lip blood vessels. A series of vascular networks need to be repaired and sutured again. In this case, why don't we implant expanders in safer flap sources, such as the thigh, and then perform whip transplantation?"

"The skin flaps on the legs are very different from the skin on the face in all aspects. The prognosis after transplantation is as ugly as a piece of white pigskin transplanted on the face."

Nie Chen answered Liu Yueqian with a smile, "So thigh flap transplantation is the last step of our surgical plan."

Chen Chunmei has brought Zhang Jicheng into the operating room for preoperative skin preparation and cleaning.

Dai Chunni and Dai Erni, two trainee nurses in the operating room, were also busy in the operating room.

Nie Chen, Li Dayong, Lin Zhonghua, and Liu Yueqian finished their preoperative consultation in front of the film reader.

The fax machine's phone rang again.

It is Professor Yang Haikun who calls at this time every day.

Nie Chen communicated with Professor Yang Haikun about the data comparison of postoperative nursing environment of several groups of patients with different suture groups of severed finger replantation, tendon suture, and blood vessel suture in Princess Margaret Hospital that he faxed. .

At the same time, I also told Professor Yang Haikun about the progress of the vascular malformation project that I am cooperating with the Provincial Medical Research Institute.

When Professor Yang Haikun heard about it, he mentioned to him that the Aihua Clinic used targeted specific drugs for vascular malformations.

His voice on the other end of the phone was distorted with excitement.

Professor Yang Haikun asked loudly: "Targeted drugs for vascular malformations? Ah Chen, are you kidding me?"

"I'm not kidding, I'm not kidding." Nie Chen said with a relaxed tone to Professor Yang Haikun, "It's still in the clinical trial stage, but the direction has been determined. It is indeed a special medicine for vascular malformations."

"Have you done a double-blind test?"

"I have done it. I have completed the data and practical papers of the entire clinical trial on the treatment of melanoma tumors in white mice with this drug. But I don't want to publish this paper in any journal."

"This is amazing!"

Yang Haikun was so excited: "Well, I'll finish my work today. I'll go to Shencheng to take a look tomorrow. If possible, I'd like to take a look at the paper you conducted the double-blind test, Achen. May I?"

"No problem at all."

If it were someone else, it would be impossible for Nie Chen to come up with the double-blind test on this aspect so readily and apply it to the clinical practical data of melanoma tumors in mice.

But before Yang Haikun was reborn, he silently did many things for Nie Chen.

The most important thing is that he has supported Nie Chen more than once.

"Uh, does rapamycin also have a specific effect on melanoma tumors?"

At this moment, Li Dayong just took a sip of tea.

Hearing the daily phone calls between Nie Chen and Professor Yang Haikun, he almost spit out the tea in his mouth.

What is melanoma?It is a skin cancer that is currently considered terminally ill in the West.

There is no specific drug that is effective or even able to relieve symptoms.

If rapamycin, which was originally intended to be a targeted drug for vascular malformations, turned out to be a specific drug for melanoma, a skin cancer, it was estimated that the value of this drug could be increased by more than ten times. .

Li Dayong was not calm for a while.

"It's only theoretically feasible. The results of our clinical trials haven't come out yet." Nie Chen easily interrupted Li Dayong's turbulent imagination with a smile.

Regarding the future of this special drug, any medical researcher who knows the importance of this drug will realize what kind of gold mine he is standing in front of.

But for Li Dayong or Ke Weiguo, this category should belong to researchers in the field of medical and technology.

Nie Chen naturally didn't want them to have too many associations with this special drug in his hands.

Two 10 minutes later.

Nie Chen, who had put on his hand washing clothes and gloves, stood under the shadowless lamp on the operating table.

On the operating table, Zhang Jicheng, who was under general anesthesia, put on his hospital gown, and marked the position of the bonding part that should be cut.

at this time.

It was not Chen Chunmei who was in the first nursing position, but Dai Chunni who had undergone two surgeries yesterday.

(End of this chapter)